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Article
February 24, 1900

TREATMENT OF TYPHOID FEVER IN PRIVATE PRACTICE.

JAMA. 1900;XXXIV(8):452-455. doi:10.1001/jama.1900.24610080004001a
Abstract

I shall not attempt an exhaustive exposition of the subject, but shall limit attention to a few questions of fundamental importance and general interest.

Prevention.  —This is the question of the hour. The lack of correspondence between theory and practice is nowhere more strongly exemplified than it is in this connection. Theoretically, typhoid fever is preventable, and that without reference to antitoxin inoculations; but in private practice the measures of prevention ordinarily employed are a mockery of science and an insult to the conscience of the profession.The pathogenic bacilli appear in the discharges of the patient about the ninth or tenth day of the disease or later; and they persist a week or two after defervescence.In private practice, especially among people in easy circumstances, the patient usually presents himself for treatment before the ninth day is reached; and consequently it is usually within the power of the doctor

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