POLICY STATEMENT Organizational Principles to Guide and Define the Child Health

Care System and/or Improve the Health of all Children

2023 Recommendations for

Preventive Pediatric Health Care
COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE, BRIGHT FUTURES PERIODICITY SCHEDULE WORKGROUP

The 2023 Recommendations for Preventive Pediatric Health Care

(Periodicity Schedule) has been approved by the American Academy
of Pediatrics (AAP). Each child and family is unique; therefore, these
recommendations are designed for the care of children who are
receiving nurturing parenting, have no manifestations of any
important health problems, and are growing and developing in a
satisfactory fashion. Developmental, psychosocial, and chronic
disease issues for children and adolescents may require more
frequent counseling and treatment visits separate from preventive This document is copyrighted and is property of the American
Academy of Pediatrics and its Board of Directors. All authors have
care visits. Additional visits also may become necessary if filed conflict of interest statements with the American Academy of
circumstances suggest concerns. Pediatrics. Any conflicts have been resolved through a process
approved by the Board of Directors. The American Academy of
Pediatrics has neither solicited nor accepted any commercial
The AAP continues to emphasize the great importance of continuity of involvement in the development of the content of this publication.

care in comprehensive health supervision and the need to avoid
fragmentation of care.1
To ensure that health care professionals have the most current
Policy statements from the American Academy of Pediatrics benefit
from expertise and resources of liaisons and internal (AAP) and
external reviewers. However, policy statements from the American
Academy of Pediatrics may not reflect the views of the liaisons or
the organizations or government agencies that they represent.

recommendations, the Periodicity Schedule is not published in The guidance in this statement does not indicate an exclusive
course of treatment or serve as a standard of medical care.
Pediatrics but is posted on the American Academy of Pediatrics Web Variations, taking into account individual circumstances, may be
site (www.aap.org/periodicityschedule). This webpage includes the appropriate.

most recent version of the Periodicity Schedule and the full set of
footnotes. The Periodicity Schedule is reviewed and revised annually to
reflect current evidence and recommendations.
The following is a description of the changes made to the Periodicity
Schedule since it was last published in July 2022.
All policy statements from the American Academy of Pediatrics
automatically expire 5 years after publication unless reaffirmed,
revised, or retired at or before that time.
DOI: https://doi.org/10.1542/peds.2023-061451
PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275).
Copyright © 2023 by the American Academy of Pediatrics

HIV SCREENING
The HIV screening recommendation has been updated to extend the
upper age limit from 18 to 21 years (to account for the range in
which the screening can take place) to align with recommendations
of the US Preventive Services Task Force and AAP policy
To cite: Committee on Practice and Ambulatory Medicine,
Bright Futures Periodicity Schedule Workgroup. 2023
Recommendations for Preventive Pediatric Health Care.
Pediatrics. 2023;151(4):e2023061451

PEDIATRICS Volume 151, number 4, April 2023:e2023061451 FROM THE AMERICAN ACADEMY OF PEDIATRICS
Downloaded from http://publications.aap.org/pediatrics/article-pdf/151/4/e2023061451/1565439/peds_2023061451.pdf
by guest
 (“Adolescents and Young Adults: HIV Testing and Pre- and BRIGHT FUTURES PERIODICITY
The Pediatrician’s Role in HIV Postexposure HIV Prophylaxis’.” SCHEDULE WORKGROUP
Testing and Pre and Postexposure
Patricia E. Cantrell, MD, FAAP
HIV Prophylaxis”).
Alex R. Kemper, MD, MPH, MS,
COMMITTEE ON PRACTICE AND
 Footnote 30 has been updated to AMBULATORY MEDICINE, 2022–2023 FAAP, Bright Futures Evidence
read, “Screen adolescents for HIV Expert
at least once between the ages of Jesse M. Hackell, MD, FAAP, Alisa Skatrud, MPA, Family
15 and 21, making every effort to Chairperson Liaison
preserve confidentiality of the Yvette M. Almendarez, MD, FAAP Robin Warner, MD, FAAP
adolescent, as per ‘Human Abeba M. Berhane, MD, FAAP
Immunodeficiency Virus (HIV) Patricia E. Cantrell, MD, FAAP
Infection: Screening’ (US Preven- Lisa M. Kafer, MD, FAAP STAFF
tive Services Task Force Final Tomitra Latimer, MD, FAAP
Katherine S. Schafer, DO, FAAP Jane B. Bassewitz, MA
Recommendation Statement
Alisa Skatrud, MPA, Family Kathryn M. Janies
Human Immunodeficiency Virus
[HIV] Infection: Screening), and Liaison
after initial screening, youth at Robin Warner, MD, FAAP REFERENCE
increased risk of HIV infection Robert H. Wiskind, MD, FAAP
1. Hagan JF, Shaw JS, Duncan PM, eds.
should be retested annually Bright Futures: Guidelines for Health
or more frequently, as per Supervision of Infants, Children, and
‘Adolescents and Young Adults: STAFF Adolescents, 4th ed. Elk Grove Village,
The Pediatrician’s Role in Mackenzie Magnus, MBA, MPH IL: American Academy of Pediatrics; 2017

2 FROM THE AMERICAN ACADEMY OF PEDIATRICS

Downloaded from http://publications.aap.org/pediatrics/article-pdf/151/4/e2023061451/1565439/peds_2023061451.pdf
by guest