Here are the screening tests and immunizations for infants from birth to age 2. Although you and your health care provider may decide that a different schedule is best for your baby, this plan can guide your discussion.
|
Screening
|
Who needs it
|
How often
|
|
APGAR (a test to determine how well an infant tolerated the birthing process and is adapting to his or her new environment)
|
All newborns
|
One minute and five minutes after birth
|
|
Congenital hypothyroidism
|
All newborns
|
2 to 4 days of age
|
|
Hearing loss
|
All newborns
|
Before leaving hospital or at 1 month
|
|
Elevated lead levels
|
All year-old infants* and children age 2 who are at average or increased risk
|
Yearly
|
|
Iron-deficiency anemia
|
All infants between 6 and 12 months* and children ages 1 to 5 years who are at average or increased risk
|
Yearly
|
|
Newborn screenings (some states require 29 or more tests for infections and disorders)
|
All newborns
|
Before leaving hospital
|
|
Phenylketonuria
|
All newborns
|
Before leaving hospital
|
|
Prevention of dental caries
|
Children ages 6 months to 5 years whose primary water source is deficient in fluoride
|
At routine exams; first dental visit recommended at 1 year
|
|
Sickle cell disease
|
Newborns
|
Birth to 2 months
|
|
Visual impairments
|
Children younger than 5 years
|
At well-child/routine exams
|
|
Immunization
|
Who needs it
|
How often
|
|
Hepatitis B vaccine (monovalent)
|
All infants
|
At birth, between 1 and 4 months, and a final dose at 6 to 18 months
|
|
Diphtheria
|
All infants
|
At 2 months, 4 months, 6 months, and a fourth dose six months after third dose
|
|
Tetanus toxoids
|
All infants
|
At 2 months, 4 months, 6 months, and a fourth dose six months after third dose
|
|
Acellular pertussis
|
All infants
|
At 2 months, 4 months, 6 months, and a fourth dose six months after third dose
|
|
Haemophilus influenzae type b conjugate
|
All infants
|
At 2 months and 4 months
|
|
Inactivated poliovirus
|
All infants
|
At 2 months, 4 months, 6 to 18 months (and a booster at 4 to 6 years)
|
|
Pneumococcal (conjugate)
|
All infants
|
At 2 months, 4 months, 6 months, and at 12 to 15 months
|
|
Measles, mumps, rubella (MMR)
|
All infants
|
First dose between 12 and 15 months (and the second dose at 4 to 6 years, or before starting kindergarten)
|
|
Chickenpox (varicella)
|
Those infants who have not contracted chickenpox
|
Between 12 and 15 months (and the second dose at 4 to 6 years)
|
|
Flu (seasonal); trivalent inactivated influenza
|
All infants
|
At 6 months, and then annually during flu season
|
|
Hepatitis A
|
All infants
|
At ages 12 to 23 months, with a second dose at least six months after the first dose
|
|
Rotavirus
|
All infants
|
At 2 months, 4 months, and 6 months (must be started before 14 weeks, 6 days of age)
|
All other screening guidelines from the U.S. Preventive Services Task Force