90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use

Name of the Procedure:

Pneumococcal Conjugate Vaccine, 13 Valent (PCV13)

• Common names: PCV13, Prevnar 13
• Technical terms: Pneumococcal conjugate vaccine, 13-valent

Summary

The PCV13 vaccine helps protect against 13 types of pneumococcal bacteria that can cause serious infections such as pneumonia, meningitis, and sepsis. It is administered via an intramuscular injection.

Purpose

The PCV13 vaccine is designed to prevent pneumococcal disease, which can lead to severe infections in the lungs, brain, and bloodstream. The goal is to boost the immune system's ability to fight off these bacteria, reducing the risk of illness and complications.

Indications

• Infants and young children under 5 years old
• Adults 65 years and older
• Individuals aged 6-64 with certain medical conditions like chronic heart, lung, liver diseases, diabetes, or weakened immune systems
• People who smoke cigarettes

Preparation

• No special preparation such as fasting is required.
• Patients should notify their healthcare provider of any allergies or previous adverse reactions to vaccines.
• Check with your healthcare provider about any ongoing medications or chronic health issues.

Procedure Description

1. The healthcare provider will ask about medical history and explain the procedure.
2. The vaccine is drawn into a syringe under sterile conditions.
3. The injection site (usually the upper arm for adults, thigh for infants) is cleaned with an antiseptic wipe.
4. The vaccine is administered intramuscularly using a needle.
5. A small bandage or cotton swab may be applied to the injection site.

Duration

The procedure typically takes about 10 to 15 minutes, including the administration and a brief observation period post-injection.

Setting

The procedure is generally performed in a doctor's office, outpatient clinic, pharmacy, or during a hospital visit.

Personnel

• Primary care physician
• Pediatrician (for children)
• Nurse
• Pharmacist (in some settings)

Risks and Complications

Common risks include:

• Redness, swelling, or pain at the injection site
• Mild fever or irritability
• Fatigue Rare risks include severe allergic reactions (anaphylaxis), which require immediate medical attention.

Benefits

• Reduces the risk of severe pneumococcal infections.
• Decreases the spread of pneumococcal bacteria in the community.
• Provides individual protection and contributes to herd immunity.
• Benefits can be observed within a few weeks as the immune system builds up defenses.

Recovery

• Most people resume normal activities immediately but may experience mild soreness at the injection site for a day or two.
• Over-the-counter pain relievers (like acetaminophen or ibuprofen) can help alleviate discomfort.
• Follow-up is typically unnecessary unless there is a severe reaction.

Alternatives

• Pneumococcal polysaccharide vaccine (PPSV23): covers a broader range of pneumococcal types but is less effective in young children.
• No vaccination: risking susceptibility to pneumococcal diseases.

Patient Experience

Patients generally feel a quick pinch and slight pressure during the injection. Post-procedure, mild soreness or swelling at the injection site is common. Pain is usually manageable with rest and over-the-counter pain relievers. Most individuals experience minimal discomfort and can return to their usual activities immediately.