Monday, 19 May 2014

Spleen registry can promote health maintenance behaviour, which is likely to help prevent serious infections.

A Survey conducted by Julie Wang, Penelope Jones and Allen Cheng and Karin Leder of the Department of Epidemiology and Preventative Medicine Department, Monash University. To assess self-reported adherence to measures for preventing infection in patients registered in the Victorian Spleen Registry (VSR). Has found that of the 1175 patients questioned the proportion adhering to current postsplenectomy guidelines was higher than rates reported elsewhere. Over a third reported infections requiring a course of antibiotics within the prior 12 months. However, only one overwhelming postsplenectomy infection (OPSI)occurred. These results support the view that a spleen registry can promote health maintenance behaviour in asplenic patients, which is likely to help prevent serious infections.

People who have had a splenectomy have a greater than 50-times higher risk of developing serious infection with encapsulated organisms than the general population.The high mortality associated with OPSI has led to guidelines for its prevention, although previous studies have found poor adherence to preventive measures. The Victorian Spleen Registry (VSR) was established in 2003, and is the only registry in Australia of patients who have undergone splenectomy or who have hyposplenia.

The full article can be viewed via this link

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