Prevention-pneumonia

• All persons >65 or

  • age 19–64
    • w/ CHF, lung disease, cirrhosis, DM, EtOH, smoker,
  • immunosupp.
    • ESRD,
    • organ transplant,
    • HIV,
    • leukemia,
    • lymphoma,
    • asplenia

• PCV20 vaccine or PCV15 + PPSV23 1 yr later