This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

David S. Fedson, MD
University of Virginia Health Sciences Center Charlottesville

JAMA. 1991;265(2):211-212.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply. —

It should be noted that our study did not call for universal pneumococcal vaccination of all persons. We studied a population of elderly Medicare enrollees. We suggested that immunization at the time of hospital discharge would be a useful strategy for ensuring that the majority of elderly persons otherwise destined to be hospitalized with pneumonia receive pneumococcal vaccine. The Immunization Practices Advisory Committee (ACIP) goes even further in its recommendation for universal pneumococcal vaccination for all persons aged 65 years or older, regardless of whether they have had a recent episode of hospital care.

Dr Temianka is concerned about the possible increased risk of adverse reactions following inadvertent revaccination of patients who previously have received pneumococcal vaccine. In 1989,¹ the ACIP summarized all previously published reports and included the results of an unpublished randomized, controlled trial evaluating the risks of increased adverse reactions following revaccination with . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?