Antimicrobial Residues in Milk. Comparison of Different Agar Diffusion Methods

Different agar diffusion methods were compared in order to find a sensitive method for the detection of various antimicrobial residues in milk. A total of 588 producer milk samples were analyzed using subsets of the most sensitive methods. With the IDF method, 2 positive cases (0.34 %) appeared among the producer milk samples, with the Thermocult method 13 positive cases (2.21 %) and with the Test agar pH 8 method with trimethoprim and glucose 4 positive cases (0.68 %). A combination of the IDF method and the Test agar pH 8 method resulted in 6 positive cases (1.02 %) and a combination of the Thermocult method and the Test agar pH 8 method in 17 positive cases (2.89 %). With penicillinase 41 % of the positive cases were identified as β-lactam antibiotics and with p-aminobenzoic acid 18 % of the positive cases were identified as sulphonamides. 41 % of the positive cases remained unexplained. The best combination for the detection of antimicrobial agents in milk seems to be that of the Thermocult method and the Test agar pH 8 method with trimethoprim and glucose.     

Blood pressure during exercise in healthy children

During maximal dynamic exercise the blood pressure (BP) was measured in 497 healthy 9- to 18-year-old children. Systolic BP increased more in the postpubertal groups than in the prepubertal ones. It was also higher in the boys than in the girls of the same age. This was due to a higher work load in boys than girls. Twenty-two subjects had a systolic BP of 200 mmHg or more during the exercise. Only 2 had a resting systolic BP exceeding the mean by 2 standard deviations or more. Three postpubertal boys reached a systolic BP of 240 mmHg at heart rate 170. None had an elevated resting BP. It may be concluded that it cannot be predicted on the basis of the resting BP whether or not an individual is going to have an excessive increase in systolic BP during exercise. The increase in systolic BP to dangerous levels, e.g. 240 mmHg or more, during exercise can only be excluded by means of an individual exercise test.