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학습 자료 둘러보기 →The spleen is critical for clearing encapsulated bacteria. Its removal creates a lifelong risk for Overwhelming Post-Splenectomy Infection (OPSI), a rapidly fatal sepsis.
Administer prophylactic antibiotics as prescribed, typically starting immediately postoperatively. Ensure vaccinations against S. pneumoniae, H. influenzae type b, and N. meningitidis are administered, ideally 2 weeks before elective surgery or as soon as possible after emergency surgery.
A fever in an asplenic patient is a medical emergency. Instruct patients to seek immediate care and start empiric antibiotics without waiting for culture results, as OPSI can progress to death within hours.
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