Cleveland Clinic Journal of MedicineUpdate on Pneumococcal Vaccination in Adults: Simpler is Better

Pneumococcal vaccination guidelines for adults have been updated with the goal of preventing more invasive pneumococcal disease while also making the guidelines clearer and simpler to follow:

• Adults over 18 years of age who have not received a vaccine should be given an initial dose and a follow-up dose one year later.
• Those who previously received PCV13 should be given PPSV23 ideally, or PCV20 if the former is not available.
• Those who previously received PPSV23 may be given one dose of PCV20 or 15 after at least 1 year.