Don’t perform routine episiotomy apart from when there are clear clinical indications.
Episiotomy was performed to avoid genital prolapse, urinary incontinence and perineal trauma. However recent studies have demonstrated that routine episiotomy involves several side effects like unpredictable extension of the surgical incision towards anus and rectum,...
Don’t prescribe antibiotic therapy to patients colonized by multi-resistant antibiotics microorganisms without signs of infection.
This indication takes origin from the difference between colonization and infection: the former consists in the simple demonstration of the presence of a germ; the latter in the demonstration of local and/or systemic signs of germ-dependent inflammation. Both patients...
Don’t use fluoroquinolone antibiotics in empiric therapies, even if for severe infections, but use antibiotics with less impact on antibiotic resistance phenomenon and with less side effects.
After the amino penicillin, fluoroquinolones, and in particular levofloxacin and ciprofloxacin, are the antibiotics utilized the most in Italy. The resistance of most microorganisms to fluoroquinolones, that is constantly increasing and it is proportional to the use...
Don’t perform an urino-culture if without symptoms.
It is known and agreed that asymptomatic bacteria have not to be treated with antibiotics; this is why it is not appropriate to request a urino-culture in asymptomatic patients that at the physical examination present with elevated leukocytes and/or bacterial...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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