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Therapeutic
  1. ANDREW J CANT, Consultant in paediatric immunology and infectious diseases

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    Therapeutic Guidelines in Paediatric Infections. By S Nadel, R Heyderman, N Klein. (Pp 52; £9.99 paperback.) Chapman and Hall, 1996. ISBN 0-412-78430-0 .

    Interest in infectious diseases in childhood seems to be enjoying a renaissance, perhaps because there is a growing realisation that infectious diseases have not gone away despite mass vaccination and antimicrobial chemotherapy. Indeed, new infections such as HIV have emerged, old infections such as tuberculosis are proving more troublesome and others, such as group A streptococcal disease, seem to be changing their characteristics. Furthermore, while antibiotics have been immensely useful, organisms such as the methicillin resistantStaphylococcus aureus and penicillin resistant pneumococci demonstrate the need for an up-to-date awareness of changing antibiotic sensitivity.

    This very readable little book is well laid out with some very clear tables. It opens with an excellent brief section on assessing infection, thinking through the likely causative agents, and deciding on the best choice of antibiotic. The commonly used antibiotic agents are well described followed by chapters on treatment for specific infective syndromes and infection with specific organisms. Dosage schedules for commonly used antimicrobials are tabulated and the book closes with an excellent section on microbiological specimen collection, a subject often overlooked by clinicians who fail to appreciate that a laboratory can only give good information if it receives the right specimens at the right time.

    This is a brief work, so it is not as comprehensive as its North American counterparts, nor does it have the same scope as the superb British Paediatric Association* Manual of Childhood Infections. Nevertheless, it very much succeeds in its aim of being a quick and easily accessible source of information to aid diagnosis and treatment of children suffering from acute infections.

    Acknowledgments

    *Now the Royal College of Paediatrics and Child Health.

    Therapeutic Guidelines in Paediatric Infections. By S Nadel, R Heyderman, N Klein. (Pp 52; £9.99 paperback.) Chapman and Hall, 1996. ISBN 0-412-78430-0 .

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