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The use of N-acetylcysteine is not recommended for the prevention of acute renal failure after intravenous contrast. Hydration prior to the administration of intravenous contrast in patients with a ...
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
Servicio Navarro de Salud - Osasunbidea
The recommendations and proposals only refer to adult patients (≥18 years) who are going to undergo a radiological test prior to which the administration of iodinated contrast is required by INTRAVENOUS WAY. In all cases, the following should always be assessed: • The need to perform a radiological test (mainly CT); • Analyze whether there are other alternative imaging tests that do not require contrast administration; • Evaluate the urgency of carrying out said test. Regarding the ...
ver más ... 2020It is not recommended to routinely delay starting systemic anticancer treatment (SACT), or pause SACT that is already underway, because of the risk of contracting COVID-19.
NICE
NICE
El propósito de esta guía es maximizar la seguridad de los pacientes con cáncer y hacer el mejor uso de los recursos durante la pandemia de COVID-19, mientras se protege al personal de infecciones. También permitirá que los servicios ajusten la capacidad de tratamiento del cáncer a las necesidades del paciente si los servicios se vuelven limitados debido a la pandemia de COVID-19. Tenga en cuenta que los pacientes que reciben tratamientos anticancerosos sistémicos están ...
ver más ... 2020It is recommended maximizing the safety of cancer patients and making the best use of resources during the COVID-19 pandemic.
NICE
NICE
Patients having systemic anticancer treatments are immunocompromised and may have atypical presentations of COVID‑19. If patients have fever (with or without respiratory symptoms), suspect neutropenic sepsis. Do not routinely delay starting systemic anticancer treatment (SACT), or pause SACT that is already underway, because of the risk of contracting COVID-19.
ver más ... 2020Obtaining an Abdominal X-ray to Assess for Constipation in Children is not recommended
Choosing Wisely ® : Things we do for no reason
Hoskins B., Marek S.
Functional constipation is a common clinical problem in pediatrics and constitutes a large number of admissions into hospitals and visits to clinics and emergency departments. In the United States, up to 36% of children are affected. Associated healthcare costs for children with constipation are estimated at $5.9 billion per year, which is $3.9 billion more than the general pediatric population without constipation. In 2011, American children aged 17 years and younger had more than 270,000 ...
ver más ... 2020It is not recommended to repeat the PCR in those infected with SARS-CoV-2 after 14 days of isolation.
Cochrane Quality and Productivity topics
INSTITUTO DE SAÚDE BASEADA NA EVIDÊNCIA
This study, lacking scientific evidence, shows that positive tests for SARS-CoV-2 by RT-PCR and viral genome sequencing after 14 days of isolation may not mean persistent infectiousness. Many times, when repeating these tests, they can be positive for four different reasons: relapse of the initial infection, reinfection by SARS-CoV-2, laboratory error and viral fragments of the infected cells (excretion of virus). The combination of a robust serologic response with viral particles suggests very ...
ver más ... 2020