Spectrum: Local Antimicrobial Stewardship, for Markham Stouffville Hospital

Pneumococcal Vaccine - Eligibility

Eligibility

For adults aged 65 years or older OR

For adults with medical conditions resulting in

high risk of invasive pneumococcal disease (IPD)

Medical Conditions Resulting in High Risk of IPD

Non-Immunocompromising Conditions

  • Chronic CSF leak

  • Chronic neurologic condition that may impair clearance of oral secretions

  • Cochlear implants

  • Chronic heart disease

  • Diabetes

  • Chronic kidney disease (CKD)*

  • Chronic liver disease, including cirrhosis from any cause*

  • Chronic lung disease, including asthma requiring medical care in the preceding 12 months

*Indicates patients with the highest risk of IPD

Immunocompromising Conditions

These patients have the highest risk of IPD

  • Sickle cell disease

  • Congenital/acquired asplenia,

Splenic dysfunction (see Section B)

  • Congenital immunodeficiencies involving any part of immune system

  • Immunocompromising therapy (steroids, chemotherapy, radiation therapy, post-organ transplant therapy)

  • HIV infection

  • Hematopoietic stem cell transplant (HSCT)

  • Malignant neoplasms, including leukemia, lymphoma

  • Nephrotic syndrome

  • Solid organ or islet transplant (candidate or recipient)