Monpierre O, Baudino P, Rio-René P, Maurice S, Malvy D, Receveur M-C
Centre hospitalier universitaire, Place Amélie Raba-Léon, 33000, Bordeaux, France.
Centre départemental de l'enfance et de la famille, 21 avenue de l'hippodrome, 33326, Eysines cedex, France.
Bull Soc Pathol Exot. 2016 May;109(2):99-106. doi: 10.1007/s13149-016-0476-3. Epub 2016 Feb 10.
The lack of clinical practice recommendations for the care of the Unaccompanied Refugee Minors (URM) causes significant disparities depending on which department they arrive. By studying their global health we're willing to promote a standard of care for them.
Data descriptive study from a systematic medical procedure proposed to URM who came in Gironde between January, 2011 and December, 2013.
235 URM were included, from Africa (71%), Asia (21%) and from Eastern Europe (8%). Among them, 143 medical files were complete. The most frenquently diagnosed diseases, and/or the most serious, were digestive parasitoses (50%), schistosomiasis (7%), filariasis (6%), hepatitis B (chronic 6%, seroprevalence 28%), iron deficiency (26%, 4 % with anaemia), G6PD deficiency (8%) and tooth decays (29%). About mental disorders, 45% of the URM had a clinical presentation compatible with post-traumatic stress disorder, 4% had suicidal thoughts.
URM accumulate the health risks of teenagers and those of illegal immigrants. Consequently they require an oriented and particular care.
对于无人陪伴的未成年难民（URM）的护理缺乏临床实践建议，这导致他们根据抵达的科室不同而面临显著差异。通过研究他们的全球健康状况，我们希望为他们推广一种护理标准。
对2011年1月至2013年12月期间抵达吉伦特省的URM所接受的系统医疗程序进行数据描述性研究。
纳入了235名URM，其中来自非洲的占71%，亚洲的占21%，东欧的占8%。其中，143份医疗档案完整。最常被诊断出的疾病和/或最严重的疾病包括消化寄生虫病（50%）、血吸虫病（7%）、丝虫病（6%）、乙型肝炎（慢性6%，血清阳性率28%）、缺铁（26%，4%伴有贫血）、葡萄糖-6-磷酸脱氢酶缺乏症（8%）和龋齿（29%）。关于精神障碍，45%的URM临床表现符合创伤后应激障碍，4%有自杀念头。
URM既累积了青少年的健康风险，又有非法移民的健康风险。因此，他们需要有针对性的特殊护理。
