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Although hepatitis B serologic tests are per formed routinely in the country of origin prostate cancer psa order rogaine 2 60 ml fast delivery, testing may be incomplete and children may become infected after testing prostate cancer metastasized purchase 60 ml rogaine 2 with visa. Serologic test ing for acute infection (hepatitis A IgM) and immunity (total hepatitis A antibody) can be performed at the initial visit to determine whether the child has a current hepatitis A infection or immunity prostate cancer new treatment buy cheap rogaine 2 on-line. In addition, hepatitis A vaccine should be administered to all susceptible nontravel ing people who anticipate having close personal contact with a child adopted internation ally from a country with high or intermediate hepatitis A endemicity before arrival of the adoptee. Adopted children or their household or other close contacts with symptoms con sistent with acute viral hepatitis should be evaluated promptly. Children without hepatitis A immunity who are 12 months of age and older should receive hepatitis A vaccine as recommended according to the routine immunization schedule (Fig 1. Intestinal Pathogens Fecal examinations for ova and parasites by an experienced laboratory will identify a pathogen in 15% to 35% of internationally adopted children. The prevalence of intes tinal parasites varies by age of the child and country of origin. The most common pathogens identifed are Giardia intestinalis, Dientamoeba fragilis, Hymenolepis species, Ascaris lumbricoides, and Trichuris trichiura. Strongyloides stercoralis, Entamoeba histolytica, and hookworm are recovered less commonly. Therapy for intestinal parasites generally will be successful, but complete eradication may not occur. Therefore, repeat ova and parasite testing after treatment is important to ensure successful elimination of parasites if symptoms persist. Children who fail to demonstrate adequate catch-up growth, who have unexplained anemia, or who have gastro intestinal tract symptoms or signs that occur or recur months or even years after arrival in the United States should be reevaluated for intestinal parasites. Tuberculosis Latent tuberculosis infection commonly is encountered in international adoptees from all countries, although incidence rates of tuberculosis vary by country. All immigrants, includ ing international adoptees, are required to have screening for tuberculosis before arriving in the United States. Information about the screening and implementation requirements is avail able at However, some international adoptees may be anergic because of malnutrition, which is common in malnourished children. In these children, further investigation is necessary to determine whether latent tuberculosis infection or active disease is present and therapy is needed (see Tuberculosis, p 736.

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