🧫 Chapter 228 · Streptococcus pneumoniae (Pneumococcus)

Nelson Textbook of Pediatrics 22nd Edition | Polysaccharide encapsulated diplococcus, >90 serotypes, PCV7/13/15/20, invasive disease (meningitis, bacteremia, pneumonia, otitis media), antibiotic resistance (penicillin, cephalosporins), treatment, prevention, high-risk groups.

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📋 30 Clinical Scenarios — Streptococcus pneumoniae (Nelson Ch 228)

📇 High‑Yield Review Cards (Pneumococcus)

🩺 Pneumococcal Infection Scenarios

Select a scenario for diagnosis and management.

📋 Stepwise Management of Pneumococcal Infections

    💉 Pneumococcal Vaccines (US)

    VaccineSerotypesIndications
    PCV15 (Prevnar 15)15 serotypes (including 19A, 22F, 33F)Routine infant series (2,4,6,12-15 mo), catch-up
    PCV20 (Prevnar 20)20 serotypes (additional 5)Routine infant series, high-risk children
    PPSV23 (Pneumovax 23)23 serotypes (plain polysaccharide)≥2 years with high-risk conditions (asplenia, CKD, immunocompromised)

    ⚡ Reflex Prompts — Pneumococcal Decisions

    📖 Summary: Streptococcus pneumoniae — Nelson Ch 228