Prevalence of Infectious Diseases Among Internationally Adopted Children
| العنوان: | Prevalence of Infectious Diseases Among Internationally Adopted Children |
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| المؤلفون: | Jane Aronson, Joann Schulte, María Encarnación Gonzalo Alonso, Cabilla Gomez-Duarte, Juyan Zhou, Lisa Saiman, Susan A. Maloney, Pablo San Gabriel |
| المصدر: | Pediatrics. 108:608-612 |
| بيانات النشر: | American Academy of Pediatrics (AAP), 2001. |
| سنة النشر: | 2001 |
| مصطلحات موضوعية: | Giardiasis, Male, Pediatrics, medicine.medical_specialty, Asia, Tuberculosis, Population, Tuberculin, Communicable Diseases, Russia, Cohort Studies, Risk Factors, Adoption, Epidemiology, Prevalence, medicine, Humans, Mass Screening, education, Retrospective Studies, education.field_of_study, Latent tuberculosis, business.industry, Infant, Retrospective cohort study, Odds ratio, Hepatitis B, medicine.disease, Hepatitis C, United States, Europe, Latin America, Pediatrics, Perinatology and Child Health, Immunology, Female, Immunization, Syphilis, business |
| الوصف: | Objective. Internationally adopted children are at increased risk of infections acquired in their country of origin. Ongoing surveillance of this unique population is needed to detect changing epidemiology and provide appropriate care. Methods. We performed a retrospective cohort study of 504 children adopted from abroad and evaluated from 1997 to 1998 to determine the prevalence of and factors associated with various infectious diseases. Results. The mean age of the study participants at medical evaluation was 1.6 years; 71% were girls, and they were adopted from 16 countries, including China (48%), Russia (31%), Southeast Asia (8%), Eastern Europe (8%), and Latin America (5%). Overall, 75 (19%) of 404 children tested had tuberculin skin tests ≥10 mm, but all had normal chest radiographs. BCG vaccination (odds ratio [OR]: 7.37; 95% confidence interval [CI]: 3.29, 17.16) and being Russian born (OR: 2.90; 95% CI: 1.68, 5.00) were risk factors for latent tuberculosis infection. Fourteen (2.8%) children had detectable hepatitis B surface antigen, but no child had active hepatitis C, human immunodeficiency virus, or syphilis. Giardia lambliaantigen was detected in 87 (19%) of 461 tested children, and such children were older (mean: 22 months vs 15.5 months) and more likely to have been born in Eastern Europe (OR: 2.82; 95% CI: 1.70, 4.68). Conclusions. We demonstrated increased rates of latent tuberculosis infection and G lamblia infection than previously reported. Thus, ongoing surveillance of internationally adopted children, international trends in infectious diseases, and appropriate screening will ensure the long-term health of adopted children as well as their families. |
| تدمد: | 1098-4275 0031-4005 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4c20c9f5a65c1fbf291d295bc14a1b04 https://doi.org/10.1542/peds.108.3.608 |
| رقم الأكسشن: | edsair.doi.dedup.....4c20c9f5a65c1fbf291d295bc14a1b04 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10984275 00314005 |
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