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Volume 349:712-714 August 14, 2003 Number 7
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Pneumococcal Vaccination in Older Adults

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by Jackson, L. A.
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To the Editor: Jackson et al. (May 1 issue)1 demonstrate that the polysaccharide pneumococcal vaccine did not reduce the incidence of pneumonia among older adults — a finding that is consistent with the results of the previous blinded, randomized, controlled trials.2 The authors assert, however, that vaccination should nevertheless continue, because a study3 calculated that it is cost effective in preventing pneumococcal bacteremia in persons in this age group. That report, however, tacitly assumed that a reduction in the frequency of pneumococcal bacteremia among vaccinees translated into a decrease in the frequency of pneumonia — a premise that the current . . . [Full Text of this Article]



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