Wednesday, October 4, 2023

When Should You Get Pneumonia Vaccine

What About The Pneumonia Vaccine

Ask the Expert: Who should get a Pneumococcal Vaccine?

Prevnar 13 is a pneumococcal conjugate vaccine that protects against 13 types of pneumococcal bacteria.

Pneumovax 23 is a pneumococcal polysaccharide vaccine that protects against 23 types of pneumococcal bacteria.

Once vaccinated, most healthy adults develop protection to most or all of these types within two to three weeks.

What Is The Pneumonia Shot

The pneumonia shot is a vaccine that keeps you from getting pneumonia. There are two types of vaccines. The pneumococcal conjugate vaccine is primarily for children under age two, though it can be given to older ages, as well. The pneumococcal polysaccharide vaccine is for adults over age 65.

The pneumonia vaccine for older adults is one dose. Unlike the flu vaccine, you dont get it every year.

The vaccine teaches your body to make proteins that will destroy the pneumonia bacteria. These proteins are called antibodies and they will protect you and keep you from getting infected. The pneumonia vaccines dont have live bacteria or viruses in them, so you wont get pneumonia from the vaccine.

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You should have the pneumonia vaccine if you:

  • Are over age 65
  • Have a long-term health problem
  • Asthma
  • Have a weak immune system
  • Smoke
  • Vaccines dont prevent all pneumonia, but people who get the shot dont get as sick as those who dont have it. Benefits of the vaccine include:

    • Milder infections
    • Ringing in your ears
    • Sweating

    If you know you dont like needles or feel worried before getting a vaccine, you can try to look away while you have the shot. You can also try a relaxation technique like deep breathing or visualization to help you feel calm.

    Older people are more likely to have long-term health problems that can make getting an infection dangerous. The pneumonia shot is recommended for most people.

    Continued

    How To Stay Safe

    Given that COVID-19 is a respiratory illness just as pneumonia is, it is important to do your best to minimize your risk of contracting COVID-19, which could potentially cause severe respiratory complications.

    The same precautions you’ve been taking to stay safe during the COVID-19 pandemic will, of course, keep you safe from developing pneumonia secondary to COVID-19, too. Be diligent about wearing a well-fitting mask, social distancing, and washing your hands.

    A few other tips to keep in mind for recovery from pneumonia are to:

    • Control your fever with NSAIDs or acetaminophen .
    • Drink plenty of fluids to help loosen secretions and to cough up phlegm.
    • Avoid taking cough medicines before talking to your healthcare provider first because coughing is one of the ways your body is working to get rid of the pneumonia infection.
    • Drink warm beverages like tea or hot water.
    • Use a humidifier, and take steamy baths or showers to help open your airway and ease your breathing.
    • Stay away from smoke to allow your lungs to heal themselves. If you are a smoker, this would be a good time to think about quitting.
    • Get rest. Stay home and take it easy for a while until you feel better and stronger.

    These are all things you can do from the safety and comfort of your own home. Taking care of yourself and seeking medical care as needed can help keep you safe from COVID-19.

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    Persons With Chronic Diseases

    Refer to Immunization of Persons with Chronic Diseases in Part 3 for additional information about vaccination of people with chronic diseases.

    Asplenia or hyposplenia

    Hyposplenic or asplenic individuals should receive Pneu-C-13 vaccine and Pneu-P-23 vaccine, followed by a booster dose of Pneu-P-23 vaccine. Refer to Table 3, Table 4 and Booster doses and re-immunization for additional information.

    Chronic kidney disease and patients on dialysis

    Individuals with chronic kidney disease should receive age appropriate pneumococcal vaccines. Children less than 18 years of age with chronic kidney failure or nephrotic syndrome, should receive Pneu-C-13 vaccine and Pneu-P-23 vaccine. Adults with chronic kidney failure should receive Pneu-P-23 vaccine. Adults with nephrotic syndrome should receive Pneu-C-13 and Pneu-P-23 vaccine. Due to the decreased immunogenicity and efficacy of Pneu-P-23 vaccine in children and adults with chronic kidney failure, 1 booster dose of Pneu-P-23 vaccine is recommended. Refer to Table 3, Table 4 and Booster doses and re-immunization for additional information.

