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Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)

Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology

For further information please visit the website of the initiative (link below)

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

Societat Catalana de Pediatria

Bronchiolitis is caused by a viral infection affecting the lower respiratory tract of infants. There is not sufficient evidence to grant the use of antibiotics in bronchiolitis. The high use of antibiotics is the main causal factor in the development of resistances, and it endangers the effectiveness of this group of drugs. Given that the aetiology of this disease is viral, the use of antibiotics is not recommended in infants with bronchiolitis; it may only be used exceptionally with a ...

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

Societat Catalana de Pediatria.

Clinical criteria should be used to differentiate a bacterial rhinosinusitis from a viral infection of the upper airways. The systematic use of antibiotics in acute rhinosinusitis is not recommended, except when it meets the clinical criteria of severe bacterial rhinosinusitis, it has worsened, or with the persistence of important symptoms in the upper airways. The unjustified use affinity antibiotics fosters the development of antibiotic-resistant infections, thus contributing to avoidable ...

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

Catalan Society of Paediatrics

Bronchiolitis is a viral respiratory infection of the lower airways that is very frequent in infants, especially in the first year of life. The use of beta 2 adrenergic bronchodilators, such as salbutamol, is common and generalised in our health care system. The use of bronchodilators is not recommended in bronchiolitis in infants, since it has no proven benefit. Avoiding the use of bronchodilators prevents adverse effects from this drug, and also an unnecessary expenditure.

Cochrane Quality and Productivity topics

National Institute for Health and Clinical Excellence (NICE)

Robot-assisted surgery (RAS) for hysterectomy or sacrocolpopexy should be limited to clinical research settings at present as it is unclear whether it is safer and more effective than conventional laparoscopic surgery (CLS). Ongoing trials are likely to have an important impact on evidence related to the use of robot-assisted surgery in gynaecology.