Transforming management of patients undergoing splenectomy in an Irish teaching hospital
| العنوان: | Transforming management of patients undergoing splenectomy in an Irish teaching hospital |
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| المؤلفون: | Austin Leahy, Seamus McHugh, P. J. Broe, J. R. O’Donnell |
| المصدر: | Irish Journal of Medical Science. 180:655-659 |
| بيانات النشر: | Springer Science and Business Media LLC, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Pediatrics, Adolescent, Package insert, Best practice, medicine.medical_treatment, Splenectomy, Teaching hospital, Young Adult, Postoperative Complications, Clinical Protocols, Humans, Medicine, Young adult, Antibiotic prophylaxis, Hospitals, Teaching, Aged, Retrospective Studies, Aged, 80 and over, Purpura, Thrombocytopenic, Idiopathic, business.industry, Mortality rate, Vaccination, Retrospective cohort study, General Medicine, Antibiotic Prophylaxis, Middle Aged, Emergency medicine, Female, business, Ireland, Spleen |
| الوصف: | Post-splenectomy infection has a mortality rate of up to 70%. Previously we have published data confirming the poor adherence to best practice guidelines with relation to management of the asplenic patient. A defined protocol of care was established, staff education commenced and a ‘patient information leaflet’ made available. To ascertain whether management of the asplenic patient has improved since the implementation of a structured programme of care. Retrospective chart review of all splenectomies performed in Beaumont Hospital between 2002 and 2008. Overall, 75.9% of patients were documented as having received the recommended vaccinations. Of these, 48.7% were not timed according to recommended guidelines. Prophylactic antibiotics were documented as prescribed in all but five patients discharged. These results demonstrate an improvement in post-splenectomy care between 2002 and 2008. However, further improvements are necessary. |
| تدمد: | 1863-4362 0021-1265 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2db09576e3c7c8cce13be86faeb70b0b https://doi.org/10.1007/s11845-010-0510-6 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....2db09576e3c7c8cce13be86faeb70b0b |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 18634362 00211265 |
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