PCV13, PPSV23, or neither?
Sep 2, 2014
Hi, I'm getting a bit confused with what I've been reading about pneumococcal vaccines. I am living with HIV in Malaysia and have been on Atripla components for two years (CD4 800+, VL undetectable). I'm confused on the recommendations of these vaccines. Which should I take and is it really necessary to be vaccinated? Otherwise, I'd just stick to my Hep A and tetanus shots. Thanks!
Response from Dr. Young
Hello and thanks for posting from Malaysia.
Streptococcus pneumonia is a cause of significant illness among people living with HIV. I'd strongly recommend vaccinations to prevent pneumococcus ("pneumonia").
Current US recommendations say that if your CD4 count is over 200 (as yours is), you should receive a dose of PCV13 (Prevnar 13), followed by a dose of PPV23 (Pneumovax) at least 8 weeks later. A second PPV23 booster is recommended 5 years after the first PPV23 dose.
For more information, here's the text of the full recommendation from the US Centers for Disease Control and Prevention (CDC).
Hope that helps, BY
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