TY - JOUR T1 - Vaccine strategies for prevention of community-acquired pneumonia in Canada JF - Canadian Family Physician JO - Can Fam Physician SP - 625 LP - 633 DO - 10.46747/cfp.6509625 VL - 65 IS - 9 AU - Alan Kaplan AU - Pierre Arsenault AU - Brian Aw AU - Vivien Brown AU - George Fox AU - Ron Grossman AU - Taj Jadavji AU - Craig Laferrière AU - Suzanne Levitz AU - Mark Loeb AU - Andrew McIvor AU - Christopher H. Mody AU - Yannick Poulin AU - Marla Shapiro AU - Dominique Tessier AU - Francois Théorêt AU - Karl Weiss AU - John Yaremko AU - George Zhanel Y1 - 2019/09/01 UR - http://www.cfp.ca/content/65/9/625.abstract N2 - Objective To describe the burden of pneumococcal disease and associated risk factors in the Canadian adult population, delineate available pneumococcal vaccines and associated efficacy and effectiveness data, and review current pneumococcal vaccine recommendations and community-acquired pneumonia (CAP) prevention strategies in Canada.Quality of evidence Pneumococcal vaccination guidelines from the Canadian National Advisory Committee on Immunization in 2013 and 2016 constitute level III evidence for CAP prevention in the Canadian adult population.Main message It is recommended that immunosuppressed adults of all ages receive the 13-valent pneumococcal conjugate vaccine (PCV13) (grades A and B recommendations). In 2016, the National Advisory Committee on Immunization also recommended that all adults aged 65 years and older receive PCV13 (grade A recommendation) on an individual basis, followed by the 23-valent pneumococcal polysaccharide vaccine (grade B recommendation). This update is based on a large clinical study that demonstrated PCV13 efficacy against vaccine-type CAP in this population.Conclusion Physicians should focus on improving pneumococcal vaccination rates among adults, which remain low. Vaccination with PCV13 should also be considered for adults with chronic conditions, whose baseline risk is often higher than that for healthy individuals aged 65 years and older. ER -