Had one of these in the surgery last week as did my partner and a
further one today. Last week - child had been wretching, hence this
may have been the cause. Today however - kid had not. He was apyrexial
and nothing else could be found and looked well and was well. As I say
- no coughing, vomiting or wretching.
I sent him to paediatrics, as I always do, despite thinking not
meningococcal. I do this because 20 years ago had such a kid one
Thursady evening that I thought was completely innocent and this did
turn out to be meningococcal.
What do the panel think? More importantly, would you give penicillin
to these kids?? Asking the latter as I discussed this with my partner
and our Nurse Prcatitioner last week. NP asked what she should do if
we were not here. I said that medicolegally and clinically the kids
should be given penicillin if I half suspected Meningococcus. We were
going to discuss as a significant event and thrash out whether to have
a protocol to force us to give penicillin.
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Best Wishes
Paul Bromley
www.floridaholidayvilla.biz
Superb Villa in Orlando with own pool - Free Internet & International
Phonecalls.
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