Pediatric immunization

Question 1

Hep B (initial series)

Answer 1

3 doses

1st: *only one at birth
2nd: 1-2 months
3rd: 6-18 months

Question 2

Haemophilus Influenza (Hib) vaccine

Answer 2

There are 3 and 4 dose series 
(3 dose) :
2 months
4 months 
12-15 months 

(4 dose:)
2 months
4 months 
6 months 
12-15 months

Question 3

Pneumococcal vaccine primary

Answer 3

PCV13
4 dose series

2 months
4 months
6 months
12-15 months

Question 4

Inactivated polio

Answer 4

4 dose series

2 month
4 month
6-15 months
4-6 years

Question 5

MMR vaccine

Answer 5

2 dose series

12-15 months
4-6 years

Question 6

Hep A vaccine (primary)

Answer 6

2 doses, separated by 6–18 months, between the 1st and 2nd birthdays.
(A series begun before the 2nd birthday should be completed even if the child turns 2 before the 2nd dose is given.)
Catch-up vaccination:

Anyone 2 years of age or older may receive HepA vaccine if desired. Minimum interval between doses is 6 months.

Question 7

PKU screening

Answer 7

Screen all newborns within 24 hours of life (up to 7 days) and confirmatory screening at 2 weeks of age.

PKU: Phenylketonuria (PKU) is an error of metabolism that results in decreased metabolism of the amino acid phenylalanine. Untreated, PKU can lead to intellectual disability, seizures, behavioral problems, and mental disorders

Tx: Phenylalanine diet restriction, tyrosine supplement (becomes essential bc phenylalanine is used to form tyrosine)

Question 8

Sickle Cell Disease Screening

Answer 8

Screen all newborns with confirmatory testing no later than 2 months

Test: thin layer isoelectric focusing and high performance liquid chromatography

To prevent pneumococcal infection, the American Academy of Pediatrics recommends the use of penicillin prophylaxis in children with sickle cell disease under the age of five and in older children who have had a previous severe pneumococcal infection or have functional/surgical asplenia.