Post-splenetomy immunizations

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In a similar position in Johannesburg. We like to immunise prior to
discharge. Ideally 2 weeks post injury... ?Evidence. Actually often done
prior to ICU discharge. Our intensivists are great about sorting it out.

Cheers

DeanLutrin
JHB, SA

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of mike christensen
Sent: 15 October 2005 08:40 PM
To: trauma-list at trauma.org
Subject: Post-splenetomy immunizations

As an inner-city Level I Trauma Center, our patients are often non-compliant
following discharge.  We often lose patients to follow-up, especially with
blunt trauma to the chest or abdoment.  We are now immunizing
post-splenectomy patients (fortunately these aren't common) prior to
discharge, although efficacy with this practice isn't clear.  I'd like to
hear
what practice patterns are in place in similar Trauma Centers.
 
M Christensen
San Francisco General Hospital


Mike Christensen RN, MS, ACNP 
415.699.4511

 
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