Adoption Screening Tests

Recommended screening tests for all internationally adopted children.

Complete Blood Count, with differential and indices
Urine Analysis with dipstick and microscopic
Stool for ova & parasites (3 samples) — should include giardia antigen DFA and cryptosporidium DFA
Stool for C & S (if symptomatic) — yersinia, campylobacter, salmonella, shigella
Hemoglobin electrophoresis (Asian, Latino, and African children)
Glucose-6-phosphate dehydrogenase assay (Asian, Mediterranean, and African children)
Liver Functions — AST, ALT, GGT
Hepatitis B surface antigen**
Hepatitis B surface antibody**
Hepatitis B core antibody**
Hepatitis C antibody**
HIV (1&2) Antibody** (consider HIV PCR for children under 18 months)
Syphilis serology — RPR and FTA-ABS
Thyroid Functions — TSH, T4
Rickets — calcium, alkaline phosphatase, phosphorus
Lead
Newborn metabolic screen (for infants, toddlers)
Tuberculosis screening** — a PPD should be placed, independent of BCG status, and should be checked by a medical professional; 10mm of swelling is positive
Hearing and Vision evaluations
Dental evaluation (for children older than 18 months)
**these studies should be repeated 6 months after arrival