Chelation therapy in workers with lead exposure.
AUTOR(ES)
Royce, S
RESUMO
Occupational lead overexposure remains a major problem. To evaluate the settings in which physicians appropriately prescribe chelation therapy for lead exposure, 7 cases were identified from physician phone calls and mandatory laboratory reporting of elevated blood lead levels to the California Department of Health Services. In the 2 workers with the highest blood lead levels (both of whom had severe symptoms), treatment was indicated. Physicians inappropriately prescribed chelating agents to workers with ongoing lead exposure as prophylaxis against rising blood lead levels and to treat atherosclerotic heart disease. Workers' personal physicians identified lead overexposure in 5 of the 7 cases. Workplace lead medical surveillance programs mandated by the federal Occupational Safety and Health Administration were inadequate in all 5 of the workplaces where information was available.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1022063Documentos Relacionados
- Lead exposure.
- Comparison of measures of lead exposure, dose, and chelatable lead burden after provocative chelation in organolead workers.
- Pulmonary function in beryllium workers: assessment of exposure.
- Immune response in shipyard workers with x ray abnormalities consistent with asbestos exposure.
- Relationship between the lead concentration in hair and occupational exposure.
