Lifelong penicillin unproved in trials..

Makris, Michael; Greaves, Michael; Winfield, D.A.; Preston, F. E.; Lilleyman, J S

doi:10.1136/bmj.308.6921.131b

“…Most authorities recommend the administration of prophylactic antibiotics to asplenic or hyposplenic children, especially for the first 2 years after splenectomy [1,5,18]. However, there are no controlled data relating to the efficacy of chemoprophylaxis in asplenic adult patients despite the fact that some recent guidelines have recommended lifelong antibiotics [19,20]. Concern over increasing resistance of pneumococci to commonly used prophylactic agents together with patient compliance issues has influenced others to advise that chemoprophylaxis should be limited to a supply of standby antibiotics for the patient to self-prescribe at the first sign of possible infection if unable to seek prompt medical attention [2,7,17,21].…”

Section: Discussionmentioning

confidence: 99%

Pneumococcal vaccine administration associated with splenectomy: The need for improved education, documentation, and the use of a practical checklist

Brigden,

Pattullo,

Brown

2000

View full text Add to dashboard Cite

An audit was performed of the documentation of pneumococcal vaccination in splenectomy patients in three major hospitals involving a geographical population base of 350,000 patients in British Columbia, Canada. Overall, 111 of the 164 hospitalized splenectomy patients (68%) had received pneumococcal vaccination. Of elective splenectomy cases, only 11 of 55 (20%) had been vaccinated prior to surgery, as is currently recommended. One hundred fifty-five patients (95%) had splenectomy status mentioned in the discharge summary. However, only 35 (21%) had mention of vaccination status, 10 (6%) mention of the need for future revaccination, and only 8 (5%) notation of the possibility of future infectious risks. The rate of pneumococcal vaccination was as satisfactory as any reported in the literature to date. However, there is need for improved education in relation to the timing of vaccination and discharge summary documentation. A checklist for potential splenectomy patients may aid in improving this situation as may geographically based splenectomy registries. Am. J. Hematol. 65:25-29, 2000.

show abstract

“…Ορισμένοι ερευνητές συνηγορούν στη συνέχιση της χημειοπροφύλαξης μέχρι την ηλικία των 16-18 στην δοθείσα αγωγή(Finch et al 1994). Επομένως, δε συνιστάται γενικά η μακροχρόνια χορήγηση αντιμικροβιακής αγωγής στους ενήλικες(Makris et al 1994). Επιπλέον, με βάση τη διεθνή βιβλιογραφία, υπάρχει η σύσταση χορήγησης εμπειρικής αντιμικροβιακής αγωγής μόλις εμφανιστούν τα πρώτα σημεία λοίμωξης (αύξηση θερμοκρασίας σώματος, ρίγη ή φρίκια) σε περίπτωση που δεν μπορεί να ληφθεί άμεσα ιατρική μέριμνα για τον ασθενή.…”

unclassified

Μελέτη Της Ανοσολογικής Μνήμης Συζευγμένων Πνευμονιοκοκκικών Εμβολίων Σε Παιδιά Με Συγγενείς Αιμοσφαιρινοπάθειες Και Ασπληνία

Ορθόπουλος¹,

Orthopoulos²

0

View full text Add to dashboard Cite

show abstract

Pneumococcal vaccine administration associated with splenectomy: The need for improved education, documentation, and the use of a practical checklist

Brigden

¹

,

Pattullo

²

,

Brown

³

2000

View full text Add to dashboard Cite

An audit was performed of the documentation of pneumococcal vaccination in splenectomy patients in three major hospitals involving a geographical population base of 350,000 patients in British Columbia, Canada. Overall, 111 of the 164 hospitalized splenectomy patients (68%) had received pneumococcal vaccination. Of elective splenectomy cases, only 11 of 55 (20%) had been vaccinated prior to surgery, as is currently recommended. One hundred fifty-five patients (95%) had splenectomy status mentioned in the discharge summary. However, only 35 (21%) had mention of vaccination status, 10 (6%) mention of the need for future revaccination, and only 8 (5%) notation of the possibility of future infectious risks. The rate of pneumococcal vaccination was as satisfactory as any reported in the literature to date. However, there is need for improved education in relation to the timing of vaccination and discharge summary documentation. A checklist for potential splenectomy patients may aid in improving this situation as may geographically based splenectomy registries.

show abstract

Lifelong penicillin unproved in trials..

Cited by 17 publications

References 6 publications

Pneumococcal vaccine administration associated with splenectomy: The need for improved education, documentation, and the use of a practical checklist

Pneumococcal vaccine administration associated with splenectomy: The need for improved education, documentation, and the use of a practical checklist

Μελέτη Της Ανοσολογικής Μνήμης Συζευγμένων Πνευμονιοκοκκικών Εμβολίων Σε Παιδιά Με Συγγενείς Αιμοσφαιρινοπάθειες Και Ασπληνία

Pneumococcal vaccine administration associated with splenectomy: The need for improved education, documentation, and the use of a practical checklist

Contact Info

Product

Resources

About