Do not perform CT scans in children in the absence of strict clinical indications.
It is recommended that CT scans are performed exclusively in the presence of clinical features suggesting CT-detectable lung changes.It is also crucial that pediatricians or pneumologists determine the clinical indications to CT, so that the radiologists use the most...
Do not use salmeterol in children with acute asthma.
In children with acute asthma, long-acting beta2-agonists (LABAs) are not recommended, because of slow onset of action (10-20 minutes). Clinical data on safety in children are really limited. Moreover, in children with acute asthma salmeterol monotherapy increases the...
Do not perform chest X-ray in a child with suspected non-severe community-acquired pneumonia or with uncomplicated acute asthma.
In case of suspected pneumonia in a child, X-ray findings are not useful to suggest the etiology or to distinguish between a bacterial or non-bacterial pneumonia. Chest X-ray does not affect the clinical outcomes, but rather exposes children to additional radiation...
Don’t routinely prescribe antibiotics for acute upper airway infections. Assess the opportunity in patients at risk of lower respiratory tract infection or in case of clinical worsening after a few days
Upper respiratory tract infections (including acute otitis media) are usually caused by viruses and recover spontaneously in a few days. The routine use of antibiotics raises the risk of bacterial resistance and side effects. Patients at risk of lower respiratory...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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