Long term management after splenectomy: National guidelines, please

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6921.131 (Published 08 January 1994) Cite this as: BMJ 1994;308:131
  1. P J Flegg
  1. Regional Infectious Diseases Unit, City Hospital. Edinburgh EH10 5SB

    EDITOR, - Mary McMullin and George Johnston's editorial contributes little to a comprehensive strategy to prevent sepsis after splenectomy.1 It merely reiterates current recommendations and contains important omissions. Overwhelming infection after splenectomy is a specific syndrome with a high mortality and should be distinguished from other infections after splenectomy. The alarmingly high incidence claimed for the condition has since been corrected2; in the study from which the corrected figure (6.9%) comes half of the deaths related to infection occurred within three months of operation and two fifths …

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