title: Transmission of infectious diseases from internationally adopted children to their adoptive families.
abstract: Internationally adopted children may suffer from different pathologies, including infectious diseases contracted in the country of origin. We evaluated the frequency of infectious diseases that may disseminate from adoptees to adoptive families on their arrival in France. All children who attended the clinic for international adoption in Clermont-Ferrand from January 2009 through to December 2011 were eligible for inclusion in the study. Standardized medical records dedicated to international adoption were retrospectively reviewed for demographic data, clinical diagnosis, and biological and radiological results. Data were completed by phone interviews with adoptive families after informed consent. One hundred and forty-two medical records were retrospectively reviewed and 86% of families agreed to be interviewed. One hundred and seventy-one potentially transmissible infections were diagnosed in 142 children, 12% (n = 20) of which were transmitted to adoptive families. Most of these infections were benign and transmission was restricted to the close family. Tinea was diagnosed in 44 adoptees and transmitted in 15 cases. Panton Valentine leukocidin producing methicillin-sensitive S. aureus (MSSA) was transmitted to an adoptive father who required hospitalization for bursitis. Transmission also occurred for CMV (n = 1), hepatitis A (n = 1), giardiasis (n = 1), scabies (n = 1), Moluscum (n = 2) and pediculosis (n = 2). Two cases of chronic hepatitis B and latent tuberculosis were diagnosed without subsequent transmission. In conclusion, infectious diseases are common in internationally adopted children and should be detected shortly after arrival to avoid transmission.
authors.affiliation: Service des Maladies Infectieuses et Tropicales, CHU Gabriel Montpied Clermont-Ferrand, Clermont-Ferrand, France; Département de Médecine Générale, Faculté de Médecine de Clermont-Ferrand, Université Clermont1, Clermont-Ferrand, France.
authors.forename: J
authors.initials: J
authors.lastname: Sciauvaud
authors.forename: E
authors.initials: E
authors.lastname: Rigal
authors.forename: J
authors.initials: J
authors.lastname: Pascal
authors.forename: C
authors.initials: C
authors.lastname: Nourrisson
authors.forename: P
authors.initials: P
authors.lastname: Poirier
authors.forename: V
authors.initials: V
authors.lastname: Poirier
authors.forename: M
authors.initials: M
authors.lastname: Vidal
authors.forename: N
authors.initials: N
authors.lastname: Mrozek
authors.forename: H
authors.initials: H
authors.lastname: Laurichesse
authors.forename: J
authors.initials: J
authors.lastname: Beytout
authors.forename: A
authors.initials: A
authors.lastname: Labbe
authors.forename: O
authors.initials: O
authors.lastname: Lesens
mesh_terms: D000300:Adoption; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases / Q000453:epidemiology*; D018562:Disease Transmission, Infectious; D005192:Family Health; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007407:Interviews as Topic; D008297:Male; D015995:Prevalence; D012189:Retrospective Studies
keywords: Adoptee; Staphylococcus aureus; infectious diseases transmission; tinea; travel medicine