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所有无脾者均应接种肺炎球菌疫苗。

[All persons without spleen should be given pneumococcal vaccine].

作者信息

Aaberge I S, Nøkleby H, Frøholm L O

机构信息

Avdeling for vaksine, Statens Institutt for Folkehelse, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1994 Sep 30;114(23):2732-3.

PMID:7998017
Abstract

Splenectomized individuals run increased risk of developing overwhelming septicemia from encapsulated bacteria, especially Streptococcus pneumoniae. Polyvalent pneumococcal polysaccharide vaccine should be given to all splenectomized individuals above two years of age. Antipneumococcal antibody levels should be measured three to five years after the first vaccination, and persons with low antibody levels should be revaccinated. Splenectomized persons may be given a supply of penicillin V to enable them to start therapy while avaiting medical attention.

摘要

脾切除患者感染包膜菌(尤其是肺炎链球菌)而发生暴发性败血症的风险增加。所有两岁以上的脾切除患者均应接种多价肺炎球菌多糖疫苗。首次接种疫苗三至五年后应检测抗肺炎球菌抗体水平,抗体水平低的患者应再次接种疫苗。可为脾切除患者提供青霉素V,以便他们在等待就医期间能够开始治疗。

相似文献

1
[All persons without spleen should be given pneumococcal vaccine].所有无脾者均应接种肺炎球菌疫苗。
Tidsskr Nor Laegeforen. 1994 Sep 30;114(23):2732-3.
2
[Splenectomy and pneumococcal vaccine. How to follow-up?].[脾切除术与肺炎球菌疫苗。如何进行随访?]
Tidsskr Nor Laegeforen. 1994 Sep 30;114(23):2709-10.
3
A prospective study on antibody response to repeated vaccinations with pneumococcal capsular polysaccharide in splenectomized individuals with special reference to Hodgkin's lymphoma.一项关于脾切除个体(特别提及霍奇金淋巴瘤患者)对肺炎球菌荚膜多糖重复接种疫苗的抗体反应的前瞻性研究。
J Intern Med. 2004 Jun;255(6):664-73. doi: 10.1111/j.1365-2796.2004.01312.x.
4
[Pneumococcal vaccination of splenectomized patients. Recommendations based on a 10-year experience].[脾切除患者的肺炎球菌疫苗接种。基于十年经验的建议]
Ugeskr Laeger. 1991 Oct 21;153(43):2999-301.
5
[Failure of anti-pneumococcal vaccination and prophylactic antibiotic therapy in 2 splenectomized subjects].[2例脾切除患者抗肺炎球菌疫苗接种及预防性抗生素治疗失败]
Nouv Rev Fr Hematol (1978). 1986;28(6):371-6.
6
[Missing spleen: indication for pneumococcal vaccination].[脾脏缺失:肺炎球菌疫苗接种的指征]
Ned Tijdschr Geneeskd. 2003 Mar 8;147(10):425-8.
7
[Fulminant pneumococcal septicemia in a splenectomized child despite vaccination and chemoprophylaxis: necessity for education of the entourage].[尽管进行了疫苗接种和化学预防,脾切除儿童仍发生暴发性肺炎球菌败血症:对家属进行教育的必要性]
Ann Pediatr (Paris). 1993 Dec;40(10):622-4.
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[Prevention of pneumococcal infections in the elderly by vaccination].[通过接种疫苗预防老年人肺炎球菌感染]
Ugeskr Laeger. 1992 Nov 16;154(47):3309-12.
9
[Post-splenectomy infections and Pneumococcus vaccination in paediatric surgery (author's transl)].小儿外科脾切除术后感染与肺炎球菌疫苗接种(作者译)
Z Kinderchir. 1982 Apr;35(4):140-4. doi: 10.1055/s-2008-1059924.
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[Post-splenectomy septicemia].脾切除术后败血症
Tidsskr Nor Laegeforen. 1990 Sep 30;110(23):3012-5.

引用本文的文献

1
Pneumococcal vaccine in the elderly: the Norwegian experience.老年人肺炎球菌疫苗:挪威的经验
Drugs Aging. 1999;15 Suppl 1:37-41. doi: 10.2165/00002512-199915001-00005.