PEDIATRICS Vol. 98 No. 1 July 1996, pp. 167
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Letter To The Editor

Thomas E. Wiswell MD1, Stephen Baumgart MD1, Catharine M. Gannon MD1, and Alan R. Spitzer MD1

1 Division of Neonatology, Department of Pediatrics, Jefferson Medical College, Philadelphia, PA 19107

Dr Escobar rightly concludes that more research is needed concerning the performance of lumbar punctures (LPs) in neonates at risk for sepsis. He warns of accepting a blanket recommendation of performing LPs in all these infants. As the risks for long-term complications from the procedure are extraordinarily low, we wonder what "unfortunate events" he fears from such a recommendation.

In regard to the possibility that clinicians may not have recorded symptoms, we carefully reviewed the entire medical records, including both physicians' and nurses' notes.




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S. R. Allen
Management of Asymptomatic Term Neonates Whose Mothers Received Intrapartum Antibiotics--Part 2: Diagnostic Tests and Management Strategies
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[Abstract] [PDF]