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A survey of vaccine coverage and antibiotic prophylaxis in splenectomised patients in Scotland.

AbstractAIMS:
To determine the coverage of vaccine and antibiotic prophylaxis in splenectomised patients in Scotland.
METHODS:
Patients who had undergone splenectomy between 1 January 1988 and 31 December 1998 were identified. A questionnaire was sent to general practitioners to validate vaccine and antibiotic status for these patients.
RESULTS:
A total of 974 living splenectomised patients were identified during the study period. Information on vaccine and antibiotic status was available for 708 (73%) and 770 (79%) of living patients, respectively. Coverage of pneumococcal vaccine (88%) was higher than that of Haemophilus influenza type b (Hib) conjugate vaccine (70%) or meningococcal vaccine (51%). Only 47% of patients received all three vaccines. A higher coverage was also documented for pneumococcal vaccine (28%) than Hib (19%) and meningococcal vaccine (14%) before elective splenectomy. Only 13% received all three vaccines before splenectomy. Coverage of influenza vaccine increased significantly, from 76% in the 1997/1998 season to 96% in the 2000/2001 season. Antibiotic prophylaxis was received by 67% of all patients. The current recommendation, comprising pneumococcal and Hib vaccination and antibiotic prophylaxis, was received by only 52% of the patients. There was no association between the coverage of vaccine and socioeconomic status.
CONCLUSION:
Further improvement in coverage of recommended vaccines and antibiotic prophylaxis is still needed to reduce the risk of serious infection in this high risk group.
AuthorsM H Kyaw, E M Holmes, J Chalmers, I G Jones, H Campbell
JournalJournal of clinical pathology (J Clin Pathol) Vol. 55 Issue 6 Pg. 472-4 (Jun 2002) ISSN: 0021-9746 [Print] England
PMID12037033 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Haemophilus Vaccines
  • Haemophilus influenzae type b polysaccharide vaccine
  • Meningococcal Vaccines
  • Pneumococcal Vaccines
  • Polysaccharides, Bacterial
Topics
  • Adult
  • Antibiotic Prophylaxis (statistics & numerical data)
  • Bacterial Capsules
  • Child
  • Haemophilus Vaccines (administration & dosage)
  • Health Care Surveys
  • Humans
  • Immunocompromised Host
  • Meningococcal Vaccines (administration & dosage)
  • Pneumococcal Vaccines (administration & dosage)
  • Polysaccharides, Bacterial (administration & dosage)
  • Scotland
  • Social Class
  • Splenectomy (adverse effects)
  • Vaccination (statistics & numerical data)

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