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Correspondence
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Volume 337:793-794 September 11, 1997 Number 11
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Treatment of Bacterial Infections

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To the Editor: The Committee on Infectious Diseases of the American Academy of Pediatrics (AAP) has recently issued guidelines for the care of children with meningitis and other infections possibly caused by Streptococcus pneumoniae.1 Several recommendations by Quagliarello and Scheld (March 6 issue)2 are inconsistent with these guidelines. In particular, they recommend a "broad-spectrum cephalosporin" for the empirical treatment of children 3 months to less than 18 years of age with suspected bacterial meningitis who have a nondiagnostic smear of cerebrospinal fluid on Gram's staining. The AAP recommends initial therapy with vancomycin plus ceftriaxone or cefotaxime for children with bacterial . . . [Full Text of this Article]

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