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Ir J Med Sci. 2011 Sep;180(3):655-9. doi: 10.1007/s11845-010-0510-6. Epub 2011 Feb 6.

Transforming management of patients undergoing splenectomy in an Irish teaching hospital.

Author information

1
Beaumont Hospital, Dublin 9, Ireland. seamusmchugh@rcsi.ie

Abstract

BACKGROUND:

Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a 'patient information leaflet' made available.

AIM:

To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care.

METHOD:

Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008.

RESULTS:

Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged.

CONCLUSIONS:

These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.

PMID:
21298492
DOI:
10.1007/s11845-010-0510-6
[Indexed for MEDLINE]
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