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How many years of oral antibiotics prophylaxis do you recommend for a teenager with hereditary spherocytosis post-splenectomy?
There is no uniform guideline in the literature. AAP recommends until 5 years old or 1-year post-splenectomy. Some for 5 years post-splectomy.
Answer from: at Community Practice
If older than 5 and vaccinated, no proph.
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Answer from: at Academic Institution
No prophylaxis is required for teenager post-splenectomy, either in hereditary spherocytosis or ITP. A better strategy is to have Amoxicillin available at home only to be given at the onset of fever before seeking medical attention. Below the age of 5 years, daily prophylaxis probably makes sense.