Immunization of people with asplenia and hyposplenia: Difference between revisions
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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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|+Sample schedule for vaccination before planned splenectomy |
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!Week -10 |
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!Week -2 |
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!Week 0 |
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|- |
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|Men-C-ACYW-135 |
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4CMenB |
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Pneu-C-13 |
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Hib |
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|Men-C-ACYW-135 |
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4CMenB |
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Pneu-P-23 |
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| rowspan="2" |splenectomy |
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|- |
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| colspan="2" |influenza, if appropriate season |
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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 19:10, 15 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
4CMenB Pneu-C-13 Hib |
Men-C-ACYW-135
4CMenB Pneu-P-23 |
splenectomy |
| influenza, if appropriate season | ||
