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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
From the American Academy of PediatricsPolicy Statement

2019 Recommendations for Preventive Pediatric Health Care

COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE and BRIGHT FUTURES PERIODICITY SCHEDULE WORKGROUP
Pediatrics March 2019, 143 (3) e20183971; DOI: https://doi.org/10.1542/peds.2018-3971
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  • Abbreviation:
    AAP —
    American Academy of Pediatrics
  • The 2019 Recommendations for Preventive Pediatric Health Care (Periodicity Schedule) have been approved by the American Academy of Pediatrics (AAP) and represent a consensus of AAP and the Bright Futures Periodicity Schedule Workgroup. Each child and family is unique; therefore, these recommendations are designed for the care of children who are receiving competent parenting, have no manifestations of any important health problems, and are growing and developing in a satisfactory fashion. Developmental, psychosocial, and chronic disease issues for children and adolescents may require frequent counseling and treatment visits separate from preventive care visits. Additional visits also may become necessary if circumstances suggest variations from the normal.

    The AAP continues to emphasize the great importance of continuity of care in comprehensive health supervision and the need to avoid fragmentation of care.1

    The Periodicity Schedule will not be published in Pediatrics. Readers are referred to the AAP Web site (www.aap.org/periodicityschedule) for the most recent version of the Periodicity Schedule and the full set of footnotes. This process will ensure that health care professionals have the most current recommendations. The Periodicity Schedule will be reviewed and revised annually to reflect current recommendations.

    Following are the changes made to the Periodicity Schedule since it was last published in April 2017.

    Blood Pressure

    Footnote 6 has been updated to read, “Screening should occur per ‘Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents’ (http://pediatrics.aappublications.org/content/140/3/e20171904). Blood pressure measurement in infants and children with specific risk conditions should be performed at visits before age 3 years.”

    Anemia

    Footnote 24 has been updated to read, “Perform risk assessment or screening, as appropriate, per recommendations in the current edition of the AAP Pediatric Nutrition: Policy of the American Academy of Pediatrics (Iron chapter).”

    Lead

    Footnote 25 has been updated to read, “For children at risk of lead exposure, see ‘Prevention of Childhood Lead Toxicity’ (http://pediatrics.aappublications.org/content/138/1/e20161493) and ‘Low Level Lead Exposure Harms Children: A Renewed Call for Primary Prevention’ (https://www.cdc.gov/nceh/lead/ACCLPP/Final_Document_030712.pdf).”

    Committee on Practice and Ambulatory Medicine, 2018–2019

    Julia E. Richerson, MD, FAAP, Chairperson

    Joseph J. Abularrage, MD, MPH, MPhil, FAAP

    Yvette M. Almendarez, MD, FAAP

    Alexy D. Arauz Boudreau, MD, FAAP

    Patricia E. Cantrell, MD, FAAP

    Jesse M. Hackell, MD, FAAP

    Amy P. Hardin, MD, FAAP

    Scot B. Moore, MD, FAAP

    Robin Warner, MD, FAAP

    Staff

    Dana Bright, MSW

    Bright Futures Periodicity Schedule Workgroup

    Alexy D. Arauz Boudreau, MD, FAAP

    Joseph F. Hagan Jr, MD, FAAP

    Alex R. Kemper, MD, FAAP, Bright Futures Evidence Expert

    Kelley E. Meade, MD, FAAP

    Judith S. Shaw, EdD, MPH, RN, FAAP

    Staff

    Jane B. Bassewitz, MA

    Kathryn M. Janies

    Footnotes

    • FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.

    • FUNDING: No external funding.

    • POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

    • This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors. All authors have filed conflict of interest statements with the American Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American Academy of Pediatrics has neither solicited nor accepted any commercial involvement in the development of the content of this publication.

    • Policy statements from the American Academy of Pediatrics benefit from expertise and resources of liaisons and internal (AAP) and external reviewers. However, policy statements from the American Academy of Pediatrics may not reflect the views of the liaisons or the organizations or government agencies that they represent.

    • The guidance in this statement does not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.

    • All policy statements from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.

    Reference

    1. ↵
      1. Hagan JF,
      2. Shaw JS,
      3. Duncan PM
      , eds. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 4th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2017
    • Copyright © 2019 by the American Academy of Pediatrics
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    Pediatrics
    Vol. 143, Issue 3
    1 Mar 2019
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    2019 Recommendations for Preventive Pediatric Health Care
    COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE, BRIGHT FUTURES PERIODICITY SCHEDULE WORKGROUP
    Pediatrics Mar 2019, 143 (3) e20183971; DOI: 10.1542/peds.2018-3971

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    2019 Recommendations for Preventive Pediatric Health Care
    COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE, BRIGHT FUTURES PERIODICITY SCHEDULE WORKGROUP
    Pediatrics Mar 2019, 143 (3) e20183971; DOI: 10.1542/peds.2018-3971
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