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Vol. 53. Issue 1.
Pages 21-24 (1 July 2000)
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Vol. 53. Issue 1.
Pages 21-24 (1 July 2000)
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Adopciones transnacionales. Cuestiones médicas y éticas
International adoptions. medical and ethical issues
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6299
X. Allué
Corresponding author
xallue@hjxxiii.scs.es

Correspondencia: Servicio de Pediatría. Hospital Universitario de Tarragona Joan XXIII.c/ Dr. Mallafré-Guasch, 4. 43007 Tarragona.
Servicio de Pediatría. Hospital Universitario de Tarragona Joan XXIII. Tarragona.
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Objetivo

Aportar la experiencia en los problemas que generanlas adopciones transnacionales de niños, los planteamientosy su manejo.

Material y método

Revisión de casos asistidos en el servicio de pediatría yrevisión de la bibliografía.

Conclusiones

La adopción de niños procedentes de otros países estáaumentando en el nuestro. Los problemas que planteanlos niños adoptados incluyen enfermedades infecciosas,nutricionales y psicoemocionales. Además, debentenerse en cuenta condicionantes de índole éticaque el pediatra debe conocer y comentar con los padresadoptantes.

Palabras clave:
Adopción internacional
Malaria
Hepatitis
Bioética
Objective

To report our experience in the problems of internationaladoptions and their characteristics and management.

Patients and method

Review of patients treated in our pediatrics departmentand review of the literature.

Comment

The adoption of children from other countries is increasingin Spain. The problems presented by these childreninclude infectious diseases, and nutritional and psycho-emotional disorders. Furthermore, pediatriciansshould take ethical issues into account and discuss themwith the adoptive parents.

Key words:
International adoption
Malaria
Hepatitis
Bioethics
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Bibliografía
[1.]
Departament de Justícia. Generalitat de Catalunya. Decret 2/1997 de 7 de gener: reglament de protecció dels menors desemparats i de l'adopció. DOGC del 13 de enero, n.° 2307; 283-291.
[2.]
K. Berg-Kelly, J. Eriksson.
Adaptation of adopted foreign children at mid-adolescence as indicated by aspects of health and risk taking – a population study..
Eur Child Adolesc Psychiatry, 6 (1997), pp. 199-206
[3.]
American Academy of Pediatrics.
Policy Statement (Committee on early childhood. Chairman: E. Schor). Issues of confidentiality in adoption: the role of the pediatrician..
Pediatrics, 93 (1994), pp. 339-341
[4.]
American Academy of Pediatrics.
Policy Statement (Committee on early childhood. Chairman: E. Wender). Initial medical evaluation of an adopted child..
Pediatrics, 88 (1991), pp. 642-644
[5.]
L.C. Miller.
Caring for international adopted children..
N Engl J Med, 341 (1999), pp. 1539-1540
[6.]
A.B. Curtis, R. Ridzon, R. Vogel, S. McDonough, J. Hargraves, J. Ferry, et al.
Extensive transmission of Mycobacterium tuberculosis from a child..
N Engl J Med, 341 (1999), pp. 1491-1495
[7.]
M. Sobrino, L.E. Durán de Vargas, A. González-Meneses, R. Sáenz.
Características perinatales de niños en adopción. Nuestra experiencia..
Acta Pediatr Esp, 50 (1992), pp. 592-594
[8.]
L.C. Miller, M.T. Kiernan, M.I. Mathers, M. Klein-Gitelman.
Developmental and nutritional status of internationally adopted children..
Arch Pediat Adolesc Med, 149 (1995), pp. 40-44
[9.]
R. Virdis, M. Street, M. Zampolli, G. Radetti, B. Pezzini, M. Benelli, et al.
Precocious puberty in girls adopted from developing countries..
Arch Dis Child, 78 (1998), pp. 152-154
[10.]
W. Muraskin.
Individual rights vs the public health: the problem of the Asian hepatitis B carriers in America..
Soc Sci Med, 36 (1993), pp. 203-216
[11.]
M.K. Hostetter, D. Johnson.
Adoption of hepatitis B virus-infected foreign-born children..
Pediatrics, 85 (1990), pp. 891-892
[12.]
L.H. Albers, D.E. Johnson, M.K. Hostetter, S. Iverson, L.C. Miller.
Health of children adopted from the former Soviet Union and eastern Europe. Comparison with preadoptive medical records..
Jama, 278 (1997), pp. 922-924
[13.]
W.L. Pierce.
Accreditation of those who arrange adoption under the Hague Convention on intercountry adoption as a means of protecting, through private international law, the rights of children..
J Contemp Health Law Policy, 12 (1996), pp. 535-561
[14.]
X. Allue.
Qüestions pediàtriques sobre les adopcions..
Pediatria Catalana, 57 (1997), pp. 434
[15.]
The Center for Adoption Medicine at the University of WasÂhington, Seattle, USA. adoptmed@u.washington.edu
Copyright © 2000. Asociación Española de Pediatría
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