Update on the Clinical Management of Childhood Lead Poisoning

Woolf, Alan D.; Goldman, Rose H.; Bellinger, David C.

doi:10.1016/j.pcl.2007.01.008

Cited by 122 publications

(111 citation statements)

References 61 publications

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“…Medical treatment of lead poisoning is relatively straightforward. 40,[43][44][45][46] There is no benefit in prescribing activated charcoal for lead ingestion since it binds lead poorly. Gastric lavage may be performed although the American Academy of Clinical Toxicology stated that there is no evidence to show that its use improves clinical outcome.…”

Section: Medical Management Protocol For Childhood Lead Poisoningmentioning

confidence: 99%

“…For blood lead level of <20 μg/dL in otherwise asymptomatic children, the principle of treatment is to provide long-term neurodevelopmental follow-up and counselling as well as periodic blood sampling to ensure lead level is not increasing and to continue until the level is <5 μg/dL. 40,[43][44][45][46] For symptomatic patients with blood lead level of <20 μg/dL, sequential measurements of blood lead level along with review of the child's clinical status should be done at least every 3 months. Iron deficiency should be treated promptly.…”

Section: Medical Management Protocol For Childhood Lead Poisoningmentioning

confidence: 99%

“…Any surveillance should be continued until a child reaches 6 years of age, an age of critical learning transition points and elevated risk exposure, although the definitive duration of follow-up is unclear. 40,[43][44][45][46] Likewise, no end-point of follow-up is recommended by the Centre of Health Protection in Hong Kong.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Childhood lead poisoning: an overview

Hon¹,

Fung²,

Leung³

2017

Hong Kong Med J

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Section: Medical Management Protocol For Childhood Lead Poisoningmentioning

confidence: 99%

Section: Medical Management Protocol For Childhood Lead Poisoningmentioning

confidence: 99%

See 1 more Smart Citation

Childhood lead poisoning: an overview

Hon¹,

Fung²,

Leung³

2017

Hong Kong Med J

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“…Lead's wide range of neurotoxic effects includes learning disabilities, hyperactivity, impaired hearing, behavioral tendencies toward violence, and even brain damage. 10 While the CDC and the American Academy of Pediatrics currently identify 10 μg/dL as a threshold blood lead level for concern, other studies suggest that even lower blood lead concentrations may impair cognition. 11 Thus, there may be no truly "safe" blood lead level that is free of adverse effects on the nervous system.…”

Section: Leadmentioning

confidence: 99%

“…Among these are children with DD. 10 Extrapolating data from The Third National Health and Nutrition Examination Survey, an estimated 310,000 children aged between 1 and 5 living in the United States still carry lead levels of 10 μg/dL or greater. 14 The cost of lead poisoning in the pediatric population of the United States has been estimated at $43.4 billion annually.…”

Section: Leadmentioning

confidence: 99%

Environmental Health and Developmental Disabilities

Tyler

White-Scott

Ekvall

et al. 2008

Family &Amp; Community Health

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Prenatal and childhood environmental exposures are an underrecognized primary cause of intellectual and other developmental disabilities. In addition, individuals with established disabilities are vulnerable to further harm from subsequent environmental exposures. In individuals with communicative impairment or limited ability to independently escape from hazards, these subsequent exposures, too, may occur undetected or untreated. This article introduces the subject of environmental health and developmental disabilities throughout the life span. In particular, we focus on ways that families, communities, and health professionals can prevent both primary and secondary disabilities through better awareness of common environmental health issues.

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Minority mothers' healthcare beliefs, commonly used alternative healthcare practices, and potential complications for infants and children

Hannan

2015

Journal of the American Association of Nurse Practitioners

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Purpose Complementary and alternative healthcare practices have increased substantially in the United States especially with low‐income ethnic minority mothers. These mothers often have provider mistrust, language barriers, differing health belief systems, and as a result are less likely to seek preventive health screening, access healthcare services, and use alternative remedies for their infants and children that are potentially harmful or lethal. Therefore, the purpose of this article is to examine healthcare beliefs, commonly used alternative healthcare practices, and their potential complications for infants and children. Data sources A search of CINAHL and PubMed (1980–2012) was conducted using the following terms: alternative healthcare practice, mothers’ health beliefs, cultural health beliefs, folk remedies, and infant health practices. Conclusion Given the changing U.S. population and an increasing immigrant population, examining alternative healthcare practices mothers use for their infants and children is especially important for providers in addressing healthcare for this group. Implications for practice The use of alternative healthcare practices is rarely discussed by parents with healthcare providers for fear of disapproval. When interviewing ethnic minority mothers and caregivers questions should include the use of alternative healthcare practices for infants and children and information regarding the potential dangers should be provided to them.

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Update on the Clinical Management of Childhood Lead Poisoning

Cited by 122 publications

References 61 publications

Childhood lead poisoning: an overview

Childhood lead poisoning: an overview

Environmental Health and Developmental Disabilities

Minority mothers' healthcare beliefs, commonly used alternative healthcare practices, and potential complications for infants and children

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