TM
, Bright Futures
FOURTH mEDITION
m
Guidelines for Health Supervision of Infants, Children, and Adolescents
m m m m m m m m
POCKET GUIDE m
EDITORS
JosephmF.mHagan, mJr, mMD, mFAAP m
JudithmS.mShaw,mEdD,mMPH,mRN,mFA
APmPaula mM. mD unca n, mMD, mFAA
P
SUPPORTED,mINmPART,mBY
USmDepartmentmofmHealthmandmHumanmServices mH
ealthmResources mandmServices mAdministrationmMat
ernalmandmChildmHealthmBureau
PUBLISHEDm BY
AmericanmAcademymofmPediatrics
,This mpublicationmhas mbeenmproducedmby mthemAmericanmAcademymofmPedi Themrecommendationsmin mthismpublication mdomnotmindicatemanmexclusivemcou
atrics.m Supported,minmpart,mundermitsmcooperativemagreement m(U04MC078 rsemofm treatmentmormservemasmamstandard mofmmedicalmcare.mVariations,mtakin
53)mwith mthem USmDepartmentmofmHealth mand mHumanmServices,mHealthmR gminto maccount m individual mcircumstances,mmay mbemappropriate.
esourcesmandmServicesm Administrationm(HRSA),mMaternal mandmChild mHe ThemAmericanmAcademymofmPediatricsmis mnotmresponsiblemformthemcontent
alth mBureau m(MCHB). mofmthem resources mmentioned minmthismpublication.mWebmsitemaddressesmar
Suggestedmcitation:mHagan mJF,mShaw mJS,mDuncan mPM,meds.mBright mFutures:mG emas mcurrent mas m possiblembut mmay mchangemat many mtime.
uidelinesm formHealth mSupervisionmof mInfants,mChildren,mandmAdolescents m[pock ThemAmerican mAcademymofmPediatricsmhas mneithermsolicited mnormaccepte
et mguide].m4th med.m Elk mGrovemVillage,mIL: mAmerican mAcademy mofmPediatri d many m commercial minvolvementminmthemdevelopmentmofmthemcontentmofmt
cs; m2017 his mpublication.
American mAcademy mofmPediatrics mBrightmFutures mNationalmCenter mStaff Thempublishers mhavemmademevery meffort mto mtracemthemcopyrightmho
ChiefmMedical mOfficer lders mform borrowed mmaterials.mIfmthey mhaveminadvertently moverloo
SeniormVicemPresident,mChildmHealthmandmWellness m ked many,mthey mwillm bempleased mto mmakemthemnecessary marrangeme
AmericanmAcademymofmPediatrics:mV.mFan mTait,mMD nts mat mthemfirst mopportunity.
Director,mDivisionmofmDevelopmentalmPediatricsmandmPreventivemServices: m All mauthors mhavemfiledmconflictmofminterestmstatementsmwith mthemAm
Darcym Steinberg-Hastings,mMPH erican m AcademymofmPediatrics.mAny mconflictsmhavembeenmresolvedmth
Manager,mBright mFutures mNational mCenter: mJanemBassewitz,mMA rough mamprocess m approved mby mthemBoard mofmDirectors.
Manager,m Bright m Futures m Implementation: m Kathryn m Janies
Every meffortmismmademto mkeepmthemGuidelines mconsistentmwith mthemmostm
American mAcademy mofmPediatrics mPublishing mStaff recent m advicemandminformationmavailablemfrommthemAmericanmAcademymof
Director,mDepartment mofmPublishing: mMarkmGrimes mPediatrics.
SeniormEditor,mProfessional/Clinical m Publishing: mEileen m Glasstetter,m MS
Production mManager,mClinical/Professional mPublications: Special mdiscounts maremavailablemformbulkmpurchases mofmthis mpublication.
Theresa mWiener mE-
Editorial mSpecialist: mAmanda m Helmholz mail m ourmSpecial mSalesmDepartmentmat
Manager,mArt mDirection mand mProduction: mLinda mDiamond nformation.
Manager,mArt mDirection mand mProduction: mPeg mMulcahy ©m2017 mAmerican mAcademy mofmPediatrics
SeniormVicemPresident,mMembership mEngagementmandmMarketi All mrights mreserved.mNompartmofmthismpublicationmmay mbemreproduced
ngm and mSales: mMarymLou mWhite
MarketingmManager,mPracticemPublications: mMarymJo mReynolds ,mstored m inmamretrieval msystem,mormtransmittedminmanymformmormbymany
mmeans—electronic,
ISBN: m 978-1-61002-082-4 mechanical,mphotocopying,mrecording,mormotherwise—
eBook: m978-1-61002-083-1 without mpriormpermission m frommthempublisherm(locatemtitlematmhttp://ebooks
.aappublications.org; mclick mon
©mGet mPermissions); myoummaymalsomfaxmthempermissionsmeditormatm847/43
4-8780 morm e-mail .
