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Don’t administer antibiotics in children with acute pharyngitis unless microbiologic confirmation of streptococcal infection has been carried out.

Don’t administer antibiotics in children with acute pharyngitis unless microbiologic confirmation of streptococcal infection has been carried out.

by cristiano | Oct 17, 2018

Most pharyngitis cases are of viral origin and do not require antibiotic therapy. It is not possible to distinguish bacterial from viral infection only on a clinical basis. Therefore, a rapid test or throat culture is necessary to select children with streptococcal...
Don’t administer antibiotics in children with acute pharyngitis unless microbiologic confirmation of streptococcal infection has been carried out.

Don’t prescribe blood exams in children with acute pharyngitis.

by cristiano | Oct 17, 2018

Blood tests, including inflammatory markers, are not useful in differentiating bacterial from viral pharyngitis because they can also be increased in some viral infections. Antistreptolysin O titer and anti-DNAse antibodies are useful for the diagnosis of...
Don’t routinely request preoperative laboratory tests in low-risk patients (for minor surgery and for intermediate surgery in ASA 1, ASA 2 patients).

Don’t routinely request preoperative laboratory tests in low-risk patients (for minor surgery and for intermediate surgery in ASA 1, ASA 2 patients).

by cristiano | Oct 17, 2018

Hematological and biochemical preoperative tests don’t add significant elements to the clinical risk evaluation for minor or intermediate surgery in low-risk patient.
Don’t perform the determination of urine glucose for the monitoring of diabetes mellitus.

Don’t perform the determination of urine glucose for the monitoring of diabetes mellitus.

by cristiano | Oct 17, 2018

Urinary glucose measurement lacks the requested diagnostic sensitivity. The test of choice for monitoring diabetic patients is glycated hemoglobin (HbA1c).
Don’t routinely request preoperative laboratory tests in low-risk patients (for minor surgery and for intermediate surgery in ASA 1, ASA 2 patients).

Do not use the determination of 25OH vitamin D (25OH-D) as a routine or screening test to determine the status of hypovitaminosis without a specific clinical indication.

by cristiano | Oct 17, 2018

According to documents produced by international and national regulatory bodies the measurement of 25OH-D should be reserved for: – a small number of patients with persistent symptoms of profound asthenia, myalgias, diffuse or localised bone pain suspicious for...
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