The "Choosing Wisely" initiative in infectious diseases.
Identifieur interne : 000052 ( Main/Exploration ); précédent : 000051; suivant : 000053The "Choosing Wisely" initiative in infectious diseases.
Auteurs : Clara Lehmann [Allemagne] ; Reinhard Berner [Allemagne] ; Johannes R. Bogner [Allemagne] ; Oliver A. Cornely [Allemagne] ; Katja De With [Allemagne] ; Susanne Herold [Allemagne] ; Winfried V. Kern [Allemagne] ; Sebastian Lemmen [Allemagne] ; Mathias W. Pletz [Allemagne] ; Bernhard Ruf [Allemagne] ; Bernd Salzberger [Allemagne] ; Hans Jürgen Stellbrink [Allemagne] ; Norbert Suttorp [Allemagne] ; Andrew J. Ullmann [Allemagne] ; Gerd F Tkenheuer [Allemagne] ; Norma Jung [Allemagne]Source :
- Infection [ 1439-0973 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Maladies transmissibles.
- statistiques et données numériques : Procédures superflues.
- thérapie : Maladies transmissibles.
- Allemagne, Humains, Prestations des soins de santé, Promotion de la santé, Santé mondiale, Santé publique.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Communicable Diseases.
- statistics & numerical data : Unnecessary Procedures.
- therapy : Communicable Diseases.
- Delivery of Health Care, Germany, Global Health, Health Promotion, Humans, Public Health.
Abstract
OBJECTIVE
"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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
Physicians will reduce potential harm to patients and increase the value of health care when implementing these recommendations.
DOI: 10.1007/s15010-017-0997-0
PubMed: 28290130
Affiliations:
- Allemagne
- Bade-Wurtemberg, Bavière, Berlin, District de Basse-Franconie, District de Cologne, District de Dresde, District de Fribourg-en-Brisgau, District de Haute-Bavière, District de Leipzig, Hambourg, Rhénanie-du-Nord-Westphalie, Saxe (Land)
- Aix-la-Chapelle, Berlin, Dresde, Fribourg-en-Brisgau, Hambourg, Leipzig, Munich, Wurtzbourg
Links toward previous steps (curation, corpus...)
Le document en format XML
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Kern</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Albert-Ludwigs-University Hospital and Medical Center, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Albert-Ludwigs-University Hospital and Medical Center, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Lemmen, Sebastian" sort="Lemmen, Sebastian" uniqKey="Lemmen S" first="Sebastian" last="Lemmen">Sebastian Lemmen</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infection Control and Infectious Diseases, University Hospital RWTH Aachen, Aachen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infection Control and Infectious Diseases, University Hospital RWTH Aachen, Aachen</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Aix-la-Chapelle</settlement></placeName></affiliation></author><author><name sortKey="Pletz, Mathias W" sort="Pletz, Mathias W" uniqKey="Pletz M" first="Mathias W" last="Pletz">Mathias W. Pletz</name><affiliation wicri:level="1"><nlm:affiliation>Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Ruf, Bernhard" sort="Ruf, Bernhard" uniqKey="Ruf B" first="Bernhard" last="Ruf">Bernhard Ruf</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infectious Diseases and Tropical Medicine, Klinikum Sankt Georg, Leipzig, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infectious Diseases and Tropical Medicine, Klinikum Sankt Georg, Leipzig</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Leipzig</region><settlement type="city">Leipzig</settlement></placeName></affiliation></author><author><name sortKey="Salzberger, Bernd" sort="Salzberger, Bernd" uniqKey="Salzberger B" first="Bernd" last="Salzberger">Bernd Salzberger</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine I, University Hospital Regensburg, Regensburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Internal Medicine I, University Hospital Regensburg, Regensburg</wicri:regionArea><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion></affiliation></author><author><name sortKey="Stellbrink, Hans Jurgen" sort="Stellbrink, Hans Jurgen" uniqKey="Stellbrink H" first="Hans Jürgen" last="Stellbrink">Hans Jürgen Stellbrink</name><affiliation wicri:level="3"><nlm:affiliation>Infectiology Center Hamburg (ICH), Hamburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Infectiology Center Hamburg (ICH), Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Suttorp, Norbert" sort="Suttorp, Norbert" uniqKey="Suttorp N" first="Norbert" last="Suttorp">Norbert Suttorp</name><affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Ullmann, Andrew J" sort="Ullmann, Andrew J" uniqKey="Ullmann A" first="Andrew