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A and B Recommendations

Author: Geoff

May. 13, 2024

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Tags: Measurement & Analysis Instruments

Recommendations for A and B Health Topics

Screening for Abdominal Aortic Aneurysm in Older Male Smokers

The USPSTF advises a one-time ultrasound screening for abdominal aortic aneurysm (AAA) in men aged 65 to 75 years who have a history of smoking.

Screening for Anxiety Disorders in Adults

The USPSTF recommends screening adults under 65, including pregnant and postpartum individuals, for anxiety disorders.

Screening for Anxiety in Youth

The USPSTF recommends screening for anxiety in children and adolescents aged 8 to 18 years.

Low-Dose Aspirin for Preeclampsia Risk

The USPSTF advises high-risk pregnant individuals to take daily low-dose aspirin (81 mg) after 12 weeks of gestation as a preventive measure for preeclampsia.

Screening for Asymptomatic Bacteriuria in Pregnant People

The USPSTF recommends screening for asymptomatic bacteriuria using urine culture among pregnant individuals.

BRCA-Related Cancer: Risk Assessment and Genetic Testing

The USPSTF recommends that primary care clinicians assess women with personal or family histories of certain cancers, or associated ancestries, using a familial risk assessment tool. Those with positive results should receive genetic counseling and potentially genetic testing.

Risk-Reducing Medications for Breast Cancer

The USPSTF advises clinicians to offer medications such as tamoxifen, raloxifene, or aromatase inhibitors to women at increased risk for breast cancer who are also at low risk for adverse reactions.

Cervical Cancer Screening Guidelines

The USPSTF recommends cervical cancer screening every 3 years with cervical cytology alone for women aged 21 to 29, and either every 3 or 5 years for women aged 30 to 65, depending on the method used.

Screening for Chlamydia and Gonorrhea in Women

The USPSTF recommends screening for chlamydia and gonorrhea in all sexually active women aged 24 and younger, as well as those aged 25 and older who are at higher risk.

Colorectal Cancer Screening for Adults

The USPSTF advises colorectal cancer screening for adults from age 45 to 75. Refer to the "Practice Considerations" section for detailed information.

Preventing Falls in Older Adults

The USPSTF recommends exercise interventions to help prevent falls in community-dwelling adults aged 65 and older who are at increased risk of falling.

Folic Acid to Prevent Neural Tube Defects

The USPSTF recommends that people who plan to become pregnant or who could become pregnant take a daily supplement containing 0.4 to 0.8 mg of folic acid.

Screening for Gestational Diabetes

The USPSTF advises screening for gestational diabetes in asymptomatic pregnant individuals at 24 weeks of gestation or later.

Behavioral Counseling for Healthy Pregnancy Weight

The USPSTF recommends that clinicians offer effective behavioral counseling interventions to pregnant individuals to promote healthy weight gain.

Screening for Hepatitis B Virus (HBV) in High-Risk Groups

The USPSTF recommends screening for HBV in adolescents and adults at increased risk. See the details in the "Practice Considerations" section.

HBV Screening in Pregnant Women

The USPSTF advises screening pregnant women for HBV at their first prenatal visit.

Screening for Hepatitis C Virus (HCV) in Adults

The USPSTF recommends screening for HCV in adults aged 18 to 79 years.

HIV Screening Guidelines

The USPSTF recommends HIV screening for adolescents and adults aged 15 to 65 years, as well as for younger and older individuals at increased risk.

Hypertension Screening for Adults

The USPSTF advises screening for hypertension in adults 18 years or older using OBPM, with additional measurements outside the clinical setting for confirmation before treatment.

Screening for Hypertensive Disorders in Pregnant Individuals

The USPSTF recommends blood pressure measurements throughout pregnancy to screen for hypertensive disorders.

Preventing Intimate Partner Violence

The USPSTF advises screening women of reproductive age for intimate partner violence and referring those who screen positive to ongoing support services.

Screening for Latent Tuberculosis Infection (LTBI)

The USPSTF recommends screening for LTBI in at-risk populations. Refer to the "Assessment of Risk" section for details.

Annual Lung Cancer Screening

The USPSTF recommends annual low-dose computed tomography (LDCT) screening for adults aged 50 to 80 years who have a 20 pack-year smoking history and either currently smoke or have quit within the last 15 years.

Obesity Screening in Children and Teens

The USPSTF recommends that clinicians screen children and adolescents aged 6 and older for obesity and provide or refer them to comprehensive behavioral interventions.

Preventing Gonococcal Eye Infections in Newborns

The USPSTF advises administering prophylactic ocular topical medication to all newborns to prevent gonococcal ophthalmia neonatorum.

Osteoporosis Screening for Women

The USPSTF recommends osteoporosis screening using bone measurement tests for postmenopausal women younger than 65 at increased risk and all women aged 65 and older.

Preventing Perinatal Depression

The USPSTF advises that clinicians provide or refer pregnant and postpartum individuals at increased risk of perinatal depression to counseling interventions.

Screening for Prediabetes and Type 2 Diabetes

The USPSTF recommends screening adults aged 35 to 70 who have overweight or obesity for prediabetes and type 2 diabetes, and offering or referring patients with prediabetes to preventive interventions.

Preexposure Prophylaxis for HIV Prevention

The USPSTF advises that clinicians prescribe preexposure prophylaxis with antiretroviral therapy to adolescents and adults at increased risk of HIV acquisition.

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