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Smarter medicine

La Sociedad Científica para el Cuidado Gerontológico

Urinary tract infection associated with a urinary catheter is undoubtedly the most frequent nosocomial infection. This type of infection prolongs the length of hospital stay and increases morbidity and mortality, as well as costs. Among the most effective preventive measures are refraining from unnecessary catheterization and targeted interventions to maintain an optimal urinary excretion pattern. In cases where urinary catheterization is unavoidable, the medical indication should be checked ...

Smarter medicine

Sociedad Suiza de Medicina Interna General

Because of their likely low benefit and possible side effects, the SSMIG recommends not starting statin therapy and therefore measuring blood lipids for people older than 75 years without cardiovascular disease. In the case of patients with cardiovascular diseases and, in particular, those who have suffered a myocardial infarction, the decision as to whether the use of statins is justified should be made in consultation with the patient on the basis of detailed prior information from the ...

Smarter medicine

Sociedad Profesional Suiza de Geriatría

Large-scale studies consistently show that the risk of motor vehicle accidents, falls, and hip fractures resulting in patient hospitalization or death can more than double in older people taking benzodiazepines and other sedative-hypnotics. Elderly patients, their caregivers, and providers must recognize this potential harm when choosing treatment strategies for insomnia, agitation, or delirium. Benzodiazepine use should be reserved for alcohol withdrawal symptoms, delirium tremens, or severe ...

Smarter medicine

Sociedad Suiza de Pediatría

It is not recommended to avoid the routine use of antibiotics for uncomplicated acute otitis media in children older than 6 months, since it is due to a viral infection of the upper respiratory tract. A clinical reassessment is recommended 24-48 hours after the prescription of an analgesic treatment. In most cases there is a spontaneous improvement of symptoms. The use of antibiotics favors the development of bacterial resistance, which can cause adverse effects without preventing the ...

Smarter medicine

La Sociedad Científica para el Cuidado Gerontológico

Physiologically, nocturnal sleep changes with age. Older people take longer to fall asleep, sleep less deeply, and wake up multiple times. In addition, health problems such as pain, shortness of breath, or frequent nighttime urination disrupt the entire sleep-wake cycle. Regular rounds to see if everything is in order also cause unnecessary noise and light, which can disrupt sleep and ultimately lead to sleep disturbance. Sleep disorders have a negative impact on health and well-being, impede ...