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Arch Dis Child 2000 Volume 82 No 5

https://doi.org/10.1136/adc.82.5.0

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    This month our authors take a look at delays and inconsistencies. What holds up appendicectomy in Rotterdam, slows diagnosis of ornithine transcarbamylase deficiency in Finland, and leads to enormous variation in how laboratories carry out that simple (?) investigation, measuring sweat electrolytes?

    TB or not TB?

    There has been a brief window in the UK during which we may have allowed ourselves to forget about tuberculosis. Now that prevalence is rising, especially in inner cities, it is time to rethink. This month, Milburn et al (page 386) report an outbreak of infections, including active disease, in a private London nursery school serving 38, 2–4 year olds. An employee, newly arrived from an endemic area, infected 11 of the children and eight needed antituberculosis chemotherapy.

    The authors recommend screening for TB those who come from areas of high prevalence and are in close contact with vulnerable populations such as young children. Unvaccinated tuberculin negative contacts must …

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