HOME
ABOUT IAC
CONTACT
A-Z INDEX
DONATE
SHOP
SUBSCRIBE
Immunization Action Coalition
IAC Home
|
Technically Speaking
|
January 2016
Technically Speaking
Monthly Column by Deborah Wexler, MD
Deborah Wexler MD
Technically Speaking is a monthly column written by IAC’s Executive Director Deborah Wexler, MD. The column is featured in The Children's Hospital of Philadelphia Vaccine Education Center’s (VEC's) monthly e-newsletter for healthcare professionals. Technically Speaking columns cover practical topics in immunization delivery such as needle length, vaccine administration, cold chain, and immunization schedules.
Check out a recent issue of Vaccine Update for Healthcare Providers. The VEC e-newsletter keeps providers up to date on vaccine-related issues and includes reviews of recently published journal articles, media recaps, announcements about new resources, and a regularly updated calendar of events.
TECHNICALLY SPEAKING
Remember to Routinely Administer TWO Pneumococcal Vaccines One Year Apart to Healthy Adults Age 65 and Older
Published January 2016
Information presented in this article may have changed since the original publication date. For the most current immunization recommendations from the Advisory Committee on Immunization Practices, visit www.immunize.org/acip/acip_vax.asp.
In Sept. 2014, the Centers for Disease Control and Prevention (CDC) released recommendations for the use of two pneumococcal vaccines for routine vaccination of healthy adults age 65 years and older. The recommendations currently state:
Administer one dose of pneumococcal conjugate vaccine (PCV13, Prevnar13®, Pfizer) to people age 65 years and older if they have not received a dose in the past.
Administer one dose of pneumococcal polysaccharide vaccine (PPSV23, Pneumovax®, Merck) one year following the PCV13 dose. If your patient received PCV13 at an age younger than 65, administer PPSV23 at age 65 years (at least one year after PCV13).
If your patient already received a dose of PPSV23 at age 65 or older, they don’t need another dose.
Where we’ve been and where we are now
Beginning in 1984, the Advisory Committee on Immunization Practices (ACIP) recommended the use of PPSV23 universally for all adults age 65 and older. This vaccination has been part of the official U.S. adult immunization guidance for more than 30 years.
In Sept. 2014, the second pneumococcal vaccine, PCV13, was added to the routine immunization schedule for healthy adults age 65 years and older.
When the recommendations to give these two pneumococcal vaccines to adults were first issued, the doses of PCV13 and PPSV23 were to be spaced at least six months apart. In Sept. 2015, ACIP changed the recommended interval between the two doses, extending it to one year for healthy adults.
Both pneumococcal vaccines are fully covered under Medicare
Like influenza vaccine, both doses of pneumococcal vaccine for people 65 years and older are covered at 100 percent under Medicare Part B. There is no out-of-pocket expense for people on Medicare. The doses must be administered one year apart (and should not be given at the same visit).
Vaccinating people younger than age 65
CDC has published recommendations for the use of both PCV13 and PPSV23 in people younger than age 65 who have certain high-risk conditions. Consult the ACIP recommendations for details.
Tips for vaccinating people age 65 and older
1.
Use every office visit as an opportunity to assess your patient’s immunization needs and to vaccinate (or refer).
2.
During an influenza vaccination visit, remember to also administer PCV13 if your patient needs it.
3.
During the next year’s influenza vaccination visit, remember to administer PPSV23 at that same visit, if your patient needs it (if it's been at least one year since receipt of the PCV13 dose).
4.
If your patient doesn’t know (and can’t find out) if they received PCV13 or PPSV23 in the past, administer PCV13 now. One year later, administer PPSV23. Document the doses and give your patient a hand-held record card.
5.
If you have an adult immunization registry in your state or region, enter the doses into it.
6.
Make sure that your patient has also received all other routinely recommended vaccines, including zoster (shingles) and Tdap.
7.
If you don’t administer some or all adult vaccines in your practice, refer your patient to a pharmacy or other community vaccination setting. This way you help them stay up to date with their recommended vaccines.
Pneumococcal vaccine resources from IAC
Ask the Experts Q&A from CDC Experts – Pneumococcal Vaccines
Pneumococcal Vaccines: CDC Answers Your Questions
Standing Orders for Administering Pneumococcal Vaccines to Adults
Protect yourself from pneumococcal disease...Get vaccinated!
2016 ISSUES >> view all
NOVEMBER 2016
Who Needs Hepatitis B Serologic Testing before or after Vaccination?
OCTOBER 2016
Hepatitis B Vaccination for Adults — Who Needs It and When?
SEPTEMBER 2016
What’s New in the Influenza Vaccination Recommendations for the 2016-17 Season?
AUGUST 2016
Let's Review — Routine Hepatitis B Vaccination Schedules For Infants, Children and Teens
JULY 2016
How You Can Help Overcome Low Vaccination Rates among Adults
JUNE 2016
Give a Strong Recommendation for HPV Vaccine for All Preteens and Young Adults
MAY 2016
Just Released! IAC's May Edition of Needle Tips
APRIL 2016
CDC Experts Answer 1,000+ Vaccine-related Questions at Immunize.org
MARCH 2016
Using Standing Orders to Vaccinate Increases Coverage Rates and Protects Patients
FEBRUARY 2016
Just Released! CDC's Official Immunization Schedules for 0- to 18-year-olds and for Adults
JANUARY 2016
Remember to Routinely Administer TWO Pneumococcal Vaccines One Year Apart to Healthy Adults Age 65 and Older
 
This page was updated on February 15, 2016.
This page was reviewed on February 15, 2016.
 
