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LETTER
Reduction in case fatality rate from meningococcal disease is due to genuine teamwork
  1. S Nadel1,
  2. P Habibi1,
  3. C de-Munter1,
  4. J Britto1,
  5. M Levin1,
  6. R Booy2
  1. 1Department of Paediatrics, St Mary's Hospital, London W2 1NY, UK
  2. 2Department of Child Health, Queen Mary's School of Medicine and Dentistry, University of London, UK
  1. Correspondence to:
    Dr Nadel;
    s.nadel{at}ic.ac.uk

https://doi.org/10.1136/adc.87.6.561

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    We read with disappointment the response of Dr Peters and colleagues1 to our article “Reduction in case fatality rate from meningococcal disease associated with improved healthcare delivery”.2 It is unfortunate that there appears to be a misunderstanding of the message of our study which demonstrated a significant improvement in the mortality of children with meningococcal disease (MD) over a period of time. Contrary to their concerns those results were achieved through genuine teamwork” as stated in our paper.

    In answer to the specific points they raised: We and other intensivists are also aware that mortality in conditions other than MD is also improving. In our paper we did not state that MD was the only condition in which there is an improvement in mortality. Our paper referred to a study published in Critical Care Medicine which also showed improving survival rates of paediatric patients (with various diseases) over time in another paediatric intensive care (PIC) …

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