Infectious diseases detected by screening after arrival to Denmark in internationally adopted children.

Autor: Nielsen, Agnethe Vale, Kjærgaard, Jesper, Pedersen, Tine Marie, Helmuth, Ida Glode, Nygaard, Ulrikka, Nielsen, Helle Winter, Christensen, Vibeke Brix, Kurtzhals, Jørgen Anders Lindholm, Poulsen, Anja, Kjaergaard, Jesper
Předmět:
Zdroj: Acta Paediatrica; May2020, Vol. 109 Issue 5, p1004-1010, 7p
Abstrakt: Aim: To show the prevalence of selected infectious diseases among internationally adopted children (IAC) in Denmark.Background: Each year approximately 200 IAC arrive in Denmark. These are at increased risk of infectious diseases rarely seen in Danish children. Studies from the 1990s showed that 60% of IAC had infectious diseases and that the majority of these were undetected without screening.Methods: The study is a prospective study of medical records from children seen in the adoption clinic at Copenhagen University Hospital in the period 2009-2013. Screening was done for hepatitis A (HAV), B (HBV) and C (HCV), syphilis, HIV, tuberculosis (TB) and intestinal parasites.Results: In 245 IAC tested, 2% had evidence of recent HAV infection, 3% with HBV and one child with HCV, and no cases of HIV were found. One child had antibodies against syphilis (anti-Trpa AB positivity), and 2% were latently infected with tuberculosis. We found 30% infected with pathogenic intestinal parasites. Only 46% had serologic evidence of immunisation against HBV.Conclusion: The prevalence of infections in IAC was lower than previously reported but compared to the general population, a higher prevalence of intestinal parasites, hepatitis and tuberculosis was found. We recommend that IAC are offered screening shortly after arrival. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index