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.
ANTIBIOTIC PROPHYLAXIS Following splenectomy, patients are at risk of overwhelming infection. Susceptibility to infection may be greatest in the first few years following splenectomy, but persists lifelong, therefore antibiotic prophylaxis should be lifelong. Some patients are considered to be at continued high risk of pneumoccal disease.
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