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Preventive Health Care Grid (Infants/Children)

Preventive Health Care Grid (Infants/Children) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Preventive Health, Related


INFANTS AND CHILDREN
Table 1. Infant/Child Preventive Health Care Summary (Age 0-1 year)
CHILDREN
AGE 0-1 YR. Birth to 1 mo. 2 mo. 4 mo. 6 mo. 9 mo. 12 mo.
Anemia
Consider risk
assessment.
Test if at risk.
(UW Health Low
quality evidence,
weak/conditional
recommendation)
Test using CBC without
differential.
(UW Health Low
quality evidence, weak/conditional
recommendation)
Routine iron supplementation (1 mg/kg/day) based on breastfeeding status.
(UW Health High quality evidence, strong recommendation)
Blood Lead
Perform risk assessment.
Test if at risk.
(UW Health Low
quality evidence, weak/conditional
recommendation)
Breastfeeding
Exclusive breastfeeding for approximately 6 months after delivery is recommended. (UW Health Low quality evidence, strong recommendation)
Thereafter, infants may receive complementary foods with continued breast feeding up to 1 yr. of age or beyond.
(UW Health Low quality evidence, weak/conditional recommendation)
Dental Caries
Apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth
eruption. (USPSTF Grade B) Children should be seen by a dentist within 6 months of first tooth eruption or 12
months of age, whichever comes first. (UW Health Low quality evidence, weak/conditional recommendation)
Oral fluoride supplementation starting at age 6 months through 5 yrs. for children whose water supply is
deficient in fluoride. (USPSTF Grade B)
Development Complete ASQ. (UW Health Moderate quality
evidence, strong recommendation)
Hearing
Perform newborn
screening.
(Mandated by law)
Hypertension Patients with specific risk conditions should have their blood pressure obtained every six months.
(UW Health Very low quality evidence, weak/conditional recommendation)
Reference: UW Health Preventive Health Care – Adult/Pediatric – Ambulatory Guideline
Copyright © 2017 Univ ersity of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM @uwhealth.org Last Revised: 01/2017CCKM@uwhealth.org

CHILDREN
AGE 0-1 YR. Birth to 1 mo. 2 mo. 4 mo. 6 mo. 9 mo. 12 mo.
Immunization Follow ACIP/CDC Schedule (UW Health High quality evidence, strong recommendation); Vaccine Refusal Form should be completed annually (UW Health Very low quality evidence, weak/conditional recommendation)
Newborn
Screening
Complete within
24-48 hrs. of birth
(Mandated by law)
Tobacco Assess secondhand smoke exposure at every clinical encounter. (UW Health Moderate quality evidence, strong recommendation)
Tuberculosis
Perform risk assessment. Test if at risk.
(UW Health Very low quality evidence, weak/conditional
recommendation)
Perform risk assessment.
Test if at risk.
(UW Health Very low quality
evidence, weak/conditional
recommendation)
Vision
Examine using
inspection and red
reflex testing. (UW
Health Very low quality
evidence, strong
recommendation)
An ocular history, ocular alignment and motility assessment, and an ocular examination consisting of an
external examination, pupil examination, red reflex testing to assess ocular media, ocular fundus examination
with ophthalmoscope, and assessment of visual function should be done between 6-12 months. (UW Health Very
low quality evidence, strong recommendation)
*Badger Care Plus eligible children **Medicaid patients should be screened annually between age 3-8 yrs.
Copyright © 2017 Univ ersity of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM @uwhealth.org Last Revised: 01/2017CCKM@uwhealth.org

