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Arch Dis Child 2001 Volume 85 No 5
About two years ago we published a paper from the paediatric
intensive care unit at St Mary's Hospital, London on managing meningococcal disease.1 It detailed the authors' personal
practice, a type of paper going out of fashion in these days of
systematic reviews and meta-analyses. Our unfashionable behaviour was
provoked by requests from paediatricians to help them cope with this
dangerous condition. This month we report on whether the ends have
justified the means. The St. Mary's group present an outcome audit
comparing case fatality in 1997 with that of 1992 (page 386). Their
paper follows a similar evaluation, from the Royal Liverpool
Children's Hospital covering the period 1995-98 (page 382).
Both groups have used the paediatric risk of mortality score (PRISM) as
a benchmark. Their results are encouraging. In these days of media
inspired doctor bashing (surely not confined to the UK?) their
Relevant Articles
- Mortality in severe meningococcal disease
- K Thorburn, P Baines, A Thomson, and C A Hart
Arch. Dis. Child. 2001 85: 382-385.[Abstract] [Full Text] [PDF]
- Reduction in case fatality rate from meningococcal disease associated with improved healthcare delivery
- R Booy, P Habibi, S Nadel, C de Munter, J Britto, A Morrison, M Levin, and the Meningococcal Research Group
Arch. Dis. Child. 2001 85: 386-390.[Abstract] [Full Text] [PDF]
- Safety of a new conjugate meningococcal C vaccine in infants
- R Lakshman, I Jones, D Walker, K McMurtrie, L Shaw, G Race, S Choo, L Danzig, P Oster, and A Finn
Arch. Dis. Child. 2001 85: 391-397.[Abstract] [Full Text] [PDF]
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