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Pneumococcal Vaccine-Prevnar 13

Indication: For active immunization to prevent invasive disease, pneumonia, and otitis media caused by 13 strains of Streptococcus pneumoniae. Recommended for infants, young children, and individuals at increased risk due to health conditions, as well as adults aged 50 years and older.
Route: Administered as an intramuscular injection, typically in the anterolateral aspect of the thigh for infants and the deltoid muscle of the upper arm for older children and adults.
Immunization Schedule: For infants, a primary series of 3 doses at 6 weeks, 10 weeks, and 14 weeks of age, followed by a booster dose at 12-15 months. For unvaccinated older children and adults, the schedule varies based on age and risk factors, typically as a single dose or a catch-up schedule.

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FAQs on Prevnar 13 (Pneumococcal Conjugate Vaccine) Based on Indian Guidelines

1. What is Prevnar 13 used for?

Answer: Prevnar 13 is used for the prevention of invasive diseases (such as meningitis, pneumonia, and bacteremia) and middle ear infections caused by 13 types of Streptococcus pneumoniae. It is recommended for infants, young children, and adults at higher risk of pneumococcal disease.

2. Who should receive the Prevnar 13 vaccine?

Answer:

  • Infants and Young Children: The vaccine is recommended for all infants starting at 6 weeks of age as part of the routine immunization schedule.
  • Adults: Individuals with certain chronic conditions, immunocompromised states, and older adults may receive the vaccine based on a healthcare provider’s recommendation.

3. What is the recommended schedule for infants and young children in India?

Answer:

  • Primary Series: 3 doses are given at 6 weeks, 10 weeks, and 14 weeks of age (following the National Immunization Schedule).
  • Booster Dose: A booster dose is administered at 12-15 months of age.

4. How is Prevnar 13 administered?

Answer: The vaccine is given as an intramuscular (IM) injection. For infants, it is administered in the anterolateral aspect of the thigh. For older children and adults, it is administered in the deltoid muscle of the upper arm.

5. Can older children and adults receive Prevnar 13?

Answer: Yes, older children and adults, especially those at high risk of pneumococcal infections (e.g., chronic heart/lung disease, diabetes, or immunocompromised individuals), can receive the vaccine based on a healthcare provider’s recommendation.

6. Can Prevnar 13 be given with other vaccines?

Answer: Yes, it can be administered alongside other vaccines, but they should be given at separate injection sites. Consult your healthcare provider for more information.

7. What are the common side effects of Prevnar 13?

Answer: Common side effects include redness, swelling, or pain at the injection site, fever, irritability, drowsiness, and decreased appetite. These reactions are generally mild and temporary.

8. How long does immunity last after receiving Prevnar 13?

Answer: Immunity typically lasts for a significant period after completing the recommended doses. For high-risk individuals, additional booster doses may be considered based on healthcare guidance.

9. Is Prevnar 13 recommended for all adults in India?

Answer: No, Prevnar 13 is not routinely recommended for all adults in India. It is specifically recommended for those at high risk of pneumococcal disease, based on the advice of healthcare providers.

10. Are there any individuals who should not receive Prevnar 13?

Answer: Individuals with a severe allergic reaction to any component of the vaccine or a previous dose of a pneumococcal vaccine should not receive Prevnar 13.

11. What should I do if my child misses a scheduled dose?

Answer: If a dose is missed, consult your healthcare provider to determine an appropriate catch-up schedule to ensure continued protection.

12. Can Prevnar 13 be given to pregnant women?

Answer: The use of Prevnar 13 during pregnancy is generally not recommended unless specifically advised by a healthcare provider due to high risk.

13. How does Prevnar 13 differ from other pneumococcal vaccines?

Answer: Prevnar 13 targets 13 strains of Streptococcus pneumoniae and is primarily used for children, while other pneumococcal vaccines like Pneumovax 23 cover different or additional strains and are often used for adults and high-risk populations.