Conflict of Interests - none
The British Committee for Standards in Haematology guidelines on the prevention and treatment of infection in patients with an absent or dysfunctional spleen reports: “All splenectomised patients and those with functional hyposplenism should receive pneumococcal immunisation and patients not previously immunised should receive Haemophilus Influenza type b vaccine (B,C). Patients not previously immunised should receive Meningococcal Group C conjugate vaccine (C). Influenza immunisation should be given (C). Life long prophylactic antibiotics are still recommended (oral Phenoxymethylpenicillin or Erythromycin) (B,C).” Source: http://www.bcshguidelines.com/pdf/SPLEEN21.pdf