DOCTORS' KNOWLEDGE OF POST‐SPLENECTOMY PROPHYLAXIS

Author:

Palejwala AA1,Hong LYC1,King D1

Affiliation:

1. Department of Medicine Arrowe Park Hospital Wirral

Abstract

SUMMARYA questionnaire was sent to 160 hospital doctors and 200 general practitioners about post‐splenectomy prophylaxis during the month of September 1995. A total of 118 questionnaires were returned (43% hospital doctors and 25% GPs). Most doctors (99%) knew that splenectomised patients were at risk of pneumococcal infection; 72% of hospital doctors and 50% of GPs knew of the risk of Haemophilus influenza infection but only 50% of hospital doctors and 33% of GPs knew of the same risks involving meningococcal infection and malaria. Half of the GPs were not aware of H. influenzae type B (Hib) vaccine for prophylaxis and 85% of these and 50% of hospital doctors did not know prophylaxis should be lifelong. There was no significant difference in the knowledge between hospital doctors and GPs.

Publisher

Wiley

Subject

General Medicine

Reference7 articles.

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2. Asplenic patients and immunisation;Department of Health;CMO's Update,1994

3. Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen

4. Increased risk of sepsis after splenectomy.

5. Postsplenectomy sepsis and its mortality rate: Actual versus perceived risks

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