Table 1

 Patient groups receiving conjugate pneumococcal vaccine in neonatal units and reasons for not recommending its use

Indication for giving PrevenarNo of unitsReason for not recommending PrevenarNo of units
All infants <32 weeks gestation1Not sure of at risk criteria1
All infants <30 weeks gestation1Too expensive2
All infants with chronic lung diseases19Insufficient evidence of benefits of Prevenar in their patient group14
Oxygen dependent infants4Currently reviewing guidelines3
All infants who have respiratory difficulties while on the neonatal intensive care unit1Do not feel that recommendations apply to their patient group10
Infants with congenital heart defects2Have prioritised other vaccines (BCG, hepatitis B)1
Primary immunodeficiency2Would like more information1
GPs in area reluctant to administer Prevenar3
Previous adverse reaction in a patient1