Using state lead poisoning surveillance system data to assess false positive results of capillary testing

Maternal and Child Health Journal

Volumn 11, Issue 6, 2007, Pages 603-610

  Anderson, Meredith K ^a   Amrich, MaryAnn ^b   Decker, Kathy L ^c   Mervis, Cynthia A ^c  

^a University of North Carolina at Chapel Hill   (United States)

^b Maine Department of Health and Human Services   (United States)

^c UNIVERSITY OF SOUTHERN MAINE   (United States)

Author keywords

False positives; Lead poisoning; Screening

Indexed keywords

ARTICLE; CAPILLARY BLOOD; CLINICAL ASSESSMENT; CONFIDENCE INTERVAL; CONTROLLED STUDY; DIAGNOSTIC ERROR; DISEASE SURVEILLANCE; FALSE POSITIVE RESULT; HUMAN; INFANT; INTERMETHOD COMPARISON; LEAD BLOOD LEVEL; LEAD POISONING; MAJOR CLINICAL STUDY; MASS SCREENING; PREDICTION; PRESCHOOL CHILD; PRIORITY JOURNAL; UNITED STATES; VENOUS BLOOD;

BLOOD SPECIMEN COLLECTION; CHILD, PRESCHOOL; FALSE POSITIVE REACTIONS; HUMANS; INFANT; LEAD; LEAD POISONING; MAINE; MASS SCREENING; SENTINEL SURVEILLANCE; SPECIMEN HANDLING;

EID: 35848968001     PISSN: 10927875     EISSN: 15736628     Source Type: Journal    
DOI: 10.1007/s10995-007-0196-1     Document Type: Article

References (20)

1. U.S. Department of Health and Human Services. Healthy People 2010, 2nd edn. With understanding and improving health and objectives for improving health. 2 vols. Washington, DC: U.S. Government Printing Office; 2000.
2. Centers for Disease Control and Prevention. Preventing lead poisoning in young children: A statement by the centers for disease control. Atlanta, GA: CDC; 1991.
3. Schlenker TL, Fritz CJ, Mark D, et al. Screening for lead poisoning: comparability of simultaneously drawn capillary and venous blood samples. JAMA 1994;271:1346-8.
4. Schonfeld DJ, Cullen MR, Rainey PM, et al. Screening for lead poisoning in an urban pediatric clinic using samples obtained by fingerstick. Pediatrics 1994;94(2):174-9.
5. Parsons PJ, Reilly AA, Esernio-Jenssen D. Screening children exposed to lead: An assessment of the capillary blood lead fingerstick test. Clin Chem 1997;43(2):302-11.
6. Schonfeld DJ, Rainey PM, Cullen MR, Showalter DR, Cicchetti DV. Screening for lead poisoning by fingerstick in suburban pediatric practices. Arch Pediatr Adolesc Med 1995;149:447-50.
7. Sargent JD, Dalton M, Klein RZ. Diagnostic testing unwarranted for children with blood lead 10 to 14 ug/dL. Pediatrics 1999;103(4):e51.
8. Fischbein A. Occupational and environmental exposure to lead. In: Rom WN, editor, Environmental and occupational medicine. Philadelphia: Lippincott-Raven; 1998, pp. 977-978.
9. Sargent JD, Dalton MA. Rethinking the threshold for an abnormal capillary blood lead screening test. Arch Pediatr Adolesc Med 1996;150:1084-8.
10. Centers for Disease Control and Prevention. Update: Blood lead levels-United States, 1991-1994. MMWR Morb Mortal Wkly Rep 1997;46:141-6.
11. Centers for Disease Control and Prevention. Blood lead levels-United States, 1999-2002. MMWR Morb Mortal Wkly Rep 2005;54:513-6.
12. Centers for Disease Control and Prevention. Screening young children for lead poisoning: Guidance for state and local public health officials. Atlanta, GA: CDC; 1997.
13. Parsons PJ, Slavin E. A rapid Zeeman graphite furnace atomic absorption spectrometric method for the determination of lead in blood. Spectrochimica Acta 1993;48B:925-39.
14. Maine Childhood Lead Poisoning Prevention Program, Environmental Health Unit. Childhood Lead Poisoning in Maine: 2004 Surveillance Report. Augusta, Maine: Maine Department of Health and Human Services; Forthcoming 2007.
15. Schlenker T. Comparability of capillary and venous blood samples for lead screening [letters]. JAMA 1994;272:1482.
16. Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological profile for lead. (Draft for Public Comment). Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service; 2005.
17. Centers for Disease Control and Prevention. Managing elevated blood lead levels among young children: Recommendations from the advisory committee on childhood lead poisoning prevention. Atlanta, GA: CDC; 2002.
18. US Department of Agriculture Economic Research Service. Measuring rurality: Rural-urban commuting area codes. Available at http://www.ers.usda.gov/briefing/Rurality/RuralUrbanCommutingAreas/. Accessed March 7, 2006.
19. Kemper AR, Cohn LM, Fant KE, Dombkowski KJ, Hudson SR. Follow-up testing among children with elevated screening blood lead levels. JAMA 2005;293:2232-7.
20. Canfield RL, Henderson CR, Cory-Slechta DA, Cox C, Jusko TA, Lanphear BP. Intellectual impairment in children with blood lead concentrations below 10 μg per deciliter. N Engl J Med 2003;348:1517-26.