Immunization of people with asplenia and hyposplenia: Difference between revisions
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== Further Reading == |
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* [https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-3-vaccination-specific-populations/page-7-immunization-persons-with-chronic-diseases.html#p3c6a2 Canadian Immunization Guide: Asplenia or hyposplenia] |
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[[Category:Immunocompromised hosts]] |
[[Category:Immunocompromised hosts]] |
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[[Category:Vaccination]] |
[[Category:Vaccination]] |
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Revision as of 21:24, 29 August 2020
- 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 vaccination 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
- 4CMenB, two doses 4 weeks apart
- Streptococcus pneumoniae: Pneu-C-13, one dose, followed in 8 weeks by Pneu-P-23, one dose
- Influenza (annually)
- If transfusion-dependent: hepatitis A and 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 |
|---|---|---|
| Men-C-ACYW-135 | Men-C-ACYW-135 | splenectomy |
| 4CMenB | 4CMenB | |
| Pneu-C-13 | Pneu-P-23 | |
| Hib | ||
| influenza, if appropriate season | ||
