In 1991, the Centers forDisease Control (CDC) revised guidelines for management of childhood lead poisoning. 1 With acceptable blood lead levels lowered from 25 μg/dL to 10 μg/dL, the percentage of children requiring close monitoring for lead intoxication increased from 14 % to 65 % of children under age 7 years in our inner-city clinic. This report describes our experience with a computer program designed to facilitate compliance with the CDC revised guidelines.
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References
1.
Centers for Disease Control.Preventing Lead Poisoning in Young Children: A Statement by the Centers for Disease Control . Atlanta, GA: U.S. Department of Health and Human Services;1991.
2.
Lead-Out: The Complete Lead Poisoning Monitoring Program is available from the author, Alan M. Schindler, Ph.D., M.D., 155 West Walnut Lane, Philadelphia, PA19144.
3.
Bellinger DC , Stiles KM, Needleman HLLow-level lead exposure, intelligence and academic achievement: a long-term follow-up study. Pediatrics . 1992;90:855-861.
4.
Ruff HA, Bijur PE, Markowitz M., et al. Declining blood lead levels and cognitive changes in moderately lead-poisoned children. JAMA.1993;269:1641-1646.
5.
Schindler AM , Haecker T., Gould J., et al. Declining blood lead levels and cognitive changes in children. JAMA1993; 270:828. Letter.
