Letter

Prehospital parenteral penicillin for meningitis: Urgent review of treatment criteria is needed

BMJ 2006; 332 doi: 10.1136/bmj.332.7555.1451 (Published 15 June 2006)
Cite this as: BMJ 2006;332:1451.1

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  1. Amanda J Kvalsvig, senior research fellow (amanda.kvalsvig@otago.ac.nz),
  2. Michael Baker, senior lecturer,
  3. Graham Mills, infectious diseases physician
  1. Department of Public Health, Wellington School of Medicine and Health Sciences, University of Otago, PO Box 7343, Wellington, New Zealand
  2. Waikato Hospital, Private Bag 3200, Hamilton, New Zealand

    EDITOR—Harnden et al highlight an interesting problem in the early management of meningococcal disease: although it seems intuitively obvious that prehospital antibiotic treatment should improve outcome, this is extremely difficult to demonstrate objectively.1

    In theory, at least three possibilities exist for the effect of early treatment on outcome, two of which are discussed by Harnden et al. …

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