Current Infectious Disease Reports

, Volume 15, Issue 3, pp 222–231

Presumptive Treatment and Medical Screening for Parasites in Refugees Resettling to the United States

Authors

    • Department of Medicine, Division of Infectious Diseases and International MedicineUniversity of Minnesota
    • Division of Global Migration and QuarantineCenters for Disease Control and Prevention
  • Paul T. Cantey
    • Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention
  • Susan Montgomery
    • Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention
  • LeAnne Fox
    • Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention
  • Monica E. Parise
    • Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention
  • Olga Gorbacheva
    • International Organization for Migration
    • International Organization for Migration
  • Michelle Weinberg
    • Division of Global Migration and QuarantineCenters for Disease Control and Prevention
  • Annelise Doney
    • Division of Global Migration and QuarantineCenters for Disease Control and Prevention
  • Lisa Rotz
    • Division of Global Migration and QuarantineCenters for Disease Control and Prevention
  • Martin S. Cetron
    • Division of Global Migration and QuarantineCenters for Disease Control and Prevention
Tropical, Travel and Emerging Infections (L Chen, Section Editor)

DOI: 10.1007/s11908-013-0331-7

Cite this article as:
Stauffer, W.M., Cantey, P.T., Montgomery, S. et al. Curr Infect Dis Rep (2013) 15: 222. doi:10.1007/s11908-013-0331-7

Abstract

More than 50,000 refugees are resettled to the United States annually, many from areas highly endemic for parasites. Some of these infections present little clinical consequence after migration, but others are responsible for morbidity and mortality. The Centers for Disease Control and Prevention has issued predeparture presumptive treatment and postarrival medical guidelines for the management of parasites. Although these guidelines are evidence based, there remain significant challenges to presumptive treatment programs in refugees. Gaps in the evidence continue; resettling populations are continually changing, thus altering the epidemiology; and there are logistical and cost barriers to fully implementing recommendations. This article will review the evolution and status of current guidelines, as well as identify gaps and challenges to full implementation. It is imperative for clinicians serving this population to be familiar with interventions received by refugees, since previous treatment will impact screening, diagnostic evaluation, and treatment decisions.

Keywords

Intestinal parasitesSchistosomiasisRefugeesPresumptive therapyScreeningStrongyloidiasis

Copyright information

© Springer Science+Business Media New York (outside the USA) 2013