Urine culture should not be carried out either routinely or in the absence of the typical symptoms of a urinary tract infection; bag urine collection should be avoided
Routine urine culture (once a month) is often performed as part of the follow-up of children with congenital nephro-urological malformations or as part of the standard screening tests for children in good clinical condition. In these cases, the finding of bacterial...Don’t repeat chemistry testing in the face of clinical and laboratory stability
In the general wards, the patients are often submitted to ripetitive draws of blood in the short terms, for redundant chemistry testing. Altered laboratory results often require controls, even though the original request was futile, and this amplifies the phenomenon....
Do not request the dosage of ANA (anti-nucleic autoantibody) and rheumatoid factor dosage to a child when there is the presence of arthralgia, without any clinical objectivity.
When a child has joint pain but does not meet the clinical criteria for the diagnosis of Juvenile Idiopathic Arthritis it is not very useful to require the determination of autoantibodies. These investigations are useful to better define the diagnosis, the prognosis...
Do not request the dosage of ENA (Extractable Nuclear Antigens) / ENA profile in patients with Raynaud’s phenomenon before having performed a capillaroscopy.
Raynaud’s phenomenon mainly affects women between 20 and 40 years of age. In a high percentage of cases ranging between 50% and 90%, this phenomenon is primitive; in such cases it is not necessary to make specific therapies, but only a symptomatic treatment and...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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