2015 preventative health guidelines
2015 PREVENTATIVE HEALTH GUIDELINES CHILDHOOD IMMUNIZATIONS AGE > Vaccine Birth 1 month Diphtheria, Tetanus, Pertussis Human Papillomavirus Meningococcal 2 months 4 months DTap DTap 6 months 12 months 15 months 18 months 19-23 months 2-3 years 4-6 years DTap 7-10 years 11-12 years DTap 13-18 years DTap HPV 3 Doses MCV Influenza Influenza (yearly) Pneumococcal PCV PCV PCV PCV Hepatitis A PPSV Hep A 2 Doses Hepatitis B Hep B Hepatitis AB Inactivated Poliovirus Measles, Mumps, Rubella Hep B Hep A Series Hep B Series Hep B Series Hep AB IPV IPV Varicella Rotavirus RV RV IPV IPV MMR MMR Varicella Varicella RV Haemophilus HIB HIB HIB HIB Influenzae Type B Note: Preferred age for vaccine is indicated where specific vaccine is listed in colored box. SERVICES FOR CHILDREN Gonorrhea preventative, Medication for eyes, Hearing Screening, Hemoglobinopathies (sickle cell), Congenital Hypothyroidism Phenylketonuria (PKU) Ht., Wt. and BMI SERVICES FOR PREGNANT WOMEN Newborns Bacteriuria Lab test Through Age 17 Hepatitis B Lab test HIV Screening All Children throughout development Children without fluoride in water source. Age 12 and above Iron Deficiency Anemia Screening Gestational Diabetes Screening (between 24 & 28 weeks) Rh Incompatibility Visual Acuity Up to Age 5 Syphilis Screening Lab test Oral Dental Screening During PHB visit Breast Feeding Interventions Counseling, Support & Supplies Urinalysis 4-6 years & 12-16 years Nicotine Counseling Developmental/Behavioral Assessment Autism All Ages Folic Acid Women capable of becoming pregnant Hematocrit or Hemoglobin Screening All Ages Lead Screening For children at risk of exposure Tuberculin Testing For children at high risk of exposure Dyslipidemia Screening Children at risk of lipid disorders Iron Supplementation 6-12 months at high risk Gonorrhea Age 13-18 annually as clinically indicated Syphilis Age 13-18 annually as clinically indicated Chlamydia Age 13-18 annually as clinically indicated Medical History Fluoride Supplement 1 Effective 4/24/15 Lab test Lab test Lab test SERVICES FOR ALL WOMEN Domestic Violence Screening and Counseling Annually 2015 PREVENTATIVE HEALTH GUIDELINES Adult Immunizations Tetanus, Diphtheria, Pertussis Adult Labs After age 18 - Substitute 1 time dose of DTap for Td booster; then boost with Td every 10 years 2 doses after age 18 Lipid Panel Annually as clinically indicated Hgb A1C Annually as clinically indicated. Influenza Age 19 and older - 1 dose annually FBS (Fasting Blood Sugar) Human Papillomavirus HPV2 or HPV4 Females - 3 doses between the ages of 19 and 26 if not previously vaccinated. Males - 3 doses between the ages of 19 and 26 if not previously vaccinated. Ages 19 to 64 - 1 time dose as clinically indicated. Age 65 and older – 1 time dose. Ages 19 - 64 1 or 2 doses as clinically indicated. Age 65 and older - 1 time dose Age 19 and older -1 or more doses as clinically indicated Once after age 19 - 1 or 2 doses Age 60 and older – 1 dose Human Papillomavirus DNA Testing Every 3 years beginning at age 30 Syphilis Screening As clinically indicated Chlamydia Infection Screening Gonorrhea Screening As clinically indicated 19 years of age and older - 2 doses as clinically indicated 19 years of age and older - 3 doses as clinically indicated 19 years of age and older - 1 to 3 doses as clinically indicated. Hep C Antibody 1 time for adults born between 1945 and 1965 Varicella Human Papillomavirus HPV4 Pneumococcal 13valent conjugate (PCV13) Pneumococcal polysacharide (PPSV23) Meningococcal Measles, Mumps and Rubella Zoster Hepatitis A Hepatitis B Haemophilus influenzae type b (Hib) 2 Effective 4/24/15 Adult Procedures/Services Physical Exam (including documented BMI, BP measurement) Female Breast exam Annually Annually as clinically indicated. Bone Density Scan Every 3 years age 60 or older and as clinically indicated. PSA, men over 50 When clinically indicated. BRCA (letter of medical necessity required) Women genetically at high risk of breast cancer Pap Smear/Thin Prep Pap Test for Women Age 21-65 every 3 years or every 5 years if combined with HPV testing. Ages 18-65 and older who are at increased risk as clinically indicated. Mammogram Every 1-2 years starting at age 40 or 50 as clinically indicated. Colorectal Cancer Screening Ages 50-75 and as clinically indicated r/t family history Colonoscopy - every 10 years Flexible Sigmoid - every 5 years Fecal Occult Stool (FIT/iFOBT) - Annually HIV Serology Annually as clinically Indicated Every 3 years for ages 20-39 and annually starting at age 40 2015 PREVENTATIVE HEALTH GUIDELINES It is recommended that a preventive health visit include screenings and/or counseling for: Depression Obesity Blood Pressure Alcohol Misuse Sexually Transmitted Infections Healthy Diet Tobacco Use Breast Cancer Chemoprevention for Women at High Risk Developmental/Behavioral Assessment/Autism Balance/Risk for Falls - ages 65 and older Urinary Concerns - ages 65 and older Source : www.cdc.gov/vaccines/schedules/downloads/adult/adult-combined-schedule.pdf Centers for Disease Control and Prevention's (CDC) Advisory Committee on Immunizations (ACIP, the American Academy of Family Physicians (AAFP, the American College of Physician and United States Preventative Services Task Force 3 Effective 4/24/15
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