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It is not recommended to dispense a repeat prescription for an antibiotic without first clarifying clinical appropriateness.
Choosing Wisely Australia
Pharmaceutical Society of Australia
Inappropriate use of antibiotics could result in infection progression, leading to increased patient morbidity and mortality, as well as contributing to antibiotic resistance. In some chronic conditions, such as COPD, repeated antibiotics form part of a management plan. However, in other cases patients commonly request dispensing of repeat antibiotic prescriptions without consultation with their treating doctor, and sometimes well after the original prescription was written. If a repeat ...
ver más ... 2018Do not delay immunisation/s based on presence of mild respiratory symptoms in the absence of fever.
Choosing Wisely Australia
The Thoracic Society of Australia and New Zealand
Major guidelines on immunisation/vaccination do not cite the presence of minor or moderate acute illness (including mild respiratory symptoms), whether with or without fever, as a contraindication for immunisation. Australian immunisation guidelines explicitly state that ‘mild illness without fever’ is not a contraindication while US guidelines state that mild acute illness ‘with or without fever’ are ‘commonly misperceived’ as contraindications. Failure to immunise children with ...
ver más ... 2018Promoting or supplying homeopathic products is not recommended as there is no reliable evidence of their efficacy
Choosing Wisely Australia
Pharmaceutical Society of Australia
Homeopathic products are widely available to consumers from a variety of platforms including the internet, supermarkets, and health stores. Many consumers are not aware that there is no reliable evidence to support the use of homeopathic products to treat or prevent ailments. There may be a public perception that these products have health benefits. Consumers may put their health at risk if they choose homeopathic products and reject or delay treatments for which there is good evidence for ...
ver más ... 2018For children with bronchiolitis without other co-morbidities, do not delay discharge from an inpatient admission based on oxygen saturations alone if saturations are ≥90%.
Choosing Wisely Australia
The Thoracic Society of Australia and New Zealand
Clinical guidelines and recent evidence indicate that oxygen supplementation need only be commenced for children with uncomplicated bronchiolitis (i.e. bronchitis without other co-morbidities) if oxygen saturation levels fall below percentage levels around the early 90s. While one guideline cites 92% as the minimum acceptable level, other research shows that management of infants with bronchiolitis to an oxygen saturation target of 90% or higher is as safe and clinically effective as one of 94% ...
ver más ... 2018It is not recommended initiate medications to treat symptoms, adverse events, or side effects (unless in an emergency) without determining if an existing therapy or lack of adherence is the cause, ...
Choosing Wisely Australia
Pharmaceutical Society of Australia
The prescribing cascade occurs when a new medicine is prescribed to 'treat' a side effect from another drug. The cascade often occurs in the mistaken belief that the side effect is a sign or symptom of a new condition requiring treatment. Other times, it can be a belief that it is more important to continue therapy with the original drug and prescribe another medicine to manage the side effects. Pharmacists and prescribers need to be aware that a new sign or symptom may potentially be a side ...
ver más ... 2018