In the absence of urinary symptoms, do not screen for bacteriuria and in any case do not treat with antibiotics bacteriuria in elderly subjects whether they live in the community or in residential facilities.
In the absence of symptoms, screening for bacteriuria should be avoided in subjects with an indwelling bladder catheter. In case of asymptomatic bacteriuria (absence of systemic or local symptoms) in elderly patients with cognitive impairment, delirium or a history of...
Do not prescribe “gastroprotection” for stress ulcer prophylaxis in medical patients unless there is a high risk of bleeding.
According to international guidelines, the prophylaxis of peptic stress ulcers with antisecretive drugs, represented by H2 receptor antagonists and proton pump inhibitors, is not routinely indicated for the “medical” patient, unless it is related to patients admitted...
Don’t use benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia.
Older adults have increased sensitivity to benzodiazepines and other hypnotics and decreased drug metabolism. In general, all benzodiazepines increase risk of cognitive impairment, delirium, falls, fractures and motor vehicle accidents, leading to hospitalization and...
Don’t use antipsychotics as the first choice to treat behavioral symptoms of dementia, avoiding prescription before careful evaluation and removal of precipitating factors.
People with dementia often exhibit behavioral symptoms such as agitation, aggression, anxiety, irritability, depression, apathy and psychosis. In this context, antipsychotic medicines are often prescribed, but they often provide limited and inconsistent benefits, with...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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