期刊
CURRENT OPINION IN PEDIATRICS
卷 25, 期 1, 页码 78-87出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MOP.0b013e32835c1357
关键词
children; immunization; infection; international adoption
类别
资金
- National Institute of Allergy and Infectious Diseases [U01A1082482]
- Centers for Disease Control Prevention [U18-IP000303-01]
- University of Utah, Department of Pediatrics through the Children's Health Research Center
- Pediatric Clinical and Translational Research Scholars Program
- H. A. and Edna Benning Presidential Endowment
- Primary Children's Medical Center Foundation
Purpose of review To provide an update and overview of infectious disease issues in children of international adoption. Recent findings International adoption by US families has decreased since 2004. Countries from where children are adopted have changed by 2011, with Ethiopia the second largest contributor of international adoptees after China. Since 2003, international adoptees are older, as fewer young children (<1 year of age) have been available for adoption. Although children are declared healthy in their home countries, medical disorders are often missed or become apparent after adoption. Comprehensive evaluations by providers in the USA after adoption frequently identify unsuspected medical disorders, infections, as well as delayed or incomplete vaccination in these recently adopted children. Early identification of infections allows treatment of potential communicable diseases and updating of immunizations. Summary All international adoptees on arrival in the USA should be evaluated by a health practitioner knowledgeable in adoption medicine to identify medical problems, especially infections.
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