Today the Australian organisers, NPS MedicineWise, will release an additional 61 recommendations. These include:
- Don’t order chest x-rays in patients with uncomplicated acute bronchitis (Routine chest x-rays don’t improve outcomes and may lead to false positives, further investigations and unnecessary radiation)
- Avoid prescribing antibiotics for upper respiratory tract infections, also known as the common cold (Most uncomplicated upper respiratory infections are viral and antibiotic therapy isn’t suitable)
- Don’t initiate medicines to prevent disease in patients who have a limited life expectancy (There is limited evidence to support the use of many medicines in frail, elderly patients who are more susceptible to the side-effects of medicines)
- Don’t routinely do a pelvic examination with a pap smear (The procedure can cause pain, fear, anxiety and embarrassment and can lead to unnecessary, invasive and potentially harmful diagnostic procedures)
- Don’t request imaging for patients with non-specific low back pain (Trials have consistently shown there is no advantage from routine imaging of non-specific low back pain and there are potential harms)."