National Program for Quality Indicators in community Healthcare. From the community to the community - Information-based health

Elderly Health

Pneumococcal vaccination in older adults (ages 65-74 years)

counter:

Individuals in the denominator who were actually vaccinated against pneumococcus after age 65 or within the last 5 years


denominator:

Individuals aged 65 to 74


Infections caused by the pneumococcal bacteria (Streptococcus pneumoniae) are a significant cause of illness and death worldwide, especially among children and the elderly. These infections include pneumonia, ear infections, and invasive diseases such as meningitis, bloodstream infections, and sepsis (1). Risk factors for complications include age (over 65 and under 2), chronic conditions like diabetes, heart and lung diseases, and weakened immune systems. Pneumococcus is common, with higher rates of illness in adults during winter months. The adult pneumococcal vaccine contains purified polysaccharide antigens from 23 common strains and is 50%-70% effective against invasive disease, though effectiveness decreases with age and falls below 50% in those over 85 (2). The Ministry of Health recommends vaccination starting at age 2 for high-risk groups, and for adults 65 and older who have never been vaccinated or who received a dose before age 65 if at least 5 years have passed since that dose. (3)


Goldblatt D, O’Brien KL. Pneumococcal Infections. In: Kasper D, Fauci A, Hauser S, Longo D,1 Jameson JL LJ. Pneumococcal Infections| Harrison’s Principles of Internal Medicine. 2019th ed. New York; 2015.

2. O’Brien KL, Wolfson LJ, Watt JP, Henkle E, Deloria-Knoll M, McCall N, et al. Burden of disease caused by Streptococcus pneumoniae in children younger than 5 years: global estimates. Lancet [Internet]. 2009;374(9693):893–902. Available from: http://dx.doi.org/10.1016/S0140-6736(09)61204-6

3. משרד הבריאות. דוח מסכם – עונת השפעת 2016-2017. המרכז הלאומי לבקרת מחלות. 2017


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Last updated:
04.03.2023