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Five Question must for Pediatricians and Patients

Five Question must for Pediatricians and Patients

The American Academy of Pediatrics has published a new list of five tests and treatments for children that may not be necessary, as part of the Choosing Wisely campaign.

They include:

  • Preterm infants should not be prescribed high-dose dexamethasone (0.5 mg/kg daily) prevent or treat bronchopulmonary dysplasia.

  • Patients should not be screened for food allergies with IgE tests before their full medical history is considered.

  • Use of acid blockers and motility agents like metoclopramide should be avoided for physiologic gastroesophageal reflux that is “effortless, painless, and not affecting growth.” Avoid medicating infants who are “happy-spitters.”

  • Surveillance urine cultures should generally not be used to screen and treat asymptomatic bacteria.

  • Parents should avoid routinely using infant home apnea monitors to prevent sudden infant death syndrome.

Source: self

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