UMEM Educational Pearls - By Jenny Guyther

Title: Vaccines in children less then 1 year

Category: Pediatrics

Keywords: Vaccines (PubMed Search)

Posted: 10/5/2012 by Jenny Guyther, MD (Updated: 11/22/2024)
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We often ask our pediatric patients if there vaccines are up to date, but what does this mean?

Hepatitis B: birth, 2 and 6 months

Diphtheria/Tetanus and Acellular Pertussis: 2, 4 and 6 months

Pneumococcal vaccine: 2, 4 and 6 months

Haemophilus influenzae B : 2, 4 and 6 months

Polio: 2, 4 and 6 months

Rotavirus: 2 and 4 months or 2, 4 and 6 months depending on the brand.

Influenza: 6 months and older

Children less than 8 years old should receive 2 doses of flu vaccine at least 4 weeks apart during the first flu season that they are immunized. Children older than 2 years are eligible for the nasal vaccine if they do not have asthma, wheezing in the past 12 months or other medical conditions that predispose them to flu complications.

To see the full vaccine schedule including exact time frames between doses and catch up schedules, see: http://www.cdc.gov/vaccines/schedules/downloads/child/0-6yrs-schedule-pr.pdf

Show References

Title: Apnea and bronchiolitis

Category: Pediatrics

Keywords: hospitalization, RSV, bronchiolitis (PubMed Search)

Posted: 12/17/2021 by Jenny Guyther, MD (Updated: 11/22/2024)
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Typical admission considerations for patients with bronchiolitis are work of breathing, hypoxia, and dehydration. The patients risk of apnea should also be considered. Younger infants with bronchiolitis are at a risk for apnea. Studies have cited anywhere from a 16-25% risk in younger infants. The problem lies in identifying those patients who are at risk and those who are not. This older study looked at 691 infants and developed criteria which identified all of the 2.7% of patients who developed apnea.

The high risk criteria used in this study were: 1) Full term and younger than 1 month; 2) Born < 37 weeks gestation and younger than 48 weeks post conception or 3) Parents already noted an episode of apnea with this illness.

Bottom line: Incorporate the infants risk of apnea into your disposition decision for patients with bronchiolitis.