Definition & Treatment Plan
Definition
• Additional immunisations required for specific patient groups beyond the standard
childhood immunisation schedule:
– Specific to high-risk groups (e.g., Asplenia/splenic dysfunction, cochlear implants, chronic respiratory/cardiac issues, DM, immunosuppressed & haematological issues)
– environmental exposure where infection from a preventable disease is more likely (e.g., chicken pox, Tb, Hep B) – Travelling outside the UK where endemic diseases are present (e.g., Hep A, Typhoid, Yellow fever)
o TREATMENT PLAN
• Pneumococcal Vaccination:
Antibiotic prophylaxis for pneumococcal infection in asplenic or in patients with SSD: Pen V or erythromycin if pen allergic
– Standard schedule: 3 months and 1 year
– Additional doses for:
Over 65s
High-risk groups (e.g. asplenia, CKD) – as explained above
• Seasonal Influenza Vaccination:
– Eligible groups:
Pregnant women (any stage)
2-3 year olds
6 months to 18 years in high-risk groups
Over 65s
6 months- 65 years in high-risk groups
Frontline staff
Main carers for the elderly
Residential care home residents
Close contacts of immunocompromised individuals