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    Prevention Guidelines

    Prevention Guidelines for Infants and Toddlers

    Here are the screening tests and immunizations for infants from birth to age 2. Although you and your health care provider may decide that a different schedule is best for your baby, this plan can guide your discussion.

    Screening

    Who needs it

    How often

    Apgar (measurements done soon after birth -- heart rate, breathing, skin color, muscle tone, and reflex responses -- to evaluate the newborn's general condition and alertness at birth.

    All newborns

    1 and 5 minutes after birth

    High lead level

    All children in this age group

    Risk assessment of lead exposure at age 6, 9 and 18 months; risk assessment or blood test at 12 and 24 months

    Newborn screenings (a series of tests for metabolic, endocrine, hemoglobin, and other conditions; tests may vary by state)

    Tests include hearing loss, congenital hypothyroidism, phenylketonuria, sickle cell disease, cystic fibrosis, severe heart problems, and severe immunodeficiency

    All newborns. talk with your health care provider about the tests in your state

    Before leaving hospital

    Tooth decay

    Children ages 6 months and older

    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

    Immunizations

    Who needs it

    How often

    Hepatitis B vaccine

    All infants

    At birth, between ages 1 to 2 months, and a final dose between ages 6 to 18 months

    DTaP (diphtheria, tetanus, acellular pertussis)

    All infants

    At ages 2 months, 4 months, 6 months, between ages 15 to 18 months, and a booster between ages 4 to 6 years 

    Haemophilus influenzae type b conjugate

    All infants

    2-dose series: At ages 2 and 4 months; booster dose between 12 to 15  months

    3-dose series: At ages 2,4, and 6 months; booster dose between ages 12 to 15 months

    Inactivated poliovirus

    All infants

    At ages 2 months, 4 months, 6 to 18 months (and a booster at 4 to 6 years)

    Pneumococcal conjugate (PCV13)

    All infants

    At ages 2 months, 4 months, 6 months, and at 12 to 15 months

    Measles, mumps, rubella (MMR)

    All infants

    First dose between ages12 to 15 months (and the second dose between 4 to 6 years, or before starting kindergarten)

    Chickenpox (varicella)

    Those infants who have not contracted chickenpox

    Between ages 12 to15 months, and the second dose between 4 to 6 years

    Flu (seasonal); trivalent inactivated influenza

    All infants

    At age 6 months, and then annually when the flu vaccine becomes available in the community; the first year your child gets this vaccine 2 doses are required

    Hepatitis A

    All infants

    Between ages 12 to 23 months, with a second dose at least 6 months after the first dose

    Rotavirus

    All infants

    2-dose series: At ages 2 months, and  4 months

    3-dose series: At ages 2,4, and 6

    *Screening guidelines from the American Academy of Pediatrics

    All other screening guidelines from the U.S. Preventive Services Task Force

    Immunization schedule from the CDC

    Online Medical Reviewer: Holloway, Beth, RN, M.Ed.
    Online Medical Reviewer: MMI board-certified, academically affiliated clinician
    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

    Disclaimer