- Pneumococcal vaccine is a mixture of capsular polysaccharides from 23 of the 83 most prevalent types of Streptococcus pneumoniae seen in the United States.
- Pneumococcal vaccine is recommended for the following immunocompetent persons:
- Persons 65 or more years of age. If an individual received vaccine more than 5 years earlier and was under age 65 at the time of administration, revaccination should be given.
- Persons aged 2 to 64 years with chronic illness.
- Persons aged 2 to 64 years with functional or anatomic asplenia. When splenectomy is planned, pneumococcal vaccine should be given at least 2 weeks prior to surgery.
- Persons aged 2 to 64 years living in environments where the risk of invasive pneumococcal disease or its complications is increased. This does not include daycare center employees and children.
- Pneumococcal vaccination is recommended for immunocompromised persons 2 years of age or older withHIV infection
- leukemia, lymphoma, Hodgkin's disease, or multiple myeloma
- generalized malignancy
- chronic renal failure of nephritic syndrome and patients receiving
- immunosuppressive therapy
- organ or bone marrow transplant
- A single revaccination should be given if 5 or more years have passed since the first dose in persons older than 10 years. In those who are 10 years or younger, revaccination should be given 3 years after the previous dose.
- Because children less than 2 years of age do not respond adequately to the pneumococcal polysaccharide vaccine, a heptavalent pneumococcal conjugate vaccine was created that can be administered at 2, 4, and 6 months of age and between 12 and 15 months of age.
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