Adherence to vaccination recommendations after traumatic splenic injury

Establishing a vaccination tracking system and following vaccination recommendations will be helpful to prevent serious infections, such as OPSI, after traumatic splenectomy

📌 3 Maddede Bu Makale

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Amaç & Hipotez:BACKGROUND: The occurrence of a serious infection called overwhelming post-splenectomy infection (OPSI) increases more than 50 times in patients who have hyposplenia.

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Temel Bulgular & Veri:METHODS: We identified patients who underwent total splenectomy due to abdominal trauma between May 2012 and March 2016.

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Sonuç & Katkı:Establishing a vaccination tracking system and following vaccination recommendations will be helpful to prevent serious infections, such as OPSI, after traumatic splenectomy

🔬Tür:Araştırma Makalesi

📍Kapsam:2012 Verileri

⚙️Değişkenler:Alan Parametreleri

Özet

BACKGROUND: The occurrence of a serious infection called overwhelming post-splenectomy infection (OPSI) increases more than 50 times in patients who have hyposplenia. The aim of this study was to investigate the adherence to vaccination recommendations after traumatic splenic injury. METHODS: We identified patients who underwent total splenectomy due to abdominal trauma between May 2012 and March 2016. We recorded the clinical, laboratory, and pathological features of the patients. We calculated the vaccination proportions before discharge, after discharge, and final. RESULTS: Twenty-seven patients underwent total splenectomy. For the vaccination status before discharge, after discharge, and final, the number of patients who received all the three vaccinations were 0 (0%), 0 (0%), and 8 (18.5%) and those who received none were 13 (48.2%), 11 (40.8%), and 9 (33.4%), respectively. The data of 17 patients were available for developing OPSI. The median follow-up time was 17.8 (4.4–41.2) months, and no OPSI cases were observed. CONCLUSION: Adherence to vaccination recommendations remains still low. Establishing a vaccination tracking system and following vaccination recommendations will be helpful to prevent serious infections, such as OPSI, after traumatic splenectomy

Abstract

AMAÇ: Postsplenektomi sepsis hiposplenizm gelişen hastalarda 50 kat artan ciddi bir enfeksiyondur. Bu çalışmanın amacı travmatik dalak yaralanmalarından sonra aşılama rehberlerine ne kadar uyulduğunun tespit edilmesidir. GEREÇ VE YÖNTEM: Mayıs 2012–Mart 2016 tarihleri arasında karın travması sebebiyle total splenektomi yapılan hastalar çalışmaya dahil edildi. Hastların klinik, labaratuvar ve patoloji verileri kaydedildi. Taburculuk öncesi, sonrası ve de nihai aşılanma oranları ayrı ayrı belirlendi. BULGULAR: Yirmi yedi hastaya total splenektomi yapılmıştı. Taburculuk öncesi, sonrası ve nihai aşılama oranları sırasıyla şu şekildeydi: Her üç aşının yapılma oranı 0 (%0), 0 (%0) ve 8 (%18.5) idi. Hiç aşılama yapılmama oranları ise 13 (%48.2), 11 (%40.8) ve 9 (%33.4) idi. Postsplenektomi sepsis gelişmesi açısından 17 hastanın verisi mevcuttu. Ortanca takip süresi 17.8 (4.4–41.2) aydı ve hiçbir olguda postsplenektomi sepsis gelişmedi. TARTIŞMA: Aşılama rehberlerine uyum düşük seyretmektedir. Aşılama takip sistemi kurulması ve aşılama rehberlerine daha fazla uyum sağlanması postsplenektomi sepsis gibi ciddi enfeksiyonları önleyecektir.

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Bu Makaleye Atıf Yap

BELLİ, A. K., DÖNMEZ, C., ÖZCAN, Ö., DERE, Ö., ÇAYLAK, S. D., ELİBOL, F. D., YAZKAN, C., YILMAZ, N., NAZLI, O. (2018). Adherence to vaccination recommendations after traumatic splenic injury. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 24 - Sayı: 4, 337–342. https://ajindex.com/articles/323608

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