Policy analysis of the use of hepatitis B,Haemophilus influenzae type b-,Streptococcus pneumoniae-conjugate and rotavirus vaccines in national immunization schedules

2000 ◽  
Vol 9 (1) ◽  
pp. 19-35 ◽  
Author(s):  
Mark A. Miller ◽  
Laura McCann
Keyword(s):  
Streptococcus Pneumoniae ◽  
Hepatitis B ◽  
Haemophilus Influenzae ◽  
Policy Analysis ◽  
Haemophilus Influenzae Type ◽  
Haemophilus Influenzae Type B ◽  
Type B ◽  
Rotavirus Vaccines ◽  
National Immunization

Adherence to Recommended Post-Splenectomy Immunizations to Reduce the Risk of Sepsis: The University of Washington Experience

2020 ◽  
Vol 35 (5) ◽  
pp. 405-410
Author(s):  
Nikita Pozdeyev ◽  
Arpit Patel ◽  
Paul S. Pottinger ◽  
Michael Leu ◽  
Thomas H. Payne
Keyword(s):  
Streptococcus Pneumoniae ◽  
Haemophilus Influenzae Type ◽  
Haemophilus Influenzae Type B ◽  
Type B ◽  
National Immunization ◽  
The Us ◽  
Control And Prevention ◽  
Life Threatening ◽  
Reduce Risk ◽  
The University

Immunizations against Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae type b are recommended for patients undergoing splenectomy to decrease the risk of developing overwhelming infections. The authors sought to determine adherence to these recommendations by providers at UW Medicine. Regional immunization records for patients who underwent splenectomy between October 2015 and January 2019 were analyzed to measure compliance with immunization guidelines from the US Centers for Disease Control and Prevention (CDC). Among 253 patients who underwent splenectomy, 38 (15%) received all 7 immunizations against S pneumoniae, N meningitidis, and H influenzae type b recommended by the CDC; 95% of patients received at least 1 pneumococcal vaccine; 26% percent of patients did not receive MenB-4C vaccine. Many patients (3% to 10%) received redundant immunizations not in accordance with CDC recommendations. Development of state and national immunization registries and systems to improve adherence with post-splenectomy immunization guidelines may reduce risk for life-threatening infections.

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