Klein M C, Schlageter M
Pediatrics. 1975 Aug;56(2):298-302.
An aggressive screening and follow-up program for children at risk for lead poisoning was conducted by a nurse practitioner in a small family practice unit. Subsequent venous blood lead determinations untreated cases show the natural fall in lead level over 12 to 18 months. Many of these children would have been chelated by others, yet individualized, specific, personalized care by a nurse practitioner permitted monitoring without treatment even in persistently leaded environments. No chelation therapy was necessary until the third summer, when coincident with a long, hot, dry season, the city's abatement system because nonfunctional. Non-treatment requires close follow-up, a relatively small population, and cooperation from the city.
一名执业护士在一个小型家庭医疗单位对有铅中毒风险的儿童开展了积极的筛查和随访项目。后续对未经治疗病例的静脉血铅测定显示了铅水平在12至18个月内的自然下降。许多此类儿童可能已被其他人进行螯合治疗，但执业护士提供的个性化、特定、专属护理使得即使在持续存在铅污染的环境中也能在不进行治疗的情况下进行监测。直到第三个夏天，在漫长、炎热、干燥的季节里，该市的减排系统出现故障时，才需要进行螯合治疗。不进行治疗需要密切随访、相对较少的人口数量以及该市的配合。
