Pneumococcal Vaccine in Pediatric

Availability:

• Pneumococcal Vaccine  Polyvalent (Pneumox 23)
• Pneumococcal Vaccine, Conjugate, 13 Valent (Prevenar 13)

Recommendation:

Missed / Catch-up Doses:
Unvaccinated high risk children 2-5 years

• give 2 doses of PCV 13 (6-8weeks apart)
• Administer 1 dose of PPSV23 to children age 2 years and older at least 8 weeks after the child has received the final dose of PCV13 (if possible). 
• Children with an immunocompromising condition, or functional or anatomic asplenia should receive a second dose of PPSV23 5 years after the first PPSV23
• PPSV23 can be given for children above 2 years

Unvaccinated healthy children 2-5 years

• single dose of PCV 13 

Reference:

1. www.immunize.org/catg.d/p3086
2. Malaysian Paediatric Protocols, 3rd edition.