PNEUMOCOCCAL DECISION TREE

DOES YOUR PATIENT ANY OF THE FOLLOWING
​IMMUNOCOMPROMISING CONDITIONS?

  • Chronic renal failure
  • Congenital or acquired asplenia
  • Congenital or acquired Immumnodeficiency*
  • Generalized malignancy
  • HIV infection
  • Hodgkin disease
  • latrogenic immunosuppression**
  • Leukemia
  • Lymphoma
  • Multiple myeloma
  • Nephrotic syndrome
  • Sickle cell disease and other hemoglobinopathies
  • Solid organ transplant
Footnotes:

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

**Diseases requiring treatment with immunosuppressive drugs, including long-term systemic corticosteroids and radiation therapy