eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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3/2022
vol. 24
 
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abstract:
Original paper

Pneumococcal vaccination among adults – updated Polish recommendations

ERNEST KUCHAR
1
,
ADAM ANTCZAK
2
,
ANNA SKOCZYŃSKA
3
,
ANDRZEJ FAL
4, 5
,
JACEK WYSOCKI
6
,
JOLANTA WALUSIAK-SKORUPA
7
,
MAŁGORZATA CZAJKOWSKA-MALINOWSKA
8
,
AGNIESZKA MASTALERZ-MIGAS
9
,
ROBERT FLISIAK
10
,
ANETA NITSCH-OSUCH
11

1.
Department of Paediatrics with Clinical Assessment Unit, Medical University of Warsaw, Warsaw, Poland
2.
Department of General and Oncological Pulmonology, Medical University of Lodz, Lodz, Poland
3.
National Reference Centre for the Diagnostics of Bacterial Infections of the Central Nervous System (KOROUN), Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Warsaw, Poland
4.
Department of Allergology, Lung Diseases and Internal Diseases, Central Clinical Hospital of the Ministry of Interior and Administration, Warsaw, Poland
5.
Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, Warsaw, Poland
6.
Chair and Department of Health Prevention, Faculty of Health Sciences Poznan University of Medical Sciences, Poznan, Poland
7.
Department of Occupational Diseases and Environmental Health, Nofer Institute of Occupational Medicine, Lodz, Poland
8.
Department of Lung Diseases and Respiratory Failure, Centre of Sleep Medicine and Respiratory Care, Kujawy-Pomerania Pulmonology Centre, Bydgoszcz, Poland
9.
Department of Family Medicine, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland
10.
Department of Infectious Diseases and Hepatology, Medical University of Bialystok, Bialystok, Poland
11.
Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland
Family Medicine & Primary Care Review 2022; 24(3): 285–291
DOI: https://doi.org/10.5114/fmpcr.2022.119420
Online publish date: 2022/10/03
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Diseases caused by Streptococcus pneumoniae (S. pneumoniae) can be either invasive or non-invasive. In adults, pneumococcal infections most often occur as pneumonia, one of the leading causes of hospitalisation in these patients in Poland. Multiple factors predispose patients to the severe course of pneumococcal disease, including age, comorbidities, immune disorders and unhealthy behaviours, whereas the accumulation of coexisting conditions leads to risk stacking. Therefore, prophylactic vaccinations should be the preferred form of protection against pneumococcal infections in adults, based on high vaccination effectiveness and a relatively low risk of adverse events. Importantly, the current recommendations need to be updated in the context of epidemiological changes and the registration of new conjugate vaccines. This publication aims to present the current knowledge on the prevention of pneumococcal disease among adults and establish practical recommendations on the appropriate immunisation schedules used in Poland.
keywords:

Streptococcus pneumoniae, immunization, evidence-based medicine, communicable diseases, public health, aged

  
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