PERSPECTIVE
Meningococcal disease
Emergency management of meningococcal disease: eight years on
1 Department of Paediatrics, University of Oxford, Oxford, UK
2 Department of Paediatrics, Imperial College School of Medicine, St Marys Hospital, London, UK
3 Wellcome Trust Clinical Research Facility, University of Southampton, Southampton, UK
Correspondence to:
Correspondence to:
Dr Andrew J Pollard
Department of Paediatrics, University of Oxford, Level 2, childrens Hospital, Oxford OX3 9DU, UK; andrew.pollard@paediatrics.ox.ac.uk
Application of the new edition of the meningococcal treatment algorithm may help in the early management of critically ill patients
| The first 150 words of the full text of this article appear below. |
In 1999, our personal practice article, "Emergency management of meningococcal disease" was printed in this journal1 and, although the journal considered publishing such personal practice statements to be unfashionable,2 it was mostly well received and has since been cited over 60 times.
In the original article, we proposed an algorithm for identifying management priorities in treating patients with meningococcal disease, on the basis of our experiences of 425 cases and on the available published evidence wherever possible. During, the past 8 years, over 51 000 copies of the algorithm have been disseminated to accident and emergency departments, intensive care units and paediatric units in the UK and elsewhere by the charity Meningitis Research Foundation. The algorithm has also appeared in several other articles, book chapters and a handbook for junior doctors (35 000 copies distributed and now available at http://www.meningitis.org). It has now been revised for the
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