BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7006.698 (Published 09 September 1995) Cite this as: BMJ 1995;311:698

Ten years ago the frequency of pneumococci resistant to penicillin in the US was 0.02%. Now a study in Atlanta reports penicillin resistance in 25% of isolates from 431 patients with invasive pneumococcal infections (New England Journal of Medicine 1995;333:481-6). Children under 6 had the highest rates of isolates that were penicillin resistant or multidrug resistant. Inappropriate selection and overuse of antibiotics, especially in children with otitis media, are thought to be key factors behind the rapid rise in drug resistant pneumococci.

Most patients with glaucoma do not have high intraocular pressures, says a review in the “Journal of Medical Screening” (1995;2:109-14). No screening test is yet available that could be used for the whole population, though some new techniques are being evaluated. For the time being, the review concludes, resources would be better used in cataract programmes, diabetic retinopathy, and services for patients with low vision.

In dyadic death—homicide followed by suicide—the killer is usually a man and his victim is usually his wife. He may kill his children too. An analysis of 52 episodes (Medicine, Science and the Law 1995;35:213-7) found that in almost half the reason for the killing seemed …

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