ROUTINE WELL OFFICE VISITS:
· How often do I see the doctor for visits?
There are so many developmental changes in the child’s first 12 months of life that it is critical to achieving healthy growth and development. This includes vaccine administration, appropriate physical and mental evaluations on a timely basis,this enables the health care provider to detect any problems and manage them in a timely manner. So it is of immense importance for you to keep track of all your appointments with the doctor. These visits also give you the opportunity to ask questions regarding your child’s development and be reassured or adopt different care plans as may be suggested by your pediatrician
The schedule is as follows:
- 2-3 days after birth for vaginal deliveries
- 5-7 days after birth for C-section babies
- 2-4 weeks depending on doctor's recommendation at first visit
- 2 months
- 3 months
- 4 months
- 6 months
- 9 months
- 12 months
- 15 months
- 18 months
- 2 years
- 2.5 years
- 3 years
- 1 per year for annual checkup after 3 years of age
We follow the American Academy of Pediatrics Guidelines for the timing of these vaccinations.
IMMUNIZATIONS: We follow the CDC and AAP immunization guidelines.
(Diphtheria, Tetanus, acellular Pertussis):This serves to replace DTP which has rare, but serious reactions primarily attributed to the Pertussis (Whooping Cough) fraction. The acellular preparation now in use has significantly decreased any risk from this vaccine. It is relatively safe to use this vaccine compared to DPTThis vaccine is administered at ages 2 months, 4 months, 6 months, 15-18 months, and 5 years. Tdap is the booster administered at age 11.The side effects to look out for include fever, irritability, and swelling and redness at the site of the injection. These reactions may occur on the day of a day after immunization and generally respond well to acetaminophen.
Pneumococcal Conjugate Vaccine (PCV, Prevnar):The causative organism is a pneumococcus which is an invasive bacteria that is now the leading cause of bacterial meningitis in this country. the age of two particularly susceptible to this blood-borne infection and meningitis due to this organism. The thirteen pneumococcal vaccine protects against the thirteen most common strains of this bacteria and is recommended for children under the age of two years. Side effects are mild and mainly consist of local reaction at the injection site and fever. Four doses of vaccine are administered in the first 15 months.
Polio: TOPV which is a trivalent oral form used to be the most common preparation and 'live" preparation has been replaced by IPV , the inactivated injectable preparation and this poses less risk of the infant passing the virus in the stool,thereby posing a hazard to individuals who are immuno-suppressed which seen in the oral live form, TOPV. It was because of this risk,that the current recommendation is to use IPV, the inactivated, injectable preparation.
HIB (Haemophilus Influenzae B):Haemophilus b(Hib) is a bacteria that was the leading cause of bacterial meningitis in childhood. It is worthy of note that this invasive bacteria caused many serious infections like epiglottitis, pneumonia, sepsis, osteomyelitis and septic arthritis. HIB has markedly decreased the incidence of these
Hepatitis B:This is the cause of a viral disease that can cause very serious acute and chronic infections of the liver. The virus spread through contact with blood or body fluids of an infected individual. This was developed using, recombinant DNA technology.
Measles, Mumps Rubella (MMR):MEASLES was one of the infections that caused significant morbidity and mortality prior to the of the .This immunization is given at age 12 months with a booster at age 4-5 years. The vaccine may cause fever, and/or a rash 7 - 10 days following administration. However, it is worthy of note that the child is non-communicable and does not pose a threat to pregnant women.
Varicella (Chickenpox): This vaccine provides complete protection from the disease in upto-90% of children.Immunized children who get the infection usually get a comparatively milder disease . There is a low incidence of fever and rash following administration. The immunization is given at age 12 months with a booster at age 4-5 years. Children above 13 years of age who have not had chickenpox require two doses of vaccine given 1 - 2 months apart.
Meningococcal Vaccine (Menactra):Meningococcus is an organism that is the leading cause of bacterial meningitis in teenagers and young adults. It is recommended that this vaccine administered at 11-12 years of age.It is now recommended that a booster given at @16 years of age
Influenza Vaccine:The seasonal flu vaccine is now recommended for all children six months of age and older. Children in the 6-36 month age group are considered at high risks of complications of influenza. Other groups include those children with cardiac disease, pulmonary disease (asthma), diabetes, immunosuppression, and other chronic illnesses. A new, different vaccine is administered annually.
Usually given @11 years, New recommendation- can be given from 7-9yrs.
GARDASIL: 3 DOSES GIVEN at a 0, 2, & 6 months interval.This targets human that causes cervical cancer, minimum age being 9yrs. Usual age is 11-13 yrs old females. New recommendation: boys should be vaccinated.
ROTATEQ: Developed against rotavirus that severe diarrhea with deadly dehydration. 3 doses 6-14 weeks. Any infant 15 weeks old should not be vaccinated. should not be given before six weeks.
We do immunizations for Adults as needed.