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Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Kmietowicz Z. BMJ 2019;364:l157

Women who take hormone replacement therapy (HRT) as tablets have a higher risk of serious venous thromboembolism (VTE) than those not taking oral HRT. Patches, gels, and creams did not increase a woman’s chance of VTE.

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Mahase E. BMJ

Public Health England said that recent measles cases had mainly occurred in under-vaccinated communities and were linked with travel to countries with current large outbreaks. Consequently, it urged all parents to get their children vaccinated against measles, mumps, and rubella (MMR), especially if they did not have it when scheduled.

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

O’Dowd A. BMJ

England’s chief medical officer has suggested to MPs that employers should consider making it a contractual duty for NHS staff to have the annual flu vaccination to protect vulnerable patients from catching the disease.

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Mahase E. BMJ

The AWaRe tool classifies antibiotics into three groups: Access, Watch, and Reserve. It indicates which antibiotics to use for common or serious infections, which ones should be used sparingly or preserved, and which should be used only as a last resort. The campaign could increase the proportion of global antibiotic consumption in the Access group by at least 60%, while reducing the use of antibiotics in the Watch and Reserve groups. This would lower the risk of resistance because Access ...

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Mahase E. BMJ

The advice comes as part of a BMJ Rapid Recommendation, which looked at current guidelines and evidence. It concluded that screening should be recommended for men and women with a risk of 3% or more in the next 15 years, as this is the point at which the balance of benefits and harms tilts in favour of screening.