Vaccination against pneumococcus hno praxis in gelsenkirchen buer

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Vaccination against pneumococci

Demand for pneumococcal vaccination has risen sharply in connection with the coronavirus pandemic. Pneumococcal diseases are caused by bacteria from the streptococcus family. They cause the majority of all bacterial pneumonias!

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The Standing Commission on Vaccination has adjusted its recommendations regarding pneumococcal vaccination during the current pandemic. Seniors aged 70 and older and people with certain pre-existing conditions were urged to be vaccinated against pneumococcus, as people in this age group have an increased health risk of contracting SARS-CoV-2. In addition, infants. Infants up to the age of two should be vaccinated. Vaccination reduces the risk of getting sick at all or suffering severe complications.

Pneumococcus: infection

Pneumococci are transmitted like an influenza infection by droplet infection – for example when coughing or sneezing. The bacteria are found in the nasopharynx of many people without them falling ill. Therefore, they can also be passed on by healthy people.

Pneumococcus: course of the disease

It is not known exactly why pneumococci cause sudden illness in some people and not in others. Even healthy people can be affected. However, this happens more easily with weakened body defenses – for example, after a viral illness or with chronic diseases. Infants and young children, as well as older people, are more likely to contract pneumococcus. With increasing age, the body's defenses weaken and chronic diseases increase.

Pneumococci can cause various diseases – including sinusitis, middle ear infection, meningitis or blood poisoning (sepsis). In addition, they are responsible for 20 to 50 percent of all pneumonias caused by bacteria in older adults. Some of these diseases can be life-threatening. In severe cases, about one in ten of those infected dies as a result of the pneumococcal infection. People with weakened immune systems are particularly at risk.

Pneumococcal diseases can be treated with antibiotics. However, resistance is increasing, making drugs less effective. Protection through vaccination is therefore becoming increasingly important.

Pneumococcus: Vaccination

The Standing Commission on Vaccination (STIKO) recommends vaccination against pneumococci for all adults over the age of 60.

Because of the limited duration of vaccination protection against pneumococci, the STIKO actually considers a booster with a minimum interval of 6 years to be advisable from a medical point of view for all adults aged 60 and over. However, a general booster is not currently recommended for this age group! Repeat vaccination of healthy people over 60 years of age should therefore be carried out by the doctor. be assessed by the doctor.

In addition, vaccination against pneumococci is recommended for all persons with increased health risk due to certain pre-existing conditions or with occupational risk. This includes individuals

whose immune system is weakened – whether due to congenital defects of the immune system, missing or non-functioning spleen, HIV infection, bone marrow or organ transplantation or for other reasons.

who suffer from chronic diseases such as diabetes, chronic diseases of the heart or respiratory organs as well as liver or kidney diseases or diseases of the nervous system.

With chronic respiratory diseases (z.B. asthma or COPD).

who have an increased risk of meningitis – e.g. B. due to a cochlear implant or a cerebrospinal fluid fistula.

who have an increased risk due to their occupation (welding and cutting of metals, risk due to inhalation of metal smoke).

For these risk groups a repetition of the vaccination is recommended after a period of at least six years. In the case of the above-mentioned pre-existing conditions, vaccination with an additional vaccine against pneumococci is sometimes also recommended. Please talk to your doctor or. your doctor about the order of vaccinations. The intervals between vaccination appointments.

Also for children from the completed second month of life up to the 2. The Permanent Vaccination Commission (STIKO) at the Robert Koch Institute recommends vaccination against pneumococci after the age of six. More information about suitable vaccination dates and vaccines for children can be found on the pages of the Federal Center for Health Education under Pneumococcal Vaccination in Children.

Possible vaccination reactions and side effects

Often there is a reddening or swelling at the injection site due to the stimulation of the body's own defenses, which may also hurt. General symptoms such as fever, headache, fatigue, muscle and joint pain may also occur in the first three days after vaccination. Such vaccination reactions usually subside after one to three days.

Severe side effects are rare. An allergic reaction (z. B. hives) is possible. Very rarely, the number of platelets (responsible for blood clotting) may temporarily decrease.

When not to vaccinate?

People should not be vaccinated at all times. If someone is acutely ill or has a high fever above 39 degrees Celsius, the vaccination must be postponed. Also, in case of allergies to the active ingredient or additives, as well as immune disorders, you must seek individual advice from us. In autoimmune diseases such as the thyroid disease Hashimoto's thyroiditis, patients can get. According to the Robert Koch Institute (RKI), patients should still be vaccinated as a rule. Dead vaccines do not pose any increased risk for you. Vaccination protection may be lower – but this can be tested beforehand. For all other vaccines, what matters in the end is what exactly is to be vaccinated and the person's current health status.

Pneumococcal or influenza vaccinations can, however, worsen the existing immune disease. For this reason, the doctor and patient must discuss the advantages and disadvantages, the protective effect and the risks together and weigh them up well. In certain therapies, the immune system is suppressed in a targeted manner. This must be taken into account when vaccinating, since, for example, the pathogens can multiply more strongly in the case of a live vaccine than is the case with healthy people and a typical vaccination.

In our ENT practice in Gelsenkirchen-Buer we are the contact for vaccination. Just talk to us.

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