Preventive Pediatric Health Care: Updated Recommendations from the AAP
Am Fam Physician. 2017 Dec 15;96(12):814-815.
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Key Points for Practice
• Routine depression screening is now recommended starting at 12 years of age.
• Screening for maternal depression is recommended during office visits at one, two, four, and six months postpartum.
• Physicians should ensure that the newborn screening panel was performed, review results, and follow up when needed.
• Universal screening for HIV is recommended once at 15 to 18 years of age.
From the AFP Editors
The American Academy of Pediatrics (AAP) has updated its recommendations for preventive pediatric health care (Periodicity Schedule). These recommendations are intended for children receiving appropriate care from parents and with no health problems whose growth and development are within normal ranges. The full recommendations can be found at https://www.aap.org/periodicityschedule.
The recommendations regarding hearing screening have been updated to clarify timing and follow-up, and to change the timing in adolescents. According to these updates, physicians should ensure that screening was performed according to the “Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs,” confirm results, and follow up when needed in all newborn infants. Results should be reviewed and confirmed quickly, with follow-up performed when needed in infants three days to two months of age. Audiometry including high frequencies (i.e., 6,000 to 8,000 Hz) should be performed once during each of the following time frames: 11 to 14 years of age, 15 to 17 years of age, and 18 to 21 years of age.
DEPRESSION AND BEHAVIORAL/PSYCHOSOCIAL CONDITIONS
Routine depression screening is now recommended starting at 12 years of age, matching guidance from the U.S. Preventive Services Task Force (USPSTF). Screening for maternal depression is recommended during office visits at one, two, four, and six months postpartum; it should be based on “Incorporating Recognition and Management of Perinatal
Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.
This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.
A collection of Practice Guidelines published in AFP is available at http://www.aafp.org/afp/practguide.
Copyright © 2017 by the American Academy of Family Physicians.
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