Community-acquired pneumonia primary prevention

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Vaccines

Pneumococcal Polysaccharide Vaccine

Vaccine prevention of community-acquired pneumonia.[1]
Factor Pneumococcal polysaccharide vaccine
 ▸ Route of administration Intramuscular injection
 ▸ Type of vaccine Bacterial component (polysaccharide capsule)
 ▸ Recommended groups All persons ≥ 65 years of age
'High-risk persons 2–64 years of age'
'Current smokers'
 ▸ Specific high-risk indications for vaccination Chronic cardiovascular, pulmonary, renal, or liver disease
Diabetes mellitus
Cerebrospinal fluid leaks
Alcoholism
Asplenia
Immunocompromising conditions / medications
Native Americans and Alaska natives
Long-term care facility residents
 ▸ Revaccination schedule One-time revaccination after 5 years for
(1) Adults 65 years of age, if the first dose is received before age 65 years
(2) Persons with asplenia
(3) Immunocompromised persons

Adapted from the Advisory Committee on Immunization Practices, Centers for Disease Control and Prevention.[1]

Inactivated influenza vaccine

Vaccine prevention of community-acquired pneumonia.[1]
Factor Inactivated influenza vaccine
 ▸ Route of administration Intramuscular injection
 ▸ Type of vaccine Killed virus
 ▸ Recommended groups All persons ≥ 50 years of age
High-risk persons 6 months – 49 years of age
Household contacts of high-risk persons
Health care providers
Children 6–23 months of age
 ▸ Specific high-risk indications for vaccination Chronic cardiovascular or pulmonary disease (including asthma)
Chronic metabolic disease (including diabetes mellitus)
Renal dysfunction
Hemoglobinopathies
Immunocompromising conditions/medications
Pregnancy
Residence in a long-term care facility
Aspirin therapy in persons ≤ 18 years of age
 ▸ Revaccination schedule Annual revaccination

Adapted from the Advisory Committee on Immunization Practices, Centers for Disease Control and Prevention.[1]


Live attenuated influenza vaccine

Vaccine prevention of community-acquired pneumonia.[1]
Factor Live attenuated influenza vaccine
 ▸ Route of administration Intranasal spray
 ▸ Type of vaccine Live virus
 ▸ Recommended groups Healthy persons 5–49 years of age, including health care providers and household contacts of high-risk persons
 ▸ Specific high-risk indications for vaccination Avoid in high-risk persons
 ▸ Revaccination schedule Annual revaccination

= Avoid use in persons with asthma, reactive airways disease, or other chronic disorders of the pulmonary or cardiovascular systems; persons with other underlying medical conditions, including diabetes, renal dysfunction, and hemoglobinopathies; persons with immunodeficiencies or who receive immunosup-pressive therapy; children or adolescents receiving salicylates; persons with a history of Guillain-Barre ́ syndrome; and pregnant women.

Adapted from the Advisory Committee on Immunization Practices, Centers for Disease Control and Prevention.[1]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 Harper, SA.; Fukuda, K.; Uyeki, TM.; Cox, NJ.; Bridges, CB. (2005). "Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP)". MMWR Recomm Rep. 54 (RR-8): 1–40. PMID 16086456. Unknown parameter |month= ignored (help)

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