Portage parasitaire digestif d’enfants adoptés

Désoubeaux, Guillaume; Collin-Dorca, A; Guillon-Grammatico, L.; Dimier‐Poisson, Isabelle; Bez, S; Bailly, Élodie; Bernard, L.; Maakaroun-Vermesse, Zoha; Chandenier, J.

doi:10.1016/j.arcped.2016.04.005

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…As described in other series [ 25 , 26 , 27 , 28 ], the most prevalent infections in our patients were intestinal parasitosis (8/57), followed by a positive serology result for schistosomiasis (7/40), strongyloidiasis (3/49), or toxocariasis (3/49). Upon arrival in the new home country, the screening of infectious diseases must be individualized and tailored to the origin and previous living conditions.…”

Section: Discussionsupporting

confidence: 80%

International Adoption of Children with Special Needs in Spain

et al. 2023

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International adoption has declined in recent years, although the adoption of children with special needs has arisen. We aim to describe our experience in the international adoption of children with special needs and to analyze the concordance between the pathologies included in pre-adoption reports and the diagnosis made upon arrival. We conducted a retrospective descriptive study including internationally adopted children with special needs evaluated at a reference Spanish unit between 2016 and 2019. Epidemiological and clinical variables were collected from medical records, and pre-adoption reports were compared to established diagnoses following their evaluation and complementary tests. Fifty-seven children were included: 36.8% females, a median age of 27 months [IQR:17–39], mostly coming from China (63.2%) and Vietnam (31.6%). The main pathologies described in the pre-adoption reports were congenital surgical malformations (40.3%), hematological (22.6%), and neurological (24.6%). The initial diagnosis that motivated the international adoption via special needs was confirmed in 79% of the children. After evaluation, 14% were diagnosed with weight and growth delay, and 17.5% with microcephaly, not previously reported. Infectious diseases were also prevalent (29.8%). According to our series, the pre-adoption reports of children with special needs appear accurate, with a low rate of new diagnoses. Pre-existing conditions were confirmed in almost 80% of cases.

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Section: Discussionsupporting

confidence: 80%

International Adoption of Children with Special Needs in Spain

et al. 2023

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“…Our results confirm that not all PIs are associated with eosinophilia. Although an increase in peripheral blood count is more frequently associated with helminthic infections [ 30 , 31 , 32 , 33 ], this usually occurs when the parasite invades the host’s tissues. Widespread parasitosis such as Giardia lamblia infection, which our study reported affecting 12.6% of the IAC, are intraluminal and, therefore, are not associated with eosinophilia [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Parasitic Infections in Internationally Adopted Children: A Twelve-Year Retrospective Study

et al. 2022

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Parasitic infections (PIs) are among the most frequent infectious diseases globally. Previous studies reported discrepant results regarding the prevalence of PIs in internationally adopted children (IAC). Data from IAC referred to our paediatric university hospital in 2009–2021 were collected to evaluate the frequency of PIs by the use of stool microscopic examination, antigen assays for Giardia lamblia and Cryptosporidium parvum, and serological tests for Toxocara canis, Strongyloides stercoralis, Schistosoma mansoni, Echinococcus spp., Taenia solium, and Trypanosoma cruzi. Uni- and multivariate logistic regression analyses were performed to evaluate risk factors for PIs and eosinophilia. The proportion of IAC with at least one positive test was 26.83% (640/2385); 2.13% (n = 51) had positive tests for 2 or 3 parasites. A positive assay for helminthic infection was retrieved in 11.07% of children (n = 264), and 17.86% (n = 426) presented with eosinophilia. The most common positive tests were anti-Toxocara canis antibodies (n = 312; 13.8%), followed by positive stool antigen for Giardia lamblia (n = 290; 12.16%), and positive microscopic stool examination for Blastocystis hominis (n = 76; 3.19%). A statistically significant association was found between PIs and region of origin (children from Latin America and Africa were more likely to present PIs than children from Eastern Europe), age 5–14 years, and eosinophilia. No significant association was observed between PIs and gender, vitamin D deficiency, or anemia. In conclusion, PIs are relevant in IAC and an accurate protocol is needed to evaluate IAC once they arrive in their adoptive country.

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