Revaccination with a second dose of the pneumococcal vaccine is recommended for certain individuals.
Age of Patient
Time Since Last Dose
<= 10 years of age
>= 3 years
one or more risk factors
11 – 64 years of age
>= 65 years of age
>= 5 years
one or more risk factors, or
first dose before age 65
(1) asplenia or splenic dysfunction. Asplenia may be anatomic (congenital or post-splenectomy) or functional (sickle cell disease, etc).
(2) immunocompromised or organ transplant
(3) chronic renal failure
(4) nephrotic syndrome
The need for more than a single revaccination is unclear at this time and is not routinely recommended.
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Specialty: Infectious Diseases, Pharmacology, clinical, Pulmonology