Spectrum: Local Antimicrobial Stewardship, for Providence Health Care

Emergent Splenectomy

First Step

Two weeks after splenectomy:

  • HiB⁽²⁾,

  •  PCV‐13⁽²⁾⁽³⁾

  •  Meningococcal conjugate vaccine⁽²⁾

Second Step

Eight weeks following PCV‐13⁽²⁾⁽³⁾:

  •  PPSV‐23⁽²⁾

  • Second dose of Meningococcal conjugate vaccine⁽²⁾

Third Step

In five years:

  •  Booster Meningococcal conjugate vaccine⁽²⁾ q5years

  • Booster PPSV‐23⁽²⁾

x 1

Vaccination Footnotes

(1) Live attenuated vaccine
(2) Inactive or component vaccine
(3)

Only covered by MSP for certain indications

PPSV‐23: 23 valent pneumococcal polysaccharide vaccine
PCV‐13: 13 valent pneumococcal conjugate vaccine