Routine exams/immunizations

Routine physical exams and immunizations from birth to age 21

Newborn 5-7 days after discharge, unless instructed otherwise by your pediatrician
2 weeks, 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 2 years, 2 1\2 years. Yearly checkups thereafter.

Well Child Exams and Vaccine Schedule
While vaccine schedules can certainly change from time to time, I have listed the current schedule that we are using in the office. June 1, 2009
Birth:                            HepB
1 week                         None
2 weeks                       None (PKU test)
1 month                       HepB
2 months                     Pentacel, Prevnar, Rotateq
4 months                     Pentacel, Prevnar, Rotateq
6 months                     Pentacel, Prevnar, Rotateq, HepB
9 months                     None
12 months                   MMR, Var, HepA, Prevnar
15 months                   DaPT  Hib
18 months                   HepA
2 years                         None
3 years                         None
4 years                         Kinrix, MMR, Var
5-10 yearly                   None
11 yrs                          Adacel, Menactra, Gardasil
12-21 yearly                Menactra
HepB: This vaccine protects against hepatitis B -- a viral liver infection that is spread by blood and sexual contact.
Pentacel: This is a recent combination vaccine that combines five different antigens. The first three components are commonly listed as DTaP or DaPT. Older versions were called DPT and had a higher side effects.
Diphtheria: a throat infection that is life-threatening -- rarely seen because of the vaccines
Pertussis: whooping cough -- still present in our communities and life-threatening to babies.
Tetanus: an infection that can cause “Lock Jaw” a type of paralysis caused by a germ that is found in the dirt
Polio: a viral illness that causes high fever and paralysis. Largely eliminated since the institution of the vaccines. This component is called IPV.

Hib: Hemophilus influenza type B: This is one of the deadly forms of meningitis that particularly hit babies which was very prevalent as recently as the early 1980s and has been dramatically decreased with the advent of vaccinations.
Prevnar: This vaccine prevents most disease caused by a germ called Pneumococcus responsible for pneumonia as well as meningitis in children.

This is a more recent vaccine against a form of diarrhea called Rotavirus which hospitalized a lot of babies every year. It is a liquid oral vaccine and has significantly decreased the number of hospitalizations in our community since its inception a few years ago.
MMR: This is the combination vaccine against three diseases:
       Measles: a viral disease that could cause neurological problems including deafness
       Mumps: a viral illness that infects the parotid gland in the cheek. In adolescent and adult boys it also hits the testicle and     can cause sterilization.
       Rubella: a mild viral illness except when it occurs in pregnancy and it can cause mental retardation in the babies.
Var: Many of you may remember chickenpox from your childhood. This is the vaccine against chickenpox (varicella.) What you might not know is that we had about 50 deaths every year from chickenpox, and thousands of hospital admissions for subsequent skin infections. With the vaccine we will not only prevent this but also prevent cases of shingles.
Kinrix: This is a combination vaccine against diphtheria, pertussis, tetanus, and polio all described above.
Comvax: This vaccine is a combination of the measles, mumps, rubella and chickenpox vaccines mentioned above. Hopefully it will become available again and be used at age 12 months and four years instead of the individual MMR and Var vaccines.
Adacel: This is the adolescent version of the vaccine against diphtheria, tetanus, and pertussis. The recent change has been to include the vaccine against pertussis in order to prevent transmission from adolescence down to babies where it is life-threatening.
Menactra: This is a vaccine against a fatal form of brain infection (meningitis) which hits suddenly in the teenager and young adult age group.
Gardasil: This is the recent vaccine against Human Papilloma Virus (HPV) which is commonly called "genital warts." The problem is that this virus can also go on to cause cervical cancer in women and may be responsible for as much as 60% sign of these cancers. This is a series of three vaccines each separated by two months.

If you would like to know more about Kerrville Pediatrics and the services that we offer, please contact us by calling (830) 257-1440.