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It is recommended to use hydrogen peroxide 1% cream for people with localised non-bullous impetigo who are not systemically unwell or at high risk of complications
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
National Institute for Health and Clinical Excellence (NICE)
In the case hydrogen peroxide 1% isn't enough, it is recommended to use a short course of a topical antibiotic.
ver más ... 2020Do not offer selective internal radiation therapy (SIRT) as first-line treatment for people with colorectal liver metastases that are unsuitable for local treatment.
NICE
National Institute for Health and Clinical Excellence (NICE)
This recommends that SIRT should only be offered: - With special arrangements for clinical governance, consent, and audit or research to people who are chemotherapy intolerant or who have liver metastases that are refractory to chemotherapy - In the context of research to people who can have chemotherapy.
ver más ... 2020Do not offer preoperative radiotherapy to people with early rectal cancer (cT1-T2 cN0, M0), unless as part of a clinical trial.
NICE
National Institute for Health and Clinical Excellence (NICE)
Offer preoperative radiotherapy or chemoradiotherapy to people with rectal cancer that is cT1-T2, cN1-N2, M0, or cT3-T4, any cN, M0. There was no evidence for the effectiveness of preoperative radiotherapy for people with early rectal cancer, and based on their experience the committee would not recommend preoperative radiotherapy. However, the ongoing STAR-TREC trial, which is a multicentre randomised controlled trial, compares radiotherapy to TME for early rectal cancer. Because of this, the ...
ver más ... 2020Do not recommend introducing systems to maintain separate sets of neuroendoscopes and reusable surgical instruments for use on high-risk tissues for people born after 1996, on a cost-effectiveness ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Removing the requirement to use different instruments on high-risk tissues for people born after 1996 would not markedly increase the risk of surgical transmission of CJD.
ver más ... 2020Do not recommend using sets of single-use instruments to reduce the risk of Creutzfeldt–Jakob disease (CJD) transmission on a cost-effectiveness basis.
NICE
National Institute for Health and Clinical Excellence (NICE)
ver más ... 2020