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BMJ 2005;330 (25 June), doi:10.1136/bmj.330.7506.0-a
Adequate early treatment is vitally important for the final outcome of meningococcal disease in children. In a national blinded case-control study including 498 children, Ninis and colleagues (p 1475) compared the standard of care in the first 24 hours after admission to hospital in children who died from meningococcal disease and those who survived. Three factors were independently associated with an increased risk of death: not being cared for by a paediatrician, junior staff working with not enough supervision, and failure of staff to administer adequate inotropes.
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Credit: MEDISCAN
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