{"id":2206,"date":"2025-11-01T20:17:50","date_gmt":"2025-11-01T18:17:50","guid":{"rendered":"https:\/\/resemedicin.se\/svarigar\/?p=2206"},"modified":"2025-11-05T20:29:53","modified_gmt":"2025-11-05T18:29:53","slug":"2025-11-01hib-vaccination-till-aldre-man-med-recidiverande-pneumonier","status":"publish","type":"post","link":"https:\/\/resemedicin.se\/svarigar\/2025-11-01hib-vaccination-till-aldre-man-med-recidiverande-pneumonier\/","title":{"rendered":"2025-11-01Hib-vaccination till \u00e4ldre man med recidiverande pneumonier?"},"content":{"rendered":"\n<p><strong>Fr\u00e5ga:<\/strong> Man som \u00e4r 62 \u00e5r kommer till mottagningen efter rekommendation fr\u00e5n h\u00e4lsocentral d\u00e4r han f\u00e5tt vaccin mot s\u00e4songsinfluensan och Pneumovax i g\u00e5r. De tyckte att han skulle vaccineras mot Haemophilus. Han har tidigare haft flera besv\u00e4rliga lunginflammationer. Kan man ge act-HIB till vuxna och finns det indikation f\u00f6r det? Dosering? Vi rekommenderade honom RS vaccin. Synpunkter?<\/p>\n\n\n\n<p><strong>Svar:<\/strong> Act-HIB \u00e4r avsett f\u00f6r barn, men anv\u00e4nds i vissa fall \u00e4ven till vuxna med s\u00e4rskilda riskfaktorer, fr\u00e4mst aspleni (funktionell eller anatomisk), allogen stamcellstransplantation eller sv\u00e5r immundefekt. Hos \u00f6vriga vuxna, \u00e4ven de med \u00e5terkommande pneumonier, finns\u00a0ingen indikation, d\u00e5 vuxenpneumonier f\u00f6retr\u00e4desvis orsakas av pneumokocker, virus eller icke typ b-stammar av\u00a0<em>H. influenzae<\/em>\u00a0(god flockimmunitet i samh\u00e4llet mot Hib genom barnvaccinationsprogrammet).\u00a0F\u00f6r en 62-\u00e5rig man med flera tidigare pneumonier \u00e4r det mer relevant med fullst\u00e4ndigt pneumokockskydd och \u00e5rlig influensavaccination. Rekommendationen om\u00a0RS-vaccin\u00a0\u00e4r ocks\u00e5 v\u00e4lgrundad.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fr\u00e5ga: Man som \u00e4r 62 \u00e5r kommer till mottagningen efter rekommendation fr\u00e5n h\u00e4lsocentral d\u00e4r han f\u00e5tt vaccin mot s\u00e4songsinfluensan och Pneumovax i g\u00e5r. De tyckte att han skulle vaccineras mot Haemophilus. Han har tidigare haft flera besv\u00e4rliga lunginflammationer. Kan man ge act-HIB till vuxna och finns det indikation f\u00f6r det? Dosering? Vi rekommenderade honom RS &hellip; <a href=\"https:\/\/resemedicin.se\/svarigar\/2025-11-01hib-vaccination-till-aldre-man-med-recidiverande-pneumonier\/\" class=\"more-link\">Forts\u00e4tt l\u00e4sa<span class=\"screen-reader-text\"> \u201d2025-11-01Hib-vaccination till \u00e4ldre man med recidiverande pneumonier?\u201d<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2206","post","type-post","status-publish","format-standard","hentry","category-svar-igar"],"modified_by":"Karl Ekdahl","jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2206","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/comments?post=2206"}],"version-history":[{"count":2,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2206\/revisions"}],"predecessor-version":[{"id":2208,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/posts\/2206\/revisions\/2208"}],"wp:attachment":[{"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/media?parent=2206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/categories?post=2206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/resemedicin.se\/svarigar\/wp-json\/wp\/v2\/tags?post=2206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}