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Although the polysaccharide pneumococcal vaccine is ineffective in children less than 2 years of age,1 the conjugate pneumococcal vaccine, Prevenar, has been shown to be protective.2
In 2002, the Chief Medical Officer advised that children under 2 years of age at risk of invasive pneumococcal disease should receive three doses of Prevenar with their primary immunisations followed by a booster in the second year of life.3 Many of these infants start their immunisations on neonatal units. In our centre, infants complete their primary course, but …
Competing interests: none declared