====== Pneumococcal vaccine ======

===== Indications =====

==== Posttraumatic meningitis treatment ====

In [[posttraumatic meningitis treatment]]: for adults (age ≥ 19 years) with [[cerebrospinal fluid fistula]] who have not received any pneumococcal [[vaccine]]s, or for those with unknown vaccination history, the CDC recommends 1 dose of PCV13 and 1 or 2 doses of PPSV23 as follows
((CDC. Pneumococcal vaccine timing for adults. 2015. https://www.cdc.gov/vaccines/vpd/pneumo/downloads/pneumo-vaccine-timing.pdf))
(Note: these [[recommendation]]s are specific for adults with [[CSF leak]]s and differ from general vaccination recommendations):

● 1 dose of pneumococcal conjugate vaccine (pneumococcal PCV13) (e.g. Prevnar 13)

● 1 dose of pneumococcal polysaccharide vaccine (PPSV23) (e.g. Pneumovax, Merck) at least 8 weeks later

● for patients ≥ 65 years: PPSV23 ≥ 8 weeks after PCV13 and ≥ 5 years after any PPSV23 at < 65 years

===== Skull base fracture =====

In [[skull base fracture]], if there is a [[CSF leak]], [[pneumococcal vaccine]] is recommended for adults age 2–65 years
((Immunize.org. Pneumococcal Vaccines (PCV13 and PPSV23).2017.http://www.immunize.org/askexperts/experts_pneumococcal_vaccines.asp)).