is spread through contact with a person who has the disease or who carries the bacteria in his throat. This most often occurs through droplets from the nose or mouth of someone with the infection.
This infection is most common in:
Infants and young children
Children in daycare
It also occurs often in people with certain illnesses, such as:
In addition, people over the age of two who are taking medicines that lower the body's resistance to infection are advised to get PPSV. Finally, Alaskan Natives and certain Native American populations (over age 65) should get the vaccine.
The PCV vaccine is recommended for children under two years of age. The vaccine is given in four doses at 2, 4, 6, and 12-15 months.
PCV, in one dose, is also recommended for children between 24-59 months who have not completed or started the vaccine series. PPSV is recommended to children over the age of 2 years old with certain conditions. Children at high risk include those who take medicines that affect the immune system or have the following conditions:
Heart, lung, or liver disease
Sickle cell disease
HIV infection or AIDS
Damaged spleen or no spleen
Finally, PCV should be considered for children who:
Are under three years of age
Are of Alaskan Native, American Indian, or African American descent
The number of doses for these children depends on their age.
What Are the Risks Associated With the Pneumococcal Vaccine?
PPSV is a very safe vaccine. Half of the people who get the vaccine have mild side effects. This may include redness or pain at the injection site. Less than 1% will develop a fever, muscle aches, or more severe local reactions. In rare cases, severe allergic reactions and other serious problems occur. However, developing the disease is much more likely to cause serious problems than getting the vaccine.
For PCV, studies have shown that about 25% of infants have redness, tenderness, or swelling at the injection site. Fever is also a risk. There have also been reports of drowsiness and loss of appetite. Generally, all vaccines can have a very small risk of serious problems.
(eg, Tylenol) is sometimes given to reduce pain and fever that may occur after getting a vaccine. In infants, the medicine may weaken the vaccine's effectiveness. Discuss the risks and benefits of taking acetaminophen with the doctor.
Who Should Not Get Vaccinated?
The safety of PPSV in pregnant women has not been studied. If you are pregnant, talk to your doctor about the vaccine.
Also, certain children should not get PCV, such as those who have
Had a life-threatening allergic reaction to a previous dose of PCV
Had a severe allergy to one of the vaccine's components
Children who have minor illnesses (eg, a
cold) can be vaccinated. Those who are moderately or severely ill should wait until they recover to get the vaccine.
What Other Ways Can Pneumococcal Disease Be Prevented Besides Vaccination?
Avoiding close contact with people who have infections can prevent the disease. Washing your hands regularly can reduce your risk of infection.
What Happens in the Event of an Outbreak?
In the event of an outbreak, all people who are eligible for a vaccine should receive it.
10/30/2009 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php: Prymula R, Siegrist C, Chlibek R, et al. Effect of prophylactic paracetamol administration at time of vaccination on febrile reactions and antibody responses in children: two open-label, randomised controlled trials.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a