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November 10, 1962

Staphylococcal Infections

Author Affiliations

Memorial Hospital of Long Beach (Calif.)

JAMA. 1962;182(6):700-701. doi:10.1001/jama.1962.03050450100026

To the Editor:—  Some remarks should be made to supplement the answer to the question entitled "Staphylococcal Infections" from the "Questions and Answers" section of The Journal (180:637 [May 19] 1962). Recurrent respiratory infections in a child with allergic rhinitis and bronchial asthma, from whose nasopharynx resistant staphylococci are cultured, are not necessarily staphyloccal infections. Such an assumption is implied by the title heading of the question and by the consultant's advice that an all-out attempt be made to eradicate the staphylococci from the family and the patient.Without any better evidence of staphylococcal infection than that cited in the inquiry, I question seriously the advisability of "intensive therapy with large doses of staphcillin over a long period of time." Treatment of the child in this manner is at best open to dispute. Whether one should treat presumably healthy parents in this fashion just because resistant staphylococci are cultured