Working party's reply

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7042.1361a (Published 25 May 1996) Cite this as: BMJ 1996;312:1361
  1. G P Summerfield,
  2. J G Smith,
  3. P Baddeley,
  4. R Barnes,
  5. J Lortan
  1. Consultant haematologist Middlesbrough General Hospital, Middlesbrough TS5 5AZ
  2. Consultant haematologist Royal United Hospital, Bath BA1 3NG
  3. General practitioner Stroud GL6 6RU
  4. Medical microbiologist University of Wales College of Medicine, Cardiff CF4 4XN
  5. Consultant immunologist St Charles's Hospital, London W10 6DZ

    EDITOR,—As M R Workman and colleagues state, the high susceptibility to salmonella infection among patients with sickle cell disease remains unexplained. Because there is no evidence to link this with hyposplenism the guidelines do not refer to the problem.

    Our guidelines are part of the drive to increase the education of health professionals, and A A Palejwala and colleagues' study indicates that this need is greatest in general practice. Palejwala and colleagues and Helen Howie and Ann F Bisset point out the advantages of computerised data systems. We are aware of several regional registers and acknowledge the usefulness …

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