Postgraduate Medicine

ISSN: 0032-5481 (Print) 1941-9260 (Online) Journal homepage:

Editor's mail Roy T. Chatterton, N. K. Pandeya, C. H. Schapera & R. C. Banner To cite this article: Roy T. Chatterton, N. K. Pandeya, C. H. Schapera & R. C. Banner (1976) Editor's mail, Postgraduate Medicine, 59:5, 23-25, DOI: 10.1080/00325481.1976.11714349 To link to this article:

Published online: 07 Jul 2016.

Submit your article to this journal

View related articles

Full Terms & Conditions of access and use can be found at Download by: [Australian Catholic University]

Date: 15 August 2017, At: 18:43

editor's mail

Downloaded by [Australian Catholic University] at 18:43 15 August 2017

COMMON WORM INFECTIONS IN CHILDREN: THERAPEUTICS To the Editor: Dr. Tudor's excellent article in your December 1975 issue on common worm infections in children raises a few points on therapeutics. He correctly points out that both pinworms and roundworms are a frequent cause of infection. Therefore, 1 suggest that there is no place for pyrvinium pamoate in the treatment of diagnosed pinworm infection. Pyrantel pamoate, piperazine citrate, or even mebendazole are preferable because they simultaneously treat any hidden roundworm infection. Mebendazole is more expansive, but pyrantel and piperazine are widely available low-cost drugs. For treatment of roundworm infection when hookworms are also present, 1 feel that mebendazole is now the drug of choice because it will deal with both infections and thus prevent Ascaris migration. 1 concur with Dr. Tudor's choice of biphenium hydroxynaphthoate as the initial drug of choice where the only infection is hookworm; mebendazole is an alternative choice. Dr. Tudor comments in passing that thiabendazole is effective against pinworms or roundworms and whipworms. ln my experience. thiabendazole has had very low efficacy against whipworms. 1 have seen a number of patients who had received one or more courses of thiabendazole and still had whipworm infection. 1suggest th at mebendazole or diphetarsone (an investigational drug developed in France and available in Canada) is the drug of choice for whipworm infection. Despite these small points, 1 wish to compliment Dr. Tudor on drawing our attention to this problem, which is being aggravated by

Vol. 59 • No. 5 • May 1976 • POSTGRADUATE MEDICINE

rapid travel around the globe and which is now being sean in adults as weil as children. Roy T. Chatterton, MD, CCFP Cambridge, Ontario

WHITE ADHESIVE TAPE AS TREATMENT FOR BURNS AND ABRASIONS To the Editor: 1 have read with interest "Office Treatment of Abrasions," by Dr. Allan J. Ryan, in the February issue Of POSTGRADUATE MEDICINE. lt is an enlightening, informative article. 1would like to offer an addition al method for treating abrasions, superficial burns, and deep burns of smaller dimensions-use of white adhesive tape as a primary dressing agent. White adhesive tape has been found to be extremely useful in treating burn injuries, skin ulcers, donor sites for skin transplants, and other conditions in which early, fast granulation and cosmetically acceptable results are needed. 1 •2 Adhesive tape is inexpensive and simple to use, and patients and their familias can change the dressings themselves. The adhesive side of the tape should cover the defective areas only, and the dressings should be changed daily. If the tape does not encroach on the surrounding normal tissue, the dressing changes are not painful. Large amounts of fluid accumulate under the tape in the early stages of treatment, and dry, absorbent dressing should be placed over the tape layer . ..,..

The Editor welcomes readers· comments, and selected letters are published each month. Letters must be signed and should be sent to Editor's Mail, POSTGRADUATE MEDICINE, 4530 W 77th St, Minneapolis, MN 55435. The journal reserves the right to condense letters if necessary for space.


editor's mail------------------------

Downloaded by [Australian Catholic University] at 18:43 15 August 2017

The exact mode of action of this therapeutic gem has not been established, but extensive research in this area is being conducted in Sweden (persona! communication, Goran Hallmans). lt is postulated that zinc, which is used in the coating of white adhesive tape, is reabsorbed during treatment and that the functions of macrophages and fibroblasts are altered, thus reducing wound contraction. Zinc deficiency is known to be a major contributing factor in impaired wound healing. N. K. Pandeya, DO Des Moines, Iowa

References 1. Stenstrom S, Bergman F, Bergman S: Wound healing with ordinary adhesive tape: A clinical experimental study. Scand J Piast Reconstr Surg 6:40-46, 1972 2. Pandeya NK, Stenstrom SJ: White adhesive tape as a dressing material: A preliminary report. J Am Osteopath Assac 74:1171-1173, 1975

WHAT DO VOU WANT TO BE WHEN VOU GROW OLD? A 30-minute television special, "What Do Vou Want to Be When Vou Grow Old?" will be telecast in various sections of the country between May 24 and September 6 (consult local listings for date, time, station). Narrated by Lorne Greene, the special is about aging Americans-how they adjust to aging and fi nd new sources of satisfaction and self-esteem. The program also deals with the medical aspects of aging, emphasizing preventive medicine as weil as advances in diagnosis and treatment. Among the authorities in gerontology interviewed are Dr. Ewald W. Busse, president of the American Geriatries Society and founder of the Duke University Center for the Study of Aging and Human Development, and Dr. Robert N. Butler, diractor of the National lnstitute of Aging. The telecast will be presented by Roerig, a division of .Pfizer Pharmaceuticals.

ADULT-TYPE TETANUS AND DIPHTHERIA TOXOIDS RECOMMENDED To the Editor: ln his article, "Office Treatment of Abrasions," published in your February 1976 issue, Dr. Ryan should be recommending tetanus and diphtheria, alum precipitated, not just tetanus toxoid. This is according to HEW, American Academy of Family Physiciens, American Academy of Pediatries, American College of Surgeons, and other professional organizations. Each year 150 to 300 cases of diphtheria would be preventable with adulttype tetanus toxoid. C. H. Schapera, MD Cincinnati, Ohio

READVSOURCE MATERIAL TO BE USED IN HOSPITAL EDUCATION PROGRAM To the Editor: 1want to congratulate you on your fine publication. 1 especially appreciate the ReadySource reference materiel, which has provided me with previously unknown sources of educational materiel. ln the future, our hospital librarian will be using it as a reference for broadening our hospital education al program. A. C. Banner, DO Farmington, Missouri

Vot. 59 • No. 5 • May 1976 • POSTGRADUATE MEDICINE


Letter: Common worm infections in children: therapeutics.

Postgraduate Medicine ISSN: 0032-5481 (Print) 1941-9260 (Online) Journal homepage: Editor's mail Roy T. Chatte...
1MB Sizes 0 Downloads 0 Views