Abstract
Partial splenectomy or repair should be considered as an alternative to total splenectomy whenever possible. All splenectomized patients should be vaccinated with pneumococcal vaccine. Use of the meningococcal vaccine should be considered. When a suitable Hemophilus influenzae B vaccine is available, it should be used. Certain patients should receive prophylactic penicillin therapy. Any flu-like illness after splenectomy should prompt the taking of cultures and treatment with an anti-pneumococcal anti-H. influenzae antibiotic.
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