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Published on: November 20, 2015
Acute care issues in internationally adopted children
1Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA.
Insights
International adoption has increased, bringing children with unique health needs. This review covers infectious diseases and other medical and psychosocial issues for caregivers managing international adoptees.
Area of Science:
- Pediatrics
- Infectious Diseases
- Global Health
Background:
- International adoptions in the US have significantly increased over the last decade.
- Adopted children may present with health conditions specific to their birth country, necessitating a broader diagnostic approach.
- Caregivers may encounter unique medical and psychosocial challenges with international adoptees.
Purpose of the Study:
- To review common infectious diseases in international adoptees.
- To discuss other potential medical conditions and psychosocial issues relevant to emergency department care.
- To provide essential knowledge for managing the health of internationally adopted children.
Main Methods:
- Literature review focusing on infectious diseases in international adoptees.
- Inclusion of other relevant medical conditions and psychosocial factors.
- Emphasis on emergency department management considerations.
Main Results:
- International adoptees may present with a range of infectious diseases not commonly seen in the US.
- Differential diagnoses must be broadened to include conditions prevalent in the child's country of origin.
- Psychosocial aspects are crucial for comprehensive care.
Conclusions:
- Healthcare providers must be aware of the unique health profiles of international adoptees.
- Prompt recognition and management of infectious diseases and other conditions are vital.
- A multidisciplinary approach addressing medical and psychosocial needs improves outcomes for adopted children.
Abstract:
Over the past decade there has been a dramatic increase in international adoptions in the United States. While most adopted children will have common illnesses, others may have unique medical issues as a result of the conditions in their birth country requiring a broadened differential diagnosis. Knowledge of these issues is essential in the management of these patients. This review will predominately focus on infectious disease issues commonly seen in international adoptees but will also discuss other medical conditions and some of the psychosocial issues which may be encountered by caregivers in the emergency department.
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