AAP Updates Preventive Pediatric Healthcare Schedule — Physician’s First Watch

Medical News |
December 7, 2015

AAP Updates Preventive Pediatric Healthcare Schedule

By Louis M. Bell, MD

Dr. Bell is associate editor of NEJM Journal Watch Pediatrics and Adolescent Medicine, from which this story was adapted. See full coverage at the link below.

The American Academy of Pediatrics has updated its "Recommendations for Preventive Pediatric Health Care." Published in Pediatrics, the changes include:

  • Vision Screening: changed from routine screening to a risk-assessment approach

  • Oral Health: new recommendation for fluoride varnish from age 6 months through 5 years

  • Alcohol and Drug Use Assessment: addition of the CRAFFT screening tool for adolescents

  • Depression Screening: new recommendation at ages 11 through 21 years

  • Dyslipidemia Screening: an additional screening now recommended between ages 9 and 11 years

  • Hematocrit or Hemoglobin: measurement at ages 15 and 30 months added to detect iron-deficiency anemia

  • HIV Screening: now recommended between ages 16 and 18 years

  • Cervical Dysplasia Screening: no longer recommended for adolescents

The published schedule (see below) includes links to AAP policy statements that provide the evidence on which these changes are based, and links to the validated screening tools.

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