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 core antibody**
  • Hepatitis B core antibody**
  • Hepatitis C antibody**
  • Hepatitis B surface antibody**
  • HIV (1&2) Antibody** (consider HIV PCR for children under 18 months)
  • Syphilis serology — RPR and FTA-ABS
  • Lead
  • Rickets — calcium, alkaline phosphatase, phosphorus
  • 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
  • Newborn metabolic screen (for infants, toddlers)
  • Hearing and Vision evaluations
  • Dental evaluation (for children older than 18 months)
**these studies should be repeated 6 months after arrival

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