Immunisations in Special Circumstances

Question 1

Asplenia

Answer 1

Functional asplenism can occur in sickle cell disease, haemoglobinopathies, and coeliac disease.

At greater risk of infection by encapsulated bacteria, e.g. pneumococci.

Immunise with 23-valent Polysaccharide Pneumococcal Vaccine.

Reference: Green Book