Immunization of people with asplenia and hyposplenia: Difference between revisions

Revision as of 19:05, 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

@@ Line 1: / Line 1: @@
-* Can receive all routine vaccines, including live vaccines
+*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:
+*Vaccines specifically recommended in asplenia or hyposplenia:
-** ''Haemophilus influenzae'' type b (Hib)
+**''Haemophilus influenzae'' type b (Hib), one dose
-** ''Neisseria meningitidis'': quadrivalent Men-C-ACYW and either 4CMenB or MenB-fHBP
+**''Neisseria meningitidis'':
-** ''Streptococcus pneumoniae'': Pneu-C-13 followed by Pneu-P-23
+***Quadrivalent Men-C-ACYW-135, two doses 8 weeks apart
-** Influenza (annually)
+***4CMenB, two doses 4 weeks apart
-** If transfusion-dependent: hepatitis A and B vaccines
+**''Streptococcus pneumoniae'': Pneu-C-13, one dose, followed in 8 weeks by Pneu-P-23, one dose
-* Should also have pill-in-pocket broad-spectrum oral antibiotics to be taken in case of fever
+**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
 [[Category:Immunocompromised hosts‏‎]]