Never administer antibiotics for perioperative prophylaxis before 60 minutes prior to surgical incision*; the ideal time is upon induction of anesthesia.
Perioperative Antibiotic Prophylaxis (PAP) is an effective measure for the prevention of Surgical Site Infections (SSI), where indicated. However, its inappropriate use contributes significantly to total antibiotic consumption in hospitals and has been associated with...
Thyroid nodules patients should not be treated with L-thyroxine except in selected cases.
The growth of thyroid nodules, the appearance of other nodules and the increase in thyroid volume can be partially prevented by treatment with levo-thyroxine for TSH-suppressive purposes. However, a clinically significant volume reduction is achieved only with...
Don’t treat diabetes patients indiscriminately with antiplatelet drugs.
Antiaggregant therapy with acetyl salicilic acid (75-160 mg/daily) is suitable for diabetic patients with previous cardiovascular or cerebrovascular events or with chronic obstructive arteriopathy, and in initial prevention, only in diabetic patients with high...
Don’t use the ‘sliding scale insulin therapy’ for the treatment of hyperglycemia in hospitalized patients.
The practice of insulin therapy by sliding scale, that is, injecting insulin at set intervals (every 4-6 hours) only if the glycemia goes above a fixed threshold is still common in our country too, but it should be considered an inadequate and ineffective method. This...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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