Do not diagnose Urinary Tract Infection based on urine cultures alone
Urine culture has to be performed after having a urine sample checked for the presence of leucocytes and/or nitrites, with dipstick, or by microscopic urinalysis, and in some special cases, together with urinoculture. In the absence of a pathologic multistick test or...
If throat culture is performed, susceptibility tests on isolates should not be executed in children with acute pharyngitis.
To date, streptococcal isolates are university sensitive to penicillin and amoxicillin. Susceptibility tests increase costs without providing benefits in terms of choice of antibiotic therapy.
Don’t prescribe blood exams in children with acute pharyngitis.
Blood tests, including inflammatory markers, are not useful in differentiating bacterial from viral pharyngitis because they can also be increased in some viral infections. Antistreptolysin O titer and anti-DNAse antibodies are useful for the diagnosis of...
Don’t request the determination of serum biomarkers like CEA, CA-125, HE4, CA-15.3, -fetoprotein or CA-19.9 for the diagnosis of neoplastic disease in asymptomatic patients.
The diagnostic sensitivity and specificity of these biomarkers are not sufficient to allow their use (diagnosis, screening, case-finding) in a population with a low prevalence of neoplastic diseases. Their use is recommended for the monitoring of the neoplasms that...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
Recent Comments