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Choosing Wisely Australia

The Australia and New Zealand Child Neurology Society

There is no evidence that epileptiform discharges (that is distinctive electroencephalograph patterns associated with epileptic disorders) in children with febrile seizures have any diagnostic or prognostic implications. An EEG test should not be a routine investigation for these and other patients presenting with febrile seizures Based on survey responses, each of the nine was assigned a score and ranked accordingly. Based on this information and a final evidence review, these top 5 ...

Choosing Wisely ® : Things we do for no reason

Young K., et al.

Contact precautions (CP) for patients with methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) infections are common in several hospitals. CP pose a significant burden to health systems, with an estimated 20%-25% of hospitalized patients on CP for MRSA or VRE alone. CP are becoming increasingly more prevalent with state laws and the Veterans Affairs (VA) hospital system requiring active surveillance cultures (ASC) and subsequent CP when ASC are ...

Choosing Wisely ® : Things we do for no reason

Ambrus D., O'Connor M.

The basic premise of sliding-scale insulin (SSI) is to correct hyperglycemia through the frequent administration of short-acting insulin dosed according to a patient’s blood glucose level with the help of a prespecified rubric. RECOMMENDATIONS • Instead of using SSI monotherapy for hospitalized patients who require insulin, add basal and prandial insulin, using a weight-based approach if necessary for insulin-naive patients. • Engage with leadership at your center to learn how inpatient ...

Choosing Wisely ® : Things we do for no reason

Zwemer E. and Stephens J.

Skin and soft tissue infections (SSTIs) are common pediatric diagnoses, which account for an estimated 390,000 ED visits annually1 and represent the 7th most common reason for pediatric hospital admission in the United States. The rates of SSTIs have increased over the past several decades partly due to the rise of methicillin-resistant Staphylococcus aureus (MRSA). RECOMMENDATIONS: • Do not obtain blood cultures in pediatric patients with uncomplicated SSTIs. • If purulent material is ...

Choosing Wisely ® : Things we do for no reason

Wolfe H., et al.

For several decades, providers have routinely restricted the diets of neutropenic cancer patients by eliminating foods that might harbor pathogenic microbes to reduce infection rates. These diets, known as neutropenic or low-bacteria diets, are prescribed across the country with little uniformity in the extent or content of prescription. These diets are difficult to follow and force patients to omit fresh fruits and vegetables and limit dairy and meat products from their diet. These dietary ...