دورية أكاديمية
أعرض في EDS

Elevated Blood Lead Levels Associated with Retained Bullet Fragments - United States, 2003-2012.

التفاصيل البيبلوغرافية
العنوان: Elevated Blood Lead Levels Associated with Retained Bullet Fragments - United States, 2003-2012.
المؤلفون: Weiss D, Tomasallo CD, Meiman JG, Alarcon W, Graber NM, Bisgard KM, Anderson HA
المصدر: MMWR. Morbidity and mortality weekly report [MMWR Morb Mortal Wkly Rep] 2017 Feb 10; Vol. 66 (5), pp. 130-133. Date of Electronic Publication: 2017 Feb 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: U.S. Centers for Disease Control Country of Publication: United States NLM ID: 7802429 Publication Model: Electronic Cited Medium: Internet ISSN: 1545-861X (Electronic) Linking ISSN: 01492195 NLM ISO Abbreviation: MMWR Morb Mortal Wkly Rep Subsets: MEDLINE
أسماء مطبوعة: Publication: Atlanta, GA : U.S. Centers for Disease Control
Original Publication: [Atlanta] U. S. Dept. of Health, Education, and Welfare, Public Health Service, Center for Disease Control.
مواضيع طبية MeSH: Foreign Bodies/*complications , Lead/*blood , Lead Poisoning/*etiology , Wounds, Gunshot/*complications, Adolescent ; Adult ; Aged ; Female ; Humans ; Lead Poisoning/epidemiology ; Male ; Middle Aged ; United States/epidemiology ; Young Adult
مستخلص: An estimated 115,000 firearm injuries occur annually in the United States, and approximately 70% are nonfatal (1). Retained bullet fragments (RBFs) are an infrequently reported, but important, cause of lead toxicity; symptoms are often nonspecific and can appear years after suffering a gunshot wound (2,3). Adult blood lead level (BLL) screening is most commonly indicated for monitoring of occupational lead exposure; routine testing of adults with RBFs is infrequent (3). States collaborate with CDC's National Institute for Occupational Safety and Health (NIOSH) to monitor elevated BLLs through the Adult Blood Lead Epidemiology and Surveillance (ABLES) program (4,5). To help assess the public health burden of RBFs, data for persons with BLLs ≥10 μg/dL reported to ABLES during 2003-2012 were analyzed. An RBF-associated case was defined as a BLL ≥10 μg/dL in a person with an RBF. A non-RBF-associated case was defined as a BLL ≥10 μg/dL without an RBF. During 2003-2012, a total of 145,811 persons aged ≥16 years with BLLs ≥10 μg/dL were reported to ABLES in 41 states. Among these, 457 RBF-associated cases were identified with a maximum RBF-associated BLL of 306 μg/dL. RBF-associated cases accounted for 0.3% of all BLLs ≥10 μg/dL and 4.9% of BLLs ≥80 μg/dL. Elevated BLLs associated with RBFs occurred primarily among young adult males in nonoccupational settings. Low levels of suspicion of lead toxicity from RBFs by medical providers might cause a delay in diagnosis (3). Health care providers should inquire about an RBF as the potential cause for lead toxicity in an adult with an elevated BLL whose lead exposure is undetermined.
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المشرفين على المادة: 2P299V784P (Lead)
تواريخ الأحداث: Date Created: 20170210 Date Completed: 20170308 Latest Revision: 20181113
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC5657964
DOI: 10.15585/mmwr.mm6605a2
PMID: 28182606
قاعدة البيانات: MEDLINE
الوصف
تدمد:1545-861X
DOI:10.15585/mmwr.mm6605a2