Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
Prof.Maitland raises very unique and practical issues. For us who
work in resource-constrained conditions malaria, helminthiasis and
bacterial infections often co-exist.For children under 5 years who have
signs of bacterial sepsis but lack microscopic evidence of malaria and
have not received anti-malarial treatment in the past month,we still treat
for malaria and routinely deworm. On the other hand, children under 5yr
with microscopic evidence of malaria and no sign of sepsis are still given
an oral broad penicillin based antibiotic and dewormed. This may lack
backing of evidence-based medicine but it reduces both duration of
hospital stay and revisits.