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Brief Summary

GUIDELINE TITLE

Routine preventive services for infants and children (birth - 24 months).

BIBLIOGRAPHIC SOURCE(S)

  • Michigan Quality Improvement Consortium. Routine preventive services for infants and children (birth-24 months). Southfield (MI): Michigan Quality Improvement Consortium; 2007 May. 1 p.

GUIDELINE STATUS

Note: This guideline has been updated. The National Guideline Clearinghouse (NGC) is working to update this summary.

** REGULATORY ALERT **

FDA WARNING/REGULATORY ALERT

Note from the National Guideline Clearinghouse: This guideline references a drug(s) for which important revised regulatory and/or warning information has been released.

BRIEF SUMMARY CONTENT

 ** REGULATORY ALERT **
 RECOMMENDATIONS
 EVIDENCE SUPPORTING THE RECOMMENDATIONS
 IDENTIFYING INFORMATION AND AVAILABILITY
 DISCLAIMER

 Go to the Complete Summary

RECOMMENDATIONS

MAJOR RECOMMENDATIONS

Note: This guideline has been updated. The National Guideline Clearinghouse (NGC) is working to update this summary. The recommendations that follow are based on the previous version of the guideline.

The level of evidence grades (A-D) are provided for the most significant recommendations and are defined at the end of the "Major Recommendations" field.

Recommendations Birth 1 mo 2 mos 4 mos 6 mos 12
mos		 15
mos		 18
mos		 24
mos
Health, developmental and risk assessments X X X X X X X X X
Parental education and counseling:
  • Immunizations, nutrition, breast-feeding [A], physical activity, dental health, child abuse, depression, alcohol/drug abuse, anxiety, stress reduction, coping skills
  • Motor vehicle safety - Rear facing car seat when riding in a motor vehicle until 1 year and 20 pounds [B].
  • Poison prevention - Keep National Poison Control numbers readily accessible; use child resistant containers
  • Burn prevention - Install smoke detectors and test bi-annually; carbon monoxide detectors; water heater temperature and fire prevention
  • Injury prevention - Use of gates; never leave infant unattended on changing table; water safety; CPR training
  • SIDS and infant sleep positioning - Place infants on their back [B]
 X X X X X X X X X
Tobacco Use Screening: Establish tobacco use and second-hand exposure X X X X X X X X X
Neonatal Screening: Newborn metabolic screening prior to hospital discharge >24 hours of age [D] X
>24 hours of age 		               
Blood Lead Testing [B]           X      

Abbreviations: CPR, cardiopulmonary resuscitation; SIDS, sudden infant death syndrome

Immunizations
Vaccines Birth 1 mo 2 mos 4 mos 6 mos 12
mos		 15
mos		 18
mos		 24
mos
DTaP [A]     X X X X  
IPV     X X X  
MMR (MMRV) [A]           X    
Varicella [A]           X    
Pneumococcal (PCV7)     X X X X    
Hib [A]     X X X X    
Rotavirus     X X X        
Hep B [A]
Schedule 1 		X X   X  
Hep B [A]
Schedule 2 		  X X X  
Hep A           X X
Influenza [B]         X (6 to 59 months, annually)

Abbreviations: DTaP, diphtheria, tetanus, acellular pertussis; Hep A, hepatitis A; Hep B, hepatitis B; Hib, Haemophilus influenzae type b; IPV, inactivated poliovirus vaccine; MMR, measles, mumps, rubella; MMRV, measles, mumps, rubella, varicella; PCV7, pneumococcal 7 valent conjugated polysaccharide vaccine

Definitions:

Levels of Evidence for the Most Significant Recommendations

  1. Randomized controlled trials
  2. Controlled trials, no randomization
  3. Observational studies
  4. Opinion of expert panel

CLINICAL ALGORITHM(S)

None provided

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EVIDENCE SUPPORTING THE RECOMMENDATIONS

TYPE OF EVIDENCE SUPPORTING THE RECOMMENDATIONS

The type of evidence is provided for the most significant recommendations (See "Major Recommendations" field).

This guideline is based on several sources including: Preventive Services for Children and Adolescents, Institute for Clinical Systems Improvement, 2006 (www.icsi.org).

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IDENTIFYING INFORMATION AND AVAILABILITY

BIBLIOGRAPHIC SOURCE(S)

  • Michigan Quality Improvement Consortium. Routine preventive services for infants and children (birth-24 months). Southfield (MI): Michigan Quality Improvement Consortium; 2007 May. 1 p.

ADAPTATION

This guideline is based on several sources including: Preventive Services for Children and Adolescents, Institute for Clinical Systems Improvement, 2006 (www.icsi.org).

DATE RELEASED

2007 May

GUIDELINE DEVELOPER(S)

Michigan Quality Improvement Consortium - Professional Association

SOURCE(S) OF FUNDING

Michigan Quality Improvement Consortium

GUIDELINE COMMITTEE

Michigan Quality Improvement Consortium Medical Director's Committee

COMPOSITION OF GROUP THAT AUTHORED THE GUIDELINE

Physician representatives from participating Michigan Quality Improvement Consortium health plans, Michigan State Medical Society, Michigan Osteopathic Association, Michigan Association of Health Plans, Michigan Department of Community Health and Michigan Peer Review Organization

FINANCIAL DISCLOSURES/CONFLICTS OF INTEREST

Standard disclosure is requested from all individuals participating in the Michigan Quality Improvement Consortium (MQIC) guideline development process, including those parties who are solicited for guideline feedback (e.g. health plans, medical specialty societies). Additionally, members of the MQIC Medical Directors' Committee are asked to disclose all commercial relationships.

GUIDELINE STATUS

Note: This guideline has been updated. The National Guideline Clearinghouse (NGC) is working to update this summary.

GUIDELINE AVAILABILITY

Electronic copies of the updated guideline: Available in Portable Document Format (PDF) from the Michigan Quality Improvement Consortium Web site.

AVAILABILITY OF COMPANION DOCUMENTS

None available

PATIENT RESOURCES

None available

NGC STATUS

This NGC summary was completed by ECRI Institute on March 5, 2008. The information was verified by the guideline developer on March 12, 2008.

COPYRIGHT STATEMENT

This NGC summary is based on the original guideline, which may be reproduced with the citation developed by the Michigan Quality Improvement Consortium.

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DISCLAIMER

NGC DISCLAIMER

The National Guideline Clearinghouse™ (NGC) does not develop, produce, approve, or endorse the guidelines represented on this site.

All guidelines summarized by NGC and hosted on our site are produced under the auspices of medical specialty societies, relevant professional associations, public or private organizations, other government agencies, health care organizations or plans, and similar entities.

Guidelines represented on the NGC Web site are submitted by guideline developers, and are screened solely to determine that they meet the NGC Inclusion Criteria which may be found at http://www.guideline.gov/about/inclusion.aspx .

NGC, AHRQ, and its contractor ECRI Institute make no warranties concerning the content or clinical efficacy or effectiveness of the clinical practice guidelines and related materials represented on this site. Moreover, the views and opinions of developers or authors of guidelines represented on this site do not necessarily state or reflect those of NGC, AHRQ, or its contractor ECRI Institute, and inclusion or hosting of guidelines in NGC may not be used for advertising or commercial endorsement purposes.

Readers with questions regarding guideline content are directed to contact the guideline developer.
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