Do not use single use endoscopes regularly as they should be reserved for highly selected patients, on a case-by-case basis (immunocompromised patients or those with multidrug-resistant bacteria).
In most studies the calculated minimum estimated endoscope-associated infection risk is low when reprocessing protocols are correctly applied. The carbon footprint of single-use endoscopes is substantial as recent studies estimates that releases of CO2 and consumes of...
Do not routinely prescribe antiseptic medication in the umbilical cord care
Dry care and parents hand hygiene are enough to prevent omphalitis in developed countries. Antiseptic swabbing of the stump is not supported by evidence and is not justified by time and costs needed.
The foreskin should not be forcibly retracted if physiologic phimosis is present
Children are physiologically born with tight foreskin at birth which appears to be intact, flexible and scarless. Separation occurs naturally over time: it resolves within 3 years of age in 90% of children, within 6 years in 92%, within 16 years in 99%. In case of...
Do not neglect careful disinfection of the baby’s skin with alcohol-based antiseptic solutions and that of the newborn with chlorhexidine or iodophore before any surgical procedure
Preoperative preparation of the surgical infant and child includes disinfection of intact skin, which should be performed immediately before surgery within the operating room. Skin disinfection and preparation play an important role in the prevention of surgical site...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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