TY - JOUR T1 - Pneumococcal vaccination in autoimmune rheumatic diseases JF - RMD Open JO - RMD Open DO - 10.1136/rmdopen-2017-000484 VL - 3 IS - 2 SP - e000484 AU - Éva Rákóczi AU - Zoltan Szekanecz Y1 - 2017/09/01 UR - http://rmdopen.bmj.com/content/3/2/e000484.abstract N2 - Streptococcus pneumoniae is the leading cause of the community-acquired pneumonia. The mortality rate of invasive pneumococcal infections is high. Immunocompromised patients suffering from autoimmune inflammatory rheumatic diseases (AIRD) have a high risk for acquiring these infections. Protection against infection can be improved with vaccination. After using polysaccharide vaccines (PPV-23), in July 2013, a 13-valent conjugate vaccine (PCV-13) was approved for adults. Due to its conjugate form, this vaccine is the recommended choice in pneumococcal vaccine-naive patients. PCV-13 is also recommended in patients previously receiving PPV-23. Vaccination in AIRD is very important and needs deliberate scheduling to coordinate with the immunosuppressive therapy. Here, based on international and national vaccine guidelines, we provide a current review of PPV-23 and PCV-13 vaccines for specialists following patients with AIRD. ER -