Is the pneumococcal vaccine recommended at 65?

Question

Hello doctor,

I am a 65-year-old man, and my doctor has recommended that I get the pneumococcal vaccine due to my age. However, I am unfamiliar with this vaccine.

How does the pneumococcal vaccine help protect against pneumococcal disease?
Could you please explain the benefits of getting vaccinated, and if there are different types of pneumococcal vaccines available?

I want to ensure I am making the right decisions to protect my health as I get older and would appreciate any additional guidance you can provide.

Kindly help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Pneumococcal disease is an infection caused by Streptococcus pneumoniae bacteria. It is contagious and may cause severe illness, so early diagnosis and treatment are important. Its presentation can be sinusitis, pneumonia, and meningitis.

Patients with sinusitis can present with a running nose and nasal congestion.
Patients with pneumonia can present with fever, cough, shortness of breath, and wheezing.
Patients with meningitis can present with headaches, fever, and seizures.

Patients who are at increased risk include:

Patients with cochlear implants.
Patients with cerebrospinal fluid (CSF) leak.
Patients with diabetes.
Patients with kidney disorders.
History of splenectomy.
Immunocompromised conditions like HIV (human immunodeficiency virus)/ post organ transplantation.
Elderly people.
Chronic alcoholics and smokers.

If such symptoms are there, urgent pulmonologist consultation should be taken either virtually or physically, so that proper diagnosis can be established.

Pneumococcal vaccine is advised for children and all individuals who are above 65 years of age irrespective of their health status. It is quite effective in preventing the occurrence of pneumonia due to streptococcus pneumonia. Vaccination schedules vary between children and adults and they shall be followed as per the national policy. It is recommended for children and the elderly and must be taken by all such individuals. This vaccine is quite safe and only mild side effects like fever, and local site pain can occur.

Types of pneumococcal vaccines: There are two main types of pneumococcal vaccines recommended for adults

Pneumococcal conjugate vaccine (PCV13 or PCV20): PCV13 protects against 13 types of pneumococcal bacteria. PCV20 covers 20 types and is recommended for adults over 65 and those with certain health conditions.
Pneumococcal polysaccharide vaccine (PPSV23): PPSV23 protects against 23 types of pneumococcal bacteria and is often given after the conjugate vaccine.

Recommended schedule: For most adults over 65, it is typically recommended to get one dose of PCV20 or a sequence of PCV13 followed by PPSV23 after a certain interval. Your doctor can provide personalized advice based on your health history and any previous vaccinations.

Measures for the prevention of pneumonia in general include:

Regular vaccination should be given two to four weeks after recovery from pneumonia including COVID-19, pneumococcal, and influenza vaccinations, if not taken already.
Maintain an active and healthy lifestyle.
Ensure the consumption of a balanced and nutritious diet.

Getting vaccinated is a proactive step to safeguard your health as you age. It is always a good idea to discuss any concerns or questions with your healthcare provider to ensure you are following the best plan for your health needs. If you have not already, consider scheduling your vaccination soon!

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.