title: Frequency and characteristics of infectious diseases in internationally adopted children: a retrospective study in Nantes from 2010 to 2012.
abstract: OBJECTIVE
  Internationally adopted children are more susceptible to developing and carrying acute or chronic infectious diseases. Specialized consultations exist in the main French cities; however, specialized consultation with a pediatrician is not mandatory. The main objective of this study was to determine the frequency and characteristics of infections (bacterial, viral, and parasitic) among a group of international adoptees in Nantes over a 3-year period.
  
  
  METHODS
  A retrospective chart review was conducted of internationally adopted children who went through the Medical Guidance for Adopted Children Consultation between 2010 and 2012.
  
  
  RESULTS
  A total of 133 children were included in the study. Of these, 55% had an infectious disease; 8% were severe infections. We found a frequency of 38% [confidence interval (CI) 95% 30-46] for parasitic intestinal and 35% (CI 95% 27-43) for dermatologic infections. African children were more likely to have infections that required hospitalization [odds ratio (OR) = 12, p = 0.004, CI 95% 1.3-113.7] and more likely to carry extended-spectrum β-lactamase-producing bacteria.
  
  
  CONCLUSIONS
  The frequency of infectious diseases, and sometimes severe diseases, found among our cohort of internationally adopted children highlights the need for systematic, specialized medical care.
authors: Urgences pédiatriques.
authors: Fanny
authors: F
authors: Hénaff
authors: Isabelle
authors: I
authors: Hazart
authors: Georges
authors: G
authors: Picherot
authors: Françoise
authors: F
authors: Baqué
authors: Christèle
authors: C
authors: Gras-Le Guen
authors: Elise
authors: E
authors: Launay
mesh_terms: D000300:Adoption / Q000208:ethnology*; D044383:Black People; D002648:Child; D002675:Child, Preschool; D003141:Communicable Diseases / Q000208:ethnology*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D007223:Infant; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D012189:Retrospective Studies