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upscman
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Splenectomy is to be avoided in children because of:
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04.27.04 (4 years ago)
#1
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Splenectomy is to be avoided in children because of:
A. Increased risk of lymphoma
B. Loss of blood forming tissue
C. Hypercoagulable state
D. Increased risk of infectio
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akanksha'
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04.27.04 (4 years ago)
#2
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Increased risk of infections
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saurabhmysterious
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06.10.04 (4 years ago)
#3
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its due to increased risk of infections... and remeber thats the reason behind the concept of giving post splenectomy pneumococcal vaccine to children...
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Bruno
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06.10.04 (4 years ago)
#4
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Children are more prone towards infection with CAPSULAR organisms
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vijayandhare
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07.25.04 (4 years ago)
#5
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overwhelming post-spenectomy infecion-opsi is a term
str. peumococcucus -60%
h.influenzae-15%
meningococci-5%
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nadu
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07.25.04 (4 years ago)
#6
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also note ......... HOWELL-JOLLY BODIES (nuclear remnants in circulating
erythrocytes ) r characteristic of post-splenectomy patients .
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manipalguy
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07.26.04 (4 years ago)
#7
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| Bruno wrote: |
| Children are more prone towards infection with CAPSULAR organisms |
and thst why we give pnemococcal vaccine to all children after splenectomy!!!
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pajitmenon
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PNEUMOVAC VACCINE
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07.31.04 (4 years ago)
#8
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dear dr
a small correction.... the pneumovac is given BEFORE SURGERY AND NEVER AFTER SURGERY
TIMING OF VACCINATION
When elective splenectomy is being considered, pneumococcal vaccine should be given at least 2 weeks before the operation, if possible. Similarly, for planning cancer chemotherapy or immunosuppressive therapy, as in patients who undergo organ transplantation, the interval between vaccination and initiation of chemotherapy or immunosuppression should also be at least 2 weeks.
REF: CDC,ATLANTARecommendations of the Immunization Practices Advisory Committee Pneumococcal Polysaccharide Vaccine
MMWR 38(5);64-68,73-76
Publication date: 02/10/1989
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indianprince
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08.14.04 (4 years ago)
#9
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| pajitmenon wrote: |
dear dr
a small correction.... the pneumovac is given BEFORE SURGERY AND NEVER AFTER SURGERY
TIMING OF VACCINATION
When elective splenectomy is being considered, pneumococcal vaccine should be given at least 2 weeks before the operation, if possible. Similarly, for planning cancer chemotherapy or immunosuppressive therapy, as in patients who undergo organ transplantation, the interval between vaccination and initiation of chemotherapy or immunosuppression should also be at least 2 weeks.
REF: CDC,ATLANTARecommendations of the Immunization Practices Advisory Committee Pneumococcal Polysaccharide Vaccine
MMWR 38(5);64-68,73-76
Publication date: 02/10/1989 |
Yes. OPSI can be prevented to some extent by pneumococcal vaccine only if given 2 weeks prior to splenectomy. Also in Indian subcontinent we have to give Haemophilus influenzae vaccine on a bigger priority than the Pmeumococcal vaccine due to its higher incidence (Hib). Meningococcal vacines can also be given but since incidence is less ...it is less useful.
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