TRAVELDOC BLOG

  • Rabies: Tragically, It Happens… And Is Preventable - Jan. 18, 2018

    Read More

  • KTRH Flu Story - Jan. 16, 2018

    Read More

Connect With Us

Pneumococcal Pneumonia

KEY POINTS

  1. Pneumococcal pneumonia is the most common bacterial infection that complicates influenza.
  2. The most common source of outpatient acquired bacterial pneumonia, pneumonia in children under 5 yrs, and nursing home pneumonia. Children in group care are at increased risk.
  3. Vaccine targets,
    1. > 65 yrs-old; booster at>5yrs (once)
    2. 2 – 18yrs-old, when have underlying conditions, such as immune compromising conditions, chronic diseases, etc. (discuss with a physician)
    3. Long-term care facility residents
  4. Pneumococcal vaccine is very underutilized and the pre-travel encounter is an opportunity to update it along with other “standard” vaccines.

 


Disease: Streptococcus pneumoniae (pneumococcus), a bacterium, causes a number of disease states,

  1. Pneumonia
  2. Bacteremia (“blood poisoning”)
  3. Meningitis (infected spinal fluid compartment)
  4. Sinusitis/Ear Infections

Some pneumococcal bacterial strains are becoming increasingly antibiotic resistant, so vaccination is more important than ever.

Pneumococcal pneumonia is the most common bacterial infection that complicates influenza.

 

Prevalence:

  • Worldwide
  • Most prevalent in winter and early spring
  • Crowding is a factor in outbreaks.
  • The most common source of outpatient acquired bacterial pneumonia, pneumonia in children under 5 yrs, and nursing home pneumonia. Children in group care are at enhanced risk.

 

Transmission: Person-to-person by aerosol droplets and direct contact (kissing, hands)

 

Treatment: Antibiotics

 

Prevention: Vaccine (Pneumovax)

  1. Dose: Intramuscular or subcutaneously, 0.5cc
  2. Booster : 5 years after 1st dose (only 2 doses/lifetime)
  3. Side-Effects
    1. Minor: injection site pain, swelling, redness
    2. Systemic: (very uncommon): fever, muscle aches
  4. Precautions/Contraindications
    1. Postpone vaccination with moderate illness.
    2. Avoid vaccine during pregnancy unless patient is in an high-risk group.
    3. Vaccine may be administered along with other vaccines.
  5. Targets,
    1. > 65 yrs-old; booster at >5yrs (once)
    2. 2 – 18yrs-old when have underlying conditions, including immune compromising conditions, chronic diseases, etc. (discuss with a physician)
    3. Long-term care facility residents
  6. Special Considerations
    1. Preventive penicillin for high-risk children after disease exposure
    2. Pneumococcal vaccine is very underutilized and the pre-travel encounter is an opportunity to update it along with other “standard”” vaccines.

Access the VIS Sheet here

How do I schedule an appointment?
Online: Schedule an Appointment.
Call Us: (713) 550-2000 A customer service representative will help you choose an appointment time, and can forward any documents you will need to complete.