Transforming management of patients undergoing splenectomy in an Irish teaching hospital.

Hdl Handle:
http://hdl.handle.net/10147/126068
Title:
Transforming management of patients undergoing splenectomy in an Irish teaching hospital.
Authors:
McHugh, S M; O'Donnell, J; Leahy, A; Broe, P
Affiliation:
Beaumont Hospital, Dublin 9, Ireland, seamusmchugh@rcsi.ie.
Citation:
Transforming management of patients undergoing splenectomy in an Irish teaching hospital. 2011:notIr J Med Sci
Journal:
Irish journal of medical science
Issue Date:
6-Feb-2011
URI:
http://hdl.handle.net/10147/126068
DOI:
10.1007/s11845-010-0510-6
PubMed ID:
21298492
Abstract:
BACKGROUND: Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a 'patient information leaflet' made available. AIM: To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. METHOD: Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. RESULTS: Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. CONCLUSIONS: These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.
Item Type:
Article In Press
Language:
null
ISSN:
1863-4362

Full metadata record

DC FieldValue Language
dc.contributor.authorMcHugh, S Men
dc.contributor.authorO'Donnell, Jen
dc.contributor.authorLeahy, Aen
dc.contributor.authorBroe, Pen
dc.date.accessioned2011-03-29T13:35:03Z-
dc.date.available2011-03-29T13:35:03Z-
dc.date.issued2011-02-06-
dc.identifier.citationTransforming management of patients undergoing splenectomy in an Irish teaching hospital. 2011:notIr J Med Scien
dc.identifier.issn1863-4362-
dc.identifier.pmid21298492-
dc.identifier.doi10.1007/s11845-010-0510-6-
dc.identifier.urihttp://hdl.handle.net/10147/126068-
dc.description.abstractBACKGROUND: Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a 'patient information leaflet' made available. AIM: To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. METHOD: Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. RESULTS: Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. CONCLUSIONS: These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary.-
dc.languageENG-
dc.language.isonullen
dc.titleTransforming management of patients undergoing splenectomy in an Irish teaching hospital.en
dc.typeArticle In Pressen
dc.contributor.departmentBeaumont Hospital, Dublin 9, Ireland, seamusmchugh@rcsi.ie.en
dc.identifier.journalIrish journal of medical scienceen
dc.description.provinceLeinster-

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