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AB profilaxis esplenectomia

Nicholas Macartney nick at macartney.org
Sat Jan 24 15:22:19 GMT 2009


 From memory ( in French Alps ), penicillin for life is UK  
recommendation, and that is what I do.
Nick Macartney
On 24 Jan 2009, at 14:29, Richard van der Kleyn wrote:

>
>
> A quick question for the trauma gurus: Have a friends mum, 82 yo,  
> very healthy (gym every morning), 2 episodes of TIA (transient  
> ischemic attaques) on asprin 75 mg + atorvastatin, splenectomia 10  
> years ago after falling of a bicycle, pneumokok vacinations up to  
> date. her GP has now put her on penicilin 500 td profilaxis (up  
> until now only took peniciline when she felt ill or if people around  
> her were sick).
>
> did a quick research into the us of continuous AB profilaxis in the  
> esplenic pacient, in children seams to be the standard of care but  
> in adults no concensus.
>
> Questions
>
> 1) do you think esplenic adults should take profilaxtic AB? or thus  
> this lead to more chance of a AB resistent infecion?
>
> 2) if so which antibiotic: penicilin or something that cover gram  
> pos. bacteria better (ciprofloxacin/levofloxacin) ?
>
> Thanks in advance for any advice
>
> Richard van der Kleyn
> metge adjunt servicio de urgencias
> hospital de Figueres.
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Dr NJD Macartney
ICU Director
Chase Farm Hospital
The Ridgeway
Enfield
EN2 8JL
+4420 8375 1074






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