Document Detail

Routine meconium screening versus drug screening per physician order: detecting the true incidence of drug-exposed infants.
MedLine Citation:
PMID:  10085996     Owner:  NLM     Status:  MEDLINE    
National statistics indicate that 11% of newborns are exposed to drugs of abuse in utero (Chasnoff, Burns, Schnoll, & Burns, 1985). From July through November of 1993, 0.2% (1/583) of infants in our hospital screened positive for exposure to drugs of abuse in utero, by blood and urine screens collected per physician's order. During the same 4 months in 1995, 0.2% (1/574) screened positive. In contrast, from July through November 1994, all newborns born at our institution were screened for in utero drug exposure using meconium samples; approximately 4.5% (22/493) were positive. Meconium screening of all infants, not just those per physician order, produced a dramatic increase in positive drug results. Of great concern in this study was that only two of the 22 mothers identified as having drug-screen positive babies during the 1994 meconium screening agreed to use rehabilitative services. This highlights the necessity of intervention through early educational programs stressing prevention.
D Zenewicz; P J Kuhn
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric nursing     Volume:  24     ISSN:  0097-9805     ISO Abbreviation:  Pediatr Nurs     Publication Date:    1998 Nov-Dec
Date Detail:
Created Date:  1999-07-29     Completed Date:  1999-07-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7505804     Medline TA:  Pediatr Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  543-6, 553     Citation Subset:  N    
Columbia-Augusta Medical Center, GA, USA.
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MeSH Terms
Infant, Newborn
Meconium* / chemistry
Neonatal Abstinence Syndrome / diagnosis*,  epidemiology,  nursing
Neonatal Nursing / methods
Neonatal Screening / methods*
Sensitivity and Specificity
Comment In:
Pediatr Nurs. 1999 May-Jun;25(3):326; author reply 326   [PMID:  12024353 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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