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TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit <awww.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com PPS Recommended Vaccines  should replace one dose preferably after 20weeks AOG 1. BCG Influenza 2. Hep B  Trivalent IM or SQ, Quadrivalent IM 3. DPT  0.25ml for 6mos­35mos, 0.5ml for 36mos­ 4. HiB 18yo 5. Polio  For 6mos to 8yo 6. Pneumococcal  2 doses, 4 weeks apart 7. Rotavirus  Then yearly 8. Influenza  If only one dose was given the 9. Measles previous year = give 2 doses 10. Japanese Encephalitis  If single dose has been given for 2 11. MMR 12. Varicella consecutive years, give annually For 9­18yo – 1 dose annually  13. MMRV 14. Hepatitis A 15. Td/Tdap 16. HPV Hepatitis A Vaccine  1 st dose >12y.o 2 nd dose, 6­12months after 1st  HPV    Bivalent ­ 0,1,6months Quadrivalent – 0,2,6months Give vaccine to girls age 11­12 yrs old (may be given as early as 9 yrs old) MMRV   1 st dose – 1yo 2 nd dose – 4­6 years  Minimum of 3months interval from 1st Varicella    Subcutaneously 1 st dose – 12­15months 2 nd dose ­4­6years  3 months interval from first (for  children < 13yo) >13 y.o without evidence of immunity  2 doses, 4 weeks apart Rotavirus  Monovalent (RV1)  2­dose  Earliest 6weeks of age  Not later than 32weeks  Pentavalent (RV5)  3­dose   Earliest 6weeks of age Not later than 32weeks    1 dose of PCV 13 or 2 doses PCV 10 (8weeks apart) Not recommended for > 5yo May give dose #1 as early as 6 wks Give final dose no later than age 8 mos 0 days Do not begin series in infants older than 15 wks 0 days VACCINES FOR HIGH RISK/SPECIAL GROUPS Typhoid  2 years old  Every 2­3 years Rabies  Pre­exposure – IM days 0,7,21or 28  ID: 0,7,21,28 Meningococcal  Tetravalent Conjugate (MCV4­D, MCV4­TT,  MCV4­CRM) – IM Tetravalent Polysaccharide (MPSV4) IM or  SQ High risk : ex complement deficiency,  asplenia, HIV MCV4­ D : min age 9mos Pneumococcal (PCV)   Min age 6weeks, Intramuscularly (IM), 4weeks apart, 3 doses Booster 6months after 3 dose  2­5yo   Japanese Encephalitis Vaccine (JE)  Subcutaneously  Min age 9months  9months to 17yo – one primary dose plus booster  12­24months after >18yo – single dose only Td and Tdap  Fully immunized ­Td boosters every 10years  (single dose of Tdap can be given in replacement of due dose of Td) Fully immunized pregnant – 1 dose Tdap after  20weeks AOG UNIMMUNIZED pregnant – 3­dose t­d containing vaccine (Td/Tdap) 0­1­6month. Tdap TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 1 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com " id="pdf-obj-0-2" src="pdf-obj-0-2.jpg">

