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Pneumococcal – Indigenous schedule — RACP Paediatrics MCQ

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ModerateRespiratoryPneumococcal – Indigenous scheduleRACP Paediatrics

A 4-year-old Aboriginal child in a remote community with a history of recurrent pneumonia is reviewed. Per the Australian Immunisation Handbook, what additional pneumococcal vaccination is recommended beyond the standard NIP schedule for Indigenous children?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Pneumococcal vaccination

Aboriginal and Torres Strait Islander children receive additional pneumococcal vaccination per the NIP: an extra dose of 13-valent PCV at 6 months and a dose of 23-valent PPV at 4 years. This reflects the higher burden of invasive pneumococcal disease in Indigenous children. Catch-up vaccination should be offered if doses have been missed.

Reference: Australian Immunisation Handbook – 2024; RACP Paediatric Curriculum – ID