The American Academy of Pediatrics (AAP) today released a list of specific tests or procedures that are commonly ordered but not always necessary in the care of children as part of Choosing Wisely®, an initiative of the ABIM Foundation. The list identifies five targeted, evidence-based recommendations that can support conversations between patients and physicians about what care is really necessary. This is the second Choosing Wisely® list from the AAP. The new AAP list identifies the following five recommendations: * High-dose dexamethasone for the prevention or treatment of bronchopulmonary dysplasia in the pre-term infant not necessary. * Don’t perform screening panels for food allergies without previous consideration of medical history. * Avoid using acid blockers and motility agents such as metoclopramide (generic) for physiologic gastroesophageal reflux (GER) that is effortless, painless, and not affecting growth. Do not use medication in the so-called “happy-spitter.” *Avoid the use of surveillance cultures for the screening and treatment of asymptomatic bacteruria ( bacteria in urine ) *Infant home apnea monitors should not be routinely used to prevent Sudden Infant Death Syndrome (SIDS.)
Posted on: Wed, 19 Mar 2014 18:07:25 +0000
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