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Asplenic patient – responsibility of all of us


Authors: P. Polák;  P. Husa;  P. Šlesinger;  R. Pařízková;  M. Freibergerová
Authors place of work: Klinika infekčních chorob FN a LF MU Brno, Přednosta: prof. MUDr. Petr Husa, CSc.
Published in the journal: Prakt. Lék. 2010; 90(7): 396-397
Category: Reviews

Summary

An asplenic patient runs the life-long risk of severe infectious complications. Prevention of these complications must be thorough, however in practice it is often insufficient. In this article both the main health-risks for splenectomized patients are outlined as well as the most common causes of infection. The basic non-medical and medical preventive-care measures are emphasised. The aim of this text is to increase general awareness of the health-risks associated with impaired or lost function of the spleen.

Key words:
asplenism, splenectomy, prophylaxis.


Zdroje

1. Coignard-Biehler, H., Lantemier, F., de Montalembert, M. et al. Infections in splenectomized patient. Rev. Prat. 2008, 58(20), p. 2209-2214.

2. Davidson, R.N., Wall, R.A. Prevention and management of infections in patients without a spleen. Clin. Microbiol. Infect. 2001, 7(12), p. 657-660.

3. Di Carlo, I., Primo, S., Pulvirenti, E., et al. Should all splenectomised patients be vaccinated to avoid OPSI? Revisiting an old concept: an Italian retrospective monocentric study. Hepatogastroenterology 2008, 55(82-83), p. 308-310.

4. Engelhardt, M., Haas, P.S., Theilacker, C. et al. Prevention of infections and thromboses after splenectomy or because of functional loss of the spleen. Dtsch. Med. Wochenschr. 2009, 134, p. 897-902.

5. Gruntová, I., Janoušek, S., Pařízková, R., Chalupa, P. Naše zkušenosti s prevencí infekcí u splenektomovaných. Klin. Mikrobiol. Infekc. Lek., 2005, 11(2), s. 51-54.

6. Harji, D.P., Jaunoo, S.S., Mistry, P., et al. Immunoprophylaxis in asplenic patients. Int. J. Surg. 2009, 7(5), p. 421-423.

7. Hasse, B., Moll, C., Oehy, K. et al. Anti-infectious prophylaxis after splenectomy: current practice in an eastern region of Switzerland. Swiss. Med. Wkly. 2005, 135, p. 291-296.

8. Okabayashi, T., Hanazaki, K. Overwhelming postsplenectomy infection syndrome in adults – a clinically preventable disease. World. J. Gastroenterol. 2008, 14(2), p. 176-179.

9. Spelman, D., Buttery, J., Daley, A. et al. Guidelines for prevention of sepsis in asplenic and hyposplenic patients. Int. Med. J. 2008, 38, p. 349-356.

10. Toovey, S., Jamieson, A. Pretravel health advice for asplenic individuals. J. Travel. Med. 2003, 10(6), p. 362-363.

Štítky
General practitioner for children and adolescents General practitioner for adults
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