Underlying Medical Conditions That Are Indications for Pneumococcal Immunization Among Children, According to Risk Group: Advisory Committee on Immunization Practices, United States, 2010

Risk GroupCondition
Immunocompetent childrenChronic heart diseasea
Chronic lung diseaseb
Diabetes mellitus
Cerebrospinal fluid leaks
Cochlear implant
Children with functional or anatomic aspleniaSickle cell disease and other hemoglobinopathies
Congenital or acquired asplenia or splenic dysfunction
Children with immunocompromising conditionsHIV infection
Chronic renal failure and nephrotic syndrome
Diseases associated with treatment with immunosuppressive drugs or radiation therapy, including malignant neoplasms, leukemias, lymphomas, and Hodgkin disease; or solid organ transplantation
Congenital immunodeficiencyc
  • a Particularly cyanotic congenital heart disease and cardiac failure.

  • b Including asthma, if treated with prolonged high-dose oral corticosteroids.

  • c Includes B- (humoral) or T-lymphocyte deficiency; complement deficiencies, particularly C1, C2, C3, and C4 deficiency; and phagocytic disorders (excluding chronic granulomatous disease).