usmle123
Forum Senior
Topics: 20
Posts: 43
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I'm so confused about the rule of "revaccination for healthy patient if his original vaccination is before 65". If a healthy patient got his first pneumococcal vaccination at the age of 62, when should he be revaccinated? Does he need to be revaccinated every 5 years?
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| AAzad
Forum Guru
Topics: 55
Posts: 457
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Routine revaccination is not recommended. Revaccination is recommended for people 2 years of age of older who are at highest risk of pneumococcal infection and who are likely to have a rapid decline in pneumococcal antibody levels. Revaccination is also recommended in persons 65 years or older if they were younger than 65 years at the time of primary vaccination. Revaccination is recommended only once, at least 5 years after primary vaccination. Revaccination 3 years after the previous dose may be considered for children at the highest risk for severe pneumococcal infection who would be 10 years of age or younger at the time .
Edited by AAzad on 10/27/06 - 02:52 PM
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AAzad
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| doc68
Forum Junior
Topics: 2
Posts: 56
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If its a immunocompromised patient one should repeat pnemococcal vaccine in 5yrs.
recommendations -
1. adult over age of 65yrs.
2.all pts with chronic deblitating illness like pulmonary , cardiac reanl ds.
3.immunocompromised pts/ Diabetics.
4.chronic alchoholics, pts in chronic care facilities
source-- UW
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| usmle123
Forum Senior
Topics: 20
Posts: 43
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Thanks a lot
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