Vaccination practices among North American trauma surgeons in splenectomy for trauma

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Abstract

Background: The purpose of this study was to examine trama surgeons' practice patterns regarding immunization of splenic injury patients. Methods: Data were analyzed from surgeons responding to a survey sent to 557 adult trauma surgeons in the United States and Canada. The survey queried the timing and use of vaccinations in splenic injury patients. Results: Three hundred four (54.6%) surgeons responded to the survey, with 43 no longer active. Of the 261 active surgeons, 99.2% immunize their splenectomized patients, whereas 15.7% immunize those who undergo splenorrhaphy and 8.4% immunize those managed nonoperatively. Vaccines are administered anywhere from the immediate postoperative period to as long as 6 weeks later. All but two responding surgeons provide the pneumococcal vaccine, 62.8% also advocate meningococcal vaccination, 72.4% add the Haemophilus influenzae vaccine, and 56.7% give all three. Thirteen of the responding surgeons reimplant splenic tissue, most frequently in the omentum, and in quantities varying from two slices to the entire spleen. Revaccination practices are extremely varied - ranging from nothing at all to annually - and seldom follow Centers for Disease Control and Prevention guidelines. Conclusion: With the exception of immunizing splenectomized patients against pneumococcal infection, little consensus exists among surgeons regarding the immunization of patients sustaining splenic injury.

Original languageEnglish (US)
Pages (from-to)950-956
Number of pages7
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume53
Issue number5
StatePublished - Nov 1 2002
Externally publishedYes

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Splenectomy
Vaccination
Wounds and Injuries
Immunization
Haemophilus Vaccines
Secondary Immunization
Pneumococcal Infections
Pneumococcal Vaccines
Omentum
Surgeons
Centers for Disease Control and Prevention (U.S.)
Postoperative Period
Canada
Vaccines
Spleen
Guidelines
Surveys and Questionnaires

Keywords

  • Pneumococal sepsis
  • Splenectomy
  • Vaccination

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Vaccination practices among North American trauma surgeons in splenectomy for trauma",
abstract = "Background: The purpose of this study was to examine trama surgeons' practice patterns regarding immunization of splenic injury patients. Methods: Data were analyzed from surgeons responding to a survey sent to 557 adult trauma surgeons in the United States and Canada. The survey queried the timing and use of vaccinations in splenic injury patients. Results: Three hundred four (54.6{\%}) surgeons responded to the survey, with 43 no longer active. Of the 261 active surgeons, 99.2{\%} immunize their splenectomized patients, whereas 15.7{\%} immunize those who undergo splenorrhaphy and 8.4{\%} immunize those managed nonoperatively. Vaccines are administered anywhere from the immediate postoperative period to as long as 6 weeks later. All but two responding surgeons provide the pneumococcal vaccine, 62.8{\%} also advocate meningococcal vaccination, 72.4{\%} add the Haemophilus influenzae vaccine, and 56.7{\%} give all three. Thirteen of the responding surgeons reimplant splenic tissue, most frequently in the omentum, and in quantities varying from two slices to the entire spleen. Revaccination practices are extremely varied - ranging from nothing at all to annually - and seldom follow Centers for Disease Control and Prevention guidelines. Conclusion: With the exception of immunizing splenectomized patients against pneumococcal infection, little consensus exists among surgeons regarding the immunization of patients sustaining splenic injury.",
keywords = "Pneumococal sepsis, Splenectomy, Vaccination",
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AB - Background: The purpose of this study was to examine trama surgeons' practice patterns regarding immunization of splenic injury patients. Methods: Data were analyzed from surgeons responding to a survey sent to 557 adult trauma surgeons in the United States and Canada. The survey queried the timing and use of vaccinations in splenic injury patients. Results: Three hundred four (54.6%) surgeons responded to the survey, with 43 no longer active. Of the 261 active surgeons, 99.2% immunize their splenectomized patients, whereas 15.7% immunize those who undergo splenorrhaphy and 8.4% immunize those managed nonoperatively. Vaccines are administered anywhere from the immediate postoperative period to as long as 6 weeks later. All but two responding surgeons provide the pneumococcal vaccine, 62.8% also advocate meningococcal vaccination, 72.4% add the Haemophilus influenzae vaccine, and 56.7% give all three. Thirteen of the responding surgeons reimplant splenic tissue, most frequently in the omentum, and in quantities varying from two slices to the entire spleen. Revaccination practices are extremely varied - ranging from nothing at all to annually - and seldom follow Centers for Disease Control and Prevention guidelines. Conclusion: With the exception of immunizing splenectomized patients against pneumococcal infection, little consensus exists among surgeons regarding the immunization of patients sustaining splenic injury.

KW - Pneumococal sepsis

KW - Splenectomy

KW - Vaccination

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