    Neurologic disorders

    Chronic lung disease, including asthma

    Chronic heart disease

    Chronic liver disease

    Endocrine and metabolic diseases

    Non-malignant hematologic disorders

    Cochlear implants

    What Does The Pneumonia Vaccine Do

    Should you get the pneumonia vaccination? [Infographic]

    Pneumonia is a serious condition that attacks the lungs, causing coughing, fever, and difficulty breathing. It often requires hospitalisation, and can be life-threatening especially for the elderly or for people with weakened immune systems.

    Pneumonia can be caused by viruses and fungi, but its usually caused by a bacterial infection. This is why both types of the pneumonia vaccine work by generating antibodies to kill pneumococcal bacteria. Once youve had the vaccine, your body will be able to use these antibodies to quickly fight off the bacteria strains that cause pneumonia.

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    What Is The Pneumonia Vaccine

    The pneumonia vaccine is an injection that prevents you from contracting pneumococcal disease. There are two pneumococcal vaccines licensed by the Food and Drug Administration for use in the United States:

  • PCV13 Prevnar 13®: This vaccine helps protect against the 13 types of pneumococcal bacteria that most commonly cause serious infections in children and adults. Doctors give this vaccine to children at 12 through 15 months, 2, 4, and 6 years old. Adults who need this vaccine get just one shot.
  • PPSV23 Pneumovax23®: This vaccine helps protect against serious infections caused by 23 types of pneumococcal bacteria. Doctors give a single shot of this vaccine to people who need it, but the CDC recommends one or two additional shots for people with certain chronic medical conditions.
  • The Center for Disease Control recommends the PCV13 vaccine for:

    • All children younger than 2 years old
    • People 2 years or older with certain medical conditions

    The CDC recommends PPSV23 for:

    • All adults 65 years or older
    • People 2 through 64 years old with certain medical conditions
    • Smokers 19 through 64 years old

    What You Should Know About Pneumonia

    Pneumonia is an infection in one or both lungs that typically stems from several kinds of germs, most often bacteria and viruses.

    Symptoms can develop gradually or suddenly. They include:

    • Fever.
    • Chest pain.
    • Loss of appetite.

    Early detection is often challenging because many people with these symptoms assume they have a cold or the flu.

    Its important to also note that the vaccine helps protect against some but not all bacterial pneumonia.

    There are dozens of different types of bacterial pneumonia, says Dr. Suri. The vaccine will certainly reduce your risk of the most common bacterial pneumonia.

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    When Is The Pneumonia Vaccine Given

    The pneumonia vaccine is not the same as the flu vaccine, as it doesnt need to be given at a certain time of year. Rather, it can be given at any time, as long as its safe for you to have it.

    However, if youre in a high-risk group for pneumonia, you should get the vaccine as soon as possible to make sure youre protected.

    Summary Of Information Contained In This Naci Statement

    How long should you wait to get the COVID-19 vaccine after getting a pneumonia shot?

    The following highlights key information for immunization providers. Please refer to the remainder of the Statement for details.

    1. What

    Streptococcus pneumoniae is a bacterium that can cause many types of diseases including invasive pneumococcal disease , and community-acquired pneumonia .

    For the prevention of diseases caused by S. pneumoniae in adults, two types of vaccines are available in Canada: pneumococcal 23-valent polysaccharide vaccine containing 23 pneumococcal serotypes and pneumococcal 13-valent conjugate vaccine containing 13 pneumococcal serotypes.

    NACI has been tasked with providing a recommendation from a public health perspective on the use of pneumococcal vaccines in adults who are 65 years of age and older, following the implementation of routine childhood pneumococcal vaccine programs in Canada.

    2. Who

    Information in this statement is intended for provinces and territories making decisions for publicly funded, routine, immunization programs for adults who are 65 years of age and older without risk factors increasing their risk of IPD. These recommendations supplement the recent NACI recommendations on this topic that were issued for individual-level decision making in 2016.

    3. How

    4. Why

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    How Long Does The Pneumonia Vaccine Last

    For most adults, one dose of the pneumonia vaccine should last a lifetime. In other words, you wont usually need to get another dose. This makes it different to the flu vaccine, which is given every year.

    For some people, boosters of the pneumonia vaccine will be needed. This will be the case for people who have underlying health conditions that make them high-risk for pneumonia and related conditions. Your doctor will let you know if you need another vaccine.

