Immunization of people with asplenia and hyposplenia: Difference between revisions
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Latest revision as of 14:18, 17 August 2022
- 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 followed by a booster every 5 years
- 4CMenB, two doses 4 weeks apart
- Streptococcus pneumoniae:
- Pneu-C-13, one dose with a booster at 5 years. Must wait at least 1 year after Pneu-P-23.
- Pneu-P-23, one dose. Must wait at least 8 weeks after Pneu-C-13.
- 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 | Ongoing |
|---|---|---|---|
| Men-C-ACYW-135 | Men-C-ACYW-135 | splenectomy | Men-C-ACYW-135 booster every 5 years |
| 4CMenB | 4CMenB | ||
| Pneu-C-13 | Pneu-P-23 | Pneu-C-13 booster at 5 years | |
| Hib | |||
| influenza, if appropriate season | annual influenza vaccination | ||
