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Pneumococcal Carriage and Vaccine Coverage in Retirement Community Residents.

Publication ,  Journal Article
Becker-Dreps, S; Kistler, CE; Ward, K; Killeya-Jones, LA; Better, OM; Weber, DJ; Zimmerman, S; Nicholson, BP; Woods, CW; Sloane, P
Published in: J Am Geriatr Soc
October 2015

OBJECTIVES: To evaluate pneumococcal immunization in older adults living in retirement communities and to measure nasopharyngeal carriage of Streptococcus pneumoniae to better assess the potential for herd protection from the 13-valent pneumococcal conjugate vaccine (PCV-13) in these settings. DESIGN: Cross-sectional observational study of adults aged 65 and older living in retirement communities to determine coverage with 23-valent pneumococcal vaccine (PPSV-23), coverage with PCV-13 in immuncompromised individuals according to 2012 Advisory Committee on Immunization Practices (ACIP) guidelines, and nasopharyngeal carriage of S. pneumoniae. SETTING: Two retirement communities in North Carolina. PARTICIPANTS: Older adults recruited between December 2013 and April 2014 (N = 21, 64.8% female, mean age 81.4). MEASUREMENTS: A survey was used to assess chronic illnesses, immunization history, and potential risk factors for pneumococcal carriage; a chart review was used to confirm immunization history and abstract chronic conditions; and a nasopharyngeal swab was collected and cultured for S. pneumoniae. RESULTS: Eighty-seven percent of participants reported receiving PPSV-23 since age 65. Of the 16.2% of participants with an immunocompromising condition, only one had received PCV-13. Nasopharyngeal carriage with S. pneumoniae was detected in 1.9% (95% confidence interval = 0.0-3.8%) of participants. CONCLUSION: In this select sample, PPSV-23 coverage was high, but adherence to the ACIP recommendation for PCV-13 in immunocompromised groups was low. Nasopharyngeal carriage of S. pneumoniae was present, although infrequent, suggesting that immunization with PCV-13 could provide an individual benefit and a small degree of herd protection.

Duke Scholars

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

October 2015

Volume

63

Issue

10

Start / End Page

2094 / 2098

Location

United States

Related Subject Headings

  • Vaccines, Conjugate
  • Vaccination
  • Streptococcus pneumoniae
  • Pneumonia, Pneumococcal
  • Pneumococcal Vaccines
  • North Carolina
  • Nasopharynx
  • Male
  • Immunocompromised Host
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Becker-Dreps, S., Kistler, C. E., Ward, K., Killeya-Jones, L. A., Better, O. M., Weber, D. J., … Sloane, P. (2015). Pneumococcal Carriage and Vaccine Coverage in Retirement Community Residents. J Am Geriatr Soc, 63(10), 2094–2098. https://doi.org/10.1111/jgs.13651
Becker-Dreps, Sylvia, Christine E. Kistler, Kimberly Ward, Ley A. Killeya-Jones, Olga Maria Better, David J. Weber, Sheryl Zimmerman, Bradly P. Nicholson, Chris W. Woods, and Philip Sloane. “Pneumococcal Carriage and Vaccine Coverage in Retirement Community Residents.J Am Geriatr Soc 63, no. 10 (October 2015): 2094–98. https://doi.org/10.1111/jgs.13651.
Becker-Dreps S, Kistler CE, Ward K, Killeya-Jones LA, Better OM, Weber DJ, et al. Pneumococcal Carriage and Vaccine Coverage in Retirement Community Residents. J Am Geriatr Soc. 2015 Oct;63(10):2094–8.
Becker-Dreps, Sylvia, et al. “Pneumococcal Carriage and Vaccine Coverage in Retirement Community Residents.J Am Geriatr Soc, vol. 63, no. 10, Oct. 2015, pp. 2094–98. Pubmed, doi:10.1111/jgs.13651.
Becker-Dreps S, Kistler CE, Ward K, Killeya-Jones LA, Better OM, Weber DJ, Zimmerman S, Nicholson BP, Woods CW, Sloane P. Pneumococcal Carriage and Vaccine Coverage in Retirement Community Residents. J Am Geriatr Soc. 2015 Oct;63(10):2094–2098.
Journal cover image

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

October 2015

Volume

63

Issue

10

Start / End Page

2094 / 2098

Location

United States

Related Subject Headings

  • Vaccines, Conjugate
  • Vaccination
  • Streptococcus pneumoniae
  • Pneumonia, Pneumococcal
  • Pneumococcal Vaccines
  • North Carolina
  • Nasopharynx
  • Male
  • Immunocompromised Host
  • Humans