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Re-immunizing after Splenectomy 3 months 3 weeks ago #72991

  • MaryGwynne
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My daughter had a splenectomy which successfully treated her ITP.  She now needs to be-re-immunized every 5 years to keep her immunity to bacterial infections strong in the  absence of a spleen.  Does anyone have a good list of the immunizations required?  the doctors we talk to seem to be googling for answers just as we are.  Looking for a definitive list.  Thanks for any assistance.  

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Re-immunizing after Splenectomy 3 months 3 weeks ago #72992

  • CindyL
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Hi, Mary, the only immunizations I keep up on are the flu shot every year and the pneumonia shot every 5 years.  Other than that, I just live my life.
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Re-immunizing after Splenectomy 3 months 3 weeks ago #72994

  • mrsb04
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  • ITP since 2014. Retired nurse. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use.
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UK Guidelines
Make sure you have received all your routine immunisations (talk to your doctor or practice nurse, or visit  NHS.UK ); there are some extra immunisations people with asplenia or splenic dysfunction should have.In particular you should ensure you have received the following vaccinations to help prevent infections to which you are particularly vulnerable:
  • pneumococcal vaccine (PPV23) every 5 years
  • meningococcal ACWY vaccine
  • meningococcal B vaccine
  • influenza (every year)

Presumably not updated to include Covid 

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Re-immunizing after Splenectomy 3 months 3 weeks ago #72995

  • CindyL
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I don't know if there are guidelines here in Canada.  I've never looked into it.  I haven't seen my hema dr since 2011 when I did the Rituxan.  My family doc watches me now.  I religiously get the flu shot every year and I think I'm due for the pneumonia shot next year.
With all the new suggestions for the Covid vax, we did ask our doctor about that and he said we're fine.   I'm sure if something changes, he'll be on top of it.
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Re-immunizing after Splenectomy 3 months 2 weeks ago #73004

  • MaryGwynne
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Thank you!  

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