Should You Get the Flu Vaccine If You Have Weakened Immunity? - Pulmonology

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Should I get the flu vaccine?


Hello, Doctor: Should individuals with weaker immune systems receive the influenza vaccine? I read in the newspaper that the flu vaccine can only prevent the flu and does not prevent pneumonia.
Is this true? I have been hospitalized for mycoplasma pneumonia for the past two years, and it has become increasingly severe.
I received the flu vaccine out of pocket last year, thinking it would provide protection, but it seems ineffective! Am I considered to have a low immune system? Should I definitely get the flu vaccine this year? Does having had mycoplasma pneumonia not provide immunity? Or does the condition worsen with each subsequent infection? Is there a vaccine to prevent mycoplasma infections?

Joyce, 20~29 year old female. Ask Date: 2004/09/10

Dr. Yang Wenda reply Pulmonology


Hello Joyce: The influenza vaccine can only reduce the incidence of influenza and cannot prevent the occurrence of bacterial pneumonia (mycoplasma is just one type).
Currently, there is no vaccine available for mycoplasma pneumonia.
Antibodies from a previous mycoplasma pneumonia infection generally last for about ten years.
Typically, if reinfection occurs, the symptoms may be milder, so it is worth considering whether your second pneumonia is primarily due to mycoplasma infection.
However, frequent occurrences of pneumonia may indicate a weaker immune system.
It is recommended that you engage in moderate rest, exercise, and maintain a balanced diet to help boost your immunity.

Reply Date: 2004/09/10

More Info


When considering whether individuals with weakened immunity should receive the flu vaccine, it's essential to understand both the nature of the flu vaccine and the implications of having a compromised immune system.
Firstly, the flu vaccine is designed to protect against influenza viruses, which can lead to severe respiratory illness. It is important to note that the flu vaccine does not prevent other types of infections, such as bacterial pneumonia caused by organisms like Mycoplasma pneumoniae. This distinction is crucial, especially for individuals who have a history of recurrent respiratory infections or pneumonia.

For individuals with weakened immune systems, the flu vaccine is generally recommended. This is because they are at a higher risk of complications from influenza. The Centers for Disease Control and Prevention (CDC) advises that people with chronic health conditions, including those with weakened immune systems, should receive the flu vaccine annually. The vaccine can help reduce the risk of contracting the flu and potentially experiencing severe complications, which can be life-threatening for those with compromised immunity.

Regarding your specific situation, having been hospitalized for Mycoplasma pneumonia twice in consecutive years suggests that your immune system may not be functioning optimally. While the flu vaccine will not prevent Mycoplasma pneumonia, it can help protect you from influenza, which could further complicate your health status if contracted.
You mentioned that you received the flu vaccine last year but felt it did not provide the expected protection. It's important to understand that while the flu vaccine is effective, it is not 100% foolproof. The effectiveness of the vaccine can vary from year to year based on factors such as the match between the vaccine strains and circulating strains of the virus, as well as individual responses to the vaccine.
As for the question of whether having had Mycoplasma pneumonia provides immunity, it is true that after an infection, the body can develop antibodies. However, this immunity may not be long-lasting, and reinfection can occur, especially if the immune system is weakened. Therefore, it is not uncommon for individuals to experience recurrent infections, particularly if they have underlying health issues.

Currently, there is no specific vaccine available for Mycoplasma pneumonia. The best preventive measures include maintaining a healthy lifestyle, which can help bolster your immune system. This includes a balanced diet, regular exercise, adequate sleep, and stress management.
In conclusion, given your history of recurrent pneumonia and the potential risks associated with influenza, it would be advisable for you to receive the flu vaccine annually. It is also important to discuss your specific health concerns with your healthcare provider, who can offer personalized advice and possibly recommend additional preventive measures tailored to your health status.

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