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Mortality in meningococcal disease: please report the figures accurately
  1. S M Tibby,
  2. I A Murdoch,
  3. A Durward
  1. Department of Paediatric Intensive Care, Guy’s Hospital, St Thomas Street, London SE1 9RT, UK;
  1. Correspondence to
    Dr Tibbey;
    ShaneTibby{at}gstt.sthames.nhs.uk

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We read with great interest the two recent articles on mortality in meningococcal disease.1,2 While we would agree with the message contained in both articles, namely that the mortality associated with this condition has decreased with time, we have serious concerns regarding the presentation of the data in the paper from the St Mary’s group.

Booy and colleagues report a crude mortality of 2% for the year 1997,2 a figure that has generated considerable media interest. Several reasons are cited for this falling mortality: the provision of mobile intensive care, meticulous attention to stabilising the patient whilst in the district hospital, and the existence of a specialist “sepsis” intensive …

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