Transcription of SPLENECTOMY PROPHYLAXIS GUIDANCE
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SPLENECTOMY PROPHYLAXIS GUIDANCE
1 SPLENECTOMY AND DYSFUNCTIONAL SPLEEN PROPHYLAXIS GUIDANCE This GUIDANCE gives recommendations for the prevention of infection in patients with an absent or dysfunctional spleen. Individuals with an absent or dysfunctional spleen, such as sickle cell disease, active chronic graft-versus-host disease (GvHD) and those who have received therapeutic splenic irradiation, are at increased risk of severe infection particularly Streptococcus pneumoniae, and also Haemophilus influenzae type b (Hib) and Neisseria meningitidis.
administration site of each individual vaccine (should be different sites) should be made in either the medical or nursing notes. The dates of vaccination should be recorded on the patients ‘I have no functioning spleen’ card, which they should always carry with them. See page 2 for immunisation schedule ELECTIVE SPLENECTOMY
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