The list of wise choices issued by the American Academy of Pediatrics

The American Academy of Pediatrics has released two [wise choices] lists of 10 items, listing common unnecessary examinations and treatments in pediatrics.

(1) Obvious viral infectious respiratory diseases (sinusitis, Pharyngitis, bronchitis) should not use antibacterial drugs. (2) Cough medicine and cold medicine should not be prescribed or recommended for respiratory diseases in children under 4 years old. (3) CT scan is not necessary for immediate evaluation of mild head trauma. According to the Clinical Observation/Pediatric Emergency Nursing Applied Research Network Standard (PECARN), To determine whether imaging examination is needed. (4) Neuroimaging is not necessary for simple thermal epilepsy (CT, MRI examination. (5) CT scans are not necessary in routine abdominal pain assessment. (6) Do not use large doses of dexamethasone (0.5 mg/kg/d) to prevent or treat bronchopulmonary dysplasia in premature infants. (7) Do not screen children who have no previous medical history considered for food allergy. (8) Avoid the use of acid inhibitors and power drugs. Such as metoclopramide (class) to treat children can bear, Physiological gastroesophageal reflux that is painless and does not affect growth. Do not give drugs to infants who are called “spitting milk”. (9) Avoid using monitored cultures to screen and treat asymptomatic bacteriuria. (10) Asphyxia monitors in infant rooms should not be routinely used to prevent sudden infant death syndrome. Not only pediatricians need to know, Parents should also know something so as to better cooperate with doctors in treatment.