{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T05:04:52Z","timestamp":1784178292447,"version":"3.55.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":195,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Pediatrics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Unaccompanied asylum\u2010seeking children (UASC) experience a high burden of infectious diseases (IDs) and are a highly vulnerable population group with significant mental, physical, social and developmental needs. However, currently in the United Kingdom, there is no framework regarding how to implement ID screening guidance for UASC, leading to a wide variation in outcomes. This project is aimed at exploring the ID pathway for UASC within a single South\u2010East UK local authority, spanning two trusts\u2014including one with a \u2018one\u2010stop\u2019 clinic\u2014to inform service improvement recommendations. The study was conducted by retrospective case note review of routinely collected, anonymised patient data from all UASC under the care of the local authority over a 1\u2010year timeframe. The study design consisted of (a) an audit of UASC ID referrals for all children in the local authority against RCPCH guidance, (b) analysis of attendance rates and (c) analysis of reasons for noncompletion. Thirty\u2010seven patients were analysed (local trust\n                    <jats:italic>n<\/jats:italic>\n                    = 30, neighbouring trusts\n                    <jats:italic>n<\/jats:italic>\n                    = 7). The pathway\u2032s success varied across different aspects. Tuberculosis (TB) and blood\u2010borne virus (BBV) testing showed notably higher referral and attendance rates compared to other single\u2010centre studies. However, gaps in the process were evident in areas such as testing for schistosomiasis and strongyloidiasis. Additionally, the appointment completion rate varied across ID services, highlighting some themes in low attendance, in particular a low attendance rate for those \u2018out of area\u2019. Our key recommendation is the undertaking of further research to inform the development of a more robust pathway for UASC in the region, with consideration of a county\u2010wide pathway.\n                  <\/jats:p>","DOI":"10.1155\/ijpe\/3622069","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T04:22:46Z","timestamp":1784175766000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring an Infectious Disease Service Pathway for Unaccompanied Asylum\u2010Seeking Children: An Audit and Retrospective Analysis"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0809-6034","authenticated-orcid":false,"given":"Holly","family":"Tarn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Bond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_10_1_2","unstructured":"Immigration System Statistics Data Tables - GOV.UK 2023 https:\/\/www.gov.uk\/government\/statistical-data-sets\/immigration-system-statistics-data-tables#asylum-applications-decisions-and-resettlement."},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2021-322319"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2022.10.008"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2022-001664"},{"key":"e_1_2_10_5_2","unstructured":"Children in Care (CIC) Nursing Team \u2013 East Sussex Healthcare NHS Trust 2020 https:\/\/www.esht.nhs.uk\/service\/childrens-services\/cic-nursing-team\/."},{"key":"e_1_2_10_6_2","doi-asserted-by":"crossref","unstructured":"RCPCH Children and Young People - Guidance for Paediatricians 2018 https:\/\/www.rcpch.ac.uk\/resources\/refugee-asylum-seeking-children-young-people-guidance-paediatricians.","DOI":"10.12968\/cypn.2018.5.45"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2021-rcpch.532"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2022-001435"}],"container-title":["International Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/ijpe\/3622069","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/ijpe\/3622069","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/ijpe\/3622069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T04:22:48Z","timestamp":1784175768000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/ijpe\/3622069"}},"subtitle":[],"editor":[{"given":"Nikhat","family":"Kaura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/ijpe\/3622069"],"URL":"https:\/\/doi.org\/10.1155\/ijpe\/3622069","archive":["Portico"],"relation":{},"ISSN":["1687-9740","1687-9759"],"issn-type":[{"value":"1687-9740","type":"print"},{"value":"1687-9759","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-09-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3622069"}}