Although blood bank blood is usually screened for dangerous pathogens, the
presence of toxic metals in blood has received little attention. Population
blood lead levels have been declining in the United States, but occasional
high outliers in blood lead concentration can be found-even when mean leve
ls of blood lead are low. We sampled 999 consecutive blood bank bags from t
he King/Drew Medical Center, used between December 1999 and February 2000.
The geometric mean blood lead level was 1.0 mug/dl (0.048 mu mol/l), but 0.
5% of the samples had lead levels that exceeded 10 mug/dl, and 2 samples ha
d lead levels that exceeded 30 mug/dl. The 2 samples with the highest lead
levels could have presented an additional risk to infants if they were used
for blood replacement. Therefore, even in countries with generally low pop
ulation blood lead levels, blood bank blood should be screened for lead con
centration prior to use with infants.