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FOURTHgEDITION
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POCKET GUIDEg
EDITORS
JosephgF.gHagan,gJr,gMD,gFAAPgJu
dithgS.gShaw,gEdD,gMPH,gRN,gFAAPg
PaulagM.gDuncan,gMD,gFAAP
SUPPORTED,gINgPART,gBY
USgDepartmentgofgHealthgandgHumangServic
esgHealthgResourcesgandgServicesgAdministrat
iongMaternalgandgChildgHealthgBureau
PUBLISHEDgBY
AmericangAcademygofgPediatrics
,ThisgpublicationghasgbeengproducedgbygthegAmericangAcademygofgPediatri Thegrecommendationsgingthisgpublicationgdognotgindicategangexclusivegcou
cs.gSupported,gingpart,gundergitsgcooperativegagreementg(U04MC07853)gwi rsegofgtreatmentgorgservegasgagstandardgofgmedicalgcare.gVariations,gtakingg
thgthegUSgDepartmentgofgHealthgandgHumangServices,gHealthgResourcesga intogaccountgindividualgcircumstances,gmaygbegappropriate.
ndgServicesgAdministrationg(HRSA),gMaternalgandgChildgHealthgBureaug(M ThegAmericangAcademygofgPediatricsgisgnotgresponsiblegforgthegcontentgofgthegr
CHB). esourcesgmentionedgingthisgpublication.gWebgsitegaddressesgaregasgcurrentgasgp
Suggestedgcitation:gHagangJF,gShawgJS,gDuncangPM,geds.gBrightgFutures:gGuid ossiblegbutgmaygchangegatganygtime.
elinesgforgHealthgSupervisiongofgInfants,gChildren,gandgAdolescentsg[pocketggui ThegAmericangAcademygofgPediatricsghasgneithergsolicitedgnorgacceptedganygc
de].g4th ged.gElkgGrovegVillage,gIL:gAmericangAcademygofgPediatrics;g2017 ommercialginvolvementgingthegdevelopmentgofgthegcontentgofgthisgpublication.
AmericangAcademygofgPediatricsgBrightgFuturesgNationalgCentergStaff Thegpublishersghavegmadegeverygeffortgtogtracegthegcopyrightgholde
ChiefgMedicalgOfficer rsgforgborrowedgmaterials.gIfgtheyghaveginadvertentlygoverlookedgan
SeniorgVicegPresident,gChildgHealthgandgWellnessgAme y,gtheygwillgbegpleasedgtogmakegthegnecessarygarrangementsgatgtheg
ricangAcademygofgPediatrics:gV.gFangTait,gMD firstgopportunity.
Director,gDivisiongofgDevelopmentalgPediatricsgandgPreventivegServices:gD AllgauthorsghavegfiledgconflictgofginterestgstatementsgwithgthegAmerica
arcygSteinberg-Hastings,gMPH ngAcademygofgPediatrics.gAnygconflictsghavegbeengresolvedgthroughgagpr
Manager,gBrightgFuturesgNationalgCenter:gJanegBassewitz,gMA ocessgapprovedgbygthegBoardgofgDirectors.
Manager,gBrightgFuturesgImplementation:gKathryngJanies
EverygeffortgisgmadegtogkeepgthegGuidelinesgconsistentgwithgthegmostgr
AmericangAcademygofgPediatricsgPublishinggStaff ecentgadvicegandginformationgavailablegfromgthegAmericangAcademygofg
Director,gDepartmentgofgPublishing:gMarkgGrimes Pediatrics.
SeniorgEditor,gProfessional/ClinicalgPublishing:gEileengGlasstetter,gMS
ProductiongManager,gClinical/ProfessionalgPublications: Specialgdiscountsgaregavailablegforgbulkgpurchasesgofgthisgpublication.gE-
TheresagWiener mailgourgSpecialgSalesgDepartmentgatgaapsales@aap.orggforgmoreginform
EditorialgSpecialist:gAmandagHelmholz ation.
Manager,gArtgDirectiongandgProduction:gLindagDiamond ©g2017gAmericangAcademygofgPediatrics
Manager,gArtgDirectiongandgProduction:gPeggMulcahy
Allgrightsgreserved.gNogpartgofgthisgpublicationgmaygbegreproduced,g
SeniorgVicegPresident,gMembershipgEngagementgandgMarket
storedgingagretrievalgsystem,gorgtransmittedginganygformgorgbyganygmeans
inggandgSales:gMarygLougWhite
—electronic,
MarketinggManager,gPracticegPublications:gMarygJogReynolds mechanical,gphotocopying,grecording,gorgotherwise—
ISBN:g978-1-61002-082-4 withoutgpriorgpermissiongfromgthegpublisherg(locategtitlegatghttp://ebooks.a
eBook:g978-1-61002-083-1 appublications.org;gclickgon
©gGetgPermissions);gyougmaygalsogfaxgthegpermissionsgeditorgatg847/434-
8780gorge-mailgpermissions@aap.org.
PrintedgingthegUnitedgStatesgofgAmer
icag1g2g3g4g5g6g7g8g9g10
, 3-340/0217
BF0044
LibrarygofgCongressgControlgNumber:g2016940256