Health Maintenance Guidelines
Birth to 18 Years
A regularly scheduled Health Maintenance Evaluation at each of the following ages:
- 1, 2, 3, 6, 12 and 18 months
- 2, 3, 5, 7, 11, 13, 15 and 17 years
- Tuberculosis test may be required at 5 years depending on locality; optional at 12 months in areas of average risk for tuberculosis.
- Vision screening and BMI before 5 years of age.
SCREENING TESTS
- Chlamydia/GC screening for sexually active women: Starting at age 15 yearly
- HIV Testing Discussion: Routine discussion starting at age 13
- Pap Test: Three years after first sexual contact and every three years thereafter
- Hep A: Hepatitis A (Children and adolescents not previously immunized should receive the Hepatitis A Vaccine series. Two doses delivered at least 6 months apart.)
- Hep B: Hepatitis B
- HIB: (Haemophilus influenza type B) and Rotavirus: Dose at 6 months may not be needed depending on product used.
- MMR: Measles, Mumps and Rubella
- DTaP: Diphtheria, Tetanus and acellular Pertussis
- Tdap/Td: Tdap is currently recommended as a single dose for individuals age 11 through 64 years. Tdap is also recommended over age 6 years if prior DTaP cannot be documented and the individual has close contact with infants.
- VZV: (Chickenpox, Varicella Vaccine) (Susceptible individuals born in 1980 or later should receive 2 doses at age appropriate intervals, 5-12 years - 3 month interval; at 13 years or over - one-month interval. Consider a single dose of age appropriate vaccine in children ages 24-59 months not previously vaccinated.)
- Pneu: Pneumococcal vaccination
- Flu: Influenza (Annual Fall vaccine is recommended for all children 6 months through 18 years of age. Initial vaccination requires two doses given 4 or more weeks apart through 8 years of age.)
- Men: Conjugated Meningococcal vaccine
- HPV: Human Papillomavirus. Given to females age 9-26 yrs. at 0, 2 and 6 mo. intervals. Routine vaccination at 11 to 12 yrs.
- Rota: Rotavirus vaccine. Not to be started after 14 weeks and six days of age, and must be completed by 32 weeks of age. Dose at 6 months may not be needed depending on product used.
These guidelines may vary for patients on chronic medications or for patients with personal or family health risks.
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