We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Patient Page |

Pneumococcal Diseases FREE

Janet M. Torpy, MD, Writer; Alison E. Burke, MA, Illustrator; Richard M. Glass, MD, Editor
JAMA. 2006;295(14):1730. doi:10.1001/jama.295.14.1730.
Text Size: A A A
Published online

The pneumococcus, a type of bacteria in the Streptococcus family (Streptococcus pneumoniae), is responsible for several types of diseases in adults and in children. In developing countries, pneumococcus is linked to high infant and child mortality rates. Even in more industrialized nations, pneumococcal diseases are common in adults and children. These diseases can lead to severe illness and even death, despite being preventable in many cases. The April 12, 2006, issue of JAMA includes an article about pneumococcal diseases and the beneficial effect of pneumococcal vaccination in infants and children.


  • Meningitis (infection of the covering membranes of the brain and spinal cord)

  • Pneumonia (infection of the lungs)

  • Otitis media (middle ear infection)

  • Sinusitis (infection of the sinus cavities behind the face)

  • Bacteremia (bacteria in the bloodstream)

  • Sepsis (a serious bloodstream infection that can be fatal)

Meningitis can lead to permanent neurological damage or death. In adults and older children, it presents with fever, a stiff neck, fatigue, and headache. In infants, these signs may be absent, and the infant may only display fussiness, lethargy, and inability to feed. Individuals with pneumonia usually have shortness of breath, high fever, a cough, fatigue, and chest pains. Meningitis and sepsis are the most life-threatening pneumococcal diseases. Individuals with meningitis or sepsis must receive rapid diagnosis and treatment to prevent severe multiple organ failure and death.


Early diagnosis of pneumococcal infection is crucial to receiving proper antibiotic treatment. Some strains of pneumococcus have developed resistance to commonly used antibiotics. Laboratory testing is needed to determine proper therapy. Supportive therapy such as oxygen, intravenous fluids, surgical drainage, or even life support in an intensive care unit may be required in severe cases of pneumococcal infection.


  • Young children (aged 2 months to 24 months) should receive a special type of vaccine called the pneumococcal conjugate vaccine against pneumococcus. It is specifically formulated for effectiveness in infants and younger children.

  • Any person who has had a splenectomy (removal of the spleen) should have the pneumococcal vaccine.

  • The polysaccharide pneumococcal vaccine should be considered for individuals older than 65 years and for those older than 2 years who have chronic diseases.

  • Frequent handwashing is important for preventing the spread of pneumococcal diseases, as well as other bacterial and viral infections.



To find this and previous JAMA Patient Pages, go to the Patient Page Index on JAMA's Web site at http://www.jama.com. Many are available in English and Spanish. A Patient Page on meningitis in children was published in the April 28, 1999, issue; one on diagnosing and treating pneumonia was published in the February 9, 2000, issue; and one on fever in infants was published in the March 10, 2004, issue.

Sources: National Institute of Allergy and Infectious Diseases; Centers for Disease Control and Prevention; American Academy of Family Physicians; American Academy of Pediatrics

The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 203/259-8724




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Spanish Patient Pages
Supplemental Content

Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles