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

页码：848 / 855

页数：8

共 35 条

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