New recommendations from the CDC in the U.S. for immunocompromised patients, like with CLL, is that we should have BOTH pneumococcal disease shots, PCV13 and PPSV23.
'In 2010, 50% of the invasive pneumococcal disease cases in immunocompromised adults were caused by serotypes found in PCV13 and another 21% were caused by serotypes found only in PPSV23.'
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