Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11319
Full metadata record
DC FieldValueLanguage
dc.contributor.authorSiddins, Men
dc.contributor.authorDownie, Jen
dc.contributor.authorWise, Ken
dc.contributor.authorO'Reilly, Men
dc.date.accessioned2015-05-16T00:54:31Z
dc.date.available2015-05-16T00:54:31Z
dc.date.issued1990-03-01en
dc.identifier.citationAustralian and New Zealand Journal of Surgery; 60(3): 183-7en
dc.identifier.govdoc2183753en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11319en
dc.description.abstractAn excess risk of overwhelming sepsis following splenectomy is well established. In view of this, surgical responsibility must embrace the administration of pneumococcal prophylaxis. Current recommendations vary, but routine pneumococcal vaccination, together with penicillin prophylaxis in selected patients, is advocated widely. This retrospective review of 75 patients undergoing splenectomy was undertaken in order to evaluate the extent to which current practice complies with these recommendations. Among surviving patients, the incidence of vaccination with polyvalent pneumococcal vaccine (PPV) was found to vary according to operative indication. All haematological patients received pre-operative PPV. Two-thirds of multitrauma patients were vaccinated, while 42% of patients who required splenectomy following accidental intra-operative trauma received PPV. Only 11% of patients who underwent incidental splenectomy were vaccinated. Long-term antibiotic prophylaxis was commenced in 33% of surviving patients under 20 years of age, and in 8% with underlying malignancy. These results highlight a need for greater vigilance in the administration of pneumococcal prophylaxis, particularly following accidental or incidental splenectomy.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherBacterial Vaccines.therapeutic useen
dc.subject.otherChilden
dc.subject.otherFemaleen
dc.subject.otherHematologic Diseases.surgeryen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherPenicillins.therapeutic useen
dc.subject.otherPneumococcal Infections.prevention & controlen
dc.subject.otherRetrospective Studiesen
dc.subject.otherSpleen.injuriesen
dc.subject.otherSplenectomyen
dc.subject.otherStreptococcus pneumoniae.immunologyen
dc.subject.otherVaccinationen
dc.titleProphylaxis against postsplenectomy pneumococcal infection.en
dc.typeJournal Articleen
dc.identifier.journaltitleAustralian and New Zealand Journal of Surgeryen
dc.identifier.affiliationDepartment of Surgery, Austin Hospital, Heidelberg, Victoria, Australiaen
dc.description.pages183-7en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/2183753en
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

12
checked on Mar 28, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.