| Routine meconium screening versus drug screening per physician order: detecting the true incidence of drug-exposed infants. | |
MedLine Citation:
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PMID: 10085996 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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D Zenewicz; P J Kuhn |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatric nursing Volume: 24 ISSN: 0097-9805 ISO Abbreviation: Pediatr Nurs Publication Date: 1998 Nov-Dec |
Date Detail:
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Created Date: 1999-07-29 Completed Date: 1999-07-29 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7505804 Medline TA: Pediatr Nurs Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 543-6, 553 Citation Subset: N |
Affiliation:
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Columbia-Augusta Medical Center, GA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Incidence Infant, Newborn Meconium* / chemistry Neonatal Abstinence Syndrome / diagnosis*, epidemiology, nursing Neonatal Nursing / methods Neonatal Screening / methods* Pregnancy Sensitivity and Specificity |
| Comments/Corrections | |
Comment In:
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Pediatr Nurs. 1999 May-Jun;25(3):326; author reply 326
[PMID:
12024353
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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