{"id":27528,"date":"2021-04-06T14:47:15","date_gmt":"2021-04-06T18:47:15","guid":{"rendered":"https:\/\/www.med.unc.edu\/pediatrics\/?page_id=27528"},"modified":"2021-12-09T13:49:17","modified_gmt":"2021-12-09T18:49:17","slug":"clinical-practice-guidelines","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/pediatrics\/cmep\/cmep-provider-info\/clinical-practice-guidelines\/","title":{"rendered":"Clinical Practice Guidelines"},"content":{"rendered":"<p>Medical providers are expected to perform medical evaluations, authorize the performance of diagnostic testing and develop treatment recommendations in accordance with recommended best practices on the medical evaluation of child maltreatment, such as from the American Academy of Pediatrics. For additional questions or resources, please call the CMEP office at 919-843-9365.<\/p>\n<h3>Sexual Abuse Guidelines<\/h3>\n<ul>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26220352\/\">Adams JA, Kellogg ND, Farst KJ, et al. Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused. <i>Journal of Pediatric and Adolescent Gynecology<\/i>. 2016;29(2):81-87. doi:10.1016\/j.jpag.2015.01.007<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29294380\/\">Adams JA, Farst KJ, Kellogg ND. Interpretation of Medical Findings in Suspected Child Sexual Abuse: An Update for 2018. <i>Journal of Pediatric and Adolescent Gynecology<\/i>. 2018;31(3):225-231. doi:10.1016\/j.jpag.2017.12.011<\/a><\/li>\n<li><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/183085\">Berkoff MC. Has This Prepubertal Girl Been Sexually Abused? <i>Jama<\/i>. 2008;300(23):2779. doi:10.1001\/jama.2008.827<\/a><\/li>\n<li><a href=\"https:\/\/pediatrics.aappublications.org\/content\/132\/2\/e558\">Jenny C, Crawford-Jakubiak JE. The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected. <i>Pediatrics<\/i>. 2013;132(2). doi:10.1542\/peds.2013-1741<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/std\/tg2015\/sexual-assault.htm\">Sexual Assault and Abuse and STDs &#8211; 2015 STD Treatment Guidelines. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/std\/tg2015\/sexual-assault.htm. Published June 4, 2015.\u00a0<\/a><\/li>\n<\/ul>\n<h3>Physical Abuse Guidelines<\/h3>\n<ul>\n<li><a href=\"https:\/\/pediatrics.aappublications.org\/content\/pediatrics\/135\/5\/e1337.full.pdf\">Christian CW. The Evaluation of Suspected Child Physical Abuse. <i>Pediatrics<\/i>. 2015;135(5). doi:10.1542\/peds.2015-0356<\/a><\/li>\n<li><a href=\"https:\/\/adc.bmj.com\/content\/100\/5\/426\">Kemp AM, Dunstan F, Nuttall D, Hamilton M, Collins P, Maguire S. Patterns of bruising in preschool children\u2014a longitudinal study. <i>Archives of Disease in Childhood<\/i>. 2015;100(5):426-431. doi:10.1136\/archdischild-2014-307120<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15665179\/\">Maguire S. Can you age bruises accurately in children? A systematic review. <i>Archives of Disease in Childhood<\/i>. 2005;90(2):187-189. doi:10.1136\/adc.2003.044073<\/a><\/li>\n<li><a href=\"https:\/\/www.aap.org\/en-us\/about-the-aap\/aap-press-room\/aap-press-room-media-center\/Pages\/Media-Kit-Child-Abuse.aspx\">Media Kit Child Abuse and Abusive Head Trauma. AAP.org. https:\/\/www.aap.org\/en-us\/about-the-aap\/aap-press-room\/aap-press-room-media-center\/Pages\/Media-Kit-Child-Abuse.aspx. Published May 19, 2015.\u00a0<\/a><\/li>\n<\/ul>\n<h3>Additional Child Maltreatment Resources<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/resilience\/Pages\/Child-Abuse-and-Neglect.aspx\">Child Abuse and Neglect. AAP.org. https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/resilience\/Pages\/Child-Abuse-and-Neglect.aspx.