In which case pneumococcal vaccine is most effective: (A) When given preoperatively, (B) When given post operatively, (C) Against all strains of bacteria, (D) Against gram negative bacteria
Answer is A. • When elective splenectomy is planned, vaccination against encapsulated bacteria should be given at least 2 weeks before surgery.
• If spleen is removed in emergency, vaccination should be given as soon as possible following surgery.