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Arch Dis Child 2001 Volume 85 No 2
Current Evidence For Offering Treatment with Antibiotics Xclusively In Meningococcal Exanthems
We publish few "personal practice" papers. Partly, this is
because once they have been through peer review they become more impersonal. In February 1999, however, we considered it would help
paediatricians (or, more accurately, some of their acutely ill
patients) to learn how the St Mary's Hospital London team handled
meningococcal disease (MCD).1 The authors stated:
"Meningococcal infection should be suspected in any child who
presents with a non-blanching rash as 80% of bacteriologically proved
cases will develop purpura or petechiae". This is a vital aphorism
for general practitioners but probably redundant for paediatric SHOs
(interns). The dilemma faced by the latter is not when to treat but
when it is reasonable not to treat. The key question is what is the false positive rate for diagnosing MCD in the presence of petechiae in
Relevant Articles
- Current topic: Liquid paraffin: a reappraisal of its role in the treatment of constipation
- F Sharif, E Crushell, K O'Driscoll, and B Bourke
Arch. Dis. Child. 2001 85: 121-124.[Extract] [Full Text] [PDF]
-
Arch. Dis. Child. 2001 85: 172.[Extract] [Full Text] [PDF]
- Behaviour and developmental effects of otitis media with effusion into the teens
- K E Bennett, M P Haggard, P A Silva, and I A Stewart
Arch. Dis. Child. 2001 85: 91-95.[Abstract] [Full Text] [PDF]
- Does early detection of otitis media with effusion prevent delayed language development?
- C C Butler and H MacMillan
Arch. Dis. Child. 2001 85: 96-103.[Abstract] [Full Text] [PDF]
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