{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T14:33:20Z","timestamp":1773412400269,"version":"3.50.1"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2009,5,15]],"date-time":"2009-05-15T00:00:00Z","timestamp":1242345600000},"content-version":"unspecified","delay-in-days":11671,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["J. Hyg."],"published-print":{"date-parts":[[1977,6]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>Saturation diving is an important and widely used technique in the Offshore Oil Industry. During 1974\u20135 two saturation dives in the North Sea were terminated because of outbreaks of incapacitating otitis externa, and others were disrupted.<jats:italic>Pseudomonas aeruginosa<\/jats:italic>was consistently isolated from the ears of affected divers. Because complex work schedules were threatened seven subsequent dives were subjected to microbiological monitoring and control. Colonization of the ear canal with<jats:italic>P. aeruginosa<\/jats:italic>or with other gram-negative bacilli occurred in 39 (67%) of the 58 divers studied, usually within 7 days of starting the dive. Data obtained by serotyping the isolations of<jats:italic>P. aeruginosa<\/jats:italic>suggested that a single infected diver may be the source of organisms which rapidly spread to his colleagues and throughout the living chambers, that the living chambers may constitute a reservoir of infection during and between dives, and that certain serotypes of<jats:italic>P. aeruginosa<\/jats:italic>are more likely than others to colonize the ear canal in the conditions of a saturation dive. The control measures used during the dives were only partially effective, but none of the divers suffered severe pain and all the dives were an operational success.<\/jats:p>","DOI":"10.1017\/s0022172400056291","type":"journal-article","created":{"date-parts":[[2009,5,15]],"date-time":"2009-05-15T09:49:02Z","timestamp":1242380942000},"page":"395-409","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":38,"title":["Acute otitis externa in divers working in the North Sea: a microbiological survey of seven saturation dives"],"prefix":"10.1017","volume":"78","author":[{"given":"S. R.","family":"Alcock","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,5,15]]},"reference":[{"key":"S0022172400056291_ref017","first-page":"443","article-title":"L'ottite esterna die sommazzatori","volume":"78","author":"Sperati","year":"1967","journal-title":"Archivio Italiano di Otologia, Rinologia e Laryngologia"},{"key":"S0022172400056291_ref011","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1973.01620200041010"},{"key":"S0022172400056291_ref008","doi-asserted-by":"publisher","DOI":"10.1007\/BF02267037"},{"key":"S0022172400056291_ref007","volume-title":"Acta pathologica et microbiologica scandinavia B","author":"Ericsson","year":"1971"},{"key":"S0022172400056291_ref018","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-434750-2.50066-6"},{"key":"S0022172400056291_ref010","doi-asserted-by":"publisher","DOI":"10.1080\/00039896.1975.10666747"},{"key":"S0022172400056291_ref020","first-page":"10","volume-title":"U.S. Navy Experimental Diving Unit, Washington Navy Yard, Washington D.C. 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