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P-T: Recommendations for Clinical Preventive Services

Pancreatic Cancer

The AAFP recommends against routine screening for pancreatic cancer in asymptomatic adults using abdominal palpation, ultrasonography, or serologic markers.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspspanc.htm

Peripheral Arterial Disease

The AAFP recommends against routine screening for peripheral arterial disease (PAD).

Clinical Considerations: www.ahrq.gov/clinic/uspstf05/pad/padrs.htm#clinical

Pertussis

The AAFP strongly recommends immunizing all children for pertussis using AAFP recommendations unless contraindicated.

Recommended Childhood and Adolescent Immunization Schedule

Phenylketonuria

The AAFP strongly recommends for phenylketonuria (PKU) in newborns.

Clinical Considerations: http://www.ahrq.gov/clinic/uspstf08/pku/pkurs.htm#clinical

Physical Activity

The AAFP recognizes that regular physical activity is desirable. The effectiveness of physician's advice and counseling in this area is uncertain.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsphys.htm

Pneumococcal Disease

The AAFP strongly recommends immunizing all children less than 24 months for pneumococcal disease using pneumococcal conjugate vaccine.

Recommended Childhood and Adolescent Immunization Schedule

Pneumococcal Disease

The AAFP strongly recommends immunizing healthy children living where pneumococcal disease is endemic using AAFP recommendations

Recommended Childhood and Adolescent Immunization Schedule

Pneumococcal Disease

The AAFP strongly recommends immunizing children less than 60 months with sickle cell, HIV, functional or anatomic asplenia, immunocompromishing conditions, and chronic illness, and children who are African Americans, Alaskan Natives and American Indians using pneumococcal conjugate vaccine.

Recommended Childhood and Adolescent Immunization Schedule

Pneumococcal Disease

The AAFP recommends immunizing children and adolescents with chronic cardiac or pulmonary disease, diabetes mellitus, or anatomic asplenia or who live in special environments or social settings with an identified increased risk of pneumococcal disease. Discuss immunizing using AAFP recommendation.

Recommended Childhood and Adolescent Immunization Schedule

Pneumococcal Disease

The AAFP recommends immunizing institutionalized adults (age 50 years or older) or any adult with chronic cardiac or pulmonary disease, diabetes mellitus, anatomic asplenia, or who live in special environments or social settings with an increased risk of pneumococcal disease (e.g., certain Native American or Native Alaskan populations). Discuss immunization using AAFP recommendations.

Recommended Adult Immunization Schedule

Pneumococcal Disease

The AAFP recommends immunizing adults age 65 years or older for pneumococcal disease. Discuss immunization using AAFP recommendations.

Recommended Adult Immunization Schedule

Pneumococcal Disease

The AAFP makes no recommendation either for or against pneumococcal conjugate immunization in children aged 24-59 months including those children who attend childcare settings and children who had frequent or complicated acute otitis media in the previous year. As a practice option, discuss pneumococcal conjugate immunization.

Recommended Childhood and Adolescent Immunization Schedule

Poliomyelitis

The AAFP strongly recommends immunizing all children for poliomyelitis using AAFP recommendations unless contraindicated.

Recommended Childhood and Adolescent Immunization Schedule

Prostate Cancer

The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of prostate cancer screening in men younger than age 75 years.

Clinical Consideration: www.ahrq.gov/clinic/uspstf08/prostate/prostaters.htm#clinical

Prostate Cancer

The AAFP recommends against screening for prostate cancer in men age 75 years or older.

Clinical Consideration: www.ahrq.gov/clinic/uspstf08/prostate/prostaters.htm#clinical

Pulmonary Chronic Obstructive Disease

The AAFP recommends against screening asymptomatic adults for chronic obstructive pulmonary disease (COPD) using spiromtery.

Clinical Consideration: http://ahrq.gov/clinic/uspstf08/copd/copdrs.htm#clinical

Rh (D) Incompatibility

The AAFP strongly recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care.

Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm

Rh (D) Incompatibility

The AAFP recommends repeated Rh (D) antibody testing for all unsensitized Rh (D)-negative women at 24-28 weeks' gestation.

Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsdrhi.htm

Rubella

The AAFP strongly recommends immunizing all children for rubella using AAFP recommendation unless contraindicated.

Recommended Childhood and Adolescent Immunization Schedule

Second Hand Smoke

The AAFP strongly recommends to counsel smoking parents with children in the house regarding the harmful effects of smoking and children’s health.

Sexually transmitted diseases

The AAFP recommends counseling adolescents and adults regarding the risks for sexually transmitted diseases and how to prevent them.

Sickle Cell Disease, Newborns

The AAFP strongly recommends screening for sickle cell disease in all newborns.

Clinical Considerations: www.ahrq.gov/clinic/uspstf07/sicklecell/sicklers.htm#clinical

Skin Cancer

The AAFP concludes there is insufficient evidence on which to make a recommendation for or against routine screening for skin cancer in asymptomatic persons.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsskca.htm

Speech and Language Delay in Preschool Children

The AAFP concludes that the evidence is insufficient to recommend for or against routine use of brief, formal screening instruments in primary care to detect speech and language delay in children up to 5 years of age.

Clinical Considerations: http://www.ahrq.gov/clinic/uspstf06/speech/speechrs.htm#clinicalb

Syphilis

The AAFP strongly recommends that clinicians screen persons at increased risk for syphilis infection.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm

Syphilis

The AAFP strongly recommends that clinicians screen all pregnant women for syphilis infection.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm

Syphilis

The AAFP recommends against routine screening of asymptomatic persons who are not at increased risk for syphilis infection.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspssyph.htm

Testicular Cancer

The AAFP recommends against routine screening for testicular cancer in asymptomatic adolescents and adult males.

Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspstest.htm

Tetanus

The AAFP strongly recommends immunizing all children for tetanus using AAFP recommendation unless contraindicated.

Recommended Childhood and Adolescent Immunization Schedule

Tetanus

The AAFP strongly recommends immunizing adults for tetanus by completing the Td vaccine series if primary series hasn’t been received. Boosters should be given every 10 years or at least at age 50.

Recommended Adult Immunization Schedule

Thyroid Cancer

The AAFP recommends against the use of ultrasound screening for thyroid cancer in asymptomatic persons.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspsthca.htm

Thyroid Disease

The AAFP concludes that the evidence is insufficient to recommend for or against routine screening for thyroid disease in adults.

Clinical Consideration: www.ahrq.gov/clinic/uspstf/uspsthyr.htm

Thyroid Function abnormalities

The AAFP strongly recommends ordering screening test for thyroid function abnormalities in neonates.

Tobacco Use

The AAFP strongly recommends that clinicians screen all adults for tobacco use and provide tobacco cessation interventions for those who use tobacco products.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm

Tobacco Use

The AAFP strongly recommends that clinicians screen all pregnant women for tobacco use and provide 5-15 minutes of smoking cessation counseling using messages and self-help materials tailored for pregnant smokers.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm

Tobacco Use

The AAFP recognizes avoidance of tobacco products by children and adolescents is desirable. The effectiveness of physician advice and counseling in this area is uncertain.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstbac.htm

Tuberculosis

The AAFP strongly recommends screening for tuberculosis by applying the mantoux test to patients at high risk for tuberculosis, including those with close contacts to person with known or suspected TB, health care workers, immigrants from countries with high TB prevalence, HIV positive individuals, alcoholics, injection drug users, residents of long term care facilities, and medically underserved low income people.

Clinical Considerations: www.ahrq.gov/clinic/uspstf/uspstubr.htm
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