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risk from pneumococcus, Haemophilus, meningococcus and Capnocytophaga canimorsus (dog bite) infections

''Vaccination''
if elective, should be done 2 weeks prior to operation
Hib, meningitis A & C
annual influenza vaccination
pneumococcal vaccine every 5 years

''Antibiotic prophylaxis''
penicillin V - unclear, probably use for >2yrs and at least until 16yrs old (most are on for life)