Guidelines for the management of asplenic patients

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Guidelines for the management of patients with an absent or dysfunctional spleen: Influenzae vaccine.

All asplenic patients should receive a yearly vaccination from their GP.

When?

Late September to early November.
If splenectomy occurs before the current influenza season has finished (generally September to April) initial immunisation is warranted. Otherwise yearly immunisation and re-immunisation against influenza should be given between late September and early November.

Contraindications?

Hypersensitivity to egg or chicken protein.
History of Guillan-Barre syndrome.
Allergy to gentamicin or polymicin

Click here for the full Guideline " Management of patients with an absent or dysfunctional spleen"

Page last edited: 20/05/2009

Caution; the antibiotic doses recommended on this website are intended for adult patients with normal renal and liver function unless otherwise stated. Dosing advice for patients with renal impairment is available here.