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Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]

Essencial Salud

Bronchiolitis is a very common lower respiratory viral infection in infants, especially in their first year of life. The use of B2 adrenergic bronchodilators, such as salbutamol, is common and widespread in our environment; non-use of bronchodilators avoids the adverse effects of this medication and unnecessary expense. The use of bronchodilators is associated with side effects in the form of tachycardia, tremors and irritability, which can be significant, but are difficult to assess in an ...

Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)

Servicio Navarro de Salud - Osasunbidea

HEMATOLOGY: In immunodeficiencies or parental transplants, immunoglobulins (Ig) are only recommended in patients with hypogammaglobulinemia, recurrent infections, and poor response to vaccines. In catastrophic antiphospholipid syndrome, Ig is considered an alternative to first-line therapeutic plasma exchange (TPR), anticoagulation, and corticosteroids. Ig should not be used routinely in autoimmune hemolytic anaemia (AIHA) and is considered an alternative to transfusion and RPT in cases of ...

Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)

Servicio Navarro de Salud - Osasunbidea

The proteinogram is a semiquantitative method of analysis that provides information corresponding to the major protein in each electrophoretic band. However, it should not be used to assess specific proteins quantitatively. Its main indication is the diagnosis and monitoring of monoclonal gammopathies, characterized by the secretion of a monoclonal component. For most other clinical applications, the determination of serum plasma protein concentration is more useful than electrophoretic ...

Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)

Servicio Navarro de Salud - Osasunbidea

The exhaustive recommendation not to perform any procedure on the arm on the side that underwent mastectomy is not supported. The following approach is proposed for making recommendations to patients regarding this issue:

- The opinion of the patient and certain factors must be taken into account, such as the type of procedure to be performed (injection, venous access channelling, blood pressure measurement, capillary blood glucose measurement, etc.), the previous state of the ...

Choosing Wisely UK

Royal College of Emergency Medicine (2018)

Unnecessary antibiotic treatment of asymptomatic bacteriuria is associated with an increased risk of adverse effects and provides no clinical benefit, increases the resistance of the bacteria causing the infection, reducing the efficacy of antibiotics in the future. Asymptomatic bacteriuria is very problematic for older people, as its incidence increases with age and is high in nursing homes. Symptoms should be assessed and identified before sending a urine sample for culture. Antibiotics ...