Adult XXXX in a general practice.

@entity1 @entity1353 @entity5695 @entity391 @entity281 @entity1200
OBJECTIVE: To examine serologically the incidence of @entity5695 in a group of adults (> 15 years of age) presenting to their General Practitioner with symptoms which suggested the possibility of @entity5695 . DESIGN: One year's study of the results of testing blood samples. This was followed by a questionnaire to the General Practitioners involved, asking information on all the @entity1 tested. SETTING: Specimens were tested as part of the normal workload in the Microbiology Department of a District General Hospital. SUBJECTS: The @entity1 all attended a Health Centre in South Lanarkshire which caters for a population of 12,749 @entity1 . RESULTS AND CONCLUSIONS: Twenty of fifty six @entity1 tested (35.7%) produced serological evidence of recent @entity5695 @entity281 . The average age of the positive @entity1 was 43.5, and the duration of their symptoms, before testing, was 4.2 weeks. The results suggest that @entity5695 in adults is not uncommon. @entity391 were seldom reported in this series. "Paroxysmal coughing", "nocturnal coughing", and " @entity1353 " were more common in the positive cases than in the negative ones. The use of antibiotics did not appear to have any beneficial effect, probably due to them being given too late after the onset of @entity281 . Most adults are susceptible to @entity5695 , as vaccine-induced @entity1200 and is absent after 12 years following vaccination. In a vaccinated population, adults are now the primary source of @entity281 for susceptible @entity1 .
