I've always considered myself a selective/delayed vaxer and tried to carefully research all (staying away from sources that made extreme claims either way!) I consider myself pro-science...and for better or for worse, have had some training in how to evaluate published studies and it has made me a huge skeptic after learning of how few really good quality studies there actually are in the medical field...but that's a topic for another discussion!).
Anyway, I don't know what to do about Prevnar 13. My oldest (age 5) had only 1 prevnar shot when it covered 7 strains. I decided not to continue after reading about invasive pneumococcal disease increasing, caused by serotypes not covered in the vaccine (can't remember the source, but I believe it was a study in Pediatrics journal). Since she had no history of antibiotic use, had no older siblings in schools, was currently breastfeeding and was only attending a small dayhome (daycare) I decided that her risk was pretty minimal.
Skip ahead to dd2, now 12 months. I delayed her vax, and so far have only done 2 rounds of the combo (Hib/polio, tetanus, diptheria,pertussis)-I declined the version with Hep B.
She hasn't had any ear infections, nor antibiotics...but she does have an older sister in school and will be attending daycare. She is currently breastfeeding (mostly actually). I think her risk is relatively low...or is it?
I really don't know what to do. I can't find any references on the Cochrane reviews site other than that they suggest it is helpful to prevent IPD, etc. (basically that it has some effectiveness). But I can't find any hard numbers that help me to assess our personal risk level.
I've searched the site (including Dr. Sears forum) and am having trouble coming up with anything to help guide this decision.
Thanks in advance for any thoughts!