Published online August 31, 2005
PEDIATRICS Vol. 116 No. 3 September 2005, pp. 784-786 (doi:10.1542/peds.2005-1497)
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CLINICAL REPORT

Infant Methemoglobinemia: The Role of Dietary Nitrate in Food and Water

Frank R. Greer, MD, Michael Shannon, MD the Committee on Nutrition and the Committee on Environmental Health

Infants for whom formula may be prepared with well water remain a high-risk group for nitrate poisoning. This clinical report reinforces the need for testing of well water for nitrate content. There seems to be little or no risk of nitrate poisoning from commercially prepared infant foods in the United States. However, reports of nitrate poisoning from home-prepared vegetable foods for infants continue to occur. Breastfeeding infants are not at risk of methemoglobinemia even when mothers ingest water with very high concentrations of nitrate nitrogen (100 ppm).

Key Words: methemoglobinemia


The following policy statement has been revised:

INFANT METHEMOGLOBINEMIA: The Role of Dietary Nitrate
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Pediatrics 46: 475-478.