HealthPartners.com - Preventive Care Guidelines

Preventive Care Guidelines

Make an appointment and track your vaccines

These preventive care guidelines provide basic recommendations on when you and your family should get various tests, screenings and vaccinations. They're based on the latest medical information and will help you reduce health risks. These guidelines are for people who don't have symptoms or specific risk factors. Talk to your doctor about the specific care you need based on your personal and family history.

Printable Preventive Care Guidelines

Pautas de atencin preventiva

Adult Age 19+
Child Age 0-2
Child Age 3-18

Your family history or personal history of risk and conditions may change your physician's recommendations. Recommendations are evidience-based and reflect the clinical guidelines from the Institute for Clinical Systems Improvement (ICSI).

Adult Strongly Recommended Preventive Services

Service	19 - 39 years	40 - 65 years	Over 65 years
Aspirin counseling	Talk to your doctor if you are a man age 45-79 or a woman age 55-79.
Blood pressure screening	Blood pressure (BP) every 2 years if less than 120/80; ever year if 120-139/80-89 Hg.
Breast cancer screening (Mammogram)		Mammogram every 1-2 years for women age 50-75 years.
Cervical cancer screening (Pap test)	Beginning at age 21 or 3 years after first sexual intercourse, whichever is earlier; every 3 years after 3 normal Pap smears in a row over 5 years.	Every 3 years after 3 normal Pap smears in a row over 5 years.	Women 65 years and older with a new sexual partner should resume routine screenings.
Chlamydia screening	Yearly for sexually active women age 25 and younger. For women older than 25, talk to your doctor.
Colorectal cancer screening		Start screening at age 50. If you are African American, start at age 45. Repeat screening at intervals determined by type of screening test used.
Influenza (flu)	Get a flu shot every year to lower your risk of getting the flu.
Lipid screening	Fasting lipid screening for men and women every five years.
Pneumococcal immunization	Immunize high-risk groups once. Those at risk of losing immunity should be re-immunized once after 5 years.		Immunize at age 65 if not done previously. Re-immunize once if first received more than 5 years ago and before age 65, or if doctor recommends to those with higher risk.
Problem drinking screening and brief counseling	Talk to your doctor about harmful drinking and if you have concerns.
Tobacco use screening and brief intervention	Talk to your doctor about tobacco use, secondhand smoke exposure and ongoing smoking cessation if you use tobacco.
Vision screening		Every 2-10 years.

Adult Suggested Preventive Services
Abdominal aortic aneurysm screening: Men ages 65-75 who have smoked more than 100 cigarettes in a lifetime.
Depression screening: Talk to your doctor if you are feeling down and have concerns about depression.
Folic acid counseling: Women of childbearing age should discuss use of folic acid supplements to prevent birth defects.
Hearing screening: Over age 65, talk to your doctor if you think you may have hearing loss.
Hepatitis B immunization: Immunize everyone 19-39.
Herpes zoster/shingles immunization: Immunize at age 60 or older.
Human papillomavirus (HPV) immunization: Women age 19-26, catch up if appropriate (3-dose series)
Inactivated polio vaccine (IPV) immunization: Immunize if not previously immunized.
Measles, mumps, rubella (MMR) immunization: Persons born during or after 1957 should have one-dose of measles; a second dose may be required in special circumstances.
Obesity screening: Record height, weight and body mass index (BMI) annually.
Osteoporosis screening: Women age 65 and older should be screened.
Tetanus-diphtheria immunization: All adults should have completed a primary Td series. For all adults, immunize with a booster dose of Td every 10 years.
Varicella immunization: Adults who do not have evidence of immunity to varicella should get two doses of varicella vaccine with at least 28 days between the first and second doses.
Vision screening: Vision test for ages 65 and older.

Child Age 0-2 Strongly Recommended Preventive Vaccines

Vaccine	Birth	1 m	2 m	4 m	6 m	12 m	15 m	24 m
DTaP			*	*	*	*
Influenza (flu)					* yearly
Hep A						*	*
Hep B Schedule 1	*	*			*
Hep B Schedule 2		*		*	*
Hib			*	*	*	*
IPV			*	*	*
MMR (MMRV)	Combined measles, mumps, rubella and varicella vaccine (MMRV) is preferred for children 12 months through 12 years of age instead of individual vaccines.					*
Varicella (chicken pox)						*
Pneumococcal (PCV7)			*	*	*	*		PPSV recommended for children at high risk
Rotavirus			*	*	*
Meningococcal								recommended for children at high risk

Child Age 0-2 Suggested Preventive Care
Breastfeeding counseling: Talk to your doctor about the benefits of breastfeeding.
Hearing Screening: Screen for congenital hearing loss before one month old.
Infant sleep positioning and SIDS counseling: Place infant to sleep on his/her back.
Injury prevention, motor vehicle safety screening and counseling: Use car seat when riding in a motor vehicle. Rear facing until 1 year and 20 pounds.
Neonatal screening: Newborn metabolic screening done during first week of life.
Tobacco use screening prevention and intervention in adolescents: Discuss tobacco use, secondhand exposure and tobacco cessation with your doctor on a regular basis.

Child Age 3-18 Strongly Recommended Preventive Vaccines

Vaccine	4-6 yrs	11-12 yrs	15-18 yrs
DTaP	*	Tdap	verify Tdap complete
Influenza (flu)	* yearly
Human Papillomavirus (HPV - females)		* 3-dose series
IPV	*
Meningococcal	recommended for children at high risk	*	* if not received previously
MMR (MMRV)	*
Varicella (chicken pox)	*	* verify second dose complete
Pneumococcal (PCV7)	PPSV recommended for children at high risk

Child Age 3-18 Suggested Preventive Care
Depression screening: For children 12-18, talk to your doctor if there are concerns about depression.
Folic acid counceling: For women of childbearing age, talk to your doctor about the use of folic acid supplements to prevent birth defects.
Chlamydia screening: Annually for all sexually active women age 25 years and younger
Vision screening: Recommended for children 4 years old and younger. Done in school at age 5 and older.
Injury prevention: motor vehicle safety screening and counseling: Use care seat/booster seat/seat belt when riding in a motor vehicle.
Use care seat/booster seat/seat belt when riding in a motor vehicle. Wear a helmet for recreational activities.
Obesity screening: Record height, weight, body mass index (BMI) and BMI percentile yearly.
Tobacco use screening prevention and intervention in adolescents: Discuss tobacco use, secondhand exposure and tobacco cessation with your doctor on a regular basis.

If you are insured under the HealthPartners Care plan, you may be eligible for additional services. Contact your clinic for Child and Teen Check-up Program information.