Scenario Review

Bill
70, Male

Pneumonia caused by Streptococcus pneumoniae remains the most common cause of all bacterial pneumonias. High-risk groups include older adults and people with a chronic illness or compromised immune system. This type of pneumonia is a common complication of chronic cardiopulmonary disease (e.g. heart failure) or an upper respiratory tract infection

Routine pneumococcal vaccination of people aged over 65 years

A single dose of the 23-valent pneumococcal polysaccharide vaccine (PPV23) (Pneumovax®) should be offered to people aged 65 years and over. Vaccination is recommended for individuals with chronic pulmonary or cardiovascular disease, diabetes, alcoholism, cirrhosis, chronic renal insufficiency, CSF leak.

In addition, immunocompromised patients with lymphoma, Hodgkin's, myeloma, organ transplantation, splenic dysfunction and HIV infection should be vaccinated.

Vaccination once in 5 years