Preschool health check-ups ensure that a child's physical, social, and intellectual development is appropriate. Basic motor skills and social skills are checked. The child will also undergo a hearing and vision test with the pediatrician.

Regular preventive check-ups, which also include recommendations on vaccination, nutrition, upbringing, and accident prevention, are carried out to prevent and detect psychological, mental, or physical peculiarities or illnesses in infants and children at an early stage.

Infant and preschool child check-ups a team of pediatric specialists in primary care. Infants and preschool children are entitled to:

• systematic review at one, three, six, nine, twelve, and eighteen months of age and at three and five years old,
• follow-up examination if a change requiring follow-up was found during the systematic review,
• implementation of mandatory vaccination prescribed by the vaccination program,
• performances of programmed health education and individual counseling.

A systematic examination of a three-year-old child also includes an examination by a psychologist, while a five-year-old child's examination includes an examination by a speech therapist.

Systematic preventive check-ups for infants, children, and adolescents they differ somewhat in content depending on the child's age, but generally include a review of health records, medical history, a child examination, and screening tests, a discussion with the child, health education activities, and, if necessary, child vaccination. Health education activities are initially conducted individually and are aimed at parents, caregivers, and teachers, while later, as the child grows, they also take place in groups in kindergartens and schools.

Preventive check-ups and vaccinations for preschool children: 

In case of signs and symptoms of illness, remain calm. Observe the child carefully and comfort them. Provide them with an appropriate space for rest. The room should be adequately heated and ventilated, ensure sufficient fluid intake, do not worry if the child refuses food, encourage them to consume an energy-rich meal, even in the form of a drink. The child needs encouragement, rest, and a peaceful environment (games, reading books, listening to fairy tales).

If you suspect a child has an infectious disease, isolate them from peers and especially from elderly people with chronic illnesses, if possible.

Take care of yourself too, as caring for a sick child is an exhausting and demanding task.

If you notice that:

• The child has a very high fever.
• The child looks very sick (affected).
• The child is having difficulty breathing.
• I have a stiff neck
• The child is bothered by daylight
• The baby has a bulging fontanelle on their head (infants).
• It's very difficult to wake the child.
• Have you noticed any seizures or absence?,

Do not delay calling or visiting the doctor.

You can contact us for professional assistance. We will offer you professional help by phone or arrange for an examination at our clinic.

Before your visit, please remember the basic measure: first, take the child's temperature.,

• if your child has Vrochino, first remove their clothes, in case the temperature rises above 38.5°C, give them a suppository or syrup to lower the fever,
• If you determine that the child's general well-being is poor (lethargic, not active, in pain, notice a rash, etc.), we recommend an examination or consultation via electronic media.

It is advisable to have a pencil and notebook with you during your conversation with the pediatrician to write down instructions.

Please ensure you have organized and valid health documentation with you, dress the child appropriately (light clothing, slippers), and adhere to the agreed-upon time. Please be aware that we see a large number of both healthy and sick children, so it is important to ensure safety and high-quality professional care for everyone.

The calendar presents general mandatory and recommended vaccinations included in the national Vaccination and Medication Protection Program for 2019. These vaccinations apply to the vast majority of children and are covered by health insurance. These are:

• mandatory vaccination against Davici, tetanus, whooping cough, Haemophilus influenzae type b, polioin Hepatitis B,
• mandatory vaccination against I'll sharpen it, mumpsin roseola Ground
• recommended vaccination against pneumococcal infectionsin Tick-borne meningoencephalitis (TBE) Ground Human Papillomavirus (HPV) for girls.

More detailed information on diseases and vaccinations is available in the section Illnesses and their vaccines.

mandatory vaccinations
Recommended vaccinations
Applies to children born from October 2019 onwards, who will receive their first dose of the vaccine upon reaching three months of age in January 2020 and later. For children who turned three months old in 2019, vaccination will be carried out according to the old schedule, i.e., without the hepatitis B component.These children will then be vaccinated against Hepatitis B according to the schedule:

dose between 5 and 6 years
2. dose one month after the first
3. dose in 1st grade of elementary school

The vaccination schedule for tick-borne encephalitis (TBE) vaccination is:

• dose,
• dose of 1 to 3 months after the first,
• a dose of 5 to 12 months after the second dose (for FSME-IMMUN vaccine) or 9 to 12 months after the second dose (for ENCEPUR vaccine)
• first booster dose 3 years after the 3rd dose, subsequent booster doses every 5 years.

