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March 3, 2004

Management of Chronic Obstructive Pulmonary Disease

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(9):1066. doi:10.1001/jama.291.9.1066-a

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 assertion24 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

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