Transforming management of patients undergoing splenectomy in an Irish teaching hospital.
Affiliation
Beaumont Hospital, Dublin 9, Ireland, seamusmchugh@rcsi.ie.Issue Date
2011-02-06
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Transforming management of patients undergoing splenectomy in an Irish teaching hospital. 2011:notIr J Med SciJournal
Irish journal of medical scienceDOI
10.1007/s11845-010-0510-6PubMed ID
21298492Abstract
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 PressLanguage
nullISSN
1863-4362ae974a485f413a2113503eed53cd6c53
10.1007/s11845-010-0510-6
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