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    Disease Prevention and Health Guidelines

    Partnering for Your Best Health

    We’re here to partner with you in your complete health and wellness. At Sutter Health, you have a complete care team with you. We believe in partnering in your health wellness so you can feel your best.

    Find out when check ups, screenings and immunizations are generally recommended, then talk with your doctor or care team about what’s right for you.

    Health Guidelines by Age
    Health Maintenance Guidelines - Birth to 17 years
    Health Maintenance Guidelines - 19 to 39 Years
    Health Maintenance Guidelines - 40 to 49 Years
    Health Maintenance Guidelines - 50 to 74 Years
    Health Maintenance Guidelines - 75 and older
    Printable Health Maintenance Guidelines Poster (PDF)

    Glossary of terms

    Birth - 17 Years

    Check Up

    1, 2, 4, 6, 9, 12, 15 and 18 months
    Annually from ages 2-6; every other year from ages 6-17
    Vision Screening and BMI: At or before age 5

    Screening Tests

    Chlamydia: Yearly for sexually active women starting at 15
    Assessment of Risk for TB: To determine risk factors

    Discussion Topics

    HIV Testing: Routine discussion starting at 15
    Alcohol Misuse: Discuss with your provider starting at 14
    Interventions to Prevent Tobacco Use: Routine discussion starting at 12.
    Folic Acid: All girls planning or capable of pregnancy take daily supplement
    containing 0.4–0.8mg of folic acid.

    Immunizations



    Immunizations - Ages Birth to 17 years

    Immunizations

    Recommendations

    Hepatitis B

    Birth, 1 month, 6 months

    Haemophilus influenza type B

    2 month, 4 months, 6 months, 12 months

    Polio

    2 months, 4 months, 6 months, 4-5 years

    Diphtheria, Tetanus and Acellular Pertussis

    2 months, 4 months, 6 months, 18 months, 4-5 years
    Rotavirus2 months, 4 months, 6 months
    Pneumococcal2 months, 4 months, 6 months, 12 months
    Tdap/Td:Age 11 years
    Measles, Mumps and Rubella 12 months, 4-5 years
    Varicella (Chickenpox)12 months, 4-5 years
    Hepatitis A12 months, 18 months
    Influenza (yearly) 6 months, 18 months, 2 years, 4-5 years, 11-18 years
    Conjugated Meningococcal11-18 years
    Human Papillomavirus
    Females ages 9–26 and males 11–21 should receive the HPV series 0, 2 and 6 month intervals.
    11 years


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    18 to 39 Years

    Wellness Check

    Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.

    Screening Tests

    Diabetes: All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.
    Assessment of Risk for TB: To determine risk factors

    Discussion Topics

    HIV Testing: Routine discussion
    Alcohol Misuse: Discuss with your provider

    Immunizations

    Influenza: Yearly
    Varicella (Chicken Pox) Vaccine: Individuals born in 1980 or later should receive a second vaccine.
    HPV: Females age 9–26 and males 11–21 should receive the HPV series 0, 2 and 6 month intervals.
    Tdap/Td: Adults under 65 who have never received Tdap should get a Tdap booster, regardless of when a prior Td was given. After this, Td is required every 10 years.

    Men’s Health

    Lipid Test: At age 35

    Women’s Health

    Chlamydia: Yearly through age 24 for sexually
    active women
    Pap Test: Every 3 years starting from age 21 (between ages 21–30, may be more often). At age 30, may switch to every 5 years with HPV screening.
    Folic Acid: All women planning or capable of pregnancy take daily supplement containing 0.4–0.8mg of folic acid.
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    40 to 49 Years

    Wellness Check

    Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.

    Screening Tests

    Hep C: Screening for those born between 1945-1965
    Diabetes: All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.
    Assessment of Risk for TB: To determine risk factors

    Discussion Topics

    HIV Testing: Routine discussion
    Alcohol Misuse: Discuss with your provider

    Immunizations

    Influenza: Yearly
    Tdap/Td: Adults under 65 who have never received Tdap should get a Tdap booster, regardless of when a prior Td was given. After this, Td is required every 10 years.

    Men’s Health

    Lipid Test: Every 10 years

    Women’s Health

    Pap Test: Every 3 years from age 21 (between ages 21-30, may be more often). At age 30, may switch to every 5 years with HPV screening.
    Folic Acid: All women planning or capable of pregnancy take daily supplement containing 0.4–0.8mg of folic acid.
    Mammogram: Optional yearly
    • Annual mammography in this age group has been confirmed to decrease mortality but is not recommended by all professional organizations due to differing risk- benefit analyses. Options for breast cancer screening should be discussed with your provider yearly.

      The United State Preventive Services Task Force (USPSTF recommends against routine screening mammography in women age 40–49. The decision to start regular screening mammography before age 50 should be an individual one and take patient context into account, including the patient’s values regarding specific benefits and harms.
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    50 to 74 Years

    Wellness Check

    Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.

