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southern new mexico surgery center
 
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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. Below are guidelines for these, for 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 age 2 to 6 years

    Questions to determine risk or blood 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

    Children age 6 years and older

    At routine exams

    Tooth decay and other dental problems 

    All children in this age group

    Dental exams 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 over who are overweight or obese and have 2 or more additional diabetes risk factors

    Every 3 years

    Vision problems

    All children in this age group

    Screening once between ages 3 and 5 years

    Vaccines

    Who needs it

    How often

    DTaP (diphtheria, tetanus, acellular pertussis)

    All children under age 7 years

    Booster between ages 4 and 6 years

    Tdap (tetanus, diphtheria, acellular pertussis)

    All children age 7 years 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 4 weeks after the first dose, and the final dose is given 16 weeks after the first dose
    2-dose series: For children ages 11 to 15, 2 doses are given at least 4 months apart

    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 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) 

    Healthy children between ages 18 months and 5 years may get PCV13 if not received at a younger age; high-risk children may receive PCV13 starting at age 5 years and PPSV23 starting at age 2 years

    PCV13 is given before PPSV23; The 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

    At routine exams

    Increased physical activity

    Children with diabetes or prediabetes

    At routine exams

    1 American Academy of Pediatrics

    2 Those who are not up-to-date on their childhood immunizations, should receive all appropriate catch-up vaccines recommended by the CDC.

    Online Medical Reviewer: Cunningham, Louise, RN
    Online Medical Reviewer: Holloway, Beth, RN, MEd
    Online Medical Reviewer: Turley, Ray, BSN, MSN
    Date Last Reviewed: 3/30/2015
    © 2000-2017 The StayWell Company, LLC. 780 Township Line Road, Yardley, PA 19067. 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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