Table 3 Childhood Lead Management Recommendations
Management Recommendations (# of entities recommending an action in descending frequency) | Lead level thresholds to perform clinical actions (μg/dL)a (# of entities recommending, cumulative by threshold)b | ||||||||
|---|---|---|---|---|---|---|---|---|---|
≥ 0 | ≥ 3 | ≥ 5 | ≥ 10 | ≥ 15 | ≥ 20 | ≥ 25 | ≥ 45 | ≥ 70 | |
In person home inspection (33) | – | – | 6 | 18 | 26 | 33 | * | * | * |
Lead avoidance education (32) | 17 | 18 | 31 | 32 | * | * | * | * | * |
Nutrition counseling (25) | 4 | 5 | 22 | 25 | * | * | * | * | * |
Iron testing (24) | – | – | 11 | 15 | 18 | 24 | * | * | * |
Hospitalization (24) | – | – | – | – | – | – | 1 | 9 | 24 |
Abdominal X-Ray (16) | – | – | 3 | 3 | 5 | 10 | 10 | 16 | * |
Refer to social work (14) | – | – | 3 | 12 | 12 | 14 | * | * | * |
Test family members (12) | – | 1 | 8 | 11 | 11 | 12 | * | * | * |
Refer to Women, Infants, and Children (WIC) or nutrition (10) | – | – | 5 | 7 | 8 | 10 | * | * | * |
In office exposure assessment (9) | – | – | 6 | 7 | 9 | * | * | * | * |
Start iron or vitamin with iron (8) | – | – | 6 | 7 | 7 | 8 | * | * | * |
Refer to early intervention (8) | – | – | 2 | 6 | 6 | 8 | * | * | * |
File/Contact social services (8) | – | – | 2 | 5 | 5 | 6 | 6 | 8 | * |
Refer to a lead clinic (7) | – | – | 1 | 1 | 1 | 3 | 3 | 7 | * |
Phone exposure assessment (3) | – | – | 3 | * | * | * | * | * | * |
Refer to medical specialty (2) | – | – | 1 | 1 | 1 | 1 | 1 | 2 | * |
Add ELL to problem list (1) | – | – | 1 | * | * | * | * | * | * |