    If youre somebody who needs top-ups of the pneumonia vaccine, youll be able to receive them for free on the NHS.

    The Flu Pneumonia And Inflammation Create A Deadly Threat

    Pneumococcal pneumonia can follow other viral infections, particularly influenza, says William Schaffner, M.D., an infectious disease specialist at the Vanderbilt University School of Medicine. The biology behind it:The flu virus attaches to, and infects, the cells lining the mucous membranes in the back of the throat, nose and bronchial tubes. Normally, the cells eject infectious agents out of the body via the nose or mouth, or they’re simply swallowed. But when impaired by the flu, the cells lining these membranes allow the bacteria to slip down into the bronchial tubes and trigger a secondary infection, in the lungs. The infection inflames the air sacs in the lungs, causing them to fill with pus and fluid. That not only makes it hard to breathe but can allow bacteria to escape into the bloodstream, causing an infection called sepsis, an aggressive inflammatory response that can, ultimately, lead to organ failure.

    Pneumococcal pneumonia, of course, is also likely be a complication of respiratory syncytial virus , a common and highly contagious winter lung infection, whichuncharacteristicallyspread this summer, and SARS-CoV-2, the virus that causes COVID-19. However, the pneumococcal vaccine wont shield you from pneumonia that results from either of them. As Schaffner puts it, Pneumonia from Covid is a different sort of pneumonia.

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    Medical Conditions Resulting In High Risk Of Ipd

    Table 1: Medical Conditions Resulting in High risk of IPD

    Non-immunocompromising conditions

    IPD is more common in the winter and spring in temperate climates.

    Spectrum of clinical illness

    Although asymptomatic upper respiratory tract colonization is common, infection with S. pneumoniae may result in severe disease. IPD is a severe form of infection that occurs when S. pneumoniae invades normally sterile sites, such as the bloodstream or central nervous system. Bacteremia and meningitis are the most common manifestations of IPD in children 2 years of age and younger. Bacteremic pneumococcal pneumonia is the most common presentation among adults and is a common complication following influenza. The case fatality rate of bacteremic pneumococcal pneumonia is 5% to 7% and is higher among elderly persons. Bacterial spread within the respiratory tract may result in AOM, sinusitis or recurrent bronchitis.

    Disease distribution

    Worldwide, pneumococcal disease is a major cause of morbidity and mortality. The World Health Organization estimates that almost 500,000 deaths among children aged less than 5 years are attributable to pneumococcal disease each year. In Canada, IPD is most common among the very young and adults over 65 years of age.

    Side Effects Of Pneumococcal Vaccine

    Pneumonia vaccine: How often and when to seek help

    Like other vaccines, there are certain side effects associated with PCV13 and PPSV23 vaccines. You do not usually experience life-threatening complications though. Some people may have problems such as redness, swelling, and soreness at the site of the shot. This should resolve in a few days.

    About 1% of people experience other side effects after getting the shot, and the list includes muscle aches, fever, and severe swelling. A severe allergic reaction may occur if you are allergic to anything in the vaccines. The most common signs of a severe allergic reaction are dizziness, breathing difficulty, behavior changes, hives, high fever, hoarse voice, rapid heartbeat, pale skin, and weakness. Seek immediate medical assistance if you experience these symptoms.

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    Where Can I Find These Vaccines

    Your doctors office is usually the best place to receive recommended vaccines for you or your child.

    PCV13 is part of the routine childhood immunization schedule. Therefore, it is regularly available for children at:

    • Pediatric and family practice offices
    • Community health clinics

    If your doctor does not have pneumococcal vaccines for adults, ask for a referral.

    Pneumococcal vaccines may also be available for adults at:

    • Pharmacies
    • Health departments
    • Other community locations, such as schools and religious centers

    Federally funded health centers can also provide services if you do not have a regular source of health care. Locate one near youexternal icon. You can also contact your state health department to learn more about where to get pneumococcal vaccines in your community.

    When receiving any vaccine, ask the provider to record the vaccine in the state or local registry, if available. This helps doctors at future encounters know what vaccines you or your child have already received.