All infants who have a chosen pediatrician at our institution also undergo an ultrasound screening examination for possible hip development abnormalities (hip ultrasound). The most suitable time is between 6-8 weeks of age. Hip ultrasounds can be omitted for children without risk factors, in whom the clinical examination showed no deviations from normal, and who had a hip ultrasound performed at the maternity hospital with a 1A bilateral result. The aforementioned examination is also performed on referral from the health insurance for infants who have a pediatrician at another institution.

Mollusc Treatment

Mollusca are harmless skin lesions caused by infection with the molluscum contagiosum virus. The skin growths are highly contagious and spread from one part of the body to another and between people, either directly or through contaminated towels and clothing. Children, especially those with atopic dermatitis, are most commonly infected.

Skin lesions are initially very small and barely noticeable, but can later grow into several millimeter-sized, round, skin-colored changes. Mollusca can also transform into pedunculated fibromatous changes. The main problem is the transmission of the lesions to different parts of the body, especially in the stage of immune deficiency. Children can have over 100 mollusca on different parts of their bodies, so it makes sense for them to visit a pediatrician in a timely manner, who will decide on appropriate treatment, thus preventing the spread of infection and the formation of new lesions.

At Juventina Baby Clinic, we perform state-of-the-art therapy with the Cryopen device or an erbium laser. Cryopen works on the principle of cryoablation, precise freezing. Laser therapy is based on the principle of ablation. With the erbium laser and its small spot size, we can quickly, precisely, and effectively remove skin lesions and locally destroy viruses.

All procedures are slightly painful. For additional pain relief, we use an anesthetic cream, which is applied 30–45 minutes before the procedure. For laser therapy, pain can also be relieved with a special cooling device. Healing of minor wounds follows, which is usually completed within a few days after the procedure.

Wart treatment

Warts are one of the most common, harmless, viral skin infections caused by human papillomaviruses (HPVs). Most infections occur in children and adolescents. The appearance and size of a wart depend on the type of virus and its location on the body.

They are most often recognized as small, hard, rough skin growths, irregular or round in shape. They usually measure less than a centimeter in diameter. They can grow separately or in groups.

Common warts are most common on the hands. They are firm and may be slightly darker, or they may peel slightly. They can appear in large numbers.

On the feet are plantar warts, which are flatter due to the load on the feet and often cause pain when walking.

On the skin of the face, especially on the lips, nose, and eyelids, there are filiform warts with rough surfaces.

Approximately two-thirds of warts spontaneously disappear within two years without treatment, but they can reappear over time.

The choice of treatment method depends on the location, type, and extent of the warts. We can recommend the use of a keratolytic or one of the home remedies, such as fresh juice from a celandine stem, dandelion, calendula, freshly ground garlic, or birch bark. These should be applied daily until the wart disappears. Although these are natural preparations, extreme caution is required, as they can damage the skin, and the warts may reappear.

At Juventina Baby Clinic, we perform state-of-the-art therapy with the Cryopen device or an erbium laser. The Cryopen works on the principle of cryo-cauterization, precise freezing. Laser therapy, on the other hand, is based on the principle of ablation. With the erbium laser, which has a small treatment spot, we can quickly, accurately, and effectively remove skin lesions and locally destroy viruses. For extensive warts, treatment may need to be repeated multiple times.

The procedures can be painful depending on the size of the wart, so for additional pain relief, we use an anesthetic cream, which is applied 30-45 minutes before the procedure. With laser therapy, pain can also be relieved with a special cooling device.

PREVENTION OF WART FORMATION

Transmission of the virus is possible through direct contact or via contaminated objects. Warts appear only weeks or months after exposure to the infection. Therefore, children should not scratch or bite warts, as this facilitates the spread of viruses.

Warts can be prevented by warning children not to touch other children's warts, not borrowing shoes from children who have warts on their feet, wearing flip-flops in swimming pools, and drying their feet after showering.