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Choosing Wisely Australia

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists

While topical and oral anti-fungal agents are the recommended treatment for candidiasis, an adequate clinical and microbiological assessment should be undertaken before they are prescribed or self-administered by patients for recurrent or persistent symptoms of vulvovaginal candidiasis. It is important to rule out other causes of vulvovaginal symptoms such as bacterial vaginosis or genital herpes first so that the other infections are not left untreated. Moreover, inappropriate use of ...

Choosing Wisely Australia

Australasian Chapter of Sexual Health Medicine

There is no role for chlamydia serology as a screening test as antibodies elicited during infection are long-lived, meaning a positive antibody test will not distinguish between a previous and a current infection and are non-specific for genital serovars. Chlamydia serology may be useful in specific circumstances, for example, investigating atypical pneumonia in babies or in identifying late stage Lymphogranuloma Venereum (LGV) infection. Laboratory tests based on nucleic acid amplification ...

Choosing Wisely Australia

Australasian Chapter of Sexual Health Medicine

Herpes serology is not an appropriate screening test in asymptomatic patients and does not accurately confirm whether the person is infected or is a transmission risk to others from asymptomatic shedding. Clinicians also need to consider whether test results will influence treatment or outcomes because, if they do not, then testing is a waste of finite health resources and is not indicated. Herpes serology tests only have good sensitivity and specificity in high prevalence populations. However, ...

Evidencias COVID-19

Cochrane - Colección Especial - apoyo para el bienestar de los trabajadores sanitarios

We need better and adequately powered RCTs of the effect of bright light, and naps, either on their own or together and other non‐pharmacological interventions that also consider shift workers’ chronobiology on the investigated sleep parameters.

Evidencias COVID-19

Coronavirus (COVID-19): Evidence Collection. Evidence Aid

The COVID-19 pandemic is placing a strain on healthcare workers. Existing research on expanding the role of nurse practitioners may provide useful information for policy makers. In this systematic review, the authors searched for studies evaluating the impact of scope-of-practice regulations on the delivery of primary health care by nurse practitioners. They restricted their searches to articles published in English and did the search in January 2015. They included 9 time-series analyses and 6 ...