Do not prescribe drugs (Histamine receptor antagonists, proton pump inhibitors and prokinetics) in physiological gastroesophageal reflux (GER), which does not impair growth and is not associated with suspected signs or symptoms of GER disease . Inform and support parents.
Physiological GER is a very frequent cause of regurgitation or vomiting in healthy children in the first year of life, resolves with growth and there is no significant evidence that it causes injury, even in the long term. In newborns and infants, the appearance of...
Don’t follow “elimination” or fasting diets. These are specific nutritional approaches for some pathologies and only physicians can recommend them.
Elimination diets (ones that exclude carbohydrates, gluten, fats, lactose, animal proteins, etc.) or selective dietary approaches, such as those based on presumed food intolerances (not diagnosed by scientifically validated methods) or blood groups, or Paleolithic...
Do not prescrive chest x-ray for diagnosis and follow-up of uncomplicated pneumonia in children
Clinical diagnosis of pneumonia in children is possible, according to guidelines that limit the use of chest X-rays to well-defined particular conditions. More generally, in clinical practice, the execution of any diagnostic procedure (lab or instrumental evaluations)...
Do not prescribe antibiotics for viral acute respiratory tract diseases (ear infections, sinusitis, pharyngitis, bronchitis)
Antibiotics are the most prescribed drugs in Italy, even in children, and the phenomenon of antibiotic resistance is a serious problem. The appropriate clinical management of upper respiratory tract infections provides for watchful waiting in most cases, on the basis...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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