Pedemy All toolsGet the first-visit checklist for an internationally adopted, refugee or immigrant child by age and region.
This tool builds a first-visit screening checklist for a child who has recently arrived in the United States as an internationally adopted child, a refugee, or another immigrant. It asks only who the child is, the age group and the region of origin (and, for refugees, whether parasite treatment was given before departure).
The checklist covers a CBC with differential for eosinophilia, TB testing (TST under 2 years, IGRA from 2 years), hepatitis B, hepatitis C, HIV, syphilis, blood lead with a repeat in 3–6 months, newborn screen or thyroid tests for infants, stool studies, Strongyloides and Schistosoma serology, and Chagas serology for children from Latin America.
It shows presumptive parasite treatment with doses (albendazole 200 or 400 mg, ivermectin 200 mcg/kg over 15 kg with the Loa loa caution, praziquantel 40 mg/kg for children 4 years and older from sub-Saharan Africa), how to handle vaccine records, growth, development, vision, hearing, dental and mental health screening, repeat testing at 6 months, and school entry.
Yes, if they are written and the dates, ages and intervals are valid. If records are missing or doubtful, check serology for selected vaccines or simply revaccinate. Do not delay needed vaccines while waiting.
Infections acquired shortly before arrival may be in the window period. The Red Book advises repeating TB, HIV, hepatitis B and hepatitis C testing about 6 months after arrival.
Children 15 kg or less are not treated presumptively, and children from Loa loa-endemic Central African countries can develop fatal encephalopathy if they have high-level Loa loa microfilaremia. A daytime blood smear or Strongyloides serology comes first.
Yes. Pending screening is not a reason to exclude. Exclusion applies only to specific conditions, such as TB disease until treated and no longer infectious, or scabies and lice until treatment starts.
Free to use on clinic, school, blog or hospital pages. Copy this code into your page: