Sunday, May 27, 2012

Pneumococcal polysaccharide vaccine

Table of Contents

Because no vaccine is 100% effective, it is still possible to get a case of Streptococcus pneumoniae, even after you have been vaccinated.

WHO SHOULD GET THIS VACCINE

The vaccine is recommended for:

  • Everyone age 65 or older
  • High-risk people age 2 or older
    • Includes persons with heart disease, lung disease, kidney disease, alcoholism, diabetes, cirrhosis, cochlear implants, and leaks of cerebrospinal fluid
    • People with sickle cell disease
    • People who have had their spleen removed
    • People who live in nursing homes (extended-care facilities)
    • People who live in any institution where there are other people with long-term health problems
    • People with conditions that weaken the immune system, such as cancer, HIV, or an organ transplant
    • People who receive long-term medicines that suppress the immune system, including steroids
    • Alaskan natives and certain Native American populations over age 50 who live in high-risk areas

The CDC also recommends that smokers age 19 to 64 also receive the vaccine, even if they do not have any of the conditions listed above.

You need at least one shot of the vaccine. One dose works for most people. You may need a second dose if:

  • You had the first shot more than 5 years ago and you are now over age 65
  • Your immune system is weakened
  • You have chronic kidney failure or nephritic syndrome
  • You have sickle cell disease
  • Your spleen has been removed

The pneumococcal polysaccharide vaccine does not protect against pneumococcal diseases in children under age 2. There is a different vaccine, the pneumococcal conjugate vaccine, which is routinely given to younger children to protect against disease due to Streptococcus pneumoniae.

RISKS AND SIDE EFFECTS

Most people have no or only minor side effects from the pneumococcal vaccine. You may have some pain and redness at the place where you got the shot. Serious problems are rare and are mainly due to allergic reactions to a part of the vaccine.

Call your health care provider if moderate or serious side effects appear after the pneumococcal vaccine has been given, or if you have any questions or concerns about the vaccine.

Talk to your health care provider before receiving the pneumococcal vaccine if you have a fever or an illness that is more serious than a cold, or if there is a chance you might be pregnant.

Call your health care provider if you are not sure whether you or your child should get or delay the pneumococcal vaccine.


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Review Date: 12/18/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)