ococcal ugate (PCV)
Table 1: Recommendations for Pneumococcal Vaccination (Ages 18–64)
Guidelines for Pneumococcal Vaccination
Group
Option 2
Option 1
No underlying conditions or risk factors
Patients with the following risk factors: • Chronic alcoholism • Chronic heart disease • Chronic lung disease • Chronic liver disease • Diabetes mellitus • Smoking Patients with the following risk factors: • Have undergone cochlear implant surgery • Have cerebrospinal fluid (CSF) leaks Immunocompromised patients with the following risk factors: • Chronic kidney disease • Asplenia or impaired splenic function • Congenital or acquired immunodeficiency • General malignancies
PCV20 PCV13 PCV15 or
≥1 year: Consider
PPSV23
PCV20 PCV13 PCV15 or
≥8 weeks
PPSV23
PCV20 PCV13 PCV15 or
(solid tumors) • HIV infection
≥8 weeks
• Hodgkin lymphoma • Complications from immunosuppressive medications • Leukemia • Lymphoma • Multiple myeloma or myeloid leukemia • Nephrotic syndrome • Sickle cell disease or other hemoglobinopathies • Organ transplantation
s:
PPSV23
≥5 years
oups:
PPSV23
Group 2: Adults aged 65 years and older (as shown in Table 2)
e 1)
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