Immunizations for Adults, Children

Quick Guide to Preventative Health by Age http://www.preventiveservices.ahrq.gov

Infant and Children:

• screen newborns for metabolic diseases and sickle cell disease
• Newborn hearing
• Height, weight, head circumference
• Development/behavioral assessment and discuss injury/violence prevention/sleep postion/nutrition
• Iron deficiency at age 9-15 months
• Vision, hearing screen and urinalalysis ages 3-5
• Lead and tuberculosis screening in high risk populations
• Vitamin D supplementation in breast fed babies
• Fluoride supplementation ages 6 months-16 years with inadequate water supplies

Adolescents:

• developmental/behavioral assessment and discuss injury/violence prevention
• check blood pressure, screen for obesity, and check cholesterol in high risk patients
• depression, sexuality, drug, alcohol, tobacco use
• screen all sexually active teens for STD/HIV
• females age 11 and older should get adequate amount of calcium

Adults:

• Pap smears for cervical cancer screen in all sexually active women with a cervix at least every 1-3 years
• mammogram every 1-2 years starting at age 40, earlier for strong family history
• STD/HIV screening in all sexually active women 24 and under and high risk groups
• Osteoporosis screening for women 65 and older unless strong family history then at age 60
• Prostate cancer screening is controversial but typically begins at age 50 or sooner if family history
• Screening for abdominal aortic aneurysm is all men ages 65-75 who ever smoked
• Screening all adults 50 years and older for colon cancer (every 10 years), earlier if family history
• Blood pressure screening beginning at age 18
• Screen for diabetes in patients with elevated blood pressure (greater than 135/80)
• Screen for obesity, discuss nutrition, aspirin use, tobacco and alcohol use, screen for depression

IMMUNIZATIONS

Birth to 24 mo: Hepatis A & B, DTaP, Polio, Vericella, MMR, Hib, Pneumococcal, Influenza, Rotavirus

Influenza immunization begins at age 6 months and goes yearly through age 18

Tetnus booster every 10 years

Kindergarten shots: DTaP, Polio, Vericella, MMR

Adolescent shots: Meningococcal, Human Papillomavirus vaccine (HPV), Tdap

HPV vaccine for girls only between 9-26 years old

Tdap is one time immunization against pertussis, diphtheria, and tetnus in place of tetnus booster

Adults shots: Influenza, Pneumococcal, Zoster

Yearly influenza immunization over age 50 and any age with high risk (diabetes, asthma, etc)

Pneumococcal after age 65, one time before 65 with high risk

Zoster after age 60