What vaccines are needed after splenectomy?
Pneumococcal, meningococcal, and Haemophilus influenzae (Hib) vaccinations are indicated for patients after splenectomy.
Can splenectomy patients have Covid vaccine?
If plans to proceed with the SARS-CoV-2 vaccine are made, vaccination is recommended at least two to four weeks prior to the planned immunosuppressive therapy, transplant, or splenectomy.
Which vaccines is contraindicated in splenectomy?
Prevention of infections Live attenuated influenza vaccine is contraindicated in this patient population. Compared to the general population, patients with splenectomy require higher antibody concentration to have appropriate protection against S. pneumoniae and H. influenzae type b.
When do you give pneumococcal vaccine after splenectomy?
Ideally patients should receive pneumococcal vaccine from 4 to 6 weeks before elective splenectomy or initiation of chemotherapy or radiotherapy. If it is not possible, vaccination should be administered at least 2 weeks pre-operatively in elective cases or at least 2 weeks post-operatively in emergency cases.
How long after Pneumovax should I get Prevnar?
For immunocompetent adult patients aged ≥65 years with CSF leak or cochlear implant, the CDC recommends a routine dose of Prevnar 13 (if not previously received) followed at least 8 weeks later by a routine dose of PNEUMOVAX 23.
How does removal of spleen affect immunity?
Sometimes just part of your spleen can be removed, which is called a partial splenectomy. If there’s time, you’ll be advised to have certain vaccinations before the operation. This is because spleen removal weakens your immune system and can make you more likely to get an infection.
Does splenectomy affect immune system?
If your spleen needs to be removed, you’ll undergo a surgical procedure called a splenectomy. Undergoing a spleen removal leaves you with a compromised, or weakened, immune system. Since infections can be more dangerous without a spleen, you may need yearly vaccines and prophylactic antibiotics.
Can splenectomy patients have shingles vaccine?
Offering the shingles vaccine to eligible patients who are asplenic or who have a dysfunctional spleen provides an opportunity for the clinician to ensure the patient is up-to-date with all the recommended vaccines for asplenic patients, as documented in the Green Book Chapter 7.