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AB profilaxis esplenectomia
Nicholas Macartney nick at macartney.orgSat Jan 24 15:22:19 GMT 2009
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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. > _________________________________________________________________ > What can you do with the new Windows Live? Find out > http://www.microsoft.com/windows/windowslive/default.aspx > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/index.php?/community/ > Dr NJD Macartney ICU Director Chase Farm Hospital The Ridgeway Enfield EN2 8JL +4420 8375 1074
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