    Screening Tests

    Hep C: Screening for those born between 1945-1965
    Diabetes: All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.
    Colorectal Cancer (Options): Colonoscopy every 10 years; Fecal Occult Blood Testing every 3 years with sigmoidoscopy every 5 years; or Annual Fecal Occult Blood testing.
    Assessment of Risk for TB: To determine risk factors

    Discussion Topics

    HIV Testing: Routine discussion
    Alcohol Misuse: Discuss with your provider

    Immunizations

    Influenza: Yearly
    Tdap/Td: Adults under 65 who have never received Tdap should get a Tdap booster, regardless of when a prior Td was given. After this, Td is required every 10 years.
    Zoster (Shingles): At age 60
    Pneumococcal Vaccine: At age 65

    Men’s Health

    Lipid Test: Every 10 years
    Prostate Specific Antigen (PSA): Current evidence does not recommend routine PSA screening for average risk men.

    Women’s Health

    Pap Test: Every 3 years from age 21 (between ages 21-30, may be more often). At age 30, may switch to every 5 years with HPV screening.
    Mammogram: Every 2 years
    Bone Density: At age 65
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    75 and older

    Wellness Check

    Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.

    Screening Tests

    Diabetes: All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.
    Colorectal Cancer (Options): Colonoscopy every 10 years; Fecal Occult Blood Testing every 3 years with sigmoidoscopy every 5 years; or Annual Fecal Occult Blood testing.
    Assessment of Risk for TB: To determine risk factors

    Discussion Topics

    Alcohol Misuse: Discuss with your provider

    Immunizations

    Influenza: Yearly
    Tdap/Td: Adults 65 and older may get one Tdap booster if they have never received it, regardless of when a prior Td was given. After this, Td is required every 10 years.

    Men’s Health

    Prostate Specific Antigen (PSA): Current evidence does not recommend routine PSA screening for average risk men.

    Women’s Health

    Mammogram: Every 2 years; optional after age 74

    These guidelines may vary for patients on chronic medications or for patients with personal or family health risks.

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    Glossary

    Body Mass Index: Your weight in relation to your height
    BMI = Weight (pounds) / Height (inches)² x 703
    Use our online BMI calculator to determine your BMI

    • BMI Range for Non-Asian Ethnicities
      Underweight: Under 19
      Healthy: 19 – 24.9
      Overweight: 25-29.9
      Obese: Greater than 29.9


    • BMI Range for Asian Ethnicities
      Underweight: Under 18.5
      Healthy: 18.5 - 23
      Overweight: 23.1 - 25
      Obese: Greater than 25
      World Health Organization (WHO) | The Asia-Pacifc Perspective: Redefining Obesity and its Treatment - February 2000

    Bone Density Test: A low dose x-ray to screen for risk of thinning and weakening of bones, which increase the risk of osteoporosis and fracture.
    Bone Density Test Overview

    Chlamydia/GC Screening Test: A screening test for detecting chlamydia and/or gonorrhea. Curable sexually transmitted infections that can cause scarring, infertility and chronic pelvic pain.
    Chlamydia Testing Overview
    Gonorrhea Test Overview

    Fecal Occult Blood Test: A screening test for hidden blood in the stool, which may be a sign of colon cancer. High sensitivity fecal occult test is preferred.
    Fecal Occult Blood Test (FOBT) Overview

    HIV Test: A blood test to detect the presence of human immunodeficiency virus – a treatable infectious disease.
    HIV Test Overview

    Lipid Screen: A blood test for assessing levels of fats and cholesterol that can increase the risk of heart disease and stroke.
    Cholesterol and Triglycerides Tests Overview

    Lower GI Endoscopy: Colonoscopy: An internal inspection of the entire colon to screen for cancer and polyps (pre-cancerous growths)
    Colonoscopy Test Overview

    Sigmoidoscopy: An internal inspection of the lower colon to screen for cancer and polyps (pre-cancerous growths)
    Sigmoidoscopy Test Overview

    Mammogram: A low dose breast x-ray to screen for breast cancer.
    Mammogram Overview

    Pap Test: A test for abnormal cervical cells which can indicate increased risk of cervical cancer. This is not a test for uterine or ovarian cancer. Pap smears are done during an internal pelvic examination.
    Pap Test Overview

    PSA (Prostate Specific Antigen): A blood test for measuring a protein produced by the prostate gland. High levels may indicate prostate cancer.
    PSA Overview

    Tdap: Tdap is currently recommended as a single dose for individuals age 11 through 64 years. Tdap is also recommended over age 6 years if prior DTaP cannot be documented and the individual has close contact with infants.
    Tdap (tetanus, diphtheria, acellular pertussis vaccine) Overview



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