MMR: The Daily PANCE Blueprint
According to CDC guidelines, at what ages should a child receive the mumps-containing vaccine as part of the routine immunization schedule?
A. At birth and 2-4 months
B. 6 months and 12 months
C. 2 years and 5-6 years
D. 12–15 months and 4–6 years
E. 6 years and 12 years
Answer and topic summary
The answer is D. 12–15 months and 4–6 years
Mumps is a highly infectious viral illness. It is transmitted by droplets, direct contact, or fomites. The infection usually begins with fatigue, myalgia, headache, fevers, and possibly salivary gland swelling due to parotitis. Parotitis is more common in children (2-9 year olds). Parotitis can either be unilateral or bilateral. Labs may show leukopenia and elevated serum amylase. Diagnosis can be made via detection of mumps virus RNA by RT-PCR (performed on serum or buccal or oral swab) or serum mumps immunoglobulin (IgM) antibody. There is no antiviral treatment, and the infection is usually self-limited. Complications that could occur include orchitis and meningitis/encephalitis.
The CDC recommends a two-dose series of mumps-containing vaccine, typically administered as the MMR vaccine (measles, mumps, rubella). The first dose should be given at 12-15 months of age, the second at 4-6 years of age.
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