Key Pediatric Clinical Practice Guidelines in 2017

John Anello; Brian Feinberg; John Heinegg; Yonah Korngold; Richard Lindsey; Cristina Wojdylo; Olivia Wong, DO

Disclosures

January 10, 2018

In This Article

Preventive Care in Children

American Academy of Pediatrics

Depression: Screening for adolescents should begin at age 12 yr, as recommended by the US Preventive Services Task Force (USPSTF). In addition, physicians should ask about maternal depression at infants' 1-, 2-, 4-, and 6-mo medical visits.

Psychosocial-behavioral: The update underscores that assessment should be family-centered and, in addition to a child's social and emotional health, may include evaluation of caregivers and social determinants of health in the child's milieu.

HIV: Universal screening for HIV should occur once between 15 and 18 yr of age, which brings the AAP recommendation in line with USPSTF guidelines. Those at increased risk of HIV infection, including those who are sexually active, participate in injection drug use, or are being tested for other STIs, should be tested for HIV and reassessed annually.

Sexually transmitted infections: Adolescents should be screened for these in accordance with the recommendations in the AAP's current Red Book: Report of the Committee on Infectious Diseases.

Hearing: The schedule now outlines the timing and follow-up for screening all infants for congenital deafness and hearing problems, stressing early verification of testing and follow-up as needed. For adolescents, the recommendation has changed to auditory screening once during each of early, middle, and late adolescence, at ages 11-14, 15-17, and 1821 yr. Because impairment in this age group is usually high-frequency hearing loss related to loud noise exposure, adolescents should be tested with an audiometer at 6000 to 8000 decibels.

Newborn blood and bilirubin: Routine one-time bilirubin concentration screening at the neonatal visit, with emphasis on test verification and follow-up.

Dyslipidemia: Screening once between the ages of 9 and 11 yr, and once between ages 17 and 21 yr, which is consistent with the guidelines of the National Heart, Lung, and Blood Institute.

Oral health: Pediatricians should assess oral health at the 12- and 18-mo visits and through visits to 6 yr of age, or until a child has a regular dental home. Recommend use of a dental varnish beginning at the eruption of the first tooth and then every 3-6 mo until a child has a dental home or reaches age 5 yr.

References

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