CLINIC SERVICES
REGULAR CARE
We care for our patients from birth through adulthood.
VACCINATIONS
We provide a full range of vaccinations to protect your child.
PREVENTIVE CARE
Through preventive care, we identify hidden risks early on and thus protect your children’s healthy development.
INFANT CLINIC
Regular developmental check-ups and consultations regarding nutrition and daily routines. Individual counseling available by appointment.
EAR PIERCING
At our clinic, we perform professional and safe ear piercing for your baby. Of course, this service is also available for older children.
MEDICAL CONSULTATIONS
We also provide counseling and consultations. Telephone consultations outside of office hours are available; this service is charged according to our price list.
REGULAR CARE
FROM BIRTH TO 3 YEARS
Initial visits – at 14 days, 6 weeks, 3 months, 4 months, 6 months, 8 months, 10 months, 12 months, and 18 months
INITIAL PREVENTIVE EXAMINATIONS AND PREVENTIVE EXAMINATIONS FOR CHILDREN UNDER 3 YEARS OF AGE
- Establishment of medical records upon the child’s admission to comprehensive care; collection of basic contact information.
- Medical history and assessment of changes in health status since the last checkup, review of the child’s vaccinations, and administration of any missing vaccinations, as required by applicable regulations.
- Physical examination, including:
- Measurement of the child’s weight, height, and head circumference, and evaluation of these parameters using growth charts.
- Internal examination.
- Examination of psychomotor development—diagnostic assessment, conclusion, and guidance for parents on the child’s nutrition and daily routine, including injury prevention tailored to the child’s age, and nutritional counseling.
- Preliminary hearing screening at 8 months, first preliminary vision screening at 4–5 months, and another sensory screening at 18 months.
FROM AGE 3 TO ADULTHOOD
at ages 3, 5, 7, 9, 11, 13, 15, 17, 18, and 11 months – final
Routine checkups for children from age 3 through adulthood
- Measurement of the child’s weight and height, and evaluation of these parameters using growth charts.
- Assessment of the child’s psychosomatic development, fine and gross motor skills, social behavior, and hygiene habits.
- Complete physical examination, including a skin examination and screening for signs of child abuse, neglect, and maltreatment.
- Eye and vision examination, including color vision testing, as well as speech, voice, and hearing assessments.
- Blood pressure and pulse measurement, urine analysis.
- Genital examination.
VACCINATIONS
CLASSIFICATION OF VACCINATIONS
In the Czech Republic, vaccinations are divided into three categories:
Mandatory: fully covered by health insurance.
Optional (covered): fully or partially covered by health insurance.
Optional (not covered): paid for in full by the parents (patient).
Thanks to modern combination vaccines, children today receive only 7 doses of mandatory vaccinations. For comparison: in 2005, there were eighteen.
Each vaccination places an increased burden on the body, which is why we vaccinate only healthy children. The evening before vaccination, check to see if your child has a fever.
WHEN DO WE POSTPONE VACCINATION?
To ensure maximum safety, we postpone vaccination in the following cases:
• Acute allergic reactions: Pollen allergy in full swing, worsening of atopic eczema, hives, etc.
• Incubation period: If the child (or a family member or close contact) has been in contact with an infectious disease (e.g., chickenpox, scarlet fever).
HOW TO CARE FOR YOUR CHILD AFTER VACCINATION?
The vaccination itself is, of course, safe, but it’s still important to give your child extra attention and care.
In particular, please follow these steps:
Stay with us for half an hour. Please wait with us in the waiting room for 30 minutes—we want to make sure everything is okay.
A quiet day. Plan a more relaxed schedule for the rest of the day. Fatigue, a slight fever, or tenderness at the injection site are common reactions that will subside on their own.
When to call a doctor? If the temperature exceeds 39 °C, the child cries inconsolably, or an allergic rash appears, contact us immediately.
CHILDHOOD VACCINATION SCHEDULE EFFECTIVE AS OF 1. 1. 2024
AGE
MANDATORY VACCINATION
OPTIONAL VACCINATION
from day 4
through week 6
MANDATORY VACCINATION
Tuberculosis (only in at-risk children with indication)
Vaccines: BCG vaccine SSI
from day 4
through week 6
Tuberculosis (only in at-risk children with indication)
Vaccines: BCG vaccine SSI
starting in the 6th week
OPTIONAL VACCINATION
IPO
Vaccines: Prevenar 20 (1st dose)
Starting in the 6th week
IPO
Vaccines: Prevenar 20 (1st dose)
Starting in week 9
(2nd month)
MANDATORY VACCINATION
Diphtheria, tetanus, whooping cough, polio, hepatitis B, disease caused by Haemophilus influenzae type B
Vaccines: Hexacima, Infanrix Hexa * (1st dose)
Starting in week 9
(2nd month)
Diphtheria, tetanus, whooping cough, polio,
