Special Considerations

  • Elective splenectomy patients should be vaccinated at least 14 days prior to surgery. If splenectomy was urgent, or if vaccination was omitted before elective splenectomy, vaccinate at least 14 days post-splenectomy.

LoEII [16]

  • The following vaccines should be administered:
VACCINE SCHEDULE
Polyvalent pneumococcal vaccine, 0.5 mL, SC.
  • PCV13, SC, 2 weeks before surgery.

  • PPS23, SC, 8 weeks later.

  • Revaccinate with PPS23 after 5 years and then at 65 years. LoEII [17]
    		•
    Haemophilus influenza type B, 0.5 mL,
    intramuscular.     		-
    Meningococcal polysaccharide vaccine (ACW135Y), 0.5 mL, SC Revaccinate every 5 years.
    Influenza vaccine, 0.5 mL, IM. Revaccinate annually.

    LoEII [17]

    LoEIII [18]