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

PPS Recommended Vaccines

should replace one dose preferably after 20weeks AOG

  • 1. BCG

Influenza

  • 2. Hep B

Trivalent IM or SQ, Quadrivalent IM

  • 3. DPT

0.25ml for 6mos­35mos, 0.5ml for 36mos­

  • 4. HiB

18yo

  • 5. Polio

For 6mos to 8yo

  • 6. Pneumococcal

2 doses, 4 weeks apart

  • 7. Rotavirus

Then yearly

  • 8. Influenza

If only one dose was given the

  • 9. Measles

previous year = give 2 doses

  • 10. Japanese Encephalitis

If single dose has been given for 2

  • 11. MMR

  • 12. Varicella

consecutive years, give annually For 9­18yo – 1 dose annually

13. MMRV 14. Hepatitis A 15. Td/Tdap 16. HPV Hepatitis A Vaccine  1 st dose
13.
MMRV
14.
Hepatitis A
15.
Td/Tdap
16.
HPV
Hepatitis A Vaccine
 1 st dose >12y.o
2 nd dose, 6­12months after 1st
HPV
Bivalent ­ 0,1,6months
Quadrivalent – 0,2,6months
Give vaccine to girls age 11­12 yrs old (may
be given as early as 9 yrs old)
MMRV
1 st dose – 1yo
2 nd dose – 4­6 years
Minimum of 3months interval from
1st
Varicella
Subcutaneously
1 st dose – 12­15months
2 nd dose ­4­6years
3 months interval from first (for
children < 13yo)
>13 y.o without evidence of immunity
2 doses, 4 weeks apart
Rotavirus
Monovalent (RV1)
2­dose
Earliest 6weeks of age
Not later than 32weeks
Pentavalent (RV5)
3­dose
Earliest 6weeks of age
Not later than 32weeks
1 dose of PCV 13 or 2 doses PCV 10 (8weeks apart)
Not recommended for > 5yo
May give dose #1 as early as 6 wks
Give final dose no later than age 8 mos 0 days
Do not begin series in infants older than 15
wks 0 days

VACCINES FOR HIGH RISK/SPECIAL GROUPS Typhoid

 

2 years old

 

Every 2­3 years

Rabies

 

Pre­exposure – IM days 0,7,21or 28

 

ID: 0,7,21,28

Meningococcal

 

