TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD

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PPSRecommendedVaccines shouldreplaceonedosepreferablyafter20weeks
AOG

1. BCG Influenza
2. HepB TrivalentIMorSQ,QuadrivalentIM
3. DPT 0.25mlfor6mos35mos,0.5mlfor36mos
4. HiB 18yo
5. Polio For6mosto8yo
6. Pneumococcal 2doses,4weeksapart
7. Rotavirus Thenyearly
8. Influenza Ifonlyonedosewasgiventhe
9. Measles previousyear=give2doses
10. JapaneseEncephalitis Ifsingledosehasbeengivenfor2
11. MMR consecutiveyears,giveannually
12. Varicella For918yo1doseannually
13. MMRV
14. HepatitisA HepatitisAVaccine
15. Td/Tdap
1stdose>12y.o
16. HPV
2nddose,612monthsafter1st
HPV
Bivalent0,1,6months
Quadrivalent0,2,6months
Givevaccinetogirlsage1112yrsold(may
begivenasearlyas9yrsold)
MMRV
1stdose1yo
2nddose46years
Minimumof3monthsintervalfrom
1st
Varicella
Subcutaneously
1stdose1215months
2nddose46years
3monthsintervalfromfirst(for
children<13yo)
>13y.owithoutevidenceofimmunity
2doses,4weeksapart
Rotavirus
Monovalent(RV1)
2dose
Earliest6weeksofage
Notlaterthan32weeks
Pentavalent(RV5)
3dose
Pneumococcal(PCV)
Earliest6weeksofage
Minage6weeks,Intramuscularly(IM),4weeksapart,3
Notlaterthan32weeks
doses
Maygivedose#1asearlyas6wks
Booster6monthsafter3rddose
Givefinaldosenolaterthanage8mos0days
25yo
Donotbeginseriesininfantsolderthan15
1doseofPCV13or2dosesPCV10(8weeksapart)
wks0days
Notrecommendedfor>5yo
VACCINESFORHIGHRISK/SPECIALGROUPS
JapaneseEncephalitisVaccine(JE)
Typhoid
Subcutaneously
2yearsold
Minage9months
Every23years
9monthsto17yooneprimarydoseplusbooster
Rabies
1224monthsafter
PreexposureIMdays0,7,21or28
>18yosingledoseonly
ID:0,7,21,28
TdandTdap
Meningococcal
FullyimmunizedTdboostersevery10years
TetravalentConjugate(MCV4D,MCV4TT,
(singledoseofTdapcanbegiveninreplacement
MCV4CRM)IM
ofduedoseofTd)
TetravalentPolysaccharide(MPSV4)IMor
Fullyimmunizedpregnant1doseTdapafter
SQ
20weeksAOG
Highrisk:excomplementdeficiency,
UNIMMUNIZEDpregnant3dosetd
asplenia,HIV
containingvaccine(Td/Tdap)016month.Tdap
MCV4D:minage9mos

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 TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD
For inquiries visit www.topnotchboardprep.com.phor email us at topnotchboardprep@yahoo.com

923mos2doses,3monthsapart
2yoandaboveonedose CSFFINDINGSINBRAINABSCESS
MCV4TT:12mosandabove,singledose
MCV4CRM:2yoandabove,singledose
RevaccinatewithMCV4every5yearsaslong
asptishighrisk

MPSV4
2yoandaboveassingledose
IfMPSV4usedasfirstdose,MCV4shouldbe
given2monthslater
*MCV4DandPCV13shouldbegiven
4weeksapart

PnuemococcalforHighRisk(PCV+PPSV) SLE
IM
HighRisk:Chronicheart,lung,kidney
disease,DM,CSFleak,cochlearimplant,
sicklecelldiseaseandother
hemoglobinopathies,anatomicandfunctional
asplenia,HIVandimmunodeficiency
25yo
OnedosePCV13ifincompletePCVwas
given
2dosesofPCV13(8weeksapart)if
unimmunized
OnedosePCV13ifcompletelyimmunized
withPCV7
PPSVatleast8weeksafterthemostrecent
PCV13
618yo
1doseofPCV13thenPPSVafter8weeks

SinglerevaccinationofPPSVafter5years

Dengue
LiveAttenuated,SQ
Minimumage9yo
Maxage45yo
3doseseries0,6,12months

DENGUE

HepatitisBTests

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