Spleen Australia guidelines for the prevention of sepsis in patients with asplenia and hyposplenism in Australia and New Zealand

被引：50
作者：
Kanhutu, Kudzai [1 ,2 ]
Jones, Penelope [3 ]
Cheng, Allen C. [3 ,4 ,7 ]
Grannell, Louise [3 ,5 ]
Best, Emma [9 ]
Spelman, Denis [3 ,6 ,8 ]
机构：
[1] Royal Melbourne Hosp, Victorian Infect Dis Serv, Melbourne, Vic, Australia
[2] Univ Melbourne, Dent & Hlth Sci, Fac Med, Melbourne, Vic, Australia
[3] Spleen Australia, Dept Infect Dis, Melbourne, Vic, Australia
[4] Alfred Hlth, Infect Prevent & Healthcare Epidemiol Unit, Melbourne, Vic, Australia
[5] Alfred Hlth, Dept Pharm, Melbourne, Vic, Australia
[6] Alfred Hlth, Dept Pathol, Microbiol Unit, Melbourne, Vic, Australia
[7] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia
[8] Univ Auckland, Auckland, New Zealand
[9] Starship Childrens Hosp, Auckland, New Zealand
来源：
INTERNAL MEDICINE JOURNAL | 2017年 / 47卷 / 08期
关键词：
asplenia; hyposplenism; sepsis; prevention; guideline; OVERWHELMING POSTSPLENECTOMY INFECTION; SPLENIC ARTERY EMBOLIZATION; INTERVENTIONAL RADIOLOGY; TRAUMA; SPLENECTOMY; REGISTRY; COHORT; RISK; ADHERENCE; RESPONSES;
D O I：
10.1111/imj.13348
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
People with asplenia/hyposplenism are at increased risk of fulminant sepsis, which carries a high mortality rate. A range of preventive measures is recommended although there is ongoing evidence that knowledge of and adherence to these strategies is poor. There have been significant changes in recommended vaccinations since the previously published recommendations in 2008. We provide current recommendations to help Australian and New Zealand clinicians in the prevention of sepsis in patients with asplenia and hyposplenia. The guideline includes Australian epidemiological data, preferred diagnostic techniques and recommendations for optimal antimicrobial prophylaxis and vaccination protocols.
引用
收藏
页码：848 / 855
页数：8
相关论文
共 35 条
[1]  
Bennett NM, 2013, MMWR-MORBID MORTAL W, V62, P521
[2]  
Bennett Nancy M., 2012, Morbidity and Mortality Weekly Report, V61, P816
[3]   Risk of infection and death among post-splenectomy patients [J].
Bisharat, N ;
Omari, H ;
Lavi, I ;
Raz, R .
JOURNAL OF INFECTION, 2001, 43 (03) :182-186
[4]   Pneumococcal conjugate vaccines overcome splenic dependency of antibody response to pneumococcal polysaccharides [J].
Breukels, MA ;
Zandvoort, A ;
van den Dobbelsteen, GPJM ;
van den Muijsenberg, A ;
Lodewijk, ME ;
Beurret, M ;
Klok, PA ;
Timens, W ;
Rijkers, GT .
INFECTION AND IMMUNITY, 2001, 69 (12) :7583-7587
[5]   Review of guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen: Prepared on behalf of the British Committee for Standards in Haematology by a Working Party of the Haemato-Oncology Task Force [J].
Davies, John M. ;
Lewis, Michael P. N. ;
Wimperis, Jennie ;
Rafi, Imran ;
Ladhani, Shamez ;
Bolton-Maggs, Paula H. B. .
BRITISH JOURNAL OF HAEMATOLOGY, 2011, 155 (03) :308-317
[6]   Splenectomy sequelae: an analysis of infectious outcomes among adults in Victoria [J].
Dendle, Claire ;
Sundararajan, Vijaya ;
Spelman, Tim ;
Jolley, Damien ;
Woolley, Ian .
MEDICAL JOURNAL OF AUSTRALIA, 2012, 196 (09) :582-586
[7]   Spleen registry may help reduce the incidence of overwhelming postsplenectomy infection in Victoria [J].
Denholm, Justin T. ;
Jones, Penelope A. ;
Spelman, Denis W. ;
Cameron, Paul U. ;
Woolley, Ian J. .
MEDICAL JOURNAL OF AUSTRALIA, 2010, 192 (01) :49-50
[8]  
Department of Health Australian Government, 2013, AUSTR IMM HDB
[9]   Overwhelming postsplenectomy infection: is quality of patient knowledge enough for prevention? [J].
El-Alfy, MS ;
El-Sayed, MH .
HEMATOLOGY JOURNAL, 2004, 5 (01) :77-80
[10]   Proximal Versus Distal Splenic Artery Embolisation for Blunt Splenic Trauma: What is the Impact on Splenic Immune Function? [J].
Foley, P. T. ;
Kavnoudias, H. ;
Cameron, P. U. ;
Czarnecki, C. ;
Paul, E. ;
Lyon, S. M. .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2015, 38 (05) :1143-1151
1234