Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen. Working Party of the British Committee for Standards in Haematology Clinical Haematology Task Force.

BMJ. 1996 February 17; 312(7028): 430–434.

PMCID: PMC2350106

Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen. Working Party of the British Committee for Standards in Haematology Clinical Haematology Task Force.

See letter "Managing patients with an absent or dysfunctional spleen. Uncertainty exists over frequency of blood tests to test antipneumococcal immunity." on page 1360.

See letter "Managing patients with an absent or dysfunctional spleen. Guidelines should highlight risk of Salmonella infection in sickle cell disease." on page 1359.

See letter "Managing patients with an absent or dysfunctional spleen. Is there evidence to show that daily antibiotic treatment is best?" on page 1360.

See letter "Managing patients with an absent or dysfunctional spleen. Guidelines do not discuss resistance to antibiotics among pneumococci." on page 1361.

See letter "Managing patients with an absent or dysfunctional spleen. Data linkage is useful in setting up a register." on page 1360.

See letter "Managing patients with an absent or dysfunctional spleen. Under half of doctors know that antibiotic prophylaxis should be life long." on page 1360.

See letter "Managing patients with an absent or dysfunctional spleen. Patients expect splenectomy in rural Zaire." on page 1360.

This article has been cited by other articles in PMC.

Abstract

Overwhelming postsplenectomy infection should be preventable if simple precautions are taken. An ad hoc working party of the British Committee for Standards in Haematology has reviewed recommendations for patients without a spleen and drawn up a consensus. Members of the working party were selected for their personal expertise and to represent relevant professional bodies. The guidelines, which are set out below, include and extend the chief medical officer's 1994 update.

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