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California Adult Immunization Coalition
California Adult Immunization Coalition
 
 

 

Also see: New laws related to influenza and pneumococcal vaccination in health facilities

Pneumococcal Vaccination Recommendations

Pneumococcal disease (caused by Streptococcus pneumonaie, also known as pneumococcus) leads to a great deal of morbidity and mortality, especially in older adults and the very young. In the elderly, pneumococcal infections are the leading cause of community-acquired pneumonia (CAP). The Centers for Disease Control and Prevention's Advisory Committee on Immunization (ACIP) recommends providing pneumococcal vaccination to:

  • Persons 65 and older
  • Persons living in special communities, including residents of nursing homes or long term care facilities at high risk of acquiring severe pneumococcal infections
  • Persons age 5-64 who have chronic cardiovascular or pulmonary disease (except asthma) or have compromised immune function
  • Other specific groups (see link to complete recommendations below)

    Source: Centers for Disease Control and Prevention. Prevention of pneumococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 1997;46(No. RR-8):[1-19].


CDC does not recommend routine revaccination of adults with pneumococcal polysaccharide vaccine. Adult revaccination is recommended only for:

  • Persons who are at highest risk of serious pneumococcal infection who received the first dose 5 or more years ago
  • Persons 65 and older who received the first dose 5 or more years ago

In these cases, a single revaccination dose should be given at least 5 years after the first dose. More information on pneumococcal revaccination, including revaccination indications for children, can be found in this excerpt from the CDC's Epidemiology & Prevention of Vaccine-Preventable Diseases (Pink Book).


Below are links to various sources of information about pneumococcal vaccination. (All links open in a new window).

General information on pneumococcal vaccination:

Pneumococcal vaccination program development:

Materials for patients related to pneumococcal vaccination:

 

 

 

 

© 2005 California Adult Immunization Coalition