Primary healthcare news, information & resources

What we've been reading - August 2017

Keeping up with medicine is made easier when we share clinical stories with our colleagues. On this page we share brief learnings and articles that have interested our GP liaison team during the month of August.

Pre/post-splenectomy care by Dr Dave Maplesden

Dr Dave Maplesden works with Waikato practices and supports the PHO network through his special interest in quality of care. 

Dr Maplesden had a colleage recently report a case where an elderly lady, who had had a splenectomy in her twenties, presented with mild flu-like symptoms, then died within 24-hours from pneumococcal sepsis. The patient never had the currently recommended post-splenectomy vaccination regime. Patients with a history of splenectomy or other functional asplenia are at increased risk of overwhelming sepsis from some bacterial infections, particularly streptococcus pneumoniae, haemophilus influenzae, and meningococcus. There may be some value in auditing your patients with a coded history of splenectomy (even in the distant past) to ensure there are appropriately vaccinated. 

Make election 2017 about policy - a tool from The Spinoff

Dr Jo Scott-Jones, medical director for Pinnacle MHN recently came across an app that aims to make the upcoming election about policy not personalities. It will be regularly updated as time progresses and allows you to compare the policy statements of each political party, to "like" them and use the tool to help you weigh up where your vote should go. 

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