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    Prevention of postsplenectomy sepsis: how much do patients know?

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    Authors
    Hegarty, P K
    Tan, B
    O'Sullivan, R
    Cronin, C C
    Brady, M P
    Affiliation
    Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland., Paulhego@hotmail.com
    Issue Date
    2012-02-03T15:10:48Z
    MeSH
    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Child
    Female
    *Health Knowledge, Attitudes, Practice
    Hematology
    Humans
    Immunocompromised Host
    *Infection Control
    Ireland
    Male
    Middle Aged
    Patient Compliance
    *Patient Education as Topic
    Patients/*psychology
    Physician-Patient Relations
    Physicians, Family
    Questionnaires
    Risk
    Splenectomy/*adverse effects/psychology
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    Citation
    Hematol J. 2000;1(5):357-9.
    Journal
    The hematology journal : the official journal of the European Haematology, Association / EHA
    URI
    http://hdl.handle.net/10147/209046
    DOI
    10.1038/sj/thj/6200056
    PubMed ID
    11920213
    Abstract
    INTRODUCTION: Asplenia causes a deficiency in immunity with a long-term risk of fulminant infection, associated with significant mortality. Patient compliance requires an understanding of risks of infection and its prevention. The impact of patient education has been little studied. MATERIALS AND METHODS: To ascertain the degree of knowledge held by patients who have undergone splenectomy, a comprehensive survey was designed. This also aimed to determine which group of health professionals was most successful in conveying information to patients. Patients who had undergone total splenectomy were interviewed by telephone, using a standardised list of questions to assess their understanding of the post-operation risks. RESULTS: Of 40 consecutive patients, 32.5% had a good knowledge of the risks of asplenia and their prevention, 52.5% had a fair knowledge and 15% a poor knowledge. Haematologists were most successful in initially conveying information to patients, and general practitioners also played a critical role in patient education. In this survey, it appears that surgeons were not effective at educating patients. CONCLUSION: Patient education postsplenectomy is poor. Measures to prevent infection in the asplenic patient are not being adequately implemented.
    Language
    eng
    ISSN
    1466-4860 (Print)
    1466-4860 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1038/sj/thj/6200056
    Scopus Count
    Collections
    Cork University Hospital

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