splenectomyIMMS BW

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1 Immunization with a Record for Adult s Splenectomy or Splenic Embolization functional spleen need vaccinations against pneumococcus, People without a e type B, and meningococcus, to reduce the risk of life - haemophilus influenza threatening infections . You have received immunizations listed at the end of this document . Please keep a copy with your personal medical records and also provide a copy to your if they are not a University of Michigan physician . primary care provider In order to provide the b est protection, it’s important that you receive your future vaccines on schedule. Pneumococcal Vaccine s : Patients without a spleen need two types of pneumococcal vaccine: pneumococcal conjugate ) or PCV13  Prevnar 13® (generic name: or PPSV23  (generic name: pneumococcal polysaccharide Pneumovax 23® ) There are different recommendations for people under or over 65 years of age. If y ou are under age 65 :  You need one dose of Prevnar 13 if no history of a previous dose one dose of Pneumovax 23 if yo  You need u have a history of one or less doses and there has been at least 5 years since any prior dose of Pneumovax 23 If needed, Prevnar 13® should be given first  ollow by Pneumovax 23® at , f later . least 8 weeks  If you never received Prevnar 13® but you received P neumovax 23®, you will need a Prevnar 13® dose 12 months after receiving the Pneumovax 23®. If you are 65 years of age or older:  Y ou need one dose of Prevnar 13 if no history of a previous dose If you have not had one dose of Pneumovax 23 at or after t 65, you he age of  will need one dose. There must be 5 years between this dose and any dose received prior to age 65. UMHHC Immunization Committee - 1 -

2  Prevnar 13®should be given first , f ollow by Pneumovax 23® at If needed, later. least 8 weeks  If you never received Prevnar 13® but you rec eived Pneumovax 23®, you will need a Prevnar 13® dose 12 months after receiving the Pneumovax 23®. You may receive of Pneumovax 23® in your lifetime: up to two up to three doses at doses under age 65 and one dose at age 65 or older. The doses must be given least five years apart. Meningococcal Vaccines: Patients without a spleen need two types of meningococcal vaccine :  Menactra ® (Generic name: meningococcal conjugate or MCV4) which protects against meningococcal strains A, C, Y and W  which (Generi c name: Meningococcal Group B Vaccine or MenB - 4c ) Bexsero® protects against meningococcal B strain previous doses two you have not had - you will receive , Menactra® If of Menactra ® and revaccination with initial series of two doses given 8 - 12 weeks apart the Menactra® every 5 years thereafter . - given People without a spleen need a series of two doses of Bexsero® Bexsero ® If you have already had a complete series of meningococcal at least 4 weeks apart. B vaccine you will not need to repeat this series. emophilus influenza b Vaccine (Hib) Ha e if no history of a previous People without a spleen need one dose of PedvaxHib® dose . Seasonal Influenza Vaccine every An patient without a spleen. nual flu vaccine is recommended for Additional vaccines or may recommend additional vaccines as necessary. Your doct Please note that the Centers for Disease Control (CDC) guidelines are subject to the immunizations guidelines visit date version of - to - change. To find the most up http://www.cdc.gov/vaccines/ UMHHC Immunization Committee lenic Embolization Record for Adults with a Splenectomy or Sp Immunization - 2 -

3 unplanned splenectomy or splenic embolization : Immunization Schedule for patients with an (Inpatient providers: use this table as . a reference for ordering . Do not gives this table to the patient ) Initial Start Date : weeks 12 5 years + 4 weeks from 12 weeks from 8 weeks from Initial Start Date Start Date Initial from Start Initial Initial Start Date Date Due: __________ Due: __________ Due: __________ Due: __________ Date __________ Pneumovax 23® -  Menactra® - at - if   Bexsero® one at Menactra®  Prevnar 13® least 8 weeks known least 4 weeks dose every 5 no Less than age 65: after first dose history of a years thereafter from first You will need one if of Menactra , previous dose dose dose of  Pneumovax 23® u have not yet yo Pneumovax 23 if to equal two at  Menactra® - if  PedvaxHib® had a total of 2 you have had one least 4 weeks doses below the known no doses or more or doses fewer 5 plus age of 6 after Prevn ar history of a 13® if no one dose after of previous dose Age 65 and older: age 65 two history of Hib You will need one previous Bexsero®  dose if you have s dose not had one dose If no complete after age 65. series of meningococcal Note: There must B be at least 5 years  Influenza between any vaccine (during Pneumovax 23 flu season) doses UMHHC Immunization Committee munization Record for Adults with a Splenectomy or Splenic Embolization Im - 3 -

4 Immunization Schedule for patients with a planned or splenic embolization : splenectomy weeks before surgery . vaccines are started at least two Ideally these a reference for ordering . Do not gives this table to the patient . ) (Inpatient providers: use this table as Date Start : Initial 8 weeks from 4 weeks from 5 years + 8 weeks from Initial Initial Start Date Start Date Start Date Initial Due: __________ Due: __________ Due: __________ Date __________  one dose Menactra®  Bexsero® - at least 4  Prevnar 13® if no Menactra® - at least  eeks from first 8 w weeks from first known history of a every 5 years previous dose dose dose thereafter - Pneumovax 23® Pneumovax 23® to equal Menac tra ® if no  history of two Less than age 65: two doses below the age doses previous You will need one dose of 65 plus one dose after age 65 of Pneumovax 23 if you PedvaxHib®  if no fewer have had one or a known history of doses previous dose of Hib Age 65 and older: Bexsero®  You will need one dose if If no complete series you have not had one of meningococcal B dose after age 65. Influenza vaccine  Note: There must be at  (during flu season) etween least 5 years b any Pneumovax 23 doses UMHHC Immunization Committee lenic Embolization Record for Adults with a Splenectomy or Sp Immunization - 4 -

5 ument contains information and/or instructional materials developed by the University of Michigan Health Disclaimer: This doc System (UMHS) for the typical patient with your condition. It may include links to online content that was not created by UMH S not assume responsibility. It does not replace medical advice from your health care provider because and for which UMHS does t your experience may differ from that of the typical patient. Talk to your health care provider if you have any questions abou this document, your conditio n or your treatment plan. Ruti Volk MSI, AHIP Authors: Linda McGrath BSN, RN ; - ShareAlike 3.0 University of Michigan Health System - Patient Education by Creative Commons Attribution is licensed under a NonCommercial Unported License . Last Revised 5/18/2016 UMHHC Immunization Committee lenic Embolization Record for Adults with a Splenectomy or Sp Immunization 5 - -

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