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Old 03-04-2014
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Default Pneumoccal vaccination

Ok, seems like I didn't understand it right, so I will be needing a clarification. Should everybody , who have been vaccinated prior to 65 y/ o get revaccination. Or only immunecompromised ones?
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Old 03-04-2014
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Quote:
Originally Posted by KovachMarina View Post
Ok, seems like I didn't understand it right, so I will be needing a clarification. Should everybody , who have been vaccinated prior to 65 y/ o get revaccination. Or only immunecompromised ones?
this is what i know- almost all vaccines, including pneumo, when given to immunocompromised patients must be followed be a booster; in this case 5 years after the first dose
for all other patients given pneumovac eg alcoholic, diabetic, heart lung disease, before 65, give the booster after 65 years of age

hope this helps!
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Old 03-04-2014
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So, if a person with a good immune status gets pneumococcal vaccine, at any time (I honestly don't know why someone with a good immune status should recieve this vaccine, but there's a question in UW that made enormous confusion in my head), no need of revaccination at any time?
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Old 03-04-2014
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Quote:
Originally Posted by KovachMarina View Post
So, if a person with a good immune status gets pneumococcal vaccine, at any time (I honestly don't know why someone with a good immune status should recieve this vaccine, but there's a question in UW that made enormous confusion in my head), no need of revaccination at any time?
if the vaccine was given prior to 65, then give a booster after 65
why the vaccine? possibly because the co existing morbidity makes them prone to pneumonia or meningitis eg heart disease with left to right shunt, or lung disease with poor respiratory reserve or CSF leaks etc etc
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Old 03-04-2014
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Shouln't a person who received a vaccine at 45 for example, be vaccinated after 5 years (at 50)?
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Old 03-04-2014
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yep
those with immunocompromise and vaccination before 65 require booster at 5yrs after first vaccine
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Old 03-04-2014
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Originally Posted by KovachMarina View Post
Ok, seems like I didn't understand it right, so I will be needing a clarification. Should everybody , who have been vaccinated prior to 65 y/ o get revaccination. Or only immunecompromised ones?
Everyone above 65 gets one dose.
And
Single revaccination after 5years if the patient is immunocompromised or if the first injection was prior to age 65.
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Old 03-04-2014
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I read that in MTB, too. But the thing is with that UW q, which is asking about the next step in management of a person with a central obesity, strong family history of type 2 diabetes and a pneumococcal vaccination 5 years ago. And he is 45 y/ o. Should you give vaccine or check HbA1c? I mean really?! I feel like there's a bit of nonsense here! Actually, I don't like this CK UW. It was better for step 1.
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Old 03-04-2014
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Originally Posted by KovachMarina View Post
I read that in MTB, too. But the thing is with that UW q, which is asking about the next step in management of a person with a central obesity, strong family history of type 2 diabetes and a pneumococcal vaccination 5 years ago. And he is 45 y/ o. Should you give vaccine or check HbA1c? I mean really?! I feel like there's a bit of nonsense here! Actually, I don't like this CK UW. It was better for step 1.
Lol I feel u. I am in the same position. :'(

But yeah. U will give one booster. That's it no more third dose. And even when the patient turns 65 u won't give any more dose.
I dunno of this answer ur question.hopefully it helped.
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