Page:Wound infections and some new methods for the study of the various factors which come into consideration in their treatment.djvu/26

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12
WOUND INFECTIONS

gravitate down towards the distal end until the serum begins to enter the throttle. At that point we arrest it by sealing the tip, and we finally also seal up the butt end, leave the mixed pyrogallic acid and caustic soda to do their work and absorb all the oxygen from the dividing air bubble (fig. 5, D).

Serum cultures made by this method furnish a very striking and uniform result. We obtain in the cultures implanted with the higher dilutions of the pus a pure culture of the streptococcus, and in the cultures more heavily implanted with the pus the streptococcus mixed with a certain number of other microbes: in particular, a few staphylococci and an anaerobic wisp-like diphtheroid bacillus which often is abundant in pus, being found both intracellularly and extracellularly. All the other pyogenic microbes appear to be inhibited in undiluted normal serum, and when they put in an appearance it is only after fairly heavy sowings with pus, and comparatively late.

Out of these facts would come what we shall presently see to be a practically important classification of pyogenic microbes—a classification into, on the one hand, serophytes; and, on the other, sero-saprophytes. The serophytes would be those which, presumably because they find their foodstuffs ready made in the blood fluids, are at home there,