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Improved outcome in severe meningococcal disease
  1. K Thorburn,
  2. A Thomson,
  3. A Hart
  1. Royal Liverpool Children’s Hospital Alder Hey, UK

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We thank Tibby et al and Pearson for their interest in our paper.1 We agree with Pearson that evidence for a fall in overall mortality in meningococcal septic shock would require a geographical community based study. We described mortality in severe meningococcal disease in a paediatric intensive care unit (PICU).

In our multispeciality PICU in the north west, we have observed a continued decrease in both actual …

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