title: Eosinophilia and the seroprevalence of schistosomiasis and strongyloidiasis in newly arrived pediatric refugees: an examination of Centers for Disease Control and Prevention screening guidelines.
abstract: The US Centers for Disease Control and Prevention has published refugee health guidelines that recommend examination of the absolute eosinophil count (AEC) to screen for asymptomatic schistosomiasis and strongyloidiasis. We examined the predictive validity of an AEC >400 cells/microL to identify refugees with serologic evidence for schistosomiasis or strongyloidiasis. Our study revealed that eosinophilia was not predictive of serologic evidence of either a Schistosoma species or Strongyloides stercoralis infection in the pediatric refugees examined in this study.
authors.affiliation: Department of Pediatrics, Hasbro Children's Hospital, Providence, RI.
authors.forename: Elizabeth E
authors.initials: EE
authors.lastname: Dawson-Hahn
authors.affiliation: Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.
authors.forename: Sarah L M
authors.initials: SLM
authors.lastname: Greenberg
authors.affiliation: Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY.
authors.forename: Joseph B
authors.initials: JB
authors.lastname: Domachowske
authors.affiliation: Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY. Electronic address: olsonb@upstate.edu.
authors.forename: Brad G
authors.initials: BG
authors.lastname: Olson
mesh_terms: D000293:Adolescent; D000349:Africa / Q000208:ethnology; D001210:Asia, Southeastern / Q000208:ethnology; D002487:Centers for Disease Control and Prevention, U.S.; D002648:Child; D002675:Child, Preschool; D004802:Eosinophilia / Q000175:diagnosis / Q000453:epidemiology* / Q000469:parasitology; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008403:Mass Screening / Q000592:standards* / Q000706:statistics & numerical data; D012036:Refugees / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012552:Schistosomiasis / Q000175:diagnosis / Q000453:epidemiology*; D012680:Sensitivity and Specificity; D016036:Seroepidemiologic Studies; D013322:Strongyloidiasis / Q000175:diagnosis / Q000453:epidemiology*; D014481:United States