1st June 2023

A 69-year-old patient with a known diagnosis of ITP is reviewed in Haematology Clinic

A 69-year-old patient with a known diagnosis of ITP is reviewed in Haematology Clinic. He has no other medical problems. He has had multiple treatments for ITP over the last 2 years, including prednisolone, rituximab, IVIG and eltrombopag. On review today in clinic, his platelet count is 12. He denies any active bleeding but has multiple bruises over his body. Splenectomy is discussed and he elects to have the surgery.
When should vaccinations (to S. pneumoniae, H. influenzae, N. meningitidis) happen?