The function of the pneumonia vaccine

Written by Li Jiao Yan
Neonatology
Updated on September 07, 2024
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Pneumonia vaccines are generally aimed at preventing infections caused by Streptococcus pneumoniae. There are two common types of vaccines: the 23-valent polysaccharide vaccine, which is suitable for high-risk populations over two years old, and the 7-valent or 13-valent conjugate vaccines, which are mainly used for vaccinating infants under two years of age. Streptococcus pneumoniae is the most common and widespread bacterium causing pneumonia, and pneumonia caused by this bacterium is also the most prevalent worldwide. It is also the most significant pathogen in community-acquired pneumonia in children and a major cause of otitis media, meningitis, and bacteremia in children. The pneumonia vaccines mainly target common serotypes of Streptococcus pneumoniae, such as the 7-valent or 13-valent, designed to prevent infections from seven or thirteen serotypes, respectively, while the 23-valent vaccine aims to prevent infections from 23 serotypes. These pneumonia vaccines play a significant protective role in preventing infections caused by Streptococcus pneumoniae, however, they cannot prevent all cases of pneumonia.

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The difference between interstitial pneumonia and pneumonia

Interstitial pneumonia, also known as diffuse pulmonary interstitial fibrosis, mainly refers to a disease characterized by the replacement of the lung interstitium with some invisible fibrous tissues, leading to lung atrophy and difficulty breathing as the main manifestations. The pathological site of pneumonia is mainly in the alveoli and lung parenchyma, and patients mainly show symptoms such as coughing, expectoration, and fever, generally not experiencing difficulty breathing. Additionally, interstitial pneumonia and pneumonia have typical and distinct changes in imaging. Through imaging, it is basically possible to differentiate almost completely between interstitial pneumonia and pneumonia without the need for any special techniques.

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How is pneumonia treated?

Pneumonia is a common disease in clinical practice, with patients often experiencing symptoms such as fever, cough, and expectoration. If a lung X-ray is taken, shadows can be seen in the lungs. The treatment of pneumonia primarily involves addressing the cause. For instance, if it is bacterial, appropriate sensitive antibiotics are chosen for treatment. If it is caused by a virus, suitable antiviral drugs are selected, and for fungal pneumonia, antifungal drugs should be chosen. If it is related to allergies, anti-allergy medications should be used. Additionally, symptomatic treatment is applied, such as antipyretics for fever. Depending on the situation, medications for cough suppression, phlegm reduction, and asthma relief may also be used. (The use of medications should be under the guidance of a doctor.)

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Is pneumonia contagious?

Pneumonia can be divided into many types, including viral pneumonia, bacterial pneumonia, and those caused by special bacteria such as tuberculosis bacillus, and atypical bacteria such as Legionella, Mycoplasma, Chlamydia, etc. Generally, pneumonia does not cause large-scale disseminated transmission, because most people have normal immune systems that can resist these less virulent bacteria; however, in populations with lower immunity, inhaling droplets from patients with bacterial pneumonia can potentially lead to pneumonia. However, pneumonias caused by "SARS", anthrax, pneumonic plague, etc., are highly contagious and can cause large-scale transmission through droplets, and these are strictly controlled infectious diseases in our country. In cases of open tuberculosis, the patient's sputum and cough droplets might contain the pathogen, which could then infect those in close contact. Infectious pneumonia typically has an abrupt onset, with an incubation period of 2-10 days, and fever as the initial symptom, generally above 38℃, possibly accompanied by chills, coughing, scant sputum, occasional bloody sputum, palpitations, shortness of breath, and in some cases, difficulty breathing. It may also be accompanied by muscle soreness, headaches, joint pain, fatigue, and diarrhea.

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Can pneumonia vaccines prevent mycoplasma pneumonia?

Can pneumonia vaccines prevent Mycoplasma infections? First, we need to understand what pneumonia vaccines are. In our country, the most commonly used pneumonia vaccines are aimed at Streptococcus pneumoniae, which are divided into polysaccharide vaccines and conjugate vaccines. Polysaccharide vaccines are mainly suitable for individuals over two years old and include the 23-valent polysaccharide vaccine. This vaccine can prevent infections caused by twenty-three serotypes that often lead to S. pneumoniae infections, with over 90% of pneumonia caused by these twenty-three serotypes. However, the 23-valent polysaccharide vaccine does not prevent infections caused by other serotypes of S. pneumoniae. Additionally, the conjugate vaccine only prevents infections caused by either seven or thirteen serotypes. Since Mycoplasma is neither a bacterium nor a virus, it cannot be prevented by pneumonia vaccines, and currently, there is no vaccine available specifically for Mycoplasma infections.

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How many doses are there for the pneumonia vaccine?

Currently, there are two types of vaccines commonly used to prevent pneumococcal diseases. One type is the 23-valent polysaccharide vaccine, suitable for high-risk populations over two years old. The other type includes the 7-valent or 13-valent conjugate vaccines, used for vaccinating infants under two years old. The vaccination schedule for the 7-valent or 13-valent vaccines follows a "three plus one" program, which means three primary immunization doses with at least one month between each dose, followed by a booster dose. For the 23-valent vaccine, high-risk individuals over two years old generally require only a single dose; however, immunocompromised patients may need a booster shot, typically recommended five years after the initial vaccination.