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As paediatric intensivists in lead centres accredited for paediatric intensive care (PIC) training and responsible for the care of approximately 7000 cases per year, we read with concern the report from St Mary's Hospital which reported improved outcome of meningococcal disease (MD) in 1997 compared with previous years.1
Their reported reduction in mortality must be seen in the context of an overall reduction of childhood mortality and a widespread improvement in the outcome for many conditions requiring PIC such as acute respiratory failure,2 persistent pulmonary hypertension3 and complex congenital heart defects.4 Overall UK PIC mortality rates have …
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