Table 2. Infant/Child Preventive Health Care Summary (Age > 1 year)
CHILDREN
AGE > 1 YR. 15 mo. 18 mo. 24 mo. 30 mo.* 3-6 yrs. 7-10 yrs.
Alcohol
Beginning at age 10 yrs., screening should take
place at least annually (UW Health Very low quality
evidence, weak/conditional recommendation)
Adolescent patients should be screened using
the CRAFFT (version 2.0). (UW Health Low quality
evidence, strong recommendation) Patients with less
than two “yes” answers on the CRAFFT should
receive a brief counseling intervention. (UW
Health Low quality evidence, weak/conditional
recommendation)
Anemia Consider risk assessment. Test if at risk. (UW Health Low quality evidence, weak/conditional recommendation)
Autism
Complete
M-CHAT-R/F
(UW Health High quality
evidence, strong
recommendation)
Complete
M-CHAT-R/F
(UW Health High
quality evidence,
strong
recommendation)
Blood Lead
Perform risk
assessment.
Test if at risk.
(UW Health Low
quality evidence,
weak/conditional
recommendation)
Perform risk assessment.
Test if at risk.
(UW Health Low
quality evidence, weak/conditional
recommendation)
Breastfeeding Patients may receive complementary foods with continued breast feeding up to 1 yr. of age or beyond.
(UW Health Low quality evidence, weak/conditional recommendation)
Dental Caries
Apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption.
(USPSTF Grade B) Oral fluoride supplementation starting at age 6 months through 5 yrs. for children whose water supply is
deficient in fluoride. (USPSTF Grade B)
Development
Complete ASQ.
(UW Health Moderate
quality evidence, strong
recommendation)
Complete ASQ between 24-30
months.
(UW Health Moderate quality evidence,
strong recommendation)
Diabetes Test for type 2 diabetes at age 10 yrs. or onset
of puberty if at risk (ADA Grade E)
Hearing
Test once between
4-6 yrs.**
(UW Health Very low quality evidence,
weak/conditional recommendation)
Test once between
8-10 yrs.**
(UW Health Very low quality evidence, weak/conditional
recommendation)
Copyright © 2017 Univ ersity of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM @uwhealth.org Last Revised: 01/2017CCKM@uwhealth.org

CHILDREN
AGE > 1 YR. 15 mo. 18 mo. 24 mo. 30 mo.* 3-6 yrs. 7-10 yrs.
Hypertension
Patients with specific risk conditions should have their blood pressure obtained
every six months.
(UW Health Very low quality evidence, weak/conditional recommendation)
Measure blood pressure annually.
(ICSI High quality evidence, strong recommendation)
Immunization Follow ACIP/CDC Schedule (UW Health High quality evidence, strong recommendation); Vaccine Refusal Form should be completed annually (UW Health Very low quality evidence, weak/conditional recommendation)
Lipids
Complete universal screen once between 9-11
yrs. using non-fasting total cholesterol and
HDL.
(NHLBI Grade B, strongly recommended)
Obesity Measure BMI annually (ICSI High quality evidence, strong recommendation)
Skin Cancer Provide counseling beginning at age 10 yrs. if
at risk. (USPSTF Grade B)
Tobacco Assess secondhand smoke exposure at every clinical encounter. (UW Health Moderate quality evidence, strong recommendation)
Tuberculosis
Perform risk
assessment.
Test if at risk.
(UW Health Very
low quality
evidence,
weak/conditional
recommendation)
Perform risk assessment annually.
Test if at risk.
(UW Health Very low quality evidence, weak/conditional recommendation)
Vision
An ocular history, ocular alignment and motility assessment, and an ocular examination consisting of an external
examination, pupil examination, red reflex testing to assess ocular media, ocular fundus examination with ophthalmoscope,
and assessment of visual function be done between the following ages: 1-3 yrs., and 4-5 yrs. (UW Health Very low quality
evidence, strong recommendation)
Vision acuity screening tests and additional
ophthalmic assessments should be completed
once during the following age ranges to detect
the presence of myopia: 6-8 yrs. and 10-12 yrs.
(UW Health Very low quality evidence, strong
recommendation)
*Badger Care Plus eligible children **Medicaid patients should be screened annually between age 3-8 yrs.
Copyright © 2017 Univ ersity of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM @uwhealth.org Last Revised: 01/2017CCKM@uwhealth.org