J" last="Ullmann">Andrew J. Ullmann</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine II, Universitätsklinikum, Julius Maximilian's University, Würzburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infectious Diseases, Department of Internal Medicine II, Universitätsklinikum, Julius Maximilian's University, Würzburg</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Basse-Franconie</region><settlement type="city">Wurtzbourg</settlement></placeName></affiliation></author><author><name sortKey="F Tkenheuer, Gerd" sort="F Tkenheuer, Gerd" uniqKey="F Tkenheuer G" first="Gerd" last="F Tkenheuer">Gerd F Tkenheuer</name><affiliation wicri:level="1"><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department I of Internal Medicine, University of Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author><author><name sortKey="Jung, Norma" sort="Jung, Norma" uniqKey="Jung N" first="Norma" last="Jung">Norma Jung</name><affiliation wicri:level="1"><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department I of Internal Medicine, University of Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28290130</idno><idno type="pmid">28290130</idno><idno type="doi">10.1007/s15010-017-0997-0</idno><idno type="wicri:Area/Main/Corpus">000061</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000061</idno><idno type="wicri:Area/Main/Curation">000061</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000061</idno><idno type="wicri:Area/Main/Exploration">000061</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The "Choosing Wisely" initiative in infectious diseases.</title><author><name sortKey="Lehmann, Clara" sort="Lehmann, Clara" uniqKey="Lehmann C" first="Clara" last="Lehmann">Clara Lehmann</name><affiliation wicri:level="1"><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department I of Internal Medicine, University of Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author><author><name sortKey="Berner, Reinhard" sort="Berner, Reinhard" uniqKey="Berner R" first="Reinhard" last="Berner">Reinhard Berner</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Bogner, Johannes R" sort="Bogner, Johannes R" uniqKey="Bogner J" first="Johannes R" last="Bogner">Johannes R. Bogner</name><affiliation wicri:level="3"><nlm:affiliation>Department of Infectious Diseases, Med Klinik IV, University Hospital Munich, Munich, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Infectious Diseases, Med Klinik IV, University Hospital Munich, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Cornely, Oliver A" sort="Cornely, Oliver A" uniqKey="Cornely O" first="Oliver A" last="Cornely">Oliver A. Cornely</name><affiliation wicri:level="1"><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department I of Internal Medicine, University of Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author><author><name sortKey="De With, Katja" sort="De With, Katja" uniqKey="De With K" first="Katja" last="De With">Katja De With</name><affiliation wicri:level="3"><nlm:affiliation>Clinical Infectious Diseases and Antibiotic Stewardship Unit, Carl Carus University Hospital, Dresden, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Infectious Diseases and Antibiotic Stewardship Unit, Carl Carus University Hospital, Dresden</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Dresde</region><settlement type="city">Dresde</settlement></placeName></affiliation></author><author><name sortKey="Herold, Susanne" sort="Herold, Susanne" uniqKey="Herold S" first="Susanne" last="Herold">Susanne Herold</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine II, University of Giessen and Marburg Lung Center (UGMLC), Giessen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Internal Medicine II, University of Giessen and Marburg Lung Center (UGMLC), Giessen</wicri:regionArea><wicri:noRegion>Giessen</wicri:noRegion><wicri:noRegion>Giessen</wicri:noRegion><wicri:noRegion>Giessen</wicri:noRegion></affiliation></author><author><name sortKey="Kern, Winfried V" sort="Kern, Winfried V" uniqKey="Kern W" first="Winfried V" last="Kern">Winfried V. Kern</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infectious Diseases, Department of Medicine, Albert-Ludwigs-University Hospital and Medical Center, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Albert-Ludwigs-University Hospital and Medical Center, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Lemmen, Sebastian" sort="Lemmen, Sebastian" uniqKey="Lemmen S" first="Sebastian" last="Lemmen">Sebastian Lemmen</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infection Control and Infectious Diseases, University Hospital RWTH