, BrightFutures
FOURTHEDITION
GuidelinesforHealthSupervisionofInfants,Children,andAdolescents
POCKETGUIDE
EDITORS
JosephF.Hagan,Jr,MD,FAAPgJudit
hS.Shaw,EdD,MPH,RN,FAAPPaulaM
.Duncan,MD,FAAP
SUPPORTED,INPART,BY
USDepartmentofHealthandHumanServicesgHealthR
esourcesandServicesAdministrationgMaternalgandg
ChildgHealthgBureau
PUBLISHEDBY
AmericanAcademyofPediatrics
,ThispublicationhasbeenproducedbytheAmericanAcademyofPediatrics.Support Therecommendationsinthispublicationdonotindicateanexclusivecourseoftreatment
ed,inpart,underitscooperativeagreement(U04MC07853)withtheUSDepartment orserveasastandardofmedicalcare.Variations,takingintoaccountindividualgcircum
ofHealthandHumanServices,HealthResourcesandServicesAdministration(HRSA stances,gmaygbegappropriate.
),MaternalandChildHealthBureau(MCHB).
TheAmericanAcademyofPediatricsisnotresponsibleforthecontentoftheresources
Suggestedcitation:HaganJF,ShawJS,DuncanPM,eds.BrightFutures:GuidelinesforgHeal mentionedinthispublication.Websiteaddressesareascurrentaspossiblegbutgmay
thgSupervisiongofgInfants,gChildren,gandgAdolescentsg[pocketgguide].g4thged.El gchangegatganygtime.
kgGrovegVillage,gIL:gAmericangAcademygofgPediatrics;g2017 ThegAmericangAcademygofgPediatricsghasgneithergsolicitedgnorgaccepted
AmericanAcademyofPediatricsBrightFuturesNationalCenterStaff ganycommercialinvolvementinthedevelopmentofthecontentofthispublication.
ChiefMedicalOfficer Thepublishershavemadeeveryefforttotracethecopyrightholdersforborro
SeniorVicePresident,ChildHealthandWellnessAmericanAc wedmaterials.Iftheyhaveinadvertentlyoverlookedany,theywillbepleased
ademyofPediatrics:V.FanTait,MD tomakethenecessaryarrangementsatthefirstopportunity.
Director,gDivisiongofgDevelopmentalgPediatricsgandgPreventivegServices:gD
arcySteinberg-Hastings,MPH AllgauthorsghavegfiledgconflictgofginterestgstatementsgwithgthegAmer
Manager,BrightFuturesNationalCenter:JaneBassewitz,MA icanAcademyofPediatrics.Anyconflictshavebeenresolvedthroughaprocess
Manager,BrightFuturesImplementation:KathrynJanies approvedgbygthegBoardgofgDirectors.
AmericanAcademyofPediatricsPublishingStaff EveryeffortismadetokeeptheGuidelinesconsistentwiththemostrecentadviceandin
Director,DepartmentofPublishing:MarkGrimes formationavailablefromtheAmericanAcademyofPediatrics.
SeniorEditor,Professional/ClinicalPublishing:EileenGlasstetter,MS Specialdiscountsareavailableforbulkpurchasesofthispublication.E-
ProductionManager,Clinical/ProfessionalPublications:
TheresaWiener mation.
EditorialSpecialist:AmandaHelmholz ©2017AmericanAcademyofPediatrics
Manager,gArtgDirectiongandgProduction:LindagDiamond
Manager,ArtDirectionandProduction:PegMulcahy Allrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretri
SeniorVicePresident,MembershipEngagementandMarketingandg evalsystem,ortransmittedinanyformorbyanymeans—electronic,
Sales:gMarygLougWhite mechanical,photocopying,recording,orotherwise—
MarketingManager,PracticePublications:MaryJoReynolds withoutgpriorgpermissionfromthepublisher(locatetitleathttp://ebooks.aappublic
ations.org;clickon
ISBN:978-1-61002-082-4 ©gGetgPermissions);gyougmaygalsogfaxgthegpermissionsgeditorgatg847/434-
eBook:g978-1-61002-083-1 .
PrintedintheUnitedStatesofAmerica1g2
g3g4g5g6g7g8g9g10
3-340/0217
, BF0044
LibraryofCongressControlNumber:2016940256