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By Pediatric Associates of Davidson County
January 20, 2021
Category: Child Safety
Tags: Tetanus Shot  
Tetanus ShotAll children need to get a tetanus shot. When we think of tetanus we often think of rusty nails; however, this bacterium isn’t just found on rusty metal items, it also lives in soil and dirt. If bacteria come in contact with a wound or opening in the skin this can lead to a serious infection. If your child, like many, enjoys running around outside barefoot, they must be keeping up with their tetanus shots.
When should my child get their first tetanus shot?

While tetanus can cause some serious symptoms including “lockjaw," it is completely preventable with a vaccination. The DTaP vaccine is used to prevent tetanus (along with diphtheria and pertussis) and your child will get their first series of shots at 2, 4, and 6 months. Your child will also need another tetanus shot between the ages of 15 to 18 months old and between 4-6 years old.
Children should continue to get a tetanus shot during their annual pediatric checkup until they turn 18 years old. Instead of getting the DTap vaccine, which they got as a young child, they will get the Tdap booster shot that still protects against diphtheria, tetanus, and pertussis.
Once your child reaches adulthood, they will get a Td vaccination, which will protect them against tetanus and diphtheria.
What are the signs and symptoms of tetanus?

Most children will develop symptoms within two weeks of exposure to the bacteria. Symptoms of tetanus include,
  • Painful and severe muscle spasms
  • Shoulder, jaw, and neck stiffness
  • Difficulty breathing and swallowing
  • Rapid heart rate
  • Fever
If left untreated, tetanus can be life-threatening so it’s important to bring your child in right away if they develop any of these symptoms.
If it’s time for your child’s next tetanus shot, your pediatrician will be able to administer the vaccine either during their next routine checkup or at a separate important. You must be keeping up with your child’s vaccine schedule so that they are fully protected against potentially dangerous communicable diseases.
By Pediatric Associates of Davidson County
January 07, 2021
Category: Child Safety
Keeping Your Child Safe While TravelingWhether you’re simply taking a weekend trip to visit the grandparents, or you and the family are flying internationally, you must know how to keep everyone healthy and safe while on vacation. After all, the last thing you want to worry about is looking up local hospitals near your hotel in the middle of the night. Here are some tips for how to keep your little ones safe while traveling.
Bring all Medications with You…
And make sure you have enough. This is especially important if you are going to spend a couple of weeks on vacation. You will want to make sure that your child has access to their medications and that they don’t run out. If you’re flying, make sure to pack all medications in your carry-on, just in case the airline happens to lose your luggage.
Get the Appropriate Vaccinations
While travel throughout the US won’t typically require your child to get inoculated, traveling abroad may require certain vaccines ahead of time. You must schedule an appointment with your child’s pediatrician about a month in advance to make sure that they get all appropriate vaccinations before travel.
Depending on where you’re traveling, your pediatrician may recommend certain immunizations against typhoid, yellow fever, meningitis, or rabies. Your child may also require antimalarial drugs to protect against malaria.
Get Travel Insurance
While we never want to imagine a medical emergency happening while abroad, it is important to be prepared just in case your child breaks their arm or gets sick. In this case, having travel insurance can be a major stress-reliever and lifesaver. Most travel insurance covers kids under 17 years of age and also provides emergency care and 24/7 assistance.
Traveling During COVID-19
Of course, during the pandemic, medical officials highly recommend avoiding any travel unless essential. While we understand everyone’s desire to travel again and for life to return to normal, we must be doing our part to keep everyone safe during this time. If you do need to travel make sure to wear a mask, practice good hygiene and social distancing, and choose outdoor places such as parks where you can avoid crowds and other people.
If you do have questions about traveling with your child, or about getting them the proper vaccines before travel, talk with your child’s pediatrician. It’s important to talk with a pediatrician a month or more before your trip so that you can ensure that your child has everything they need before traveling.
By Pediatric Associates of Davidson County
November 12, 2020
Category: Child Safety
Keeping Your Child Safe in the CarYou may be surprised to learn that many car seats are not used properly. In fact, around 46 percent of car and booster seats are improperly used, which greatly impacts their efficacy. With car accidents being the leading cause of death in children in the US, parents must know how to keep their children safe while riding in the car. If you have questions about keeping your child safe, your pediatrician is here to answer all of your questions.

Types of Car Seats

Before your child can just start buckling up like a big kid, they need to use car seats. Children from birth until 3 years old will use a rear-facing car seat. From 3-7 years old children will upgrade to the forward-facing car seat. Then the booster seat is typically used anywhere from 5-12 years, depending on their height and manufacturer’s guidelines. Children should be at least five years old, weigh at least 40 pounds and be over the height and weight requirements for their forward-facing car seat to be ready to upgrade to a booster seat.

Choosing the Right Car Seat

When it comes to choosing a car seat, we know that it can be difficult to narrow it down. The National Highway Traffic Safety Administration (NHTSA) provides useful information to help you find the right car seat by comparing different ones on the market. You can also talk to your pediatrician, who can provide you with a wellspring of information and advice on choosing the right car seat for your little one.

Installing Your Child’s Car Seat

Before starting, it’s important to read the manufacturer’s installation guide so that you can better understand the car seat and how it should be installed. Along with following the installation guide that comes with the car seat, the NHTSA also provides some helpful safety tips for a successful installation.

Did you know that once you have your car seat in-place that you can have it inspected to make sure that it’s properly installed? This can provide families with the peace of mind that they need to know that their child is safe every time they buckle up.

From booster seats to booster shots, you must be doing everything possible to keep your child healthy and safe. This also means finding quality pediatricians that you trust to provide you with the tips, advice, and care to support your child’s health. 
By Pediatric Associates of Davidson County
November 10, 2020
Category: Child Safety

Understanding your child’s immunization schedule is key to helping your child get a healthy start in life. Pediatric Associates of Davidson County helps parents and caregivers all over Nashville, TN with their pediatric concerns, including immunizations. What should parents look for when having their child immunized?


From birth to two months old, your child should receive a Hep B shot.

2 months

When your child is 2 months old, your little one will receive a round of vaccines that the Center for Disease Prevention says can be remembered as “DhRIP”: Diphtheria, Meningitis, Pneumococcal, and Polio.

4-6 months

Between 4-6 months old, your child will get boosters of DhRIP. Begin to have the influenza vaccine with these immunizations.

At 6 months, introduce another round of HepB and Polio vaccinations.

When your baby is about one year of age, they require Hib (Haemophilus influenza type b vaccine), MMR: Measles, mumps, and rubella (German measles) vaccine, PCV, and Chickenpox (varicella).

Here is a full list of the vaccines your little one should take, and when:

1-2 years

  • HepA - Hepatitis A vaccine; given as 2 shots at least 6 months apart

15–18 months

  • DTaP

4–6 years

  • DTaP
  • MMR
  • IPV
  • Varicella

11–12 years

  • HPV: Human papillomavirus vaccine, given in 2 shots over a 6- to 12-month period. It can be given as early as age 9. For teens and young adults (ages 15–26 in girls and boys both), it is given in 3 shots over 6 months. It's recommended for both girls and boys to prevent genital warts and some types of cancer.
  • Tdap: Tetanus, diphtheria, and pertussis booster. Also recommended during each pregnancy a woman has.
  • Meningococcal conjugate vaccine: And a booster dose is recommended at age 16.

16–18 years

  • Meningococcal B vaccine (MenB): The MenB vaccine may be given to kids and teens in 2 or 3 doses, depending on the brand. Unlike the meningococcal conjugate vaccine, which is recommended, the decision to get the MenB vaccine is made by the teens, their parents, and the doctor.

If you have any questions about your loved one’s vaccination schedule, feel free to give Pediatric Associates of Davidson County a call in Nashville, TN. Contact us at (615) 329-3595 to get more information or schedule an appointment.

By Pediatric Associates of Davidson County
April 24, 2020
Category: Child Safety
Tags: Immunizations  

Our bodies have a built-in protection mechanism against infections. Most of the time, this immune system is more than enough to keep microorganisms out of our system. However, there are some pathogens that could overpower your children’s immune system.

One way to help your child’s immune system cope with such an invasion is through immunizations. If you’re unsure when you should get your children vaccinated, you can consult one of the pediatricians here at the Pediatric Associates of Davidson County in Nashville, TN, for the recommended immunization schedules.

How Immunizations Work

Various cells are present in the immune system, which are responsible for the removal of harmful pathogens. However, before this happens, the cells must be alerted first since the pathogen is harmful. If the cells do not recognize this, there will be no response or one would come late.

The role of vaccinations is to teach the body to identify new diseases so that it can stimulate the body to create antibodies against it. The immune cells will likewise be forced to remember antigens that result in infections. This translates to quicker response times for future infections.

Vaccinations work by using a safe form of the disease, like in the case of:

  • Sugar or protein from the pathogen makeup.
  • An inactivated or dead form of the pathogen.
  • A toxin contained in a toxoid from the pathogen.
  • A weakened version of the pathogen.

An adaptive immune response is triggered once the body reacts to the vaccination to prepare it to fight the real infection. Vaccinations will mostly be done through a two-part injection. The first contains the antigen and the second is the adjuvant. The antigen helps the immune system recognize the disease. The adjuvant, on the other hand, is responsible for signaling the body of the danger. These two help boost your child’s immunity. Ask your pediatrician in Nashville, TN, which immunizations your children need.

Need More Details on Immunizations? We Can Help

Call (615) 329-3595 to reach the Pediatric Associates of Davidson County in Nashville, TN, and set your consultation date with one of our pediatricians.