- Guide to immunize.org -
A-Z INDEX
ABOUT IAC
IAC in the News
Staff
IAC History through Film
ACIP
RECOMMENDATIONS
ADOLESCENT VACCINATION
ADULT VACCINATION
ADULT VACCINATION GUIDE
ASK THE EXPERTS
Administering Vaccines
COVID-19
COVID-19 & Routine Vac
Hepatitis B
MMR
Storage and Handling
>> view all
BECKY PAYNE AWARD
BILLING & CODING
BIRTH DOSE GUIDEBOOK
CALENDAR OF EVENTS
CDC INFORMATION
CDC SCHEDULES
CLINIC TOOLS
Administering Vaccines
Adolescent Vaccination
Adult Vaccination
Screening for Contraindications
Storage & Handling
Vaccination and COVID-19
Vaccine Recommendations
>> view all
COALITIONS FOR
IMMUNIZATION
CONTRIBUTE TO IAC
COVID-19 RELATED
Ask the Experts: COVID-19
Ask the Experts: COVID-19
   & Routine Vac
Clinic Tools: Vaccination and
   COVID-19
Repository of Resources
Vaccines: COVID-19
DEAR COLLEAGUE LETTERS
16-year-old Visit
HPV
MenACWY Dose #2
DONATE TO IAC
EDUCATIONAL MATERIALS
EMAIL NEWS SERVICES
E-NEWSLETTER: IAC EXPRESS
EXEMPTIONS
FAQs
FAVORITES
FDA PACKAGE INSERTS
FILMS ABOUT IAC
GIVE BIRTH TO THE
END OF HEP B
HANDOUTS FOR
PATIENTS & STAFF
View All Materials
Administering Vaccines
Adolescent Vaccination
Adult Vaccination
Contraindications / Precautions
Documenting Vaccination
Healthcare Personnel
Managing Vaccine Reactions
Parent Handouts
Pregnancy and Vaccines
Q&As: Diseases and Vaccines
Q&As: Easy-to-Read
Schedules for Patients
Screening Checklists
Standing Orders Templates
Storage & Handling
Strategies & Policies
Temperature Logs
Top Handouts
Vaccine Confidence
Vaccine Recommendations
>> view all
HEP B BIRTH DOSE
HONOR ROLLS
Hep B Birth Dose
Mandatory Flu Vaccination for HCP
MenB Vaccination for Colleges
IAC EXPRESS
Subscribe to IAC Express
IMAGE LIBRARY
LAWS AND MANDATES
MANUFACTURERS
MASS VACCINATION
RESOURCES
NATIONAL ADULT &
INFLUENZA
IMMUNIZATION SUMMIT
NEWS & INFORMATION
NEWSLETTER SIGN UP
OFFICIAL RELEASES
ACIP
CDC
FDA
PACKAGE INSERTS
PARTNERS
PHARMACISTS
PHOTOS
POWERPOINT SLIDE SETS
PREGNANCY AND
VACCINES
PRESS ROOM
PROTECT NEWBORNS
FROM HEP B
PUBLICATIONS
IAC Express
Vaccinating Adults:
   A Step-by-Step Guide
Hepatitis B What Hospitals
   Need to Do to
   Protect Newborns
Needle Tips Archive
Vaccinate Adults Archive
Vaccinate Women Archive
REGISTRIES
SCHOOL VACCINATION REQUIREMENTS
SHOP IAC
DVD Immunization Techniques
Laminated Schedules
Patient Record Cards
Flu Vaccine Buttons and Stickers
"Vaccines Save Lives" Pins
SITE MAP
SLIDE SETS
STANDING ORDERS
STATE INFORMATION
Immunization Websites
Laws and Mandates for School Entry
Immunization Program Managers
SUBSCRIBE TO IAC EXPRESS
SUPPORT IAC
TALKING ABOUT VACCINES
Adjuvants & Ingredients
Autism
Importance of Vaccination
MMR Vaccine
Religious Concerns
Vaccine Safety
>> view all
TECHNICALLY SPEAKING
(ARCHIVE)
TRANSLATIONS
IAC Handouts
VISs
TRAVEL (INTERNATIONAL)
UNPROTECTED PEOPLE
STORIES
Chickenpox
Hepatitis B
Measles
Whooping Cough
>> view all
VACCINATING ADULTS:
A STEP-BY-STEP GUIDE
VACCINE INFORMATION
STATEMENTS
Translations
VACCINE
MANUFACTURERS
VACCINE POLICY &
LICENSURE
ACIP
FDA
WHO
VACCINE SAFETY
VACCINE TIMELINE
VACCINES
COVID-19
Hepatitis B
HPV (Human papillomavirus)
Influenza
Pertussis
Varicella
>> view all
VIDEO OF THE WEEK
VIDEO LIBRARY
VISs
Translations
WHAT'S NEW OR UPDATED AT IAC
Handouts
VISs and Translations
Web Pages
 
Immunization Action Coalition  •  2550 University Avenue West  •  Suite 415 North  •  Saint Paul, Minnesota  •  55114
tel 651-647-9009  •  fax 651-647-9131
 
 
 
This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 1NH23IP922654) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.