Tetravalent Conjugate (MCV4­D, MCV4­TT,

MCV4­CRM) – IM Tetravalent Polysaccharide (MPSV4) IM or

SQ High risk : ex complement deficiency,

asplenia, HIV MCV4­ D : min age 9mos

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit <awww.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com PPS Recommended Vaccines  should replace one dose preferably after 20weeks AOG 1. BCG Influenza 2. Hep B  Trivalent IM or SQ, Quadrivalent IM 3. DPT  0.25ml for 6mos­35mos, 0.5ml for 36mos­ 4. HiB 18yo 5. Polio  For 6mos to 8yo 6. Pneumococcal  2 doses, 4 weeks apart 7. Rotavirus  Then yearly 8. Influenza  If only one dose was given the 9. Measles previous year = give 2 doses 10. Japanese Encephalitis  If single dose has been given for 2 11. MMR 12. Varicella consecutive years, give annually For 9­18yo – 1 dose annually  13. MMRV 14. Hepatitis A 15. Td/Tdap 16. HPV Hepatitis A Vaccine  1 st dose >12y.o 2 nd dose, 6­12months after 1st  HPV    Bivalent ­ 0,1,6months Quadrivalent – 0,2,6months Give vaccine to girls age 11­12 yrs old (may be given as early as 9 yrs old) MMRV   1 st dose – 1yo 2 nd dose – 4­6 years  Minimum of 3months interval from 1st Varicella    Subcutaneously 1 st dose – 12­15months 2 nd dose ­4­6years  3 months interval from first (for  children < 13yo) >13 y.o without evidence of immunity  2 doses, 4 weeks apart Rotavirus  Monovalent (RV1)  2­dose  Earliest 6weeks of age  Not later than 32weeks  Pentavalent (RV5)  3­dose   Earliest 6weeks of age Not later than 32weeks    1 dose of PCV 13 or 2 doses PCV 10 (8weeks apart) Not recommended for > 5yo May give dose #1 as early as 6 wks Give final dose no later than age 8 mos 0 days Do not begin series in infants older than 15 wks 0 days VACCINES FOR HIGH RISK/SPECIAL GROUPS Typhoid  2 years old  Every 2­3 years Rabies  Pre­exposure – IM days 0,7,21or 28  ID: 0,7,21,28 Meningococcal  Tetravalent Conjugate (MCV4­D, MCV4­TT,  MCV4­CRM) – IM Tetravalent Polysaccharide (MPSV4) IM or  SQ High risk : ex complement deficiency,  asplenia, HIV MCV4­ D : min age 9mos Pneumococcal (PCV)   Min age 6weeks, Intramuscularly (IM), 4weeks apart, 3 doses Booster 6months after 3 dose  2­5yo   Japanese Encephalitis Vaccine (JE)  Subcutaneously  Min age 9months  9months to 17yo – one primary dose plus booster  12­24months after >18yo – single dose only Td and Tdap  Fully immunized ­Td boosters every 10years  (single dose of Tdap can be given in replacement of due dose of Td) Fully immunized pregnant – 1 dose Tdap after  20weeks AOG UNIMMUNIZED pregnant – 3­dose t­d containing vaccine (Td/Tdap) 0­1­6month. Tdap TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 1 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com " id="pdf-obj-0-167" src="pdf-obj-0-167.jpg">
TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit <awww.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com PPS Recommended Vaccines  should replace one dose preferably after 20weeks AOG 1. BCG Influenza 2. Hep B  Trivalent IM or SQ, Quadrivalent IM 3. DPT  0.25ml for 6mos­35mos, 0.5ml for 36mos­ 4. HiB 18yo 5. Polio  For 6mos to 8yo 6. Pneumococcal  2 doses, 4 weeks apart 7. Rotavirus  Then yearly 8. Influenza  If only one dose was given the 9. Measles previous year = give 2 doses 10. Japanese Encephalitis  If single dose has been given for 2 11. MMR 12. Varicella consecutive years, give annually For 9­18yo – 1 dose annually  13. MMRV 14. Hepatitis A 15. Td/Tdap 16. HPV Hepatitis A Vaccine  1 st dose >12y.o 2 nd dose, 6­12months after 1st  HPV    Bivalent ­ 0,1,6months Quadrivalent – 0,2,6months Give vaccine to girls age 11­12 yrs old (may be given as early as 9 yrs old) MMRV   1 st dose – 1yo 2 nd dose – 4­6 years  Minimum of 3months interval from 1st Varicella    Subcutaneously 1 st dose – 12­15months 2 nd dose ­4­6years  3 months interval from first (for  children < 13yo) >13 y.o without evidence of immunity  2 doses, 4 weeks apart Rotavirus  Monovalent (RV1)  2­dose  Earliest 6weeks of age  Not later than 32weeks  Pentavalent (RV5)  3­dose   Earliest 6weeks of age Not later than 32weeks    1 dose of PCV 13 or 2 doses PCV 10 (8weeks apart) Not recommended for > 5yo May give dose #1 as early as 6 wks Give final dose no later than age 8 mos 0 days Do not begin series in infants older than 15 wks 0 days VACCINES FOR HIGH RISK/SPECIAL GROUPS Typhoid  2 years old  Every 2­3 years Rabies  Pre­exposure – IM days 0,7,21or 28  ID: 0,7,21,28 Meningococcal  Tetravalent Conjugate (MCV4­D, MCV4­TT,  MCV4­CRM) – IM Tetravalent Polysaccharide (MPSV4) IM or  SQ High risk : ex complement deficiency,  asplenia, HIV MCV4­ D : min age 9mos Pneumococcal (PCV)   Min age 6weeks, Intramuscularly (IM), 4weeks apart, 3 doses Booster 6months after 3 dose  2­5yo   Japanese Encephalitis Vaccine (JE)  Subcutaneously  Min age 9months  9months to 17yo – one primary dose plus booster  12­24months after >18yo – single dose only Td and Tdap  Fully immunized ­Td boosters every 10years  (single dose of Tdap can be given in replacement of due dose of Td) Fully immunized pregnant – 1 dose Tdap after  20weeks AOG UNIMMUNIZED pregnant – 3­dose t­d containing vaccine (Td/Tdap) 0­1­6month. Tdap TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 1 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com " id="pdf-obj-0-169" src="pdf-obj-0-169.jpg">

