Gram Positive Cocci
The 23 valent pneuococcal vaccine is recommended in all except:
|B||chronic cardiac disease|
|C||children less than 2 years|
The 23 polyvalent pneumococcal vaccine contains 23 capsular antigens of the most prevalent serotypes. It gives 80-90% protection for 5 years. It is not recommended in children less than 2 years, lymphoreticular malignancies and immunosuppressive therapy. It is not recommended for general use. It si given in- A) sickle cell disease B) absent or dysfunctional spleen C) CSF leaks D) chronic liver/renal/ lung/heart disease E) HIV F) DM.