Vaccinations / Pneumococcal / Recommended Risk Groups

RECOMMENDED RISK GROUPS FOR PNEUMOCOCCAL VACCINATIONS

• Those aged 65 years and above.

Those aged 19 years or older with certain medical conditions:

• Immunocompetent adults with chronic medical conditions, including: alcoholism; cigarette smoking; diabetes mellitus; chronic heart disease including congestive heart failure and cardiomyopathies; chronic liver disease; and chronic lung disease including chronic obstructive pulmonary disease, emphysema and asthma;

• Immunocompetent adults with cochlear implants and cerebrospinal fluid leaks;

• Those with functional or anatomical asplenia due to congenital or acquired asplenia, sickle cell disease or other hemoglobinopathies, or elective splenectomy;

• Immunocompromised persons, including those with chronic renal failure or nephrotic syndrome; generalised malignancy including Hodgkin disease, leukaemia, lymphoma and multiple myeloma; Human Immunodeficiency Virus infection; or solid organ transplant recepients;

• Those with congenital or acquired immunodeficiencies, such as B (humoral) or T-lymphocyte deficiency, complement deficiencies or phagocytic disorders; or,

• Those with iatrogenic immunosuppression (eg, due to immunosuppressive drugs, long-term systemic corticosteroids or radiation therapy.

- Clinical Practice Guidelines on Adult Vaccinations in Singapore, Society of Infectious Disease (Singapore)