Vaccine Information

Our practice follows the childhood immunization guidelines of the American Academy of Pediatrics (AAP) http://www.aap.org/ and the Advisory Committee on Immunization Practices (ACIP) http://www.cdc.gov/vaccines/recs/acip/default.htm. There has been a great deal of information misconstrued by the media lately, which has left many parents confused and scared. It is important to be sure that the information you read is based on reliable medical research.

Our standard vaccine schedule is available here (link to “Schedule of visits”) and correlates with your child’s check up appointments. We use combination vaccines to decrease the number of actual shots your child receives at each visit. For example, Pediarix® is a combination vaccine that includes protection against diphtheria, tetanus, and pertussis (DTaP), Hepatitis B, and Polio.

Alternative Vaccine Schedules:
We strongly encourage parents to immunize their child. If you would like to spread the vaccines out or would like an alternative vaccine schedule this can be discussed with your pediatric provider. Please realize that this often results in more actual shots and more office visits.

MMR and Autism:
One of the biggest myths and greatest concerns amongst parents is that there is a correlation between the measles, mumps and rubella vaccine (MMR) and the development of Autism. Scientific research has repeatedly debunked this claim over the past ten years. Most recently, on February 12, 2009 the U.S. Court of Federal Claims found the scientific evidence is “overwhelmingly contrary” to the theory that measles, mumps and rubella (MMR) vaccine and the vaccine preservative thimerosal is linked to autism. Click here to read more http://www.aap.org/featured/vaccinecourt.htm

Viral Infections

Viruses are the most common cause of infection in children. The symptoms can range from those associated with the common cold (such as cough and runny nose) to vomiting, diarrhea, and fever. Viruses are usually spread through droplets that can be transmitted through the air or found on commonly used objects such as toys. Kids tend to spread viruses quickly because they have the tendency to put their fingers in their mouth and have a lot of close contact with one another.

How to Prevent Viral Infections:
The best way to prevent a virus is to wash hands frequently.

Treatment:
Antibiotics do not help viral infections. Treatment is therefore concentrated on supportive measures in attempt to keep your child comfortable. Tylenol or Motrin can help to relieve symptoms such as fever and pain. Increasing the amount of fluids your child is drinking is important, especially since they may not be eating well while they are sick.

 

 

Viral Infections

A stomach virus usually comes with symptoms of nausea, vomiting, diarrhea, and abdominal pain. It is possible to have a fever with a stomach virus, at least initially. Stomach viruses can be easily spread to household members and those in close contact. We do not usually give children any medication to treat a stomach virus. Treatment is focused on keeping your child hydrated.If your child has just vomited, wait 30 minutes before trying to give them any fluids. Then give one small sip of either water or Pedialyte. Wait 3-5 minutes than give another sip. Continue to offer slow small sips over the next hour. If your child is not cooperating, try using a syringe and giving the fluids to them just like you would give medicine. Once your child has held down the clear fluids for at least 2 hours you can try to give milk/formula or food. Again be sure to do only small amounts at a time to be sure your child can tolerate it. Usually kids do not feel like eating when they have a stomach virus, but if your child is hungry offer bland foods such as cereal, rice, pasta, or crackers. Once your child has gone several hours without vomiting you may advance the diet to include proteins, fruits, and vegetables. Sometimes, particularly after having prolonged diarrhea it is difficult for the body to tolerate lactose. Therefore, if it seems that giving your child milk products makes the diarrhea (or vomiting) worse, try a lactose free or soy formula or milk. Once your child has been symptom free for over 24 hours you may put them back onto regular milk products.

Signs of Dehydration:
Decreased urine output
Lethargy
Irritability
Dry mucus membranes (no drool, no tears)

When to come in:
If you are worried your child may be dehydrated
If they are unable to tolerate even small sips of water.
If your child has diarrhea for more than 5 days
If there is fever over 103

 

 

Ear Infections

Ear infections are common in the pediatric population. Symptoms of an ear infection could include fever, irritability and decreased appetite. Many ear infections are caused by viruses. In children over the age of 2 years without pain or fever, ear infections can be watched for up to 72 hours as they will usually resolve on their own without antibiotic treatment. Tylenol or Motrin may be used to control the pain. Children under the age of 2 are usually treated with antibiotics, although it is sometimes reasonable to wait to see if they will self resolve as well. The decision to use antibiotics is individual to each child and needs to be discussed with your health care provider. After your child is diagnosed with an ear infection, you should schedule a follow up appointment in 2-3 weeks to have his/her ears checked to ensure the infection has resolved.


         

This website is intended for educational purposes only. Please consult your physician prior to the inception of any kind of medical treatment. Contact our office if you have any questions.