Wednesday, May 24, 2023

When Should I Get Pneumonia Shot

When Should I Get Tested For Covid

Ask the Expert: Who should get a Pneumococcal Vaccine?

Given the potential for a shorter incubation period, Vanderbilt’s Schaffner advised that anyone who has been in contact with an infected individual get tested about 72 hours following the exposure.

“If you’ve been exposed and now you’re asking yourself, ‘When should I get tested?’ I think you would best wait at least three days to see if you’ve turned positive,” he said.

For the millions of people without any known Covid exposure, but who are getting together with friends and family over the Christmas holiday, Schaffner said, it would be prudent to get a rapid test the day of the gathering.

Dr. Anthony Fauci, chief medical adviser to President Joe Biden, agreed.

“By all means, go the extra step, go the extra mile to get tested” to alleviate any concerns about gatherings, he said on NBC’s “TODAY” show Tuesday.

“But if you don’t have the availability of the test and you are fully vaccinated and boosted, you should feel comfortable having a holiday meal or gathering with family members who are also vaccinated and boosted,” Fauci said.

Who Should Not Get Vaccinated Or Should Wait

How Are Cvs Pharmacy And Minuteclinic Different

At the pharmacy, vaccinations for adolescents through seniors are administered by a certified immunizationâtrained pharmacist. Age and state restrictions apply. No appointment necessary.

At MinuteClinic, vaccinations for children all the way through seniors are administered by a nurse practicioner or a physician associate.* No appointment necessary.

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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.

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Vaccine decision aid series, " Should I get vaccinated ...

Pneumococcal vaccines can protect you against getting pneumonia, which is contagious and spreads from close, person-to-person contact. Pneumonia is an infection of the lungs and can lead to many symptoms, including:

  • cough
  • chest pains
  • bringing up mucus when you cough

For seniors, pneumonia can be very serious and life-threatening. This is especially true if you have a chronic condition, such as diabetes or COPD. Pneumonia can also develop after youve had a case of the flu or a respiratory virus such as COVID-19. It is extremely important to stay current on flu shots each year in addition to your pneumococcal vaccines.

While PPSV23 and PCV13 do not protect against all types of pneumonia, they can make it less likely that you will experience severe and possibly life-threatening complications from the illness.

The American Academy of Family Physicians recommends that seniors who have not had either pneumococcal vaccine should get a dose of PCV13 first, and then a dose of PPSV23 6-12 months later. The vaccines cannot be given at the same time. If you have recently had a dose of PPSV23, your doctor will wait at least one year to give you PCV13.

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How Pneumococcal Vaccination Protects Against Covid

Protection against serious COVID-19 disease by pneumococcal and Hib vaccines makes sense for several reasons. First, recent studies reveal that the majority of hospitalized COVID-19 patients, and in some studies nearly all, are infected with streptococci, which causes pneumococcal pneumonias, Hib or other pneumonia-causing bacteria. Pneumococcal and Hib vaccinations should protect coronavirus patients from these infections and thus significantly cut the risk of serious pneumonia.

I also found that pneumococcal, Hib and possibly rubella vaccines may confer specific protection against the SARS-CoV-2 virus that causes COVID-19 by means of molecular mimicry.

Molecular mimicry occurs when the immune system thinks one microbe looks like another. In this case, proteins found in pneumococcal vaccines and, to a lesser degree, ones found in Hib and rubella vaccines as well look like several proteins produced by the SARS-CoV-2 virus.

Two of these proteins found in pneumococcal vaccines mimic the spike and membrane proteins that permit the virus to infect cells. This suggests pneumococcal vaccination may prevent SARS-CoV-2 infection. Two other mimics are the nucleoprotein and replicase that control virus replication. These proteins are made after viral infection, in which case pneumococcal vaccination may control, but not prevent, SARS-CoV-2 replication.

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Indeed, at least one person who was not vaccinated is reported to have died of omicron. Officials in Houston announced Monday that the unvaccinated man in his 50s succumbed to the virus.

There is also emerging evidence that omicron tends not to burrow deep into the lungs as much as previous variants. A study, which was posted online by the University of Hong Kong and not yet peer-reviewed, found that while omicron is less severe in the lungs, it can replicate faster higher up in the respiratory tract.

In this way, omicron may act more like bronchitis than pneumonia, said Dr. Hugh Cassiere, director of critical care services for Sandra Atlas Bass Heart Hospital at the North Shore University Hospital, on Long Island, New York.

“Usually patients with acute bronchitis tend not to be short of breath. They tend to cough and produce sputum,” he said. “Patients with pneumonia tend to be short of breath and feel more fatigued than bronchitis in general.”

Still, it’s virtually impossible for people to rely on symptoms to self-diagnose an illness. In addition to omicron, the delta variant continues to circulate, along with increasing cases of the flu.

For these reasons, doctors urge people who have any cold symptoms or flulike symptoms to get tested.

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Who Needs One Or Two Pneumonia Vaccines

There are two pneumococcal vaccines, each working in a different way to maximize protection. PPSV23 protects against 23 strains of pneumococcal bacteria. Those 23 strains are about 90- to 95-plus percent of the strains that cause pneumonia in humans, Poland explains. PCV13, on the other hand, is a conjugate vaccine that protects against 13 strains of pneumococcal bacteria. PCV13 induces immunologic memory, he says. Your body will remember that it has encountered an antigen 20 years from now and develop antibodies to fight it off.

In order to get the best protection against all strains of bacteria that cause pneumonia, the CDC has long recommended that everyone 65 or older receive both vaccines: PCV13 , followed by the pneumococcal polysaccharide vaccine at a later visit. But the agency is now saying that PCV13 may not be necessary for healthy people 65 and older, suggesting that the decision be left up to patients and their physicians as to whether that extra skin prick is appropriate.

“Anyone who reaches the age of 65 and is in any way immunocompromised or has any of the listed indications for pneumococcal vaccine because they’re in a high-risk group for example, if they have diabetes, heart disease or lung disease, or are a smoker should continue to get both vaccines, says Schaffner.

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Adults At High Risk Of Ipd

Do I need a pneumonia vaccine?

Adults with immunocompromising conditions resulting in high risk of IPD, except HSCT, should receive 1 dose of Pneu-C-13 vaccine followed at least 8 weeks later by 1 dose of Pneu-P-23 vaccine, if not previously received. The dose of Pneu-C-13 vaccine should be administered at least 1 year after any previous dose of Pneu-P-23 vaccine. Refer to Immunocompromised persons for information about immunization of HSCT recipients.

Immunocompetent adults with conditions or lifestyle factors resulting in high risk of IPD should receive 1 dose of Pneu-P-23 vaccine, if not previously received. One dose of Pneu-P-23 vaccine is also recommended for all adults who are residents of long-term care facilities and should be considered for individuals who use illicit drugs.

Some experts also suggest a dose of Pneu-C-13 vaccine, followed by Pneu-P-23 vaccine, for immunocompetent adults with conditions resulting in high risk of IPD as this may theoretically improve antibody response and immunologic memory. However, Pneu-P-23 vaccine is the vaccine of choice for these individuals, and if only one vaccine can be provided, it should be Pneu-P-23 vaccine, because of the greater number of serotypes included in the vaccine.

Adults at highest risk of IPD should also receive 1 booster dose of Pneu-P-23 vaccine refer to Booster doses and re-immunization.

Table 4 – provides recommended schedules for adult immunization with pneumococcal vaccines.

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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

Who Should Get The Vaccine

People over age 65. As you age, your immune system doesnât work as well as it once did. Youâre more likely to have trouble fighting off a pneumonia infection. All adults over age 65 should get the vaccine.

Those with weakened immune systems. Many diseases can cause your immune system to weaken, so itâs less able to fight off bugs like pneumonia.

If you have heart disease, diabetes, emphysema, asthma, or COPD , youâre more likely to have a weakened immune system, which makes you more likely to get pneumonia.

The same goes for people who receive chemotherapy, people who have had organ transplants, and people with HIV or AIDS.

People who smoke. If youâve smoked for a long time, you could have damage to the small hairs that line the insides of your lungs and help filter out germs. When theyâre damaged, they arenât as good at stopping those bad germs.

Heavy drinkers. If you drink too much alcohol, you may have a weakened immune system. Your white blood cells donât work as well as they do for people with a healthy immune system.

People getting over surgery or a severe illness. If you were in the hospital ICU and needed help breathing with a ventilator, youâre at risk of getting pneumonia. The same is true if youâve just had major surgery or if youâre healing from a serious injury. When your immune system is weak because of illness or injury or because itâs helping you get better from surgery, you canât fight off germs as well as you normally can.

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How Worried Should I Be About Omicron

Cases of omicron are doubling about every two days. In the past week, the percentage of omicron cases in the United States rose from 13 percent to 73 percent.

“The major question for everyone right now isn’t whether omicron is going to hit their area. It will,” said Dr. Michael Saag, an infectious disease expert and associate dean for global health at the University of Alabama at Birmingham.

“The question,” he said, “is how much disease will it cause?”

Experts continue to urge people to get vaccinated and get a booster shot to reduce the risk for severe illness.

As of Tuesday, about 61 percent of the population had been fully vaccinated. Just under 30 percent had the booster shot.

“This is going to hit us hard,” Poehling, of Wake Forest Baptist, said. But she added that the sheer speed of omicron’s spread could mean that the variant will run its course quickly. “If you look at South Africa, they seem to be doing much better now. I don’t anticipate this as long lasting.”

If I Had Bronchitis Should I Get Pneumonia Vaccine

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If I had bronchitis should I get pneumonia vaccine

There are two types of vaccines that protect against either 13 or 23 types of pneumococcal bacteria.

The pneumococcal conjugate vaccine is recommended and provided free for adults at high risk of pneumococcal disease due to HIV infection or having had a stem cell transplant. It is also recommended by Canada’s National Advisory Committee on Immunization but not provided free for other adults with certain medical conditions. It is available for purchase for adults that want protection. Please discuss this further with your health care provider.

Pneumococcal Polysaccaride Vaccine is provided free for seniors 65 years and older and people with certain medical conditions. You can find more information about who is eligible here.

Please contact your health care provider for further questions.

ImmunizeBC Nurse

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Patients In Health Care Institutions

Residents of long-term care facilities should receive Pneu-P-23 vaccine. Refer to Recommendations for Use for information about pneumococcal vaccination of individuals at increased risk of IPD. Refer to Immunization of Patients in Health Care Institutions in Part 3 for additional information about vaccination of patients in health care institutions.

Q: Ive Heard That The Pneumonia Shot Will Help Protect Me Against Getting Sick From Coronavirus Is That True

A: The pneumonia shot can help protect you against getting really sick with other types of viruses, like influenza, but not from the coronavirus, which causes pneumonia all by itself.

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Often times, we see that influenza can lead to secondary infections with other types of bacteria that the pneumonia shot prevents. But because coronavirus is bad enough on its own, the pneumonia shot doesnt offer protection against it.

Still, its important for some people to get the pneumonia shot, regardless of COVID-19. The germs that cause pneumonia are still out there, they arent waiting on the sidelines for coronavirus to finish its job.

The pneumonia shot is recommended for the following groups:

  • Allbabies and children younger than 2 years old.
  • Alladults 65 years or older.
  • Adults19 through 64 years old who smoke cigarettes.
  • Childrenolder than 2 and adults younger than 65 who have certain chronic diseases.
  • Thosewho are at increased risk for certain diseases and those who have impaired immune systems.

If you fall into one of these categories, talk to your doctor about getting the pneumonia shot to help protect you from getting really sick from other viruses. But when it comes down to it, the pneumonia shot doesnt offer protection specifically against coronavirus.

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What About The Pneumonia 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 Are The Symptoms Of Omicron

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

Early evidence suggests that for most people, at least for those who are up to date on their Covid vaccines, omicron appears to result in mild illness that can resemble the common cold, another form of the coronavirus. Poehling, who is also a member of the Advisory Committee on Immunization Practices, which helps guide the Centers for Disease Control and Preventions decisions on vaccines, said there appear to be prominent symptoms from omicron:

  • Cough
  • Fatigue or tiredness
  • Congestion and runny nose

Unlike in previous variants, the loss of taste and smell seems to be uncommon, she said.

But Poehling and other experts say those symptoms are based on early reports of omicron cases, not scientific studies.

“Anecdotal reports represent just one person,” said Dr. Bruce Y. Lee, a professor of health policy and management at the City University of New York School of Public Health. “We have to take them with a grain of salt.”

What’s more, they may only reflect certain segments of the population: young and otherwise healthy, as well as those who are fully vaccinated.

“It is clear that if you’re vaccinated, particularly if youve had a booster, omicron tends to produce milder infections,” said Dr. William Schaffner, an infectious disease expert at the Vanderbilt University Medical Center in Nashville, Tennessee.

“What we haven’t seen yet is a substantial body of information about what omicron will do in unvaccinated people,” he added.

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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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