Transforming management of patients undergoing splenectomy in an Irish teaching hospital

被引：5

作者：

McHugh, S. M. ^{[1
]}

O'Donnell, J. ^{[1
]}

Leahy, A. ^{[1
,2
]}

Broe, P. ^{[1
,2
]}

机构：

[1] Beaumont Hosp, Dublin 9, Ireland

[2] Royal Coll Surgeons Ireland, Dept Surg, Dublin 9, Ireland

来源：

IRISH JOURNAL OF MEDICAL SCIENCE | 2011年 / 180卷 / 03期

关键词：

Splenectomy; Vaccination; Audit loop; Prophylactic antibiotic; AUDIT LOOP; HEREDITARY SPHEROCYTOSIS; PREVENTION; GUIDELINES; INFECTION; COMPLICATIONS; VACCINATION; SEPSIS; ADULTS;

D O I：

10.1007/s11845-010-0510-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a 'patient information leaflet' made available. To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.

引用

页码：655 / 659

页数：5

共 17 条

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[2] Poor antibody response to pneumococcal polysaccharide vaccination suggests increased susceptibility to pneumococcal infection in splenectomized patients with hematological diseases [J].