The current practice guideline for the management of hereditary spherocytosis, EXCEPT:: (A) Avoid splenectomy in mild cases, (B) Delay splenectomy upto 4 years, (C) Antipneumococcal vaccination before splenectomy, (D) Penicillin prophylaxis post splenectomy
Answer is D. Current guidelines for the management of hereditary spherocytosis: Avoid splenectomy in mild cases. Delay splenectomy upto 4 years of age Antipneumococcal vaccination before splenectomy Splenectomy may be combined with cholecystectomy if indicated Penicillin prophylaxis postsplenectomy is controversial. Ref: Harrison, E-18,P-876.