The overall aim of the routine immunisation schedule is to provide protection against the following vaccinepreventable infections. Prior to the routine conjugate vaccination, around 69% of invasive pneumococcal infections were caused by the ten 14, 9v, 1, 8, 23f, 4, 3, 6b. Side effects of the pneumococcal vaccine in babies. Meningitis b menb vaccine helps to protect your baby against meningitis and septicaemia blood poisoning mmr vaccine helps to protect your baby against measles, mumps and rubella pneumococcal vaccine for adults help to protect against meningitis caused by pneumococcal bacteria pneumococcal vaccine for babies. Phe pneumococcal guideline green book chapter 25 phe.
This pgd is for the administration of pneumococcal polysaccharide conjugate vaccine valent, adsorbed pcv to individuals from 12 weeks to under 2 years of age in accordance with the national immunisation programme for active immunisation against pneumococcal disease and to individuals from 6 weeks of age recommended pcv in. This vaccine is given at the same time as the hibmenc, 4cmenb and mmr vaccines see chapter 11 ppv23. Immunisationvaccine preventable diseases hsc public. Pneumococcal polysaccharide vaccine ppv this vaccine contains purified polysaccharide from 23 of the most common capsular types of streptococcus pneumoniae. Ppv is not recommended for children under 2 because it does not work well in this age group. Phe uk immunisation schedule green book chapter 11 phe. Vaccine safety and adverse events following immunisation. The scottish vaccine update provides current information and practical advice about immunisation policy, practice and vaccine supply in scotland for front line health professionals. People with health problems and the pneumococcal vaccine. A reinforcing booster dose of pcv is recommended on or after the first birthday. Shingles chapter, page 6, green book, feb 2016 question.
Chapter 11 of the green book, which addresses immunisation in the uk for. The recommendations on advice to give about pneumococcal immunization are based on information in the chapter on vaccine safety and adverse effects following immunization in immunisation against infectious disease the green book published by public health england phe, and are pragmatic, based on what cks considers to be good clinical. Currently, circulation of the pneumococcal serotypes contained in the vaccine, and therefore, the risk of disease due to these serotypes, even in those at higher risk, is. It contains purified capsular polysaccharide of pneumococcal serotypes conjugated to a carrier protein to improve antibody response compared to the pneumococcal.
For advice on at risk groups, incomplete vaccination and those vaccinated abroad, please see the green book chapter and changes to the infant pneumococcal conjugate vaccine schedule information for healthcare practitioners on phws webpage. Immunisation of individuals with underlying medical conditions chapter 7 immunisation of individuals with underlying medical conditionsanuary 22 respond more poorly to vaccination and should be considered for additional vaccination. In 2009, the european medicines agency approved the use of a 10 valent pneumococcal conjugate vaccine for use in europe. In particular, individuals receiving complement inhibitor therapy eculizumab are at. Chapter 25, pneumococcal, in immunisation against infectious disease. Pneumococcal vaccine washington state department of health. The australian technical advisory group on immunisation atagi recommends that zostavax may be given concurrently with other vaccines, including 23vppv. Pneumococcal conjugate vaccine pcv is a pneumococcal vaccine and a conjugate vaccine used to protect infants, young children, and adults against disease caused by the bacterium streptococcus pneumoniae pneumococcus. Administration of 23valent pneumococcal polysaccharide vaccine ppv. Pcv protects against strains of pneumococcal bacteria. Immunisation schedule treatment summary bnf content. This replaced pcv 7 prevenar 7 the pneumococcal conjugate vaccine introduced into the routine childhood immunisation programme in september 2008.
Pneumococcal conjugate vaccine pcv which is given to all babies as part of the routine childhood immunisation schedule pneumococcal polysaccharide vaccine ppv23 which is for those aged 65 years and older and those over 2 years with long term medical conditions. The bsg guidelines for the diagnosis and management of adult coeliac disease 2014 recommend patients newly diagnosed with coeliac disease have the pneumococcal vaccine. Since 2006, all infants receive vaccination against pneumococcal infection as part of the routine childhood immunisation programme. The timing and sequence of the vaccines will depend on the vaccines youve previously had. The pneumosmart vaccination tool has been created using the pneumococcal disease vaccination recommendations in the australian immunisation handbook 10th edition 20, and has been developed to assist gps, medical specialists and other immunisation providers to comply with them. If youre 65 or over, you should be offered a type of pneumococcal vaccine known as the pneumococcal polysaccharide vaccine ppv. Pneumococcal immunisation information for public health professionals, including updates. Active immunisation for the prevention of invasive disease, pneumonia and acute otitis media caused by streptococcus pneumoniae in infants and children from 6 weeks to 17 years of age active immunisation for the prevention of invasive disease and pneumonia caused by streptococcus pneumoniae in. Guidance issued by the british society for rheumatology bsr, based on the department of health green book on immunisation suggests that until further evidence of safety is established for the zostavax shingles vaccination, it would not be recommended to anyone taking a biologic drug for rheumatoid arthritis. The product information for zostavax states that the vaccine can be given concurrently with inactivated influenza vaccine but not with 23valent pneumococcal polysaccharide vaccine 23vppv. For the management of children who received one or more doses of 10valent pneumococcal polysaccharide conjugate vaccine adsorbed in another country, refer to chapter 25 for infants born on or after 1 january 2020, pneumococcal, in immunisation against infectious disease. Antibody response may be reduced in those with immunological impairment and those with an absent or dysfunctional spleen.
