Immunization of people with asplenia and hyposplenia: Difference between revisions
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*Can receive all routine vaccines, including live vaccines |
*Can receive all routine vaccines, including live vaccines |
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*Try to complete vaccines at least 2 weeks before splenectomy, or wait at least 2 weeks after |
*Try to complete vaccines at least 2 weeks before splenectomy, or wait at least 2 weeks after splenectomy to start |
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*Vaccines specifically recommended in asplenia or hyposplenia: |
*Vaccines specifically recommended in asplenia or hyposplenia: |
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**''Haemophilus influenzae'' type b (Hib), one dose |
**''[[Haemophilus influenzae]]'' type b (Hib), one dose |
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** |
**[[Neisseria meningitidis]] |
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***Quadrivalent Men-C-ACYW-135, two doses 8 weeks apart |
***Quadrivalent Men-C-ACYW-135, two doses 8 weeks apart followed by a booster every 5 years |
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***4CMenB, two doses 4 weeks apart |
***4CMenB, two doses 4 weeks apart |
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** |
**[[Streptococcus pneumoniae]] |
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***Pneu-C-20, one dose with a booster at 5 years. Must wait at least 1 year after Pneu-P-23. |
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**Influenza (annually) |
**[[Influenza virus|Influenza]] (annually) |
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**If transfusion-dependent: hepatitis A and B vaccines |
**If transfusion-dependent: [[Hepatitis A virus|hepatitis A]] and [[Hepatitis B virus|hepatitis B]] vaccines |
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*Should also have pill-in-pocket broad-spectrum oral antibiotics to be taken in case of fever |
*Should also have pill-in-pocket broad-spectrum oral antibiotics to be taken in case of fever |
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!Week -2 |
!Week -2 |
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!Week 0 |
!Week 0 |
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!Ongoing |
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|- |
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|Men-C-ACYW-135 |
|Men-C-ACYW-135 |
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|Men-C-ACYW-135 |
|Men-C-ACYW-135 |
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| rowspan="5" |splenectomy |
| rowspan="5" |splenectomy |
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|Men-C-ACYW-135 booster every 5 years |
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|4CMenB |
|4CMenB |
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|4CMenB |
|4CMenB |
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|- |
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|Pneu-C- |
|Pneu-C-20 |
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| rowspan="2" | |
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|Pneu-P-23 |
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|Hib |
|Hib |
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| colspan="2" |influenza, if appropriate season |
| colspan="2" |influenza, if appropriate season |
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|annual influenza vaccination |
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Latest revision as of 20:30, 25 February 2025
- Can receive all routine vaccines, including live vaccines
- Try to complete vaccines at least 2 weeks before splenectomy, or wait at least 2 weeks after splenectomy to start
- Vaccines specifically recommended in asplenia or hyposplenia:
- Haemophilus influenzae type b (Hib), one dose
- Neisseria meningitidis
- Quadrivalent Men-C-ACYW-135, two doses 8 weeks apart followed by a booster every 5 years
- 4CMenB, two doses 4 weeks apart
- Streptococcus pneumoniae
- Pneu-C-20, one dose with a booster at 5 years. Must wait at least 1 year after Pneu-P-23.
- Influenza (annually)
- If transfusion-dependent: hepatitis A and hepatitis B vaccines
- Should also have pill-in-pocket broad-spectrum oral antibiotics to be taken in case of fever
| Week -10 | Week -2 | Week 0 | Ongoing |
|---|---|---|---|
| Men-C-ACYW-135 | Men-C-ACYW-135 | splenectomy | Men-C-ACYW-135 booster every 5 years |
| 4CMenB | 4CMenB | ||
| Pneu-C-20 | |||
| Hib | |||
| influenza, if appropriate season | annual influenza vaccination | ||
