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    Prevention Guidelines

    Prevention Guidelines, Ages 2 to 18

    Screening tests and vaccines are an important part of managing your child's health. A screening test is done to find possible disorders or diseases in people who don't have any symptoms. The goal is to find a disease early so changes can be made and you can be watched more closely to lower your chance for the disease. Screening tests also helpdetect a disease early enough to treat it most effectively. Screening tests are used to determine if more testing is needed. Below are guidelinesfor children and teens from ages 2 to 18. Talk with your child's healthcare provider to make sure your child is up to date on what he or she needs.

    Screening

    Who needs it

    How often

    Chlamydia and gonorrhea infections

    Sexually active females up to age 24 years

    Once a year

    High lead level

    Children who are 6 years of age and younger

    Questions to determine risk or blood screening tests may be done once a year.

    HIV

    Children in this age group at risk for infection; talk with your child’s healthcare provider

    At routine exams

    Obesity

    Assessment of obesity risk in children 6 years of age and older

    At routine exams

    Oral health

    All children in this age group

    Oral health risk assessments every 6 months; fluoride supplements from age 6 months to 16 years for those with low fluoride levels in their water; fluoride varnish should be applied every 3 to 6 months; fluoride rinses may be used in children age 6 years or older, if they are able to rinse and spit

    Type 2 diabetes or prediabetes

    Children age 10 or older or who have reached puberty and are overweight or obese and have1 or more additional diabetes risk factors

    Every 3 years

    Blood pressure

    All children 3 years of age and older

    Annual well child visit

    Vision and hearing

    All children in this age group

    Hearing and vision testing at ages 4, 5, 6, 8, and 10

    Vaccines

    Who needs it

    How often

    DTaP (diphtheria, tetanus, acellular pertussis)

    All children younger than age 7

    Booster between ages 4 and 6 years

    Tdap (tetanus, diphtheria, acellular pertussis)

    All children age 7 or older

    Booster between ages 11 and 12 years

    Chickenpox (varicella)

    Children who have not had chickenpox

    Booster between ages 4 and 6 years

    Hepatitis A

    Children at risk (talk with your child’s healthcare provider) or those who didn’t have the vaccine at an earlier age

    Should be fully vaccinated by age 2; if not, can have vaccine at routine visits, with second dose given at least 6 months after first dose

    Hepatitis B 

    Children who didn’t have the vaccine at an earlier age

    3-dose series: The second dose is given 1 to 2 months after the first dose, and the final dose is given 6 months after the first dose

     

    Human papillomavirus (HPV)

    Children age 11 or 12 years, but may be given beginning at age 9 years through age 26

    2-dose series: Ages 9 to 14 years, with second dose 6 to 12 months after the first

    3-dose series: Ages 15 to 26, with the second dose given 1 to 2 months after the first dose, and the third dose given 6 months after the first dose

    Inactivated poliovirus

    All children

    A final dose between ages 4 and 6 years

    Influenza (flu)

    All children in this age group

    Once a year

    Measles, mumps, rubella (MMR)

    All children

    Second dose between ages 4 and 6 years

    Meningococcal (conjugate)

    All children

    1 dose between ages 11 and 12, and a booster at age 16, or by age 18 if not vaccinated before; only 1 dose is needed if the first dose is given at age 16 years or older; high-risk children should receive a vaccine series before age 2 years

    Pneumococcal conjugate (PCV13) and pneumococcal polysaccharide (PPSV23) 

    PCV13: Healthy children between ages 2 and 5 years if not previously vaccinated at a younger age

    PCV13/PPSV23: High-risk children (PCV13 starting at age 5 years and PPSV23 starting at age 2 years)

    If both vaccines needed, PCV13 is given before PPSV23; timing and number of doses varies

    Counseling

    Who needs it

    How often

    Depression

    Children between ages 12 and 18 years

    At routine exams

    Prevention of sexually transmitted infections

    Children in this age group who are sexually active

    At routine exams

    Prevention of skin cancer

    Fair-skinned children starting at age 10 years up to age 24

    At routine exams

    Increased physical activity

    All children, especially those with diabetes or prediabetes

    At routine exams

    Online Medical Reviewer: Liora C Adler MD
    Online Medical Reviewer: Maryann Foley RN BSN
    Online Medical Reviewer: Pat F Bass MD MPH
    Date Last Reviewed: 1/1/2021
    © 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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    Southern New Mexico
    Surgery Center

    2301 Indian Wells Rd. Suite B
    Alamogordo, NM 88310
    www.snmsc.org

    Phone: 575.437.0890
    Fax: 575.437.0905
    Email: info@snmsc.org

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