Lee Yunji, Allen Patricia Jackson
Pediatric Medical Associates, Sacramento, CA, USA.
Pediatr Nurs. 2008 Nov-Dec;34(6):480-5, 489.
The purpose of this literature review is to discuss infectious diseases found in children adopted from South Korea but not commonly seen in pediatric primary care settings in the United States, as well as summarize screening tests and guidelines for early management of these medical conditions. The diseases were selected based on statistics from the Korea Center for Disease Control and Prevention and discussed in terms of pathophysiology, clinical manifestations, screening tests, management regimens, and implications on pre and post-adoptions. Additionally, current recommendations for the immunization of internationally adopted children and the immunization schedule in South Korea were reviewed. Pediatric primary care providers play a critical role in assessing newly arrived children from South Korea, providing age-appropriate immunizations, and educating the adoptive families about screening tests and management regimens when there are positive screening or diagnostic results and clinical symptoms.
本综述的目的是讨论从韩国收养的儿童中发现的、但在美国儿科初级保健机构中不常见的传染病,同时总结这些疾病的筛查测试以及早期管理指南。这些疾病是根据韩国疾病控制与预防中心的统计数据挑选出来的,并从病理生理学、临床表现、筛查测试、管理方案以及对收养前后的影响等方面进行了讨论。此外,还回顾了目前关于国际收养儿童免疫接种的建议以及韩国的免疫接种时间表。儿科初级保健提供者在评估刚从韩国来的儿童、提供适龄免疫接种以及在筛查或诊断结果呈阳性且有临床症状时,就筛查测试和管理方案对收养家庭进行教育方面发挥着关键作用。