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American Journal of Public Health, Vol. 89, Issue 7 1088-1090, Copyright © 1999 by American Public Health Association

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Clinician follow-up of children screened for lead poisoning.

M Markowitz, J F Rosen and I Clemente

Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10467, USA.

OBJECTIVES: This study assessed clinicians' compliance with Centers for Disease Control and Prevention recommendations for follow-up of children with blood lead (BPb) levels of 0.48 mumol/L (10 micrograms/dL) or higher. METHODS: Clinicians' success at follow-up was determined for 3 BPb ranges: > or = 0.97 mumol/L, 0.73 through 0.92 mumol/L, and 0.48 through 0.68 mumol/L (> or = 20 micrograms/dL, 15-19 micrograms/dL, and 10-14 micrograms/dL, respectively). RESULTS: A total of 410 children with elevated BPb levels were followed over a 12-month period; within 4 months, 71% of those with initial levels of 0.97 mumol/L or greater were retested and 57% and 34% of children with initial BPb levels of 0.73 through 0.92 mumol/L and 0.48 through 0.68 mumol/L, respectively, were retested. CONCLUSIONS: Follow-up of children with elevated BPb levels is inadequate within an urban ambulatory care network.




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G. Rischitelli, P. Nygren, C. Bougatsos, M. Freeman, and M. Helfand
Screening for Elevated Lead Levels in Childhood and Pregnancy: An Updated Summary of Evidence for the US Preventive Services Task Force
Pediatrics, December 1, 2006; 118(6): e1867 - e1895.
[Abstract] [Full Text] [PDF]


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