Lege Artis Medicinae

[Our experiencies using goserelin in St. Barbara Hospital in Tatabánya]

PÁDI Éva

SEPTEMBER 22, 2013

Lege Artis Medicinae - 2013;23(09)

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Further articles in this publication

Lege Artis Medicinae

[Flying High and Low – The Opus of Oscar Wilde and his Ear Disease]

GERLINGER Imre

Lege Artis Medicinae

[A Hungarian Textbook on Medical Anthropology]

BUDA Béla

Lege Artis Medicinae

[Marc Chagall and Imre Ámos in Budapest ]

NAGY Zsuzsanna

Lege Artis Medicinae

[Changes to the Mind ]

TAKÁCS Szilvia

Lege Artis Medicinae

[Prevention of infections in patients with absent or dysfunctional spleen: adaptation of international guidelines]

KULCSÁR Andrea

[Individuals with an absent or dysfunctional spleen are at increased risk of severe infection. The greatest risk of infection is within two years after splenectomy. A spectrum of infecting microorganisms may cause serious infections, especially in young or immunocompromised patients. The commonest pathogens are Streptococcus pneumoniae, Neisseria meningitidis and in some countries Haemophilus influenzae type b (Hib). The international guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen are inconsistent. Most of the evidence is obtained from expert committee reports or opinions and/or clinical experiences of respected authorities. This area in Hungary also represents an unmet need. Patients who have undergone surgical removal of the spleen and those with medical conditions that may predispose to functional hyposplenism must be educated about the danger of their condition, must be immunised and must be treated with prophylactic antibiotics according to national epidemiological and microbiological protocols. In Hungary we have an urgent need for a definite guideline for infection profilaxis of individuals with an absent or dysfunctional spleen. This paper is written by a vaccination consultant with the intention of raising awareness and to provide some assistence for physicians and their patients.]

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