, PrintedminmthemUnitedmStat
es mofmAmericam 1 m2m3 m4
m5 m6 m7 m8 m9 m10
3-340/0217
BF0044
Library mofmCongress mControl mNumber: m2016940256
, Bright Futures
FOURTH mEDITION
m
Guidelines for Health Supervision of Infants, Children, and Adolescents
m m m m m m m m
POCKET GUIDE m
EDITORS
JosephmF.mHagan, mJr, mMD, mFAAP m
JudithmS.mShaw,mEdD,mMPH,mRN,mFA
APmPaula mM. mD unca n, mMD, mFAA
P
SUPPORTED,mINmPART,mBY
USmDepartmentmofmHealthmandmHumanmServices mH
ealthmResources mandmServices mAdministrationmMat
ernalmandmChildmHealthmBureau
PUBLISHEDm BY
AmericanmAcademymofmPediatrics
,This mpublicationmhas mbeenmproducedmby mthemAmericanmAcademymofmPedi Themrecommendationsmin mthismpublication mdomnotmindicatemanmexclusivemcou
atrics.m Supported,minmpart,mundermitsmcooperativemagreement m(U04MC078 rsemofm treatmentmormservemasmamstandard mofmmedicalmcare.mVariations,mtakin
53)mwith mthem USmDepartmentmofmHealth mand mHumanmServices,mHealthmR gminto maccount m individual mcircumstances,mmay mbemappropriate.
esourcesmandmServicesm Administrationm(HRSA),mMaternal mandmChild mHe ThemAmericanmAcademymofmPediatricsmis mnotmresponsiblemformthemcontent
alth mBureau m(MCHB). mofmthem resources mmentioned minmthismpublication.mWebmsitemaddressesmar
Suggestedmcitation:mHagan mJF,mShaw mJS,mDuncan mPM,meds.mBright mFutures:mG emas mcurrent mas m possiblembut mmay mchangemat many mtime.
uidelinesm formHealth mSupervisionmof mInfants,mChildren,mandmAdolescents m[pock ThemAmerican mAcademymofmPediatricsmhas mneithermsolicited mnormaccepte
et mguide].m4th med.m Elk mGrovemVillage,mIL: mAmerican mAcademy mofmPediatri d many m commercial minvolvementminmthemdevelopmentmofmthemcontentmofmt
cs; m2017 his mpublication.
American mAcademy mofmPediatrics mBrightmFutures mNationalmCenter mStaff Thempublishers mhavemmademevery meffort mto mtracemthemcopyrightmho
ChiefmMedical mOfficer lders mform borrowed mmaterials.mIfmthey mhaveminadvertently moverloo
SeniormVicemPresident,mChildmHealthmandmWellness m ked many,mthey mwillm bempleased mto mmakemthemnecessary marrangeme
AmericanmAcademymofmPediatrics:mV.mFan mTait,mMD nts mat mthemfirst mopportunity.
Director,mDivisionmofmDevelopmentalmPediatricsmandmPreventivemServices: m All mauthors mhavemfiledmconflictmofminterestmstatementsmwith mthemAm
Darcym Steinberg-Hastings,mMPH erican m AcademymofmPediatrics.mAny mconflictsmhavembeenmresolvedmth
Manager,mBright mFutures mNational mCenter: mJanemBassewitz,mMA rough mamprocess m approved mby mthemBoard mofmDirectors.
Manager,m Bright m Futures m Implementation: m Kathryn m Janies
Every meffortmismmademto mkeepmthemGuidelines mconsistentmwith mthemmostm
American mAcademy mofmPediatrics mPublishing mStaff recent m advicemandminformationmavailablemfrommthemAmericanmAcademymof
Director,mDepartment mofmPublishing: mMarkmGrimes mPediatrics.
SeniormEditor,mProfessional/Clinical m Publishing: mEileen m Glasstetter,m MS
Production mManager,mClinical/Professional mPublications: Special mdiscounts maremavailablemformbulkmpurchases mofmthis mpublication.
Theresa mWiener mE-
Editorial mSpecialist: mAmanda m Helmholz mail m ourmSpecial mSalesmDepartmentmat
Manager,mArt mDirection mand mProduction: mLinda mDiamond nformation.
Manager,mArt mDirection mand mProduction: mPeg mMulcahy ©m2017 mAmerican mAcademy mofmPediatrics
SeniormVicemPresident,mMembership mEngagementmandmMarketi All mrights mreserved.mNompartmofmthismpublicationmmay mbemreproduced
ngm and mSales: mMarymLou mWhite
MarketingmManager,mPracticemPublications: mMarymJo mReynolds ,mstored m inmamretrieval msystem,mormtransmittedminmanymformmormbymany
mmeans—electronic,
ISBN: m 978-1-61002-082-4 mechanical,mphotocopying,mrecording,mormotherwise—
eBook: m978-1-61002-083-1 without mpriormpermission m frommthempublisherm(locatemtitlematmhttp://ebooks
.aappublications.org; mclick mon
©mGet mPermissions); myoummaymalsomfaxmthempermissionsmeditormatm847/43
4-8780 morm e-mail .
, PrintedminmthemUnitedmStat
es mofmAmericam 1 m2m3 m4
m5 m6 m7 m8 m9 m10
3-340/0217
BF0044
Library mofmCongress mControl mNumber: m2016940256
