• Cirugía española · May 2007

    Review

    [Prevention of sepsis in asplenic patients].

    • José Angel Lamsfus-Prieto, Estela Membrilla-Fernández, and Josep Maria Garcés-Jarque.
    • Servicio de Anestesiología y Reanimación, Hospital del Mar, Hospital de la Esperança, Instituto Municipal de Asistencia Sanitaria (IMAS), Barcelona, España.
    • Cir Esp. 2007 May 1;81(5):247-51.

    AbstractAlthough the high mortality rate from infectious causes in asplenic patients has been well known since the beginning of the twentieth century, rates of antibiotic prophylaxis in these patients continue to be worryingly low. Consequently, we reviewed the causes of these high mortality rates with a view to recommending preventive measures. The attitude to prophylaxis in these patients depends on age and the cause of splenectomy both in vaccination and antibiotic prophylaxis. The immune status of these patients is decisive in antibiotic prophylaxis, as this treatment will differ in patients splenectomized after a traffic accident and in those splenectomized for lymphoma.

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