Don’t administer steroids to children with acute pharyngitis.
The administration of steroids to children with acute pharyngitis may mask signs or symptoms of other possible associated diseases and could lead to a delay in diagnosis of medical conditions that, although rare, can be severe, such as lymphomas or other...
Don’t shorten antibiotic course in children with acute pharyngitis and microbiologic confirmation of streptococcal infection.
The recommended first choice antibiotic therapy is amoxicillin 50 mg/kg divided into 2-3 administrations for 10 days. Only a 10-day therapy is associated with effective reduction in the risk of rheumatic disease. Only in cases with poor compliance should intramuscular...
Don’t administer antibiotics in children with acute pharyngitis unless microbiologic confirmation of streptococcal infection has been carried out.
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...
Avoid the use of non-steroidal anti-inflammatory drugs (NSAIDs) in patients suffering from hypertension, cardiac insufficiency or chronic kidney disease – whatever their cause (including diabetes).
Numerous drugs can cause renal insufficiency, or facilitate its progression, so they should be used with particular caution. The so-called NSAIDs (non-steroidal anti-inflammatory drugs) are the most often used painkillers (e.g. nimesulide, ketoprofen, diclofenac,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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