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Previous Volume 332:893-894 March 30, 1995 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Penicillin-resistant strains of Streptococcus pneumoniae are found in many countries and are spreading, especially among children in day-care centers. Many authorities now recommend treating suspected cases of pneumococcal meningitis with ceftriaxone (or cefotaxime) and adding vancomycin, with or without rifampin, in communities where pneumococci highly resistant to penicillin are prevalent,^1,2 because many such strains of pneumococci are not susceptible to ceftriaxone.³ In Providence, Rhode Island, only 2.3 percent of blood isolates of S. pneumoniae obtained at two hospitals in 1990 and 1991 had intermediate-level resistance to penicillin, and none were highly resistant.⁴ Hence, we presumed the prevalence . . . [Full Text of this Article]

References

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• Gonzales, R. (2003). A 65-Year-Old Woman With Acute Cough Illness and an Important Engagement. JAMA 289: 2701-2708 [Full Text]  
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