Pneumococcal Vaccination Guidance for Post-Acute and Long-Term Care Settings: Recommendations From AMDA's Infection Advisory Committee.
David A Nace, Laurie R Archbald-Pannone, Muhammad S Ashraf and 8 others
PMID 28126142WHAT IT FOUND
Post-acute and long-term care residents should be assessed and offered pneumococcal vaccines under current ACIP guidance, which recommends both for many older adults.
Key findings
01The Society supports pneumococcal vaccination of post-acute and long-term care residents consistent with ACIP and CDC.
02Facilities are expected to assess each resident's pneumococcal vaccination status, provide education about the vaccines, and offer the vaccines to eligible residents.
03Current ACIP recommendations summarized in the article call for both pneumococcal vaccines in adults 65 years or older and those with chronic health conditions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a society policy statement and implementation guidance, not a new clinical trial or systematic review, so it does not directly test the recommendations. The evidence it cites is summarized narratively, and the article does not describe a full systematic search or appraisal. It does not provide a patient-specific dosing schedule; current ACIP intervals and individual risk conditions must still be checked. It does not report outcomes from the facilities or residents involved in the environmental scan or interviews.
The easy way to misread this
Do not treat this as a new trial showing that pneumococcal vaccination works in post-acute and long-term care. It is a policy statement and guidance document summarizing existing recommendations and evidence.