Abstract
Autism spectrum disorders (ASD), once thought rare, are now commonly encountered in
clinical practice. Academic pediatricians may be expected to teach medical students
and pediatric residents about ASD, but most likely received limited exposure to ASD
during their training. In recent years, research that informs the clinical guidance
provided to pediatricians regarding surveillance, screening, and ongoing management
of children with ASD has accelerated. By 24 months of age, children with ASD exhibit
delays across multiple domains of development, yet the diagnosis is frequently made
much later. Careful developmental surveillance lowers the age of identification of
children with ASD. Several screening tools appropriate for use in primary care settings
can aid in early identification. Improved surveillance and screening is of benefit
because early intensive behavioral intervention has the potential to improve the developmental
trajectory of children with ASD. Providing appropriate medical care for children with
ASD improves both child and family outcomes. Recent research regarding sleep disturbances,
gastrointestinal problems, and epilepsy in children with ASD has led to clinical pathways
to evaluate and address these issues within the context of primary care. By being
aware of and disseminating these research findings, academic pediatricians can help
future and current clinicians improve the care of children with ASD.
Keywords
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Article info
Publication history
Accepted:
April 5,
2013
Received:
January 9,
2013
Identification
Copyright
© 2013 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