Aachen, Aachen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infection Control and Infectious Diseases, University Hospital RWTH Aachen, Aachen</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Aix-la-Chapelle</settlement></placeName></affiliation></author><author><name sortKey="Pletz, Mathias W" sort="Pletz, Mathias W" uniqKey="Pletz M" first="Mathias W" last="Pletz">Mathias W. Pletz</name><affiliation wicri:level="1"><nlm:affiliation>Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena</wicri:regionArea><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion><wicri:noRegion>Jena</wicri:noRegion></affiliation></author><author><name sortKey="Ruf, Bernhard" sort="Ruf, Bernhard" uniqKey="Ruf B" first="Bernhard" last="Ruf">Bernhard Ruf</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infectious Diseases and Tropical Medicine, Klinikum Sankt Georg, Leipzig, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infectious Diseases and Tropical Medicine, Klinikum Sankt Georg, Leipzig</wicri:regionArea><placeName><region type="land" nuts="1">Saxe (Land)</region><region type="district" nuts="2">District de Leipzig</region><settlement type="city">Leipzig</settlement></placeName></affiliation></author><author><name sortKey="Salzberger, Bernd" sort="Salzberger, Bernd" uniqKey="Salzberger B" first="Bernd" last="Salzberger">Bernd Salzberger</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine I, University Hospital Regensburg, Regensburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Internal Medicine I, University Hospital Regensburg, Regensburg</wicri:regionArea><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion><wicri:noRegion>Regensburg</wicri:noRegion></affiliation></author><author><name sortKey="Stellbrink, Hans Jurgen" sort="Stellbrink, Hans Jurgen" uniqKey="Stellbrink H" first="Hans Jürgen" last="Stellbrink">Hans Jürgen Stellbrink</name><affiliation wicri:level="3"><nlm:affiliation>Infectiology Center Hamburg (ICH), Hamburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Infectiology Center Hamburg (ICH), Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Suttorp, Norbert" sort="Suttorp, Norbert" uniqKey="Suttorp N" first="Norbert" last="Suttorp">Norbert Suttorp</name><affiliation wicri:level="3"><nlm:affiliation>Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Ullmann, Andrew J" sort="Ullmann, Andrew J" uniqKey="Ullmann A" first="Andrew J" last="Ullmann">Andrew J. Ullmann</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine II, Universitätsklinikum, Julius Maximilian's University, Würzburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Infectious Diseases, Department of Internal Medicine II, Universitätsklinikum, Julius Maximilian's University, Würzburg</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Basse-Franconie</region><settlement type="city">Wurtzbourg</settlement></placeName></affiliation></author><author><name sortKey="F Tkenheuer, Gerd" sort="F Tkenheuer, Gerd" uniqKey="F Tkenheuer G" first="Gerd" last="F Tkenheuer">Gerd F Tkenheuer</name><affiliation wicri:level="1"><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department I of Internal Medicine, University of Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author><author><name sortKey="Jung, Norma" sort="Jung, Norma" uniqKey="Jung N" first="Norma" last="Jung">Norma Jung</name><affiliation wicri:level="1"><nlm:affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department I of Internal Medicine, University of Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author></analytic><series><title level="j">Infection</title><idno type="eISSN">1439-0973</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Communicable Diseases (diagnosis)</term><term>Communicable Diseases (therapy)</term><term>Delivery of Health Care (MeSH)</term><term>Germany (MeSH)</term><term>Global Health (MeSH)</term><term>Health Promotion (MeSH)</term><term>Humans (MeSH)</term><term>Public Health (MeSH)</term><term>Unnecessary Procedures (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allemagne (MeSH)</term><term>Humains (MeSH)</term><term>Maladies transmissibles (diagnostic)</term><term>Maladies transmissibles (thérapie)</term><term>Prestations des soins de santé (MeSH)</term><term>Procédures superflues (statistiques et données numériques)</term><term>Promotion de la santé (MeSH)</term><term>Santé mondiale (MeSH)</term><term>Santé publique (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Communicable Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies transmissibles</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Unnecessary Procedures</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Procédures superflues</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Communicable Diseases</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maladies transmissibles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Delivery of Health Care</term><term>Germany</term><term>Global Health</term><term>Health Promotion</term><term>Humans</term><term>Public Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Allemagne</term><term>Humains</term><term>Prestations des soins de santé</term><term>Promotion de la santé</term><term>Santé mondiale</term><term>Santé publique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>"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.