Abstract
    The following key issues of pneumococcal infection prophylaxis were discussed during the expert council: incidence rates of community-acquired pneumococcal pneumonia and other pneumococcal infections, local epidemiological data, increases in antimicrobial resistance and pneumococcal serotypes substitution, current international and Russian clinical guidelines, practical approaches, and pneumococcal vaccination coverage of adult population in the Russian Federation. The agreement between the experts about a need to distinguish the use of conjugate vaccines and polysaccharide vaccines in different subpopulations has been achieved.
    
    
    
        
    
 
      
    
        
            
                
                 
                    
                
                
                Institute of Antimicrobial Chemotherapy, Smolensk, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                Research Institute of Pulmonology, Moscow, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                I.M. Sechenov First Moscow State Medical University, Moscow, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                Research Institute of Pulmonology, Moscow, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                Mechnikov Research Institute of Vaccines and Sera, Moscow, Russia
                
                
             
                
                 
                        
                
                    
                
                
                Children Scientific Clinical Center of Infectious Diseases, Saint-Petersburg, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                Children Scientific Clinical Center of Infectious Diseases, Saint-Petersburg, Russia
                
                
             
                
                 
                        
                
                    
                
                
                Russian Medical Academy of Continuous Professional Education, Moscow, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                Main Military Clinical Hospital named after N.N. Burdenko, Moscow, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                Central Clinical Hospital of the Russian Academy of Sciences, Moscow, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                Krasnoyarsk State Medical University named after V.F. Voyno-Yasenetskiy, Krasnoyarsk, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                South Ural State Medical University, Chelyabinsk, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                RUDN University, Moscow, Russia
                
                
             
                
                 
                        
                
                                    
                    
                
                
                
                Perm State Medical University named after E.A. Wagner, Perm, Russia