CHECK TITRE BEFORE VACCINATION?

No

RECOMMENDATIONS / COMMENTS

Give according to routine schedule§
In adults, if no prior pneumococcal vaccine:

  • Give one dose Prevnar® 13 (or PCV 15), wait 8 weeks minimum, then give one dose Pneumovax® 23 (see below)
  • Alternatively, one dose of Prevnar® 20 can be given


One-time booster after 5 years (if first vaccine was given at > 10 years of age) or 3 years (if first vaccine given at ≤ 10 years) and immunosuppressed.

*PCV-13, PCV-15 and PPSV-23 should not be routinely used in patients at increased risk of invasive pneumococcal disease (IPD) unless PCV-20 is not available (or not funded by the provincial/territorial public health vaccination program)

*Pneu-C-20 should be the product of choice for routine and catch-up immunization in children less than 5 years of age who are at increased risk of IPD. Please refer to Canadian Immunization Guide for recommended schedules.

https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-4-active-vaccines/page-16-pneumococcal-vaccine.html