Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study
Yıl: 2020 Cilt: 25 Sayı: 4 Sayfa Aralığı: 589 - 594 Metin Dili: İngilizce DOI: 10.5578/flora.69933 İndeks Tarihi: 14-05-2021
Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study
Öz: Introduction: Splenectomy, whatever the reason, is an absolute indication for vaccination against encapsulated bacteria in order to prevent overwhelming post-splenectomy infections. This study aimed to determine compliance to immunization guidelines for splenectomy in General Surgery Clinics.Materials and Methods: In this observational cross-sectional study, we included patients who underwent splenectomy between April 2016 and April 2018, and recorded the patient data and vaccination status.Results: Splenectomy was performed in 65 patients, 40 (61.5%) were male and median age was 56 (19-90) years. Six of the operations were emergent, 21 were planned and 38 were urgent mostly due to solid organ malignancy. Only 14 (21.5%) patients werevaccinated with Haemophilus influenzae, meningococcal and pneumococcal vaccines according to the guidelines (≥2 weeks before the operation). 14 of the 21 patients (66.6%) who underwent planned splenectomy were vaccinated appropriately.Conclusion: Compliance with vaccination guidelines was low before splenectomy operations. There is a room for improvement particularly for patients undergoing elective splenectomy. A patient-centered team strategy is required to vaccinate patients at the stage of splenectomy planning.
Anahtar Kelime: Splenektomi Yapılan Hastalarda Aşılanma Oranları ve Kılavuzlara Uyum: Gözlemsel, Kesitsel Bir Çalışma
Öz: Giriş: Nedeni ne olursa olsun, splenektomi, kapsüllü bakterilere karşı aşılama için mutlak bir endikasyondur. Bu çalışmada Genel Cerrahi Kliniklerinde splenektomi için aşılama kılavuzlarına ne kadar uyulduğunun belirlenmesi amaçlanmıştır. Materyal ve Metod: Bu gözlemsel, kesitsel çalışmada Nisan 2016 ile Nisan 2018 yılları arasında splenektomi yapılan hastalar ve aşılanma durumları hastane sistemi kayıtlarından retrospektif olarak toplanarak değerlendirilmiştir. Bulgular: Splenektomi yapılmış olan toplam 65 hasta [25 kadın/40 erkek, ortanca yaş 56+/-17 (19-90)] çalışmaya alındı. Operasyonlardan 6’sının acil, 21’inin planlanmış ve 38’inin çoğunlukla solid organ malignitesi nedeniyle yapıldığı görülmüştür. Sadece 14 (%21.5) hastanın kılavuzlara uygun şekilde (operasyondan ≥2 hafta önce) Haemophilus influenzae, meningokok ve pnömokok aşıları ile aşılandığı belirlenmiştir. Planlı splenektomi yapılan 21 hastanın ise 14’ünün (%66.6) uygun şekilde aşılandığı görülmüştür. Sonuç: Splenektomi ameliyatlarından önce aşılama kurallarına uyumun düşük olduğu dikkati çekmektedir. Özellikle elektif splenektomi yapılan hastalar için aşılanma oranlarının iyileştirilmesi gerekmektedir. Bunun için splenektomi planlanan hastalar, hasta-merkezli multidisipliner bir yaklaşım ile değerlendirilmeli ve bu aşamada eksik aşılar tamamlanmalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ÇALIK BASARAN N, Ozisik L, Uyaroğlu O, Tanriover M, Karakoc D, SAİN G, Hamaloglu E, oz s (2020). Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. , 589 - 594. 10.5578/flora.69933 |
| Chicago | ÇALIK BASARAN NURSEL,Ozisik Lale,Uyaroğlu Oğuz Abdullah,Tanriover Mine Durusu,Karakoc Derya,SAİN Gülay Güven,Hamaloglu Erhan,oz serife gul Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. (2020): 589 - 594. 10.5578/flora.69933 |
| MLA | ÇALIK BASARAN NURSEL,Ozisik Lale,Uyaroğlu Oğuz Abdullah,Tanriover Mine Durusu,Karakoc Derya,SAİN Gülay Güven,Hamaloglu Erhan,oz serife gul Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. , 2020, ss.589 - 594. 10.5578/flora.69933 |
| AMA | ÇALIK BASARAN N,Ozisik L,Uyaroğlu O,Tanriover M,Karakoc D,SAİN G,Hamaloglu E,oz s Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. . 2020; 589 - 594. 10.5578/flora.69933 |
| Vancouver | ÇALIK BASARAN N,Ozisik L,Uyaroğlu O,Tanriover M,Karakoc D,SAİN G,Hamaloglu E,oz s Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. . 2020; 589 - 594. 10.5578/flora.69933 |
| IEEE | ÇALIK BASARAN N,Ozisik L,Uyaroğlu O,Tanriover M,Karakoc D,SAİN G,Hamaloglu E,oz s "Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study." , ss.589 - 594, 2020. 10.5578/flora.69933 |
| ISNAD | ÇALIK BASARAN, NURSEL vd. "Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study". (2020), 589-594. https://doi.org/10.5578/flora.69933 |
| APA | ÇALIK BASARAN N, Ozisik L, Uyaroğlu O, Tanriover M, Karakoc D, SAİN G, Hamaloglu E, oz s (2020). Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 25(4), 589 - 594. 10.5578/flora.69933 |
| Chicago | ÇALIK BASARAN NURSEL,Ozisik Lale,Uyaroğlu Oğuz Abdullah,Tanriover Mine Durusu,Karakoc Derya,SAİN Gülay Güven,Hamaloglu Erhan,oz serife gul Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi 25, no.4 (2020): 589 - 594. 10.5578/flora.69933 |
| MLA | ÇALIK BASARAN NURSEL,Ozisik Lale,Uyaroğlu Oğuz Abdullah,Tanriover Mine Durusu,Karakoc Derya,SAİN Gülay Güven,Hamaloglu Erhan,oz serife gul Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, vol.25, no.4, 2020, ss.589 - 594. 10.5578/flora.69933 |
| AMA | ÇALIK BASARAN N,Ozisik L,Uyaroğlu O,Tanriover M,Karakoc D,SAİN G,Hamaloglu E,oz s Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi. 2020; 25(4): 589 - 594. 10.5578/flora.69933 |
| Vancouver | ÇALIK BASARAN N,Ozisik L,Uyaroğlu O,Tanriover M,Karakoc D,SAİN G,Hamaloglu E,oz s Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi. 2020; 25(4): 589 - 594. 10.5578/flora.69933 |
| IEEE | ÇALIK BASARAN N,Ozisik L,Uyaroğlu O,Tanriover M,Karakoc D,SAİN G,Hamaloglu E,oz s "Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study." Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, 25, ss.589 - 594, 2020. 10.5578/flora.69933 |
| ISNAD | ÇALIK BASARAN, NURSEL vd. "Vaccination Rates and Adherence to Guidelines in Splenectomy Patients: An Observational Cross-sectional Study". Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi 25/4 (2020), 589-594. https://doi.org/10.5578/flora.69933 |
