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Pneumococcal Disease and Adolescents

TeensAbout Pneumococcal Disease

Although the incidence of pneumococcal disease among adolescents is the lowest of any age group, about 6.8 million children and adolescents age 2 to 18 years have chronic illnesses―diabetes or chronic heart, lung, liver, or kidney disorders―that place them at high risk for pneumococcal disease and related complications.

Pneumococcal disease is caused by common bacteria (Streptococcus pneumoniae) that can attack different parts of the body. When these bacteria invade the lungs, they can cause pneumonia; when they invade the bloodstream, they can cause sepsis; and when they invade the covering of the brain, they can cause meningitis. The bacteria can also cause middle ear infection (otitis media) and sinusitis.

Pneumococcal Vaccine for Adolescents

All children younger than age 2 years should receive the pneumococcal conjugate vaccination (PCV13) series.

Adolescents and children age 2 years and older should receive the polysaccharide pneumococcal vaccine (PPSV23) if they have any of the following:

  • Lung, heart, liver, or kidney disease; asthma; diabetes; or sickle cell disease
  • Conditions that weaken the immune system, such as HIV/AIDS, cancer, or damaged/absent spleen
  • Cochlear implants or cerebrospinal fluid (CSF) leaks

The polysaccharide vaccine protects against 23 of the most common Streptococcus pneumoniae strains.

Impact of Pneumococcal Disease and Influenza

Protection against pneumococcal disease is especially important during influenza (flu) season because pneumococcal infection can be a serious complication of flu. Talk to a healthcare professional if your adolescent has an underlying medical condition that would put them at increased risk.


Reviewed December 2019

Source: Centers for Disease Control and Prevention