In article <[log in to unmask]>, Andrew
Herd <[log in to unmask]> writes
>
>
>-----Original Message-----
>From: [log in to unmask] [mailto:[log in to unmask]] On
>Behalf Of Dr L Russell
>Sent: 09 June 1998 09:04
>To: [log in to unmask]
>Subject: RE: MRSA on nappy rash
>
>Andrew,
>You miss the point.
>
>Firstly I have no idea of your prescribing practice and my second sentence
>was typed with my brain very much in gear but driven at the generic GP who
>does still give antibiotics to patients (young or old) with URTIs.
>
>In which case, you should have taken rather more care not to make it look
>like it was directed specifically at me
>
>Secondly, I am surprised that you feel that the child not having had
>antibiotics is relevant. This is precisely the point. He/she caught it off
>someone else with MRSA. Do you postulate spontaneous mutation of a pure
>growth in a nappy and with no evolutionary pressure? This is why we (note
>the person) have been so ill-advised to give sophisticated antibiotics to
>patients with viral URTIs. This month a child with MRSA in his nappy rash.
>Next month my child with it in his lungs.
>
>There is considerable interest from our PH department at present, because
>this child does not appear to have any contacts for MRSA. They can't find
>one.
>
>Don't take this personally. We should all share the blame for your patient
>with MRSA pneumonia. But we must stop now or face the microbiological
>consequences. We must resist the urge to give out antibiotics not just in
>children but in everyone with viral URTI.
>
>Great commercial, and medical advisers like me will love you for it, but you
>need to take more care with the way you write e-mail, or you are in for an
>exciting time.
>
>[log in to unmask]
>
>
Er - who said what?
Cheers
--
Jelly Bean
'When you get fed up surfing....
.....go find some waves'
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