You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is The 23 valent pneumococci vaccine is recommended in all except and explain in detail?
Pneumococcal vaccine: - a polyvalent polysaccharide vaccine representing the capsular antigens of the 23 most prevalent serotypes have been stated to give 80-90% protection. Given in patients with enhanced risk of pneumococcal infection: absent or dysfunctional spleen, sickle cell disease, immunodeficiency etc. Not recommended for children under the age of two years and those with lymphoreticular malignancies and immunosuppressive therapy. A 7-valent conjugate vaccine is now available which can be used in children for two months to two years of age. Reference: Textbook of Microbiology; Anathanarayan and panicker's; 10th edition; Page no: 228