    How Long Does A Pneumonia Shot Last

    Streptococcus pneumoniaevaccinepneumoniaStreptococcus pneumoniae

    • Younger than 2 years old: four shots
    • 65 years old or older: two shots, which will last you the rest of your life
    • Between 2 and 64 years old: between one and three shots if you have certain immune system disorders or if youre a smoker

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    Complications Of Pneumonia Caused By Covid

    Because pneumonia causes the alveoli in the lungs to fill with pus and fluid, breathing can be painful and difficult.

    Pneumonia can cause serious health complications, including:

    Because COVID-19 attacks the lungs, it would make sense that having COVID-19 would cause lung complications. As of yet, not enough data are available to support this conclusion.

    However, as noted above, research does show that COVID-19 can cause severe illness, including pneumonia that can be fatal. A 2020 study by the CDC found that among a group of people with COVID-19, about 70% had complications from pneumonia. Also, people with COVID-19 were twice as likely to get pneumonia compared to people with the flu.

    Regarding long-lasting complications from COVID-19, it is still too soon to say for sure whether “long-haulers” are more likely to have underlying chronic medical conditions.

    What Are The Possible Side Effects Of Pneumococcal Immunisation

    Concerns about lung infection from coronavirus raise questions about pneumonia vaccine

    All medicines and vaccines can have side effects. Sometimes they are serious, most of the time theyre not.

    For most people, the chance of having a serious side effect from a vaccine is much lower than the chance of serious harm if you caught the disease.

    Talk to your doctor about possible side effects of pneumococcal vaccines, or if you or your child have symptoms after having a pneumococcal vaccine that worry you.

    Common side effects of pneumococcal vaccines include:

    • pain, redness and swelling where the needle went in
    • fever

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    Pneumonia And Long Covid

    In a Q& A about lingering COVID-19 symptoms, the Cleveland Clinic notes that it is seemingly random who experiences long-lasting symptoms and who doesn’t. So, its not quite clear whether having pneumonia in the past is connected with having long COVID.

    As a way to find answers, in 2021, the National Institutes of Health launched an ongoing study into the underlying biological causes of prolonged symptoms and what makes some people more likely to get long COVID.

    How Does The Pneumonia Vaccine Work

    There are currently two vaccines administered in the United States:

  • Pneumococcal conjugate vaccine . This vaccine joins a protein which helps build immunity. Infants and very young children do not respond to polysaccharide antigens, but linkage to this protein enables the developing immune system to recognize and process polysaccharide antigens, leading to production of antibody. It helps protect against disease from13 types of Streptococcal pneumoniae capsular serotypes that are the most common cause of serious infection. Typically, children receive three doses and adults at high risk of severe pneumococcal infection receive one dose.
  • Pneumococcal polysaccharide vaccine . This vaccine looks like certain bacteria. This stimulates the body to build protection against the 23 serotypes of Streptococcal pneumonia contained in the vaccine. These 23 serotypes now represent at least 50% to 60% of pneumococcal disease isolates in adults. Most people receive a single dose, with one to two boosters recommended for some.
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    Who Should Get The Pneumonia Vaccine

    So that depends on which specific pneumonia vaccine you’re talking about.

    The CDC recommends that these groups get PPSV23:

    • All adults 65 years or older.
    • People ages 2 through 64 with certain medical conditions
    • Adults 19 through 64 years old who smoke cigarettes

    The CDC recommends that the following groups get PCV13:

    • All children younger than 2 years old.
    • People 2 years or older with certain medical conditions.

    Here’s where things get a little tricky: The CDC specifically says that adults 65 years or older should discuss and decide with their doctor if they should get PCV13that’s because that pneumonia vaccine used to be recommended for all older adults in the US, but the Advisory Committee on Immunization Practices a group of top medical and public health experts in the countryhelped to change that in 2019. The organization released a report at that time saying that PCV13 simply may not be necessary for healthy adults aged 64 and older.

    “The effectiveness of this vaccine in kids is driving down cases in adults,” John E. McGinniss, MD, a pulmonologist at Penn Medicine, tells Health, adding that it’s “probably overkill” to give most adults PCV13, along with PPSV23.

    David Cutler, MD, family medicine physician at Providence Saint John’s Health Center in Santa Monica, California, agrees. “We’ve done such a good job vaccinating children that we’ve found there’s less of a need to give it to adults,” he tells Health.

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