BMJ. 1996 Feb 17;312(7028):430-4.

Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen. Working Party of the British Committee for Standards in Haematology Clinical Haematology Task Force.

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Working Party of the British Committee for Standards in Haematology Clinical Haematology Task Force, UK.

Abstract

Overwhelming postsplenectomy infection should be preventable if simple precautions are taken. An ad hoc working party of the British Committee for Standards in Haematology has reviewed recommendations for patients without a spleen and drawn up a consensus. Members of the working party were selected for their personal expertise and to represent relevant professional bodies. The guidelines, which are set out below, include and extend the chief medical officer's 1994 update.

Comment in

Managing patients with an absent or dysfunctional spleen. Data linkage is useful in setting up a register. [BMJ. 1996]
Managing patients with an absent or dysfunctional spleen. Data linkage is useful in setting up a register.Howie H, Bisset AF. BMJ. 1996 May 25; 312(7042):1360; author reply 1361.
Managing patients with an absent or dysfunctional spleen. Guidelines do not discuss resistance to antibiotics among pneumococci. [BMJ. 1996]
Managing patients with an absent or dysfunctional spleen. Guidelines do not discuss resistance to antibiotics among pneumococci.Lambert HP. BMJ. 1996 May 25; 312(7042):1361.
Managing patients with an absent or dysfunctional spleen. Is there evidence to show that daily antibiotic treatment is best? [BMJ. 1996]
Managing patients with an absent or dysfunctional spleen. Is there evidence to show that daily antibiotic treatment is best?Butler C, Kinnersley P. BMJ. 1996 May 25; 312(7042):1360-1.
Managing patients with an absent or dysfunctional spleen. Under half of doctors know that antibiotic prophylaxis should be life long. [BMJ. 1996]
Managing patients with an absent or dysfunctional spleen. Under half of doctors know that antibiotic prophylaxis should be life long.Palejwala AA, Hong LY, King D. BMJ. 1996 May 25; 312(7042):1360; author reply 1361.
Managing patients with an absent or dysfunctional spleen. Uncertainty exists over frequency of blood tests to test antipneumococcal immunity. [BMJ. 1996]
Managing patients with an absent or dysfunctional spleen. Uncertainty exists over frequency of blood tests to test antipneumococcal immunity.Kassianos GC. BMJ. 1996 May 25; 312(7042):1360; author reply 1361.
Managing patients with an absent or dysfunctional spleen. Guidelines should highlight risk of Salmonella infection in sickle cell disease. [BMJ. 1996]
Managing patients with an absent or dysfunctional spleen. Guidelines should highlight risk of Salmonella infection in sickle cell disease.Workman MR, Philpott-Howard J, Bellingham AJ. BMJ. 1996 May 25; 312(7042):1359-60; author reply 1361.
Managing patients with an absent or dysfunctional spleen. Patients expect splenectomy in rural Zaire. [BMJ. 1996]
Managing patients with an absent or dysfunctional spleen. Patients expect splenectomy in rural Zaire.Burdon J. BMJ. 1996 May 25; 312(7042):1360.

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Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen. Working Party of the British Committee for Standards in Haematology Clinical Haematology Task Force.
BMJ. 1996 Feb 17 ;312(7028):430-4.

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