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Do not prescribe oral antifungal therapy for suspected onychomycosis without bacterioscopic confirmation or confirmation by a fungal-infection culture.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Hospital S. Croce e Carle Cuneo
For further information please visit the website of the initiative (link below)
ver más ... 2013Do not request Eco Doppler in patients with asymptomatic peripheral arterial disease if ABI> 0.8
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Hospital S. Croce e Carle Cuneo
For further information please visit the website of the initiative (link below)
ver más ... 2013Do not order a pre-discharge monitoring angio-CT in patients undergoing endovascular treatment of the abdominal aorta, if the intraoperative result is satisfactory.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Hospital S. Croce e Carle Cuneo
For further information please visit the website of the initiative (link below)
ver más ... 2013Do not perform sentinel lymph node biopsy or other diagnostic tests for the assessment of early and superficial melanomas, as these interventions do not improve survival*.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Hospital S. Croce e Carle Cuneo
*Complex biochemical analysis, CT and PET are neither indicated, as they have a high rate of false positives: these investigations are performed in case of clinical suspicion or according to the patint's or disease's history.
For further information please visit the website of the initiative (link below)
Do not routinely use topical solution, cream or ointment antibiotics in uninfected non complicated surgical wounds or burns*.
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Hospital S. Croce e Carle Cuneo
*it is preferable to use sterile dressings potentially with silver medication (not ointment) and to clean it with mild antiseptics (hypochlorites).
For further information please visit the website of the initiative (link below)