Health and Medical News and Resources

General interest items edited by Janice Flahiff

The top five unnecessary tests, treatments in newborn medicine

The top five unnecessary tests, treatments in newborn medicine

The top five unnecessary tests and treatments have been identified in newborn medicine, according to an article published online July 20 in Pediatrics.

These included:
(1) avoiding routine use of antireflux medications for treatment of symptomatic gastroesophageal reflux disease or apnea and desaturation treatment in preterm infants;
(2) for treatment of initially asymptomatic infants without evidence of bacterial infection, routine continuation of antibiotics beyond 48 hours should be avoided;
(3) routine pneumograms for predischarge assessment of ongoing/prolonged apnea of prematurity should be avoided;
(4) in the absence of indication, daily chest radiographs should be avoided for intubated infants; and (5) in preterm infants, routine screening term-equivalent or discharge brain magnetic resonance imaging should be avoided.

“The Choosing Wisely **Top Five for newborn medicine highlights tests and treatments that cannot be adequately justified on the basis of efficacy, safety, or cost,” the authors write. “This list serves as a starting point for quality improvement efforts to optimize both clinical outcomes and resource utilization in newborn care.”

Read the entire article here

 

**Choosing Wisely is an initiative of the ABIM Foundation that promotes patient-physician conversations about unnecessary medical tests and procedures.

Advertisements

July 25, 2015 - Posted by | health care | , , , , , ,

No comments yet.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: