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    Health Maintenance Guidelines
    Birth to 17 Years

    Special notice: Pneumococcal Conjugate Vaccine 13-valent (PCV-13)

    Wellness Check

    • 1, 2, 4, 6, 9, 15 and 18 months
    • Annually from ages 2-6; every other year from ages 6-17
    • Vision Screening and BMI: At or before age 5

    Screening Tests

    • Chlamydia: Yearly for sexually active women starting at 15
    • Assessment of Risk for TB: To determine risk factors

    Discussion Topics

    • HIV: Routine discussion starting at 15
    • Alcohol Misuse: Discuss with your provider starting at 14
    • Interventions to Prevent Tobacco Use: Routine discussion starting at 12

    Immunizations

    Two-month series of vaccines can be given as early as six weeks.Immunization Chart
    • Hepatitis B: Birth, 1 & 6 months
    • Haemophilus Influenza Type B: 2, 4, 6 & 12 months old
    • Polio: 2, 4, 6 months & 4-5 years old
    • Diphtheria, tetanus & acelluliar pertussis: 2, 4, 6 & 18 months and 4-5 years old
    • Rotovirus: 2, 4, 6 months old
    • Pneumococcal: 2, 4, 6, 12 months old
    • Tdap/Td: 11 years old
    • Measles, mumps & rubella: 12 months & 4-5 years old
    • Varicella (chicken pox): 12 months & 4-5 years old
    • Hepatitis A: 12 & 18 months
    • Influenza (yearly): 6 & 18 months, 2, 4-5, 11, 16 years old
    • Conjugated meningococcal: 11 & 16 years old
    • Human Papillomavirus: Females ages 9-26 and males 11-21 should receive the HPV series 0, 2 and 6 month intervals.
    • Folic Acid: All girls planning or capable of pregnancy take daily supplement containing 0.4-0.8mg of folic acid
    Vaccination Information Sheets from the CDC

    These guidelines may not pertain to patients on chronic medications or patients with personal or family health risks. In addition to the specific tests and immunizations listed here, health maintenance also includes regular monitoring of blood pressure, weight, height, vision, hearing, and risk factor screening for coronary artery disease, depression, diabetes, hypertension, memory change, sexually transmitted diseases, and for tobacco, alcohol and dietary concerns.

    Last reviewed: January 2014


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