Don’t examine or assist a patient without having first done an accurate hand hygiene, that has to be repeated at the end of the examination.
It is known that healthcare-associated infections are the cause of an increase in mortality, longer rehab periods, increase in the costs of rehab and also, always more frequently, of contentious coroners. Literature is univocal to establish that a missed hand hygiene...
Don’t let older adults lie in bed all day during their hospital stay unless they’re terminally ill or they’ve got a specific medical advice
For older patients, hospital admission is a significant risk factor for functional decline and loss of independence. It has been known for over 20 years that nearly 20% of older adults who were previously able to self-mobilize were no longer able to walk without...
Don’t use antimicrobials to treat asymptomatic bacteriuria in older adults
The prevalence of asymptomatic bacteriuria tends to increase with age and is common in nursing home residents (up to 50% of subjects). Unnecessary antibiotic treatment for asymptomatic bacteriuria in older adults do not reduce the rates of complication and is...
Don’t routinely prescribe lipid-lowering medications in people aged 80 years and over especially for primary prevention of cardiovascular disease; don’t use statins in elderly patients with severe frailty
Given the limited high quality evidence and documented statin adverse effects (including myopathy, medication interactions and new onset diabetes) main cardiologic guidelines do not recommend statin therapy for primary prevention in people aged 80 years and over. The...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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