TABLE 3

Current USPSTF Recommendations for Children and Adolescents

RecommendationGrade
Cervical cancer (Papanicolau test) screening (2003)A
Gonococcal ophthalmia neonatorum: preventive medication (newborns) (2005)A
HIV infection: screening (2005)A
Chlamydial infection: screening (2007)A
High blood pressure: screening (2007) (18 y and older)A
Sickle cell disease: screening (2007)A
Hypothyroidism, congenital: screening (2008)A
Phenylketonuria: screening (2008)A
Visual impairment in children ages 0–5: screening (2004)B
Gonorrhea: screening (2005)B
Hearing loss, newborn: screening (2008)B
Sexually transmitted infections
 Counseling for sexually active adolescents (2008)B
 Counseling for nonsexually active adolescents (2008)I
Depression in children and adolescents: screening (2009)B
Obesity in children and adolescents: screening (2010)B
Idiopathic scoliosis in adolescents (scoliosis): screening (2004)D
Testicular cancer: screening (2004)D
Herpes simplex, genital: screening (2005)D
Skin cancer: counseling (2003)I
Alcohol misuse (drinking, risky/hazardous): screening and counseling (2004)I
Family violence: screening (2004)I
Speech and language delay: screening (2006)I
Lipid disorders in children (cholesterol abnormalities, dyslipidemia): screening (2007)I
Motor vehicle occupant restraints: counseling (2007)I
Illicit drug use: screening (2008)I
Smoking (tobacco use): Counseling (children and adolescents) (2003)I
Suicide risk: screening (2004)I
Dental caries in preschool children: screening (2004)I
Prophylaxis with oral fluoride supplementation at currently recommended doses to preschool children older than 6 mo of age whose primary water source is deficient in fluoride.B
Exercise (physical activity): counseling (2002)I
Healthy diet (nutrition): counseling (2003)I
Hyperbilirubinemia in infants: screening (2009)I
Iron deficiency anemia (anemia): screening (2006)I
Lead levels in childhood and pregnancy: screening (2006)I
Hip, developmental dysplasia: screening (2006)I
  • A and B grade recommendations: discuss these services with eligible patients and offer them as a priority. D grade recommendations: discourage the use of the services unless there are unusual additional considerations. I statements: carefully read the Clinical Considerations section for guidance, and help patients understand the uncertainty surrounding these services.