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NICE

NICE

This guideline covers vaccine-induced immune thrombocytopenia and thrombosis (VITT), a syndrome which has been reported in rare cases after COVID-19 vaccination. Because VITT is a new condition, there is limited evidence available to inform clinical management, identification and management of the condition is evolving quickly as the case definition becomes clearer. This guideline was produced to support clinicians to diagnose and manage this newly recognised syndrome.

NICE

NICE

Leukomed Sorbact is an interactive dressing that binds to the microbes that cause surgical site infection so they are removed when the dressing is changed. Leukomed Sorbact should be considered as an option for people with wounds that are expected to have low to moderate exudate after caesarean section and vascular surgery. It should be used as part of usual measures to help reduce the risk of surgical site infection. More evidence is needed on the use of Leukomed Sorbact on wounds after other ...

The Canadian Task Force for Preventive Health Care Guidelines

A. Moore et al.

Conditional recommendation; very low-certainty evidence. Overall, evidence suggests that pelvic inflammatory disease may be reduced through the routine offering of chlamydia screening in Canadian primary care. No studies were identified that examined the benefits of screening for gonorrhea for those at general risk. Eleven studies were identified on the harms of screening for chlamydia suggesting that some individuals undergoing screening may experience psychosocial harms (e.g., anxiety, ...

Choosing Wisely ® : Things we do for no reason

David Cohen, Daniel Ricotta, Payal Parikh

Hospitals routinely hold metformin in the inpatient setting. Metformin-associated shunting of metabolism toward anaerobic respiration increases the risk of lactic acidosis. Because the kidneys excrete metformin, the risk of developing metformin-associated lactic acidosis increases with renal impariment. Disease states common among hospitalized patients, such as hypoperfusion, advanced cirrhosis, alcohol abuse, cardiac failure, muscle ischemia, and severe infection, increase the risk of acute ...

Less Is More Collection - JAMA Network

AMA, Nicolas L.

The routine preoperative study in low-risk surgeries does not add value or benefit to the study of the surgical patient. Studies performed on these patients tend to be overused, costly, and can lead to downstream care cascadesinvolving invasive diagnostic tests. For this reason, personality strategies must be adopted for the type of surgery and the type of patient, as well as dispensing with those that offer no value in the management and prognosis of the patient.