Prevnar question

[zachattack]

Our son is almost 9 months. If the vaccine choice was all or nothing we'd opt for none. That being said we'd like to have him get a few of the more important ones. ( not debating that point) anyway, at 4 months he got hib. 7 month dtap 8 months polio (my sister went to india)
we are willing, at most, to do one a visit. Out doctor suggested we do prevnar at 10 months. I understand that there is a new prevnar. What are the pros and cons of prevnar? Please help.

btw Our son is not breastfed(was until 4 months-long painful story) and is in daycare 3x a week.

[Marnica]

http://www.mothering.com/discussions....php?t=1192768

Some facts about Prevnar:
A pneumonia vaccine reduces the incidence of acute otitis media (AOM, acute ear infection) caused by the bacterium Streptococcus pneumoniae by 34 percent and reduces the overall incidence of AOM by 6 to 8 percent. However, a new study found that children with AOM who were immunized with the heptavalent pneumococcal conjugate vaccine (PCV7) were as likely as nonimmunized children to have nasopharyngeal colonization with S. pneumoniae and were more likely to have other types of bacteria in their nasopharynx. The nasopharynx is located at the back of the throat and has two passages leading to the inner ear, through which bacteria can travel.

Source:
"Effect of pneumococcal conjugate vaccine on nasopharyngeal bacterial colonization during acute otitis media," by Krystal Revai, M.D., M.P.H., David P. McCormick, M.D., Janak Patel, M.D., and others in the May 2006 Pediatrics 117(5), pp. 1823-1829.


There is also serotype replacement to think about:
[QUOTE]Increases in the incidence of serotype 19A associated with otitis [14], mastoiditis [15], and invasive disease [16–18] have been described in multiple US settings since 2000, making it impossible to ignore the temporal association between the introduction of PCV7 and the emergence of serotype 19A. It seemed safe to assume that PCV7 had caused replacement with serotype 19A.
Source: The Journal of Infectious Diseases 2009;199:771–773

here are some studies about prevnar you may find helpful
http://pediatrics.aappublications.or...tract/125/1/26
http://www.ncbi.nlm.nih.gov/pubmed/16651345
http://www.ncbi.nlm.nih.gov/pubmed/18845981
http://jama.ama-assn.org/cgi/content...ct/298/15/1772

this WHO bulletin claims pneumonia is not reduced by prevnar
http://www.who.int/bulletin/volumes/86/08-054692.pdf

[carriebft]

This came out the other day:

http://cdc.gov/mmwr/preview/mmwrhtml/mm5909a1.htm
Invasive Pneumococcal Disease in Young Children Before Licensure of 13-Valent Pneumococcal Conjugate Vaccine --- United States, 2007




Also this thread here we are discussing the new prevnar; I read the study we are talking about here and I will post more on it tonight:

http://www.mothering.com/discussions....php?t=1192768