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Pneumococcal Vaccination Guidance for Post-Acute and Long-Term Care Settings: Recommendations From AMDA's Infection
David A Nace1, Laurie R Archbald-Pannone2, Muhammad S Ashraf3
1Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Journal of the American Medical Directors Association
|January 28, 2017
Summary
Preventing pneumococcal disease is crucial for older adults in long-term care. This guide clarifies complex vaccine recommendations for 13-valent conjugate and 23-valent polysaccharide vaccines, aiding healthcare providers.
Area of Science:
- Public Health
- Immunology
- Geriatrics
Background:
- Pneumococcal disease prevention is a national health priority, especially for older adults in post-acute and long-term care (LTC) settings.
- The Advisory Committee on Immunization Practices (ACIP) recommends specific pneumococcal vaccines for adults aged 65 and older, and for those 18-64 with risk factors.
- Nursing facilities are mandated to assess, educate, and administer pneumococcal vaccines to residents.
Purpose of the Study:
- To highlight the importance of pneumococcal vaccination in older adults.
- To present AMDA-The Society for Post-Acute and Long-Term Care Medicine (AMDA) recommendations for vaccination practices.
- To provide guidance for implementing effective pneumococcal vaccine policies in LTC settings.
Main Methods:
- Review of current ACIP recommendations for pneumococcal vaccines.
- Analysis of nursing facility licensure regulations regarding vaccination.
- Discussion of challenges in vaccine indication and timing for healthcare providers.
Main Results:
- Complexity in determining correct indications and timing for 13-valent conjugate and 23-valent polysaccharide vaccines poses a challenge.
- AMDA provides specific recommendations to streamline vaccination practices.
- Guidance is offered for policy development and implementation in LTC.
Conclusions:
- Effective pneumococcal vaccination policies are essential in post-acute and LTC settings.
- Clearer guidance and adherence to recommendations can improve vaccination rates and reduce disease burden.
- Collaboration between healthcare providers and policymakers is key to successful implementation.
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