{"id":699,"date":"2021-01-11T11:56:00","date_gmt":"2021-01-11T19:56:00","guid":{"rendered":"https:\/\/info.pediatricsdirectory.com\/?p=699"},"modified":"2023-07-24T00:18:05","modified_gmt":"2023-07-24T04:18:05","slug":"five-things-physicians-and-patients-should-question","status":"publish","type":"post","link":"https:\/\/pediatricscommunity.com\/info\/699\/","title":{"rendered":"Five Things Physicians and Patients Should Question"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/pediatricscommunity.com\/info\/wp-content\/uploads\/2023\/07\/one_line_mothers_day_baby-5-01-scaled-e1642367645659.jpg\" alt=\"\" class=\"wp-image-705\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">1<\/h2>\n\n\n\n<p>Do not prescribe IV antibiotics for predetermined durations for patients hospitalized with infections such as pyelonephritis, osteomyelitis and complicated pneumonia. <a href=\"https:\/\/www.choosingwisely.org\/clinician-lists\/phm1-do-not-prescribe-iv-antibiotics-for-predetermined-durations-for-patients-hospitalized-with-infections-such-as-pyelonephritis-osteomyelitis-and-complicated-pneumonia-consider-early-transition-to\/\">Consider early transition to oral antibiotics<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.choosingwisely.org\/clinician-lists\/phm2-do-not-continue-hospitalization-in-well-appearing-febrile-infants-once-bacterial-cultures-i-e-blood-cerebrospinal-and-or-urine-have-been-confirmed-negative-for-24-36-hours-if-adequa\/\">Do not continue hospitalization in well-appearing febrile infants<\/a