Revised prevention strategies for persons with (functional) hypo- or asplenie

Imke Schreuder, Frank P Kroon, Edgar J G Peters, Elisabeth A M Sanders, Joanne G Wildenbeest, Jolanda A J Lammers

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The Dutch guideline for the preventions of infections in persons with (functional) hypo- or asplenie has been revised, recommending adjustments for the use of vaccinations and antibiotics. The spleen has an important function in the defence against infections. Around 1,000 splenectomies are performed in the Netherlands every year. Three different groups of patients are distinguished: (a) persons with a partially or completely removed spleen after surgery or embolization; (b) persons with congenital asplenia; and (c) a heterogeneous group of patients, who may have functional hyposplenie or asplenia due to an underlying condition or specific treatments. Patients with asplenia have an increased risk of severe infections by encapsulated bacteria, including in particular Streptococcus pneumoniae, but also Haemophilus influenzae type b and Neisseria meningitides may lead to an increased risk S.pneumoniae causes up to 90% of the infections, which makes it the most important infectious agent in patients with asplenia. A number of preventive measures are recommended to prevent infections in patients with hypo- or asplenie, including the use of vaccinations and antibiotics and patient counselling.

Translated title of the contributionRevised prevention strategies for persons with (functional) hypo- or asplenie
LanguageDutch
JournalNederlands Tijdschrift voor Geneeskunde
Volume163
Publication statusPublished - 4 Apr 2019

Cite this

Schreuder, I., Kroon, F. P., Peters, E. J. G., Sanders, E. A. M., Wildenbeest, J. G., & Lammers, J. A. J. (2019). Aangepast preventiebeleid bij patiënten met hyposplenie of asplenie. Nederlands Tijdschrift voor Geneeskunde, 163.
Schreuder, Imke ; Kroon, Frank P ; Peters, Edgar J G ; Sanders, Elisabeth A M ; Wildenbeest, Joanne G ; Lammers, Jolanda A J. / Aangepast preventiebeleid bij patiënten met hyposplenie of asplenie. In: Nederlands Tijdschrift voor Geneeskunde. 2019 ; Vol. 163.
@article{9ef77b98d06f443baefd4f2cb0a6ea24,
title = "Aangepast preventiebeleid bij pati{\"e}nten met hyposplenie of asplenie",
abstract = "The Dutch guideline for the preventions of infections in persons with (functional) hypo- or asplenie has been revised, recommending adjustments for the use of vaccinations and antibiotics. The spleen has an important function in the defence against infections. Around 1,000 splenectomies are performed in the Netherlands every year. Three different groups of patients are distinguished: (a) persons with a partially or completely removed spleen after surgery or embolization; (b) persons with congenital asplenia; and (c) a heterogeneous group of patients, who may have functional hyposplenie or asplenia due to an underlying condition or specific treatments. Patients with asplenia have an increased risk of severe infections by encapsulated bacteria, including in particular Streptococcus pneumoniae, but also Haemophilus influenzae type b and Neisseria meningitides may lead to an increased risk S.pneumoniae causes up to 90{\%} of the infections, which makes it the most important infectious agent in patients with asplenia. A number of preventive measures are recommended to prevent infections in patients with hypo- or asplenie, including the use of vaccinations and antibiotics and patient counselling.",
author = "Imke Schreuder and Kroon, {Frank P} and Peters, {Edgar J G} and Sanders, {Elisabeth A M} and Wildenbeest, {Joanne G} and Lammers, {Jolanda A J}",
year = "2019",
month = "4",
day = "4",
language = "Dutch",
volume = "163",
journal = "Nederlands Tijdschrift voor Geneeskunde",
issn = "0028-2162",
publisher = "Bohn Stafleu van Loghum",

}

Schreuder, I, Kroon, FP, Peters, EJG, Sanders, EAM, Wildenbeest, JG & Lammers, JAJ 2019, 'Aangepast preventiebeleid bij patiënten met hyposplenie of asplenie', Nederlands Tijdschrift voor Geneeskunde, vol. 163.

Aangepast preventiebeleid bij patiënten met hyposplenie of asplenie. / Schreuder, Imke; Kroon, Frank P; Peters, Edgar J G; Sanders, Elisabeth A M; Wildenbeest, Joanne G; Lammers, Jolanda A J.

In: Nederlands Tijdschrift voor Geneeskunde, Vol. 163, 04.04.2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Aangepast preventiebeleid bij patiënten met hyposplenie of asplenie

AU - Schreuder, Imke

AU - Kroon, Frank P

AU - Peters, Edgar J G

AU - Sanders, Elisabeth A M

AU - Wildenbeest, Joanne G

AU - Lammers, Jolanda A J

PY - 2019/4/4

Y1 - 2019/4/4

N2 - The Dutch guideline for the preventions of infections in persons with (functional) hypo- or asplenie has been revised, recommending adjustments for the use of vaccinations and antibiotics. The spleen has an important function in the defence against infections. Around 1,000 splenectomies are performed in the Netherlands every year. Three different groups of patients are distinguished: (a) persons with a partially or completely removed spleen after surgery or embolization; (b) persons with congenital asplenia; and (c) a heterogeneous group of patients, who may have functional hyposplenie or asplenia due to an underlying condition or specific treatments. Patients with asplenia have an increased risk of severe infections by encapsulated bacteria, including in particular Streptococcus pneumoniae, but also Haemophilus influenzae type b and Neisseria meningitides may lead to an increased risk S.pneumoniae causes up to 90% of the infections, which makes it the most important infectious agent in patients with asplenia. A number of preventive measures are recommended to prevent infections in patients with hypo- or asplenie, including the use of vaccinations and antibiotics and patient counselling.

AB - The Dutch guideline for the preventions of infections in persons with (functional) hypo- or asplenie has been revised, recommending adjustments for the use of vaccinations and antibiotics. The spleen has an important function in the defence against infections. Around 1,000 splenectomies are performed in the Netherlands every year. Three different groups of patients are distinguished: (a) persons with a partially or completely removed spleen after surgery or embolization; (b) persons with congenital asplenia; and (c) a heterogeneous group of patients, who may have functional hyposplenie or asplenia due to an underlying condition or specific treatments. Patients with asplenia have an increased risk of severe infections by encapsulated bacteria, including in particular Streptococcus pneumoniae, but also Haemophilus influenzae type b and Neisseria meningitides may lead to an increased risk S.pneumoniae causes up to 90% of the infections, which makes it the most important infectious agent in patients with asplenia. A number of preventive measures are recommended to prevent infections in patients with hypo- or asplenie, including the use of vaccinations and antibiotics and patient counselling.

M3 - Article

VL - 163

JO - Nederlands Tijdschrift voor Geneeskunde

T2 - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

SN - 0028-2162

ER -

Schreuder I, Kroon FP, Peters EJG, Sanders EAM, Wildenbeest JG, Lammers JAJ. Aangepast preventiebeleid bij patiënten met hyposplenie of asplenie. Nederlands Tijdschrift voor Geneeskunde. 2019 Apr 4;163.