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Comprehensive Pediatrics

Traveling With Children

Traveling?

Domestic Travel - Present airline regulations often require a letter from a physician when you are traveling with medication and medical equipment such as nebulizers. Please contact us in advance of your flight.

Pontrelli
Perlman

International Travel - Comprehensive Pediatrics, P.C. has Infectious Disease Doctors at each office who offer consults and customized treatment based on traveler's individual needs for you and your family. Traveling to various parts of the world may require special immunizations and preventative medications such as Anti-Malarials that should be started weeks before your flight. Please contact our office and let us know your international destination country and if you will be residing in a large city or a rural environment. Contacting Comprehensive Pediatrics well before your departure will assure you that your children are traveling safely.

INFECTIOUS DISEASE & TRAVEL MEDICINE SERVICES

  • Fever
  • Lyme Disease
  • Staph Infections (MSSA, MRSA)
    • Recurrent
    • Colonization
  • Influenza & Other Viral Infections
  • Immunocompromised States (i.e. chemo recipient)
  • Central Nervous System Infections (Meningitis, Encephalitis)
  • Ear Nose and Throat Infections (Pneumonia, Empyema, Tracheitis)
  • Cardiovascular Infections (Bacteremia, Endocarditis, Myocarditis, Pericarditis)
  • Gastrointestinal Infections (Vomiting & Diarrhea, Abscesses, C. Difficile, Travelers, Salmonella)
  • Musculoskeletal Infections (Osteomyelitis- acute and chronic, Myositis, Fasciitis, Septic Arthritis/Joint)
  • Skin Infections (Cellulitis, Pustules/Boils)
  • Kawasaki Disease
  • Tuberculosis (Latent and Active)
  • Congenital Infections
  • Rashes
  • Pre-Travel & Post Travel Vaccination
  • International Adoption

VACCINES OFFERED

Hepatitis A

What is it?

Viral infection of the liver. Symptoms include stomach pain, vomiting, diarrhea, jaundice, or bleeding.

How do you get it?

Obtained through consumption of feces contaminated food or water.

Who should get the vaccine?

Protection is a through a two dose vaccination series for all people 12 months and older. Specifically, international travelers, patients with liver or bleeding or immune disorders, or people with increased occupational exposure.

Hepatitis B

What is it?

Viral infection of the liver. Where infection can be mild and self-limiting with vomiting, fever and diarrhea, long term risk of liver cancer and cirrhosis exist.

How do you get it?

Obtained through contact with contaminated blood, body fluids, or household contact.

Who should get the vaccine?

Vaccination is primarily offered through a three dose regimen as part of routine childhood immunization. Three dose catch up schedules are also established for anyone unvaccinated as a child.

Polio

What is it?

Viral infection causing flaccid paralysis and respiratory failure.

How do you get it?

Obtained through ingestion of contaminated food or water.

Who should get the vaccine?

Part or routine childhood immunization as a four dose series. Catch up series are available for international travelers to affected areas in Asia, India, Africa and the Middle East.

Meningitis

What is it?

Bacterial infection of the blood stream or central nervous system.

How do you get it?

Obtained through exposure or contact with infected secretions especially for household and daycare contacts.

Who should get the vaccine?

Indicated for anyone traveling to the meningitis belt of Africa or endemic areas in Asia.

  • A) 9 through 23 months old: 2 dose series, separated by three months
  • B) 2 -55 years old: 1-2 dose series

Otherwise, vaccination is routinely administered during adolescent health exams.

Tetanus and Whooping Cough (Pertussis)

What is it?

Bacterial infections manifesting as:

  • A) Tetanus: rigid paralysis and respiratory failure.
  • B) Whooping Cough: chronic cough lasting months and occurring in fits.

How do you get it?

  • A) Tetanus: spores are widespread in the environment and are transmitted through wound contamination.
  • B) Whooping Cough: contracted through contact or inspiration of respiratory secretions.

Who should get the vaccine?

Part of routine childhood immunization given as a combined vaccine. Booster dosing is needed every ten years to prevent illness.

Yellow Fever and Japanese Encephalitis

What is it?

These viruses present in one of three ways:

  • A) A flu like illness (fever, fatigue, malaise).
  • B) Meningitis (stiff neck, headache, fever) or encephalitis (fever and change in mental status).
  • C) Fever with severe body wide bleeding and shock.

How do you get it?

Infection is transmitted from the bite of a mosquito.

Who should get the vaccine?

  • A) Yellow Fever Vaccine: One dose offering protection for 10 years approved for 9 months and older. Mandated for travelers to endemic countries in South America and Africa.
  • B) Japanese Encephalitis: two dose series for travelers to Asia visiting an endemic area or staying for a month or more.

Human Papillomavirus (HPV) - Gardasil

What is it?

Viral infections associated with cervical, anogenital, and oropharyngeal dysplasias and cancers. Cutaneous nongenital warts include common skin warts, and plantar warts.

How do you get it?

HPV infections are transmitted from person to person by close or sexual contact.

Who should get the vaccine?

Adolescents should get the vaccine. The vaccine is a three dose series as part of routine adolescent health exams. The vaccine is also available in catch up series.

Typhoid Fever

What is it?

A bacterial infection caused by Salmonella. Symptoms include gastroenteritis or infection of the bloodstream.

How do you get it?

It is obtained through consumption of contaminated food.

Who should get the vaccine?

Indicated for travelers to the: Indian subcontinent, Latin America, Asia, the Middle East, and Africa.

Prevention is possible in two forms depending on age:

  • A) 2 years and older: one dose vaccine offering two years protection
  • B) 6 years and older: oral vaccine offering 5 years of protection