Universität zu Köln

Lehmann, Clara, Berner, Reinhard ORCID: 0000-0002-6216-9173, Bogner, Johannes R., Cornely, Oliver A., de With, Katja, Herold, Susanne ORCID: 0000-0001-6343-0911, Kern, Winfried V., Lemmen, Sebastian, Pletz, Mathias W., Ruf, Bernhard, Salzberger, Bernd, Stellbrink, Hans Juergen, Suttorp, Norbert, Ullmann, Andrew J., Faetkenheuer, Gerd and Jung, Norma (2017). The Choosing Wisely initiative in infectious diseases. Infection, 45 (3). S. 263 - 269. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1439-0973

Full text not available from this repository.

Abstract

Choosing Wisely is a growing international campaign aiming at practice changes to improve patient health and safety by both, conduct of essential and avoidance of unnecessary diagnostic, preventive and therapeutic procedures. The goal is to create an easily recognizable and distributable list (Choosing Wisely items) that addresses common over- and underuse in the management of infectious diseases. The German Society of Infectious Diseases (DGI) participates in the campaign Klug Entscheiden by the German Society of Internal Medicine. Committee members of the (DGI) listed potential 'Choosing Wisely items'. Topics were subjected to systematic evidence review and top ten items were selected for appropriateness. Five positive and negative recommendations were approved via individual member vote. The final recommendations are: (1) Imperatively start antimicrobial treatment and remove the focus in Staphylococcus aureus bloodstream infection. (2) Critically ill patients with signs of infection need early appropriate antibiotic therapy. (3) Annual influenza vaccination should be given to individuals with age > 60 years, patients with specific co-morbidities and to contact persons who may spread influenza to others. (4) All children should receive measles vaccine. (5) Prefer oral formulations of highly bioavailable antimicrobials whenever possible. (6) Avoid prescribing antibiotics for uncomplicated upper respiratory tract infections. (7) Do not treat asymptomatic bacteriuria with antibiotics. (8) Do not treat Candida detected in respiratory or gastrointestinal tract specimens. (9) Do not prolong prophylactic administration of antibiotics in patients after they have left the operating room. (10) Do not treat an elevated C-reactive protein (CRP) or procalcitonin with antibiotics for patients without signs of infection. Physicians will reduce potential harm to patients and increase the value of health care when implementing these recommendations.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lehmann, Clara UNSPECIFIED UNSPECIFIED UNSPECIFIED Berner, Reinhard UNSPECIFIED orcid.org/0000-0002-6216-9173 UNSPECIFIED Bogner, Johannes R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cornely, Oliver A. UNSPECIFIED UNSPECIFIED UNSPECIFIED de With, Katja UNSPECIFIED UNSPECIFIED UNSPECIFIED Herold, Susanne UNSPECIFIED orcid.org/0000-0001-6343-0911 UNSPECIFIED Kern, Winfried V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lemmen, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Pletz, Mathias W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruf, Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Salzberger, Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Stellbrink, Hans Juergen UNSPECIFIED UNSPECIFIED UNSPECIFIED Suttorp, Norbert UNSPECIFIED UNSPECIFIED UNSPECIFIED Ullmann, Andrew J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Faetkenheuer, Gerd UNSPECIFIED UNSPECIFIED UNSPECIFIED Jung, Norma UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-229720
DOI:	10.1007/s15010-017-0997-0
Journal or Publication Title:	Infection
Volume:	45
Number:	3
Page Range:	S. 263 - 269
Date:	2017
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1439-0973
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SURVIVING SEPSIS CAMPAIGN; C-REACTIVE PROTEIN; ASYMPTOMATIC BACTERIURIA; CLINICAL MANAGEMENT; ADULTS; CARE; DIAGNOSIS; USA Multiple languages Infectious Diseases Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22972