hepatitis B, disease caused by Haemophilus influenzae type B
Vaccines: Hexacima, Infanrix Hexa * (1st dose)
Months 2–3
OPTIONAL VACCINATION
IMO B
Vaccines: Bexsero **, Prevenar 13, Vaxneuvance
(1st dose)
IPO
Vaccines: Prevenar 20 *** (2nd dose)
Months 2–3
IMO B
Vaccines: Bexsero**, Prevenar 13, Vaxneuvance
(1st dose)
IPO
Vaccines: Prevenar 20 *** (2nd dose)
4th month
MANDATORY VACCINATION
Diphtheria, tetanus, whooping cough, polio,
hepatitis B, disease caused by Haemophilus influenzae type B
Vaccines: Hexacima, Infanrix Hexa *
(2nd dose)
4th month
Diphtheria, tetanus, whooping cough, polio,
hepatitis B, disease caused by Haemophilus influenzae type B
Vaccines: Hexacima, Infanrix Hexa *
(2nd dose)
Months 4–6
OPTIONAL VACCINATION
IMO B
Vaccines: Bexsero **, Prevenar 13, Vaxneuvance
(2nd dose)
IPO
Vaccines: Prevenar 20 *** (3rd dose)
Months 4–6
IMO B
Vaccines: Bexsero**, Prevenar 13, Vaxneuvance
(2nd dose)
IPO
Vaccines: Prevenar 20 *** (3rd dose)
Months 11–13
MANDATORY VACCINATION
Diphtheria, tetanus, whooping cough, polio, hepatitis B, disease caused by Haemophilus influenzae type B
Vaccines: Hexacima, Infanrix Hexa *
(3rd dose)
Months 11–13
Diphtheria, tetanus, whooping cough, polio,
hepatitis B, disease caused by Haemophilus influenzae type B
Vaccines: Hexacima, Infanrix Hexa *
(3rd dose)
Months 12–15
OPTIONAL VACCINATION
IMO B
Vaccines: Bexsero (3rd dose)
IMO A,C,W,Y
Vaccines: Nimenrix, Menquadfi **** (1st dose)
IPO
Vaccines: Prevenar 13, Synflorix
Months 12–15
IMO B
Vaccines: Bexsero (3rd dose)
IMO A,C,W,Y
Vaccines: Nimenrix, Menquadfi **** (1st dose)
IPO
Vaccines: Prevenar 13, Synflorix
13–18 months
MANDATORY VACCINATION
Measles, rubella, mumps
Vaccines: M-M-RVAXPRO (1st dose)
13–18 months
Measles, rubella, mumps
Vaccines: M-M-RVAXPRO (1st dose)
from age 5 to age 6
MANDATORY VACCINATION
Measles, rubella, mumps
Vaccines: M-M-RVAXPRO (2nd dose)
Diphtheria, tetanus, whooping cough
Tdap Vaccines: Infanrix, Boostrix (booster shot)
from age 5 to age 6
Measles, rubella, mumps
Vaccines: M-M-RVAXPRO (2nd dose)
Diphtheria, tetanus, whooping cough
Tdap Vaccines: Infanrix, Boostrix (booster shot)
from age 10 to age 11
MANDATORY VACCINATION
Diphtheria, tetanus, whooping cough, polio
Tdap-IPV Vaccines: Boostrix polio, Adacel Polio (booster shot)
from age 10 to age 11
Diphtheria, tetanus, whooping cough, polio
Tdap-IPV Vaccines: Boostrix polio, Adacel Polio (booster shot)
from age 11 to age 14
OPTIONAL VACCINATION
Human Papillomavirus Infection
Vaccines: Cervarix, Gardasil9 (2 servings total)
from age 11 to age 14
Human Papillomavirus Infection
Vaccines: Cervarix, Gardasil9 (2 servings total)
from age 14 to age 15
OPTIONAL VACCINATION
IMO B
Vaccines: Trumenba, Bexsero (2 servings total)
IMO A,C,W,Y
Vaccines: Nimenrix, Menveo, Menquad (1st dose)
from age 14 to age 15
IMO B
Vaccines: Trumenba, Bexsero (2 servings total) #
IMO A,C,W,Y
Vaccines: Nimenrix, Menveo, Menquad (1st dose) ##
* For premature infants, the vaccination consists of three doses administered at intervals of at least one month between doses, followed by a fourth dose administered at least 6 months after the third dose (i.e., the 3+1 schedule).
** Against invasive meningococcal infections caused by group B meningococcus, provided vaccination is initiated before the child reaches 12 months of age.
*** For premature infants, vaccination is administered in three doses given at intervals of at least one month between doses, with a fourth dose given at least 6 months after the third dose (i.e., the 3+1 schedule).
**** Against invasive meningococcal infections caused by groups A, C, W, and Y, if vaccination is administered as a single dose between the ages of one and two years.
# Against invasive meningococcal infections caused by group B meningococcus, if vaccination is administered as a single dose between the ages of 14 and 15 years. Vaccination is covered if it was initiated at this age.
## Against invasive meningococcal infections of groups A, C, W, and Y, if vaccination is administered as a single dose between the ages of 14 and 15.
IMO – Invasive meningococcal disease
IPO – Invasive pneumococcal disease
Prevenar 13 (13-valent vaccine, 2+1 schedule)
Vaxneuvance (15-valent vaccine, 2+1 schedule)
Prevenar 20 (20-valent vaccine, 3+1 schedule)
CHILDHOOD VACCINATION SCHEDULE FOR RECOMMENDED NON-COVERED VACCINATIONS
from the 6th week through the 32nd week at the latest
Rotavirus infections
Vaccines: Rotarix, Rotateq
NUMBER OF DOSES
2–3 doses, depending on the type of vaccine, administered at least 4 weeks apart
Starting at 9 months, ideally before starting daycare
Chickenpox
Vaccines: Varilrix
NUMBER OF DOSES
2 doses administered 6 weeks apart
from the first year
Hepatitis A
Vaccines: Havrix, Vaqta
NUMBER OF DOSES
2 doses administered at least 6 months apart
from the first year
Tick-borne encephalitis
Vaccines: FSME-IMMUN, Encepur
NUMBER OF DOSES
A 2+1-dose schedule with a booster every 3–5 years
from 6 months
The Flu
NUMBER OF DOSES
Before the respiratory illness season, after consulting a doctor