Murray Thomas S, Groth M Elizabeth, Weitzman Carol, Cappello Michael
Yale International Adoption Clinic, Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.
Clin Microbiol Rev. 2005 Jul;18(3):510-20. doi: 10.1128/CMR.18.3.510-520.2005.
International adoptees represent a group of children with unique health care needs. Data from published studies, along with the recent experience of the Yale International Adoption Clinic, suggest that the risk of serious infections in adoptees is low, although infections associated with institutionalization still occur commonly. Interpretation of these data must be undertaken with caution, however, since many, if not most, international adoptees are not evaluated in specialty clinics. Thus, prospective studies designed to minimize selection and referral bias are needed in order to accurately define the risk of infectious and noninfectious diseases in all international adoptees.
国际领养儿童是一群有着独特医疗保健需求的儿童。已发表研究的数据,以及耶鲁国际领养诊所的近期经验表明,领养儿童中发生严重感染的风险较低,尽管与机构养育相关的感染仍很常见。然而,对这些数据的解读必须谨慎,因为许多(即便不是大多数)国际领养儿童并未在专科诊所接受评估。因此,需要开展旨在尽量减少选择和转诊偏倚的前瞻性研究,以便准确界定所有国际领养儿童发生感染性和非感染性疾病的风险。