<\/a><\/li>\n<li><a href=\"https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/Pages\/Child-Abuse-Prevention.aspx\">Child Abuse Prevention. AAP.org. https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/Pages\/Child-Abuse-Prevention.aspx.<\/a><\/li>\n<li><a href=\"https:\/\/pediatrics.aappublications.org\/content\/pediatrics\/145\/6\/e20200823.full.pdf\">Davidson LL, Gruver RS. Understanding the Role of Intimate Partner Violence on Child Development in LMICs. <i>Pediatrics<\/i>. 2020;145(6). doi:10.1542\/peds.2020-0823<\/a><\/li>\n<li><a href=\"https:\/\/pediatrics.aappublications.org\/content\/pediatrics\/143\/4\/e20190284.full.pdf\">Flaherty E, Legano L, Idzerda S. Ongoing Pediatric Health Care for the Child Who Has Been Maltreated. <i>Pediatrics<\/i>. 2019;143(4). doi:10.1542\/peds.2019-0284<\/a><\/li>\n<li><a href=\"https:\/\/pediatrics.aappublications.org\/content\/132\/6\/e1577\">Gilbert AL, Bauer NS, Carroll AE, Downs SM. Child Exposure to Parental Violence and Psychological Distress Associated With Delayed Milestones. <i>Pediatrics<\/i>. 2013;132(6). doi:10.1542\/peds.2013-1020<\/a><\/li>\n<li><a href=\"https:\/\/pediatrics.aappublications.org\/content\/pediatrics\/130\/2\/372.full.pdf\">Hibbard R, Barlow J, Macmillan H. Psychological Maltreatment. <i>Pediatrics<\/i>. 2012;130(2):372-378. doi:10.1542\/peds.2012-1552<\/a><\/li>\n<li><a href=\"https:\/\/www.ncpeds.org\/resource\/resmgr\/CCAN_thoughts_on_managing_ch.pdf\">North Carolina Pediatric Society\u2019s guidelines on Managing Child Abuse Concerns During the Covid-19 Pandemic<\/a><\/li>\n<li><a href=\"https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/resilience\/Pages\/Sexual-Abuse.aspx\">Sexual Abuse. AAP.org. https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/resilience\/Pages\/Sexual-Abuse.aspx.\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/pediatrics.aappublications.org\/content\/129\/1\/e232\">Shonkoff JP, Garner AS, Siegel BS, et al. The Lifelong Effects of Early Childhood Adversity and Toxic Stress. <i>Pediatrics<\/i>. 2011;129(1). doi:10.1542\/peds.2011-2663<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medical providers are expected to perform medical evaluations, authorize the performance of diagnostic testing and develop treatment recommendations in accordance with recommended best practices on the medical evaluation of child maltreatment, such as from the American Academy of Pediatrics. For additional questions or resources, please call the CMEP office at 919-843-9365. Sexual Abuse Guidelines Adams &hellip; <a href=\"https:\/\/www.med.unc.edu\/pediatrics\/cmep\/cmep-provider-info\/clinical-practice-guidelines\/\" aria-label=\"Read more about Clinical Practice Guidelines\">Read more<\/a><\/p>\n","protected":false},"author":3206,"featured_media":0,"parent":27524,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-27528","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Clinical Practice Guidelines | Department of Pediatrics<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/pediatrics\/cmep\/cmep-provider-info\/clinical-practice-guidelines\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clinical Practice Guidelines | Department of Pediatrics\" \/>\n<meta property=\"og:description\" content=\"Medical providers are expected to perform medical evaluations, authorize the performance of diagnostic testing and develop treatment recommendations in accordance with recommended best practices on the medical evaluation of child maltreatment, such as from the American Academy of Pediatrics. 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