Letters

Guidelines do not discuss resistance to antibiotics among pneumococci

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7042.1361 (Published 25 May 1996) Cite this as: BMJ 1996;312:1361
  1. H P Lambert
  1. Emeritus professor of microbial diseases Department of Clinical Sciences, London School of Hygiene and Tropical Medicine, London WC1E 7HT

    EDITOR,—The guidelines on preventing and treating infection in patients with an absent or dysfunctional spleen do not discuss the impact of current changes in patterns of resistance to antibiotics among pneumococci.1 The few and perfunctory phrases mentioning the problem are supported by a seven year old reference. Since then, resistance to penicillin and other antibiotics has steadily increased, with large variations among countries. The most recent figures for England and Wales (for 1994) from the Communicable …

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