Originally Posted by mamakay
Just out of curiosity...why don't you give Prevnar, DocJenn?
And welcome to MDC.
Thanks for the "welcome"!
In IL, Prevnar was "highly recommended, but not required". I still gave it anyway. Then one of my patients told me about MDC and I read a thread about prevnar with links to the CDC. According to the CDC, rate of Strep pneumo (the bacteria that prevnar protects against) meningitis and pneumonia (I've seen both and both are HORRIBLE) have not decreased at all since the vax was introduced. The only thing it has done is: 1. 'decreased the rate of ear infections' (however, just about that time, new recs for diagnosing ear infections were introduced) and 2. it has decreased the rate of bacteremia without a focus (meaning your kids looks sick, have fevers, ears are fine, lungs are fine, but strep pneumo is grown out of a blood culture). Since, IMHO, memingitis and pneumonia rates havent decreased, I don't think it is doing its job.
Besides, It hurts like H**L!! The kids always cry the most after it. I had the chance to talk to the CEO of Wyeth (the company that makes Prevnar) about the pain issue. They haven't done anything about it yet. If I meet him again, I'm gonna have the CDC data in my hand.