Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: In their review article on the
management of chronic obstructive pulmonary disease (COPD), Dr Sin and colleagues1 recommended that all patients be given pneumococcal
vaccine. However, the 3 references they cite in support of this assertion2- 4 discussed only
the use of influenza vaccine, and none supported the use of pneumococcal vaccine.
A recent Cochrane review concluded that "polysaccharide pneumococcal vaccines
do not appear to reduce the incidence of pneumonia or death in adults with
or without chronic illness, or in the elderly."5
Ewart RM. Management of Chronic Obstructive Pulmonary Disease. JAMA. 2004;291(9):1066. doi:10.1001/jama.291.9.1066-a