Oral penicillin prophylaxis in children with impaired splenic function: A study of compliance

G. R. Buchanan, J. D. Siegel, S. J. Smith, B. M. DePasse

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

One measure used to prevent overwhelming sepsis due to Streptococcus pneumoniae in children with defective splenic function is oral penicillin prophylaxis. However, a frequently cited argument against this approach is the likelihood of poor compliance. Compliance was studied by examining urine specimens for penicillin by the Sarcina lutea disc diffusion technique in 22 surgically asplenic children, two patients following bone marrow transplantation, and 38 infants and young children with sickle cell disease. Multiple specimens (mean 3.5 per patient) were examined in 43 of the children. Overall, 125/188 (66%) of the urine samples contained penicillin, indicating compliance within the previous 12 to 24 hours. Compliance tended to improve on subsequent clinic visits. These relatively good results were attributed to an intensive educational program in which repetitive efforts are made to counsel patients and parents about the risks of life-threatening infection. Poor compliance should no longer be invoked as a reason not to study the efficacy of prophylactic penicillin in functionally or surgically asplenic subjects.

Original languageEnglish (US)
Pages (from-to)926-930
Number of pages5
JournalPediatrics
Volume70
Issue number6
StatePublished - 1982

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Penicillins
Compliance
Sarcina
Urine
Sickle Cell Anemia
Ambulatory Care
Streptococcus pneumoniae
Bone Marrow Transplantation
Sepsis
Parents
Infection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Oral penicillin prophylaxis in children with impaired splenic function : A study of compliance. / Buchanan, G. R.; Siegel, J. D.; Smith, S. J.; DePasse, B. M.

In: Pediatrics, Vol. 70, No. 6, 1982, p. 926-930.

Research output: Contribution to journalArticle

Buchanan, GR, Siegel, JD, Smith, SJ & DePasse, BM 1982, 'Oral penicillin prophylaxis in children with impaired splenic function: A study of compliance', Pediatrics, vol. 70, no. 6, pp. 926-930.
Buchanan, G. R. ; Siegel, J. D. ; Smith, S. J. ; DePasse, B. M. / Oral penicillin prophylaxis in children with impaired splenic function : A study of compliance. In: Pediatrics. 1982 ; Vol. 70, No. 6. pp. 926-930.
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