Making the diagnosis: tools for clinicians to ascertain environmental and occupational health exposures.
Calvert GM; Evans E
Recognition and management of pesticide poisonings, sixth edition. Roberts JR, Reigart JR, eds. Washington, DC: United States Environmental Protection Agency, Office of Pesticide Programs, 2013 Jan; :13-28
Accurate identification of the patient's exposure can lead to improved diagnostic, therapeutic and rehabilitative decisions by the clinician and result in improved patient outcomes. Without an accurate diagnosis, the clinician may decide upon a symptom-based treatment that may be less effective. Once identified, a pesticide exposure incident should be considered a potential sentinel health event that may require follow-up efforts to locate the source and any additional cases. By identifying the source of exposure, the clinician can avert further exposure in the initial patient and other exposed individuals. Post-diagnostic activities are important to support a systems approach to pesticide exposure cases, including reporting the incident, filing a workers' compensation claim, and conducting specialty care referrals. The clinician must also be aware of several ethical and public health considerations. Lastly, there are key resources available to assist clinicians and patients in dealing with pesticide-related illnesses or injuries.
Pesticides-and-agricultural-chemicals; Pesticides; Insecticides; Herbicides; Exposure-levels; Risk-factors; Organic-chemicals; Biological-effects; Exposure-levels; Risk-factors; Organic-compounds; Organo-phosphorus-pesticides; Organo-phosphorus-compounds; Pyrethroids; Diseases; Preventive-medicine; Safety-measures; Poisons
Book or book chapter
Roberts JR; Reigart JR
Recognition and management of pesticide poisonings, sixth edition