title: Pneumococcal Vaccination Guidance for Post-Acute and Long-Term Care Settings: Recommendations From AMDA's Infection Advisory Committee.
abstract: Efforts at preventing pneumococcal disease are a national health priority, particularly in older adults and especially in post-acute and long-term care settings The Advisory Committee on Immunization Practices recommends that all adults ≥65 years of age, as well as adults 18-64 years of age with specific risk factors, receive both the recently introduced polysaccharide-protein conjugate vaccine against 13 pneumococcal serotypes as well as the polysaccharide vaccine against 23 pneumococcal serotypes. Nursing facility licensure regulations require facilities to assess the pneumococcal vaccination status of each resident, provide education regarding pneumococcal vaccination, and administer the appropriate pneumococcal vaccine when indicated. Sorting out the indications and timing for 13 pneumococcal serotypes and 23 pneumococcal serotypes administration is complex and presents a significant challenge to healthcare providers. Here, we discuss the importance of pneumococcal vaccination for older adults, detail AMDA-The Society for Post-Acute and Long-Term Care Medicine (The Society)'s recommendations for pneumococcal vaccination practice and procedures, and offer guidance to postacute and long-term care providers supporting the development and effective implementation of pneumococcal vaccine policies.
authors.affiliation: Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA. Electronic address: naceda@upmc.edu.
authors.forename: David A
authors.initials: DA
authors.lastname: Nace
authors.affiliation: Divisions of General, Geriatric, Palliative, and Hospital Medicine and Infectious Diseases and International Health, Department of Internal Medicine, University of Virginia, Charlottesville, VA.
authors.forename: Laurie R
authors.initials: LR
authors.lastname: Archbald-Pannone
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE.
authors.forename: Muhammad S
authors.initials: MS
authors.lastname: Ashraf
authors.affiliation: Divisions of Internal Medicine and Geriatric Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Drinka
authors.affiliation: American Institutes for Research, Chapel Hill, NC.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Frentzel
authors.affiliation: Northeast Georgia Health System, Gainesville, GA; Senior Care Advances, Gainesville, GA.
authors.forename: Swati
authors.initials: S
authors.lastname: Gaur
authors.affiliation: Chicago Internal Medicine Practice and Research (CIMPAR), Chicago, IL; University of Illinois, Chicago, IL.
authors.forename: Dheeraj
authors.initials: D
authors.lastname: Mahajan
authors.affiliation: Department of Family and Community Medicine, University of Missouri-Columbia School of Medicine, Columbia, MO.
authors.forename: David R
authors.initials: DR
authors.lastname: Mehr
authors.affiliation: Peterson Rehabilitation Hospital and Geriatric Center, Wheeling, WV; Wheeling Ohio County Health Department, Wheeling, WV.
authors.forename: William C
authors.initials: WC
authors.lastname: Mercer
authors.affiliation: Program on Aging, Disability and Long-Term Care, Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC.
authors.forename: Philip D
authors.initials: PD
authors.lastname: Sloane
authors.affiliation: Geriatric Research Education and Clinical Center, Division of Infectious Diseases, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University, Cleveland, OH.
authors.forename: Robin L P
authors.initials: RL
authors.lastname: Jump
mesh_terms: D000328:Adult; D026683:Advisory Committees; D000368:Aged; D006801:Humans; D008134:Long-Term Care; D008875:Middle Aged; D009735:Nursing Homes; D011008:Pneumococcal Infections / Q000517:prevention & control*; D022242:Pneumococcal Vaccines / Q000008:administration & dosage*; D017410:Practice Guidelines as Topic; D013296:Streptococcus pneumoniae; D018074:Vaccines, Conjugate; D055815:Young Adult
chemical_list: D022242:Pneumococcal Vaccines; D018074:Vaccines, Conjugate
keywords: Nursing home; aged; pneumococcal infections; pneumococcal vaccines; policy