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Physicians will reduce potential harm to patients and increase the value of health care when implementing these recommendations.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28290130</PMID><DateCompleted><Year>2017</Year><Month>12</Month><Day>13</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1439-0973</ISSN><JournalIssue CitedMedium="Internet"><Volume>45</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Infection</Title><ISOAbbreviation>Infection</ISOAbbreviation></Journal><ArticleTitle>The "Choosing Wisely" initiative in infectious diseases.</ArticleTitle><Pagination><MedlinePgn>263-268</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s15010-017-0997-0</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">"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.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Physicians will reduce potential harm to patients and increase the value of health care when implementing these recommendations.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lehmann</LastName><ForeName>Clara</ForeName><Initials>C</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-7042-1578</Identifier><AffiliationInfo><Affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany. clara.lehmann@uni-koeln.de.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berner</LastName><ForeName>Reinhard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bogner</LastName><ForeName>Johannes R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>Department of Infectious Diseases, Med Klinik IV, University Hospital Munich, Munich, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cornely</LastName><ForeName>Oliver A</ForeName><Initials>OA</Initials><AffiliationInfo><Affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Clinical Trials Centre Cologne (ZKS Köln), University of Cologne, Cologne, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de With</LastName><ForeName>Katja</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Clinical Infectious Diseases and Antibiotic Stewardship Unit, Carl Carus University Hospital, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Herold</LastName><ForeName>Susanne</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine II, University of Giessen and Marburg Lung Center (UGMLC), Giessen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kern</LastName><ForeName>Winfried V</ForeName><Initials>WV</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Medicine, Albert-Ludwigs-University Hospital and Medical Center, Freiburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lemmen</LastName><ForeName>Sebastian</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Infection Control and Infectious Diseases, University Hospital RWTH Aachen, Aachen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pletz</LastName><ForeName>Mathias W</ForeName><Initials>MW</Initials><AffiliationInfo><Affiliation>Center for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ruf</LastName><ForeName>Bernhard</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases and Tropical Medicine, Klinikum Sankt Georg, Leipzig, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Salzberger</LastName><ForeName>Bernd</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine I, University Hospital Regensburg, Regensburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stellbrink</LastName><ForeName>Hans Jürgen</ForeName><Initials>HJ</Initials><AffiliationInfo><Affiliation>Infectiology Center Hamburg (ICH), Hamburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Suttorp</LastName><ForeName>Norbert</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine/Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ullmann</LastName><ForeName>Andrew J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine II, Universitätsklinikum, Julius Maximilian's University, Würzburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fätkenheuer</LastName><ForeName>Gerd</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jung</LastName><ForeName>Norma</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department I of Internal Medicine, University of Cologne, Cologne, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P01 HL071643</GrantID><Acronym>HL</Acronym><Agency>NHLBI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Infection</MedlineTA><NlmUniqueID>0365307</NlmUniqueID><ISSNLinking>0300-8126</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003141" MajorTopicYN="N">Communicable Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="N">Delivery of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014943" MajorTopicYN="Y">Global Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006293" MajorTopicYN="Y">Health Promotion</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011634" MajorTopicYN="N">Public Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019564" MajorTopicYN="N">Unnecessary Procedures</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Choosing Wisely</Keyword><Keyword MajorTopicYN="N">Infectious diseases</Keyword><Keyword MajorTopicYN="N">Recommendations</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>12</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>02</Month><Day>17</Day></PubMedPubDate><PubMedPubDate 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IdType="pubmed">23929889</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>Bavière</li><li>Berlin</li><li>District de Basse-Franconie</li><li>District de Cologne</li><li>District de Dresde</li><li>District de Fribourg-en-Brisgau</li><li>District de Haute-Bavière</li><li>District de Leipzig</li><li>Hambourg</li><li>Rhénanie-du-Nord-Westphalie</li><li>Saxe (Land)</li></region><settlement><li>Aix-la-Chapelle</li><li>Berlin</li><li>Dresde</li><li>Fribourg-en-Brisgau</li><li>Hambourg</li><li>Leipzig</li><li>Munich</li><li>Wurtzbourg</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Lehmann, Clara" sort="Lehmann, Clara" uniqKey="Lehmann C" first="Clara" last="Lehmann">Clara Lehmann</name></noRegion><name sortKey="Berner, Reinhard" sort="Berner, Reinhard" uniqKey="Berner R" first="Reinhard" last="Berner">Reinhard Berner</name><name sortKey="Bogner, Johannes R" sort="Bogner, Johannes R" uniqKey="Bogner J" first="Johannes R" last="Bogner">Johannes R. Bogner</name><name sortKey="Cornely, Oliver A" sort="Cornely, Oliver A" uniqKey="Cornely O" first="Oliver A" last="Cornely">Oliver A. Cornely</name><name sortKey="Cornely, Oliver A" sort="Cornely, Oliver A" uniqKey="Cornely O" first="Oliver A" last="Cornely">Oliver A. Cornely</name><name sortKey="Cornely, Oliver A" sort="Cornely, Oliver A" uniqKey="Cornely O" first="Oliver A" last="Cornely">Oliver A. Cornely</name><name sortKey="De With, Katja" sort="De With, Katja" uniqKey="De With K" first="Katja" last="De With">Katja De With</name><name sortKey="F Tkenheuer, Gerd" sort="F Tkenheuer, Gerd" uniqKey="F Tkenheuer G" first="Gerd" last="F Tkenheuer">Gerd F Tkenheuer</name><name sortKey="F Tkenheuer, Gerd" sort="F Tkenheuer, Gerd" uniqKey="F Tkenheuer G" first="Gerd" last="F Tkenheuer">Gerd F Tkenheuer</name><name sortKey="Herold, Susanne" sort="Herold, Susanne" uniqKey="Herold S" first="Susanne" last="Herold">Susanne Herold</name><name sortKey="Jung, Norma" sort="Jung, Norma" uniqKey="Jung N" first="Norma" last="Jung">Norma Jung</name><name sortKey="Kern, Winfried V" sort="Kern, Winfried V" uniqKey="Kern W" first="Winfried V" last="Kern">Winfried V. Kern</name><name sortKey="Lehmann, Clara" sort="Lehmann, Clara" uniqKey="Lehmann C" first="Clara" last="Lehmann">Clara Lehmann</name><name sortKey="Lemmen, Sebastian" sort="Lemmen, Sebastian" uniqKey="Lemmen S" first="Sebastian" last="Lemmen">Sebastian Lemmen</name><name sortKey="Pletz, Mathias W" sort="Pletz, Mathias W" uniqKey="Pletz M" first="Mathias W" last="Pletz">Mathias W. Pletz</name><name sortKey="Ruf, Bernhard" sort="Ruf, Bernhard" uniqKey="Ruf B" first="Bernhard" last="Ruf">Bernhard Ruf</name><name sortKey="Salzberger, Bernd" sort="Salzberger, Bernd" uniqKey="Salzberger B" first="Bernd" last="Salzberger">Bernd Salzberger</name><name sortKey="Stellbrink, Hans Jurgen" sort="Stellbrink, Hans Jurgen" uniqKey="Stellbrink H" first="Hans Jürgen" last="Stellbrink">Hans Jürgen Stellbrink</name><name sortKey="Suttorp, Norbert" sort="Suttorp, Norbert" uniqKey="Suttorp N" first="Norbert" last="Suttorp">Norbert Suttorp</name><name sortKey="Ullmann, Andrew J" sort="Ullmann, Andrew J" uniqKey="Ullmann A" first="Andrew J" last="Ullmann">Andrew J. Ullmann</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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