Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study
| Autor: | Nursel Çalık Başaran, Erhan Hamaloglu, Lale Ozisik, Derya Karakoc, Gul Oz, Gulay Sain Guven, Oğuz Abdullah Uyaroğlu, Mine Durusu Tanriover |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Cross-sectional study business.industry medicine.medical_treatment Splenectomy lcsh:QR1-502 overwhelming post-splenectomy infections (opsi) immunization vaccination splenectomy lcsh:Microbiology lcsh:Infectious and parasitic diseases Vaccination medicine lcsh:RC109-216 Observational study business |
| Zdroj: | Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, Vol 25, Iss 4, Pp 589-594 (2020) |
| ISSN: | 1300-932X |
| DOI: | 10.5578/flora.69933 |
| Popis: | Introduction: Splenectomy, whatever the reason, is an absolute indication for vaccination against encapsulated bacteria in order to prevent overwhelming post-splenectomy infections. This study aimed to determine compliance to immunization guidelines for splenectomy in General Surgery Clinics. Materials and Methods: In this observational cross-sectional study, we included patients who underwent splenectomy between April 2016 and April 2018, and recorded the patient data and vaccination status. Results: Splenectomy was performed in 65 patients, 40 (61.5%) were male and median age was 56 (19-90) years. Six of the operations were emergent, 21 were planned and 38 were urgent mostly due to solid organ malignancy. Only 14 (21.5%) patients were vaccinated with Haemophilus influenzae, meningococcal and pneumococcal vaccines according to the guidelines (≥2 weeks before the operation). 14 of the 21 patients (66.6%) who underwent planned splenectomy were vaccinated appropriately. Conclusion: Compliance with vaccination guidelines was low before splenectomy operations. There is a room for improvement particularly for patients undergoing elective splenectomy. A patient-centered team strategy is required to vaccinate patients at the stage of splenectomy planning. |
| Databáze: | OpenAIRE |
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