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==Overview== | ==Overview== | ||
'''Overwhelming post-splenectomy infection | '''Overwhelming post-splenectomy infection''' is a rapidly fatal [[septicemia]] infection due to the absence of spleen protection against certain bacteria ([[asplenia]]). Patients with absent (eg [[splenectomy]]) or non-functional [[spleen]]s can die of these uncommon infections in a few hours. | ||
==Epidemiology and Demographics== | |||
The risk of contracting an OPSI for such patients is 0.23-0.42% per year, with a lifetime risk of 5%, and an associated mortality of 38-69%.<ref>{{cite journal |author=Davidson R, Wall R |title=Prevention and management of infections in patients without a spleen |journal=Clin Microbiol Infect |volume=7|issue=12 |pages=657-60 |year=2001 |id=PMID 11843905}}</ref> | |||
==Treatment== | |||
===Primary Prevention=== | |||
Prevention with [[vaccination]]s and [[antibiotic]]s can largely prevent OPSI.<ref name="BMJ1996">{{cite journal | author= | title=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 | journal=BMJ | year=1996 | pages=430-4 | volume=312 | issue=7028 | id=PMID 8601117 |url=http://bmj.bmjjournals.com/cgi/content/full/312/7028/430}}</ref><ref name="BMJ2001">{{cite journal | author=J M Davies et al | title=The Prevention And Treatment Of Infection In Patients With An Absent Or Dysfunctional Spleen - British Committee for Standards in Haematology Guideline up-date | journal=BMJ | year=2001-06-02 | url=http://bmj.bmjjournals.com/cgi/eletters/312/7028/430#12088}}</ref> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Bacterial diseases]] | [[Category:Bacterial diseases]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 18:36, 18 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Overwhelming post-splenectomy infection is a rapidly fatal septicemia infection due to the absence of spleen protection against certain bacteria (asplenia). Patients with absent (eg splenectomy) or non-functional spleens can die of these uncommon infections in a few hours.
Epidemiology and Demographics
The risk of contracting an OPSI for such patients is 0.23-0.42% per year, with a lifetime risk of 5%, and an associated mortality of 38-69%.[1]
Treatment
Primary Prevention
Prevention with vaccinations and antibiotics can largely prevent OPSI.[2][3]
References
- ↑ Davidson R, Wall R (2001). "Prevention and management of infections in patients without a spleen". Clin Microbiol Infect. 7 (12): 657–60. PMID 11843905.
- ↑ "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. 312 (7028): 430–4. 1996. PMID 8601117.
- ↑ J M Davies; et al. (2001-06-02). "The Prevention And Treatment Of Infection In Patients With An Absent Or Dysfunctional Spleen - British Committee for Standards in Haematology Guideline up-date". BMJ.