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Infectious diseases detected by screening after arrival to Denmark in internationally adopted children
- Source :
- Acta Paediatrica. 109:1004-1010
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- 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.
- Subjects :
- Pediatrics
medicine.medical_specialty
Tuberculosis
Denmark
Population
HIV Infections
Communicable Diseases
Serology
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Prevalence
medicine
Humans
Prospective Studies
030212 general & internal medicine
Child
education
Prospective cohort study
Hepatitis
education.field_of_study
business.industry
virus diseases
Hepatitis A
General Medicine
Hepatitis B
medicine.disease
Pediatrics, Perinatology and Child Health
Syphilis
Child, Adopted
business
Subjects
Details
- ISSN :
- 16512227 and 08035253
- Volume :
- 109
- Database :
- OpenAIRE
- Journal :
- Acta Paediatrica
- Accession number :
- edsair.doi.dedup.....1a655444a1ef5d809b9042d73c56e4d6