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Published on: February 23, 2014
Immunization for Streptococcus pneumoniae infections in high-risk children
Insights
Pneumococcal conjugate vaccine (PCV13) is now recommended for children aged 6-18 with specific health conditions. This aims to further reduce invasive pneumococcal disease (IPD) in at-risk pediatric populations.
Area of Science:
- Pediatric Infectious Diseases
- Vaccinology
- Public Health
Background:
- Routine pneumococcal conjugate vaccines (PCV7, PCV13) significantly reduced invasive pneumococcal disease (IPD) since 2000.
- Certain pediatric populations remain at elevated risk for IPD.
Purpose of the Study:
- To provide updated recommendations for PCV13 use in children aged 6-18 years.
- To identify specific at-risk pediatric groups benefiting from PCV13 vaccination.
Main Methods:
- Review of current epidemiological data on IPD incidence.
- Analysis of clinical guidelines from the Advisory Committee on Immunization Practices and the American Academy of Pediatrics.
Main Results:
- PCV13 is recommended for children aged 6-18 with specific risk factors for IPD.
- A single dose of PCV13 is advised for these at-risk children.
Conclusions:
- Expanded PCV13 use enhances protection against IPD in high-risk children.
- Recommendations for healthy children and PPSV23 use remain unchanged.
Abstract:
Routine use of the pneumococcal conjugate vaccines (PCV7 and PCV13), beginning in 2000, has resulted in a dramatic reduction in the incidence of invasive pneumococcal disease (IPD) attributable to serotypes of Streptococcus pneumoniae contained in the vaccines. The Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention and the American Academy of Pediatrics recommend the expanded use of PCV13 in children 6 through 18 years of age with certain conditions that place them at elevated risk of IPD. This statement provides recommendations for the use of PCV13 in children 6 through 18 years. A single dose of PCV13 should be administered to certain children in this age group who are at elevated risk of IPD. Recommendations for the use of PCV13 in healthy children and for pneumococcal polysaccharide vaccine (PPSV23) remain unchanged.
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