Pneumococcal (PCV)

Min age 6weeks, Intramuscularly (IM), 4weeks apart, 3 doses Booster 6months after 3 rd dose

2­5yo

Japanese Encephalitis Vaccine (JE)

Subcutaneously

Min age 9months

9months to 17yo – one primary dose plus booster

12­24months after >18yo – single dose only

Td and Tdap

Fully immunized ­Td boosters every 10years

(single dose of Tdap can be given in replacement of due dose of Td) Fully immunized pregnant – 1 dose Tdap after

20weeks AOG UNIMMUNIZED pregnant – 3­dose t­d containing vaccine (Td/Tdap) 0­1­6month. Tdap

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 1 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit <awww.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com  9­23mos – 2 doses, 3months apart  2yo and above – one dose CSF FINDINGS IN BRAIN ABSCESS    MCV4­TT: 12mos and above, single dose MCV4­CRM: 2yo and above, single dose Revaccinate with MCV4 every 5 years as long as pt is high risk MPSV4    2yo and above as single dose If MPSV4 used as first dose, MCV4 should be given 2months later *MCV4­D and PCV13 should be given 4weeks apart SLE   IM High Risk : Chronic heart, lung, kidney disease, DM, CSF leak, cochlear implant, sickle cell disease and other hemoglobinopathies, anatomic and functional asplenia, HIV and immunodeficiency 2­5yo     One dose PCV 13 if incomplete PCV was given 2 doses of PCV 13 (8weeks apart) if unimmunized One dose PCV 13 if completely immunized with PCV 7 PPSV at least 8 weeks after the most recent PCV 13 6­18yo  1 dose of PCV 13 then PPSV after 8weeks Single revaccination of PPSV after 5 years Live Attenuated, SQ Minimum age 9yo Max age 45yo 3 dose series – 0,6,12months DENGUE Pnuemococcal for High Risk (PCV + PPSV)  Dengue     Hepatitis B Tests TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 2 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com " id="pdf-obj-1-2" src="pdf-obj-1-2.jpg">

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

9­23mos – 2 doses, 3months apart

2yo and above – one dose

CSF FINDINGS IN BRAIN ABSCESS

MCV4­TT: 12mos and above, single dose MCV4­CRM: 2yo and above, single dose Revaccinate with MCV4 every 5 years as long as pt is high risk

MPSV4

2yo and above as single dose If MPSV4 used as first dose, MCV4 should be given 2months later *MCV4­D and PCV13 should be given 4weeks apart

SLE   IM High Risk : Chronic heart, lung, kidney disease, DM, CSF leak, cochlear
SLE
IM
High Risk : Chronic heart, lung, kidney
disease, DM, CSF leak, cochlear implant,
sickle cell disease and other
hemoglobinopathies, anatomic and functional
asplenia, HIV and immunodeficiency
2­5yo
One dose PCV 13 if incomplete PCV was
given
2 doses of PCV 13 (8weeks apart) if
unimmunized
One dose PCV 13 if completely immunized
with PCV 7
PPSV at least 8 weeks after the most recent
PCV 13
6­18yo
1 dose of PCV 13 then PPSV after 8weeks
Single revaccination of PPSV after 5 years
Live Attenuated, SQ
Minimum age 9yo
Max age 45yo
3 dose series – 0,6,12months
DENGUE

Pnuemococcal for High Risk (PCV + PPSV)

