Letter

Clinical outcome in relation to care in centres specialising in cystic fibrosis

BMJ 1999; 318 doi: 10.1136/bmj.318.7175.58a (Published 2 January 1999)
Cite this as: BMJ 1999;318:58.2

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

Cross infection with Pseudomonas aeruginosa is unusual

  1. David Spencer, Consultant in respiratory paediatrics
  1. Freeman Hospital, Newcastle upon Tyne NE7 7DN
  2. Adult Cystic Fibrosis Centre, Papworth Hospital, Cambridge CB3 8RE

    EDITOR—Mahadeva et al's paper provides valuable evidence of benefit for paediatric and adult patients attending specialised cystic fibrosis centres.1Their conclusion, however, that the mean age at colonisation with Pseudomonas aeruginosa is lower in patients who received paediatric and adult care in a centre (11.1years; group A) than in patients who received adult but not paediatric care in a centre (18.1years; group B) cannot be accepted on the basis of the data presented.

    Early detection of infection with P aeruginosa is a major preoccupation for staff working in paediatric cystic fibrosis centres. Colonisation is associated with a rapid decline in pulmonary function, but it can often be delayed or prevented,2 and …

    Access to the full text of this article requires a subscription or payment

    Subscribe

    Article access

    Article access for 1 day

    Purchase this article for £20 $30 €32*

    The PDF version can be downloaded as your personal record

    * Prices do not include VAT

    Rapid responses

    THIS WEEK'S POLL

    Read related article

    See previous polls

    BMJ most popular