Its not possible to catch a pneumococcal infection from the vaccine, as the vaccine does not contain any live bacteria. Zoster herpes zoster the australian immunisation handbook. No other restrictions for timing between shingles and other live vaccines reference. In recent years, the pneumococcal vaccination recommendations have undergone a number of changes. Pneumococci colonise the nasopharynx of up to 50% of children, and up to 5% of adults are pneumococcal carriers. This summary covers types of vaccine, administration, dosage and schedule, and atrisk groups who should be immunised against. Vaccination of individuals with uncertain or incomplete immunisation status. Who best practices for injections and related procedures toolkit. Overview of immunisations immunisation health topics.
For advice on dosing schedules for missed vaccinations, and the immunisation of individuals coming to the uk, consult chapter 11, the uk immunisation schedule, in immunisation against infectious disease the green. The valent pneumococcal vaccine was introduced in the routine immunization schedule of the uk in april 2010. What is prevenar pneumococcal disease vaccination. Prevenar pneumococcal polysaccharide conjugate vaccine valent, adsorbed is indicated for.
Protocols for the ordering, storage and handling of vaccines should be followed to prevent vaccine wastage see the green book chapter 3. Phe pneumococcal guideline green book chapter 25 guidelines. For more information on dosing guidelines, see the childhood pdf and adult pdf immunization schedules, and talk to your doctor or nurse. There is a similar vaccine for babies and children the pcv pneumococcal conjugate vaccine. Immunisation of individuals with underlying medical conditions. Ppv23 contains purified capsular polysaccharide from each of 23 common. Active immunisation against invasive disease caused by. This included changes to the immunisation programme in general. The only absolute contraindications to pneumococcal vaccines are. These are conjugated to protein crm197 using similar manufacturing technology to that used for haemophilus influenzae type b hib and meningococcal conjugate vaccines. The polysaccharide antigens were used to induce typespecific antibodies that enhanced opsonization, phagocytosis, and killing of streptococcus pneumoniae pneumococcal bacteria by.
Vaccination advice for patients with leukaemia or those who have had a bone marrow transplant, and information on patient cards and leaflets for individuals with apslenia, are available in chapter 25, pneumococcal, in immunisation against infectious disease. Outstanding doses should be administered where the routine childhood immunisation schedule has not been completed. The green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the uk. Immunisation against infectious disease the green book latest edition. The uk pneumococcal conjugate vaccine pcv immunisation programme for children has successfully achieved high levels of population herd protection for all age groups. Vaccination regimens may differ depending on the individuals age, risk of pneumococcal disease, vaccination history, and immune status.
Pneumococcal infections elicited by streptococcus pneumoniae pneumococcus pneumonia, otitis media, sinusitis, meningitis are frequently occurring diseases that are associated with considerable morbidity and mortality even in developed countries. Recommendations for the use of pneumococcal vaccine phe. This oneoff vaccination is very effective at protecting you against serious forms of pneumococcal infection. The rcns managing childhood immunisation clinics best practice guidelines 2018 provides a practical checklist to support general practice nurses in managing a childhood vaccine and immunisation clinics, it includes. Adults ages 65 and older should get both the pcv and the ppsv23 vaccine. This treatment summary topic describes pneumococcal vaccine. Practical and clinical guidance for vaccine administration. Phe pneumococcal guideline green book chapter 25 by phe 20190516t15. Mild side effects of the pneumococcal conjugate vaccine pcv, which is the version of the pneumococcal vaccine given to babies under the age of 2, include. The recommendations on advice to give about pneumococcal immunization are based on information in the chapter on vaccine safety and adverse effects following immunization in immunisation against infectious disease the green book published by public health england phe, and are pragmatic, based on what cks considers to be good clinical practice. Immunisation schedule treatment summary bnfc content. Precautions vpcv and inactivated influenza vaccine. There are three types of pneumococcal vaccine licensed in the uk.
Chapter 25 pneumococcal anuary 2018 pneumococcal polysaccharide vaccine ppv most healthy adults develop a good antibody response to a single dose of ppv by the third week following immunisation. Pneumococcal vaccine treatment summary bnf content. Ppv prevents some types of serious pneumococcal disease, but it does not prevent all forms of the disease. Pneumococcal polysaccharide vaccine ppsvknown as pneumovax 23 ppv23is the first pneumococcal vaccine derived from a capsular polysaccharide, and an important landmark in medical history. Phe pneumococcal guideline green book chapter 25 phedh. Pneumococcal disease the australian immunisation handbook. Children can receive vpcv and inactivated influenza vaccine at the same visit if they need both vaccines.
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