• Ulus Travma Acil Cer · Jul 2018

    Adherence to vaccination recommendations after traumatic splenic injury.

    • Ahmet Korkut Belli, Cem Dönmez, Önder Özcan, Özcan Dere, Dirgen Çaylak Selmin S, Funda Dinç Elibol, Cenk Yazkan, Nevin Yılmaz, and Okay Nazlı.
    • Department of General Surgery, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla-Turkey. ahmetbelli@gmail.com.
    • Ulus Travma Acil Cer. 2018 Jul 1; 24 (4): 337-342.

    BackgroundThe occurrence of a serious infection called overwhelming post-splenectomy infection (OPSI) increases more than 50 times in patients who have hyposplenia. The aim of this study was to investigate the adherence to vaccination recommendations after traumatic splenic injury.MethodsWe identified patients who underwent total splenectomy due to abdominal trauma between May 2012 and March 2016. We recorded the clinical, laboratory, and pathological features of the patients. We calculated the vaccination proportions before discharge, after discharge, and final.ResultsTwenty-seven patients underwent total splenectomy. For the vaccination status before discharge, after discharge, and final, the number of patients who received all the three vaccinations were 0 (0%), 0 (0%), and 8 (18.5%) and those who received none were 13 (48.2%), 11 (40.8%), and 9 (33.4%), respectively. The data of 17 patients were available for developing OPSI. The median follow-up time was 17.8 (4.4-41.2) months, and no OPSI cases were observed.ConclusionAdherence to vaccination recommendations remains still low. Establishing a vaccination tracking system and following vaccination recommendations will be helpful to prevent serious infections, such as OPSI, after traumatic splenectomy.

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