Pneumococcal polysaccharide vaccine (PPSV) for Adults

Pneumococcal polysaccharide vaccine (PPSV) should be given once to all adults age > 65. it should also be given to all adults age < 65 with chronic diseases:


Chronic lung disease

  • Asthma
  • COPD
  • Emphysema


  • Chronic cardiovascular disease
  • Diabetes mellitus
  • Chronic liver disease
  • Alcoholism
  • Cochlear implants
  • CSF leaks
  • Immunocompromising diseases

Functional or anatomic asplenia

  • Sickle cell
  • Other hemoglobinopathies
  • Splenectomy
  • Acquired asplenia.

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