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To the Editor.—
I would like to submit some questions and comments concerning Dr Finland's commentary (see page 585) on our communication in this issue of the Archives (see page 581). The statement referring to "The effectiveness of these procedures was demonstrated by Martin and coworkers..." so closley follows the statement "alteration in the use of antibiotics" that the reader might suspect that to be a means of control used by Martin et al. In fact, it was not, as the usage of gentamicin actually increased during the time their outbreak was being brought under control. Also, Dr Finland submits that had we isolated Serratia and Klebsiella from the same patient, that would have been more relevant. This is an oversight on our part, as we frequently isolated the involved Serratia and Klebsiella concurrently and sequentially (in either order) from the same patient.That bit of information, coupled with another
Alford RH. Outbreaks of Serratia and Klebsiella Infections. Arch Intern Med. 1977;137(5):697. doi:10.1001/archinte.1977.03630170093024
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