Immunization of people with asplenia and hyposplenia: Difference between revisions
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**''Haemophilus influenzae'' type b (Hib), one dose |
**''Haemophilus influenzae'' type b (Hib), one dose |
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**''Neisseria meningitidis'': |
**''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 |
***4CMenB, two doses 4 weeks apart |
***4CMenB, two doses 4 weeks apart |
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− | **''Streptococcus pneumoniae'': |
+ | **''Streptococcus pneumoniae'': |
+ | ***Pneu-C-13, one dose with a booster at 5 years. Must wait at least 1 year after Pneu-P-23. |
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+ | ***Pneu-P-23, one dose. Must wait at least 8 weeks after Pneu-C-13. |
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**Influenza (annually) |
**Influenza (annually) |
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**If transfusion-dependent: hepatitis A and B vaccines |
**If transfusion-dependent: hepatitis A and B vaccines |
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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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|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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+ | |Pneu-C-13 booster at 5 years |
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|- |
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|Pneu-C-13 |
|Pneu-C-13 |
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|Pneu-P-23 |
|Pneu-P-23 |
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+ | |annual influenza vaccination |
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|Hib |
|Hib |
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+ | | |
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| colspan="2" |influenza, if appropriate season |
| colspan="2" |influenza, if appropriate season |
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Revision as of 00:13, 11 June 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 |
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Men-C-ACYW-135 | Men-C-ACYW-135 | splenectomy | Men-C-ACYW-135 booster every 5 years |
4CMenB | 4CMenB | Pneu-C-13 booster at 5 years | |
Pneu-C-13 | Pneu-P-23 | annual influenza vaccination | |
Hib | |||
influenza, if appropriate season |