Vax Facts: Pneumococcal Vaccines in Adults Age 65 Years and Older January 14, 2020 Public Health, SF Dept of Public Health 0 Vax Facts - January 13, 2020 Pneumococcal Vaccines in Adults Age > 65 Years Background: In 2014 the CDC Advisory Committee on Immunization Practices (ACIP) recommended 13-valent pneumococcal conjugate vaccine (Prevnar13®) in series with 23-valent pneumococcal polysaccharide vaccine (Pneumovax23®) for all adults age > 65 years. In 2019 ACIP reviewed evidence that: (a) among persons age > 65 years, indirect effects of routine Prevnar13 use in children since 2010 have led to historically low levels of disease caused by the 13 pneumococcal serotypes in the vaccine; and (b) those disease levels have not been significantly improved by routine Prevnar13 use in persons age > 65 years since 2014. Recommendation: ACIP now recommends the following. Prevnar13 vaccination is no longer routinely recommended for all adults age > 65 years. Patients age > 65 years who have an immunocompromising condition, CSF leak, or cochlear implant should still routinely receive Prevnar13 if they have not previously received it. For all others age > 65 years, patient and provider should engage in shared clinical decision-making to determine whether Prevnar13 should be administered. Considerations may include both the individual patient’s risk for developing pneumococcal disease as a result of underlying medical conditions and the person’s risk for exposure to PCV13 serotypes. Prevnar13 and Pneumovax23 should not be given concomitantly due to potential interference with development of immunity. The recommended intervals between Prevnar13 and Pneumovax23 doses have not changed. Resources: ACIP guidance: https://www.cdc.gov/mmwr/volumes/68/wr/mm6846a5.htm. CDPH Infographic on Timing of Pneumococcal Vaccines: http://eziz.org/assets/docs/IMM-1152.pdf CDC PneumoRecs Phone App: https://www.cdc.gov/vaccines/vpd/pneumo/hcp/pneumoapp.html Program Contact Information: Communicable Disease Prevention Unit Disease Prevention and Control Branch, Population Health Division Tel: (415) 554 – 2955 / Fax: (415) 554 – 2579 Email: immunization@sfdph.org / https://www.sfcdcp.org/ Are you interested in receiving our health advisories, alerts, updates, and vax facts directly by email? Sign up today by visiting https://www.sfcdcp.org/health-alerts-emergencies/health-alerts/register-for-health-alerts/. Please click here for the direct link to the Pneumococcal Vaccines in Adults Age 65 Years and Older Vax Facts. Comments are closed.