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit <awww.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com  9­23mos – 2 doses, 3months apart  2yo and above – one dose CSF FINDINGS IN BRAIN ABSCESS    MCV4­TT: 12mos and above, single dose MCV4­CRM: 2yo and above, single dose Revaccinate with MCV4 every 5 years as long as pt is high risk MPSV4    2yo and above as single dose If MPSV4 used as first dose, MCV4 should be given 2months later *MCV4­D and PCV13 should be given 4weeks apart SLE   IM High Risk : Chronic heart, lung, kidney disease, DM, CSF leak, cochlear implant, sickle cell disease and other hemoglobinopathies, anatomic and functional asplenia, HIV and immunodeficiency 2­5yo     One dose PCV 13 if incomplete PCV was given 2 doses of PCV 13 (8weeks apart) if unimmunized One dose PCV 13 if completely immunized with PCV 7 PPSV at least 8 weeks after the most recent PCV 13 6­18yo  1 dose of PCV 13 then PPSV after 8weeks Single revaccination of PPSV after 5 years Live Attenuated, SQ Minimum age 9yo Max age 45yo 3 dose series – 0,6,12months DENGUE Pnuemococcal for High Risk (PCV + PPSV)  Dengue     Hepatitis B Tests TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 2 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com " id="pdf-obj-1-46" src="pdf-obj-1-46.jpg">

Dengue

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit <awww.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com  9­23mos – 2 doses, 3months apart  2yo and above – one dose CSF FINDINGS IN BRAIN ABSCESS    MCV4­TT: 12mos and above, single dose MCV4­CRM: 2yo and above, single dose Revaccinate with MCV4 every 5 years as long as pt is high risk MPSV4    2yo and above as single dose If MPSV4 used as first dose, MCV4 should be given 2months later *MCV4­D and PCV13 should be given 4weeks apart SLE   IM High Risk : Chronic heart, lung, kidney disease, DM, CSF leak, cochlear implant, sickle cell disease and other hemoglobinopathies, anatomic and functional asplenia, HIV and immunodeficiency 2­5yo     One dose PCV 13 if incomplete PCV was given 2 doses of PCV 13 (8weeks apart) if unimmunized One dose PCV 13 if completely immunized with PCV 7 PPSV at least 8 weeks after the most recent PCV 13 6­18yo  1 dose of PCV 13 then PPSV after 8weeks Single revaccination of PPSV after 5 years Live Attenuated, SQ Minimum age 9yo Max age 45yo 3 dose series – 0,6,12months DENGUE Pnuemococcal for High Risk (PCV + PPSV)  Dengue     Hepatitis B Tests TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 2 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com " id="pdf-obj-1-60" src="pdf-obj-1-60.jpg">

Hepatitis B Tests

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD For inquiries visit <awww.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com  9­23mos – 2 doses, 3months apart  2yo and above – one dose CSF FINDINGS IN BRAIN ABSCESS    MCV4­TT: 12mos and above, single dose MCV4­CRM: 2yo and above, single dose Revaccinate with MCV4 every 5 years as long as pt is high risk MPSV4    2yo and above as single dose If MPSV4 used as first dose, MCV4 should be given 2months later *MCV4­D and PCV13 should be given 4weeks apart SLE   IM High Risk : Chronic heart, lung, kidney disease, DM, CSF leak, cochlear implant, sickle cell disease and other hemoglobinopathies, anatomic and functional asplenia, HIV and immunodeficiency 2­5yo     One dose PCV 13 if incomplete PCV was given 2 doses of PCV 13 (8weeks apart) if unimmunized One dose PCV 13 if completely immunized with PCV 7 PPSV at least 8 weeks after the most recent PCV 13 6­18yo  1 dose of PCV 13 then PPSV after 8weeks Single revaccination of PPSV after 5 years Live Attenuated, SQ Minimum age 9yo Max age 45yo 3 dose series – 0,6,12months DENGUE Pnuemococcal for High Risk (PCV + PPSV)  Dengue     Hepatitis B Tests TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 2 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com " id="pdf-obj-1-64" src="pdf-obj-1-64.jpg">

TOPNOTCH MEDICAL BOARD PREP PEDIATRICS HANDOUT BY RUBY PUNONGBAYAN,MD & COCOY CALDERON,MD Page 2 of 2 For inquiries visit www.topnotchboardprep.com.ph or email us at topnotchboardprep@yahoo.com