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[The elderly should be vaccinated against pneumococci].

A Ortqvist1, J Hedlund, M Kalin

  • 1Infektionskliniken, Karolinska sjukhuset, Stockholm.

Lakartidningen
|April 9, 1999
PubMed
Summary

Pneumococcal vaccination is recommended for individuals 65 and older due to rising invasive pneumococcal disease incidence. Vaccination offers significant protection against invasive pneumococcal disease in the elderly.

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Area of Science:

  • Infectious Diseases
  • Vaccinology
  • Geriatrics

Context:

  • Increasing incidence of invasive pneumococcal diseases (IPD), especially bacteraemic pneumococcal pneumonia, observed in Sweden over the last decade.
  • Rising prevalence of beta-lactam-resistant and multiresistant Streptococcus pneumoniae strains in neighboring countries poses a significant public health concern.
  • Elderly populations face substantial mortality risks from invasive pneumococcal diseases.

Purpose:

  • To assess the efficacy of pneumococcal vaccination in the elderly population.
  • To evaluate the current trends of invasive pneumococcal diseases in Sweden.
  • To provide recommendations for public health strategies regarding pneumococcal vaccination in older adults.

Summary:

  • Invasive pneumococcal diseases are a major cause of mortality in the elderly, with increasing incidence reported in Sweden.
  • While pneumococcal vaccine shows limited efficacy against pneumococcal pneumonia, it provides approximately 70% protection against invasive pneumococcal disease.
  • The study advocates for pneumococcal vaccination for all individuals aged 65 and above, emphasizing the need for a national strategy to ensure high vaccination coverage.

Impact:

  • Highlights the critical need for pneumococcal vaccination programs targeting the elderly population.
  • Informs public health policy decisions regarding the prevention and control of invasive pneumococcal diseases.
  • Contributes to understanding the epidemiological trends and antimicrobial resistance patterns of pneumococcal infections.

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