Article Text
Letter
Indicators of mortality from meningococcal disease
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Dr Riordan's study on promptness of antibiotic treatment for meningococcal disease showed that “door to needle” time to administration of appropriate antibiotic for children decreased clearly from before to after a teaching intervention was given to nurses and doctors.1 That this decrease occurred only for the children who had typical rash on arrival is not a surprise, given that the intervention was a lecture that focused on recognition of the rash. But could the intervention be different from that? Petechial rash is the sign that, although not pathognomonic, is highly suggestive of meningococcal disease. I suspect that in a substantial proportion of …