Log in with your email address username.

×

Important notice

doctorportal Learning is on the move as we will be launching a new website very shortly. If you would like to sign up to dp Learning now to register for CPD learning or to use our CPD tracker, please email support@doctorportal.com.au so we can assist you. If you are already signed up to doctorportal Learning, your login will work in the new site so you can continue to enrol for learning, complete an online module, or access your CPD tracker report.

To access and/or sign up for other resources such as Jobs Board, Bookshop or InSight+, please go to www.mja.com.au, or click the relevant menu item and you will be redirected.

All other doctorportal services, such as Find A Doctor, are no longer available.

Compliance with Australian splenectomy guidelines in patients undergoing post-traumatic splenectomy at a tertiary centre

- Featured Image

To the Editor: The lack of a functioning spleen is associated with a lifelong risk of overwhelming post-splenectomy infection (OPSI). Historically, mortality rates associated with OPSI have been in excess of 50%.13 OPSI is a preventable illness through vaccination, education, prophylactic antibiotic use and other measures, as summarised in the national Australasian Society for Infectious Diseases (ASID)-endorsed guidelines for prevention of sepsis in asplenic and hyposplenic patients.4

We performed a retrospective cohort study among adult patients who had undergone post-traumatic splenectomy at a tertiary referral centre in Sydney, to assess compliance by health professionals and identify factors that could improve uptake of ASID recommendations. We reviewed hospital medical records and discharge summaries to assess compliance with recommendations before and after the publication of the ASID guidelines.

The Research and Ethics Office of the South Western Sydney Local Health District granted site-specific approval on the basis of low and negligible risk.

A total of 79 patients were identified, 37 in the preguideline group (January 2003 – June 2008) and 42 in the postguideline group (July 2008 – December 2013). Our findings are summarised in the

email