Post-splenectomy sepsis--the role of occupational health

Persons who have had their spleens removed (asplenics) have a high risk of infection. The risks from infection are life-long and the illness can be a quick, overwhelming, septicaemia, that can lead to death within 48 hours, without appropriate treatment. Many persons who have had elective splenectomy, especially before 1977, may not have had prophylactic vaccinations, antibiotics or advice. This paper describes the risks of serious infection, the prophylaxis available and the role of the occupational health department in protecting asplenic employees.