Italian multicentre study found infectious and vaccine‐preventable diseases in children adopted from Africa and recommends prompt medical screening

Chiappini, Elena; Zaffaroni, Mauro; Bianconi, Martina; Veneruso, G; Grasso, Nicolino; Garazzino, Silvia; Arancio, Rosangela; Valentini, Piero; Ficcadenti, Anna; Riol, Maria Rosalia Da; Placa, Simona La; Galli, Luisa; Martino, Maurizio de; Bona, Gianni

doi:10.1111/apa.14237

Cited by 13 publications

(37 citation statements)

References 25 publications

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“…In our centre, parasitoses account for most of infections (Giardia lamblia, Toxocara canis) along with skin infections (Tinea capitis/corporis, Molluscum contagiosum) and latent or active tuberculosis (9). Studies from other centres confirm that the most frequent diseases observed at arrival are dermatological conditions.…”

supporting

confidence: 59%

The internationally adopted child: overview of challenging issues

2018

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supporting

confidence: 59%

The internationally adopted child: overview of challenging issues

2018

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“…The percentage of adopted children with protective antibody titres for diphtheria, tetanus, pertussis, hepatitis B, measles, mumps, rubella and varicella varied in the published studies that we examined. Tetanus protective antibody levels were observed in 35–95% of adopted children, and similar data were reported for diphtheria . A higher percentage of adoptees had protective antibody levels for polio and measles, varying from 57 to 90% and 36 to 90%, respectively .…”

Section: Discussionmentioning

confidence: 99%

Systematic review shows that immunising internationally adopted children is a major challenge for primary health care

et al. 2018

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Aim This systematic review aimed to provide an overview of the immunisation of internationally adopted children and to discuss possible vaccination strategies. Methods A literature search was performed covering papers published in English from 1988 to 15 June 2018 using the Ovid MEDLINE, EMBASE and Cochrane Library databases. This identified 749 studies and 41 full texts were evaluated. Results Overall, 19 studies conducted between 1988 and 2016 fulfilled our inclusion criteria. These covered 7663 children aged 1.1–5.7 years adopted from Asia, Eastern Europe, Africa and South and Central America. Tetanus protective antibody levels ranged from 35 to 95%, and similar data were reported for diphtheria. A higher percentage of adoptees had protective antibody levels for polio (50–93%) and measles (62–95%). More than a third (35%) did not have protective antibody titres for hepatitis B. Only one study investigated adoptees with protective antibodies against haemophilus influenza, and it reported that this was around 66%. Conclusion The appropriate immunisation of internationally adopted children is a major challenge for primary health care and a number of different approaches have been suggested, with no clear conclusions. Further studies on the cost‐effectiveness of different approaches should be performed to optimise screening strategies and develop recommendations.

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“…A study by Chiappini et al. evaluated the prevalence of infectious diseases in children who were adopted from Africa and referred to Italian paediatric centres in 2009‐2015, together with their immunisation status . Half of the children had at least one infectious disease and these were most commonly due to parasites.…”

Section: Assessing the Health Of Internationally Adopted Childrenmentioning

confidence: 99%