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Preventive Services for Children and Adolescents

Guideline Summary

Revision Date: September 2013
Ninteenth Edition

Scope and Target Population

The scope of this guideline is to provide a comprehensive approach to the provision of evidence-based preventive services including screening maneuvers, immunizations and counseling, and to assist in the prioritization of these preventive services.

This guideline is not intended to diagnose or treat any condition; if a health issue or condition is found or suspected, or a screening maneuver is abnormal, other guidelines (such as the ICSI Prevention and Management of Obesity for Adults guideline) address the details of subsequent evaluation, testing, and management.

The target population of this guideline is average-risk, asymptomatic children and adolescents under age 18. In general, this guideline does not apply to pregnant women, individuals with chronic disorders, or high-risk populations; certain exceptions are noted.

Aim

  1. Increase the rate of pediatric patients up-to-date with Level I preventive services.

Clinical Highlights

  • All clinic contacts – whether acute, chronic or for preventive service – are opportunities for prevention. Incorporate appropriate preventive services at every opportunity.
  • Address or initiate child preventive services that clinicians and care systems must assess the need for and recommend to each patient. These have the highest priority value. (Level I)
    - Childhood immunization series
    - Chlamydia screening (sexually active ages 25 years and younger)
    - Neonatal screening
  • Provide timely feedback, appropriate interventions and optimal follow-up.

Additional Background

The guideline was developed using an evidence-based approach, which emphasizes the critical evaluation of scientific evidence. The guideline also identifies those services that should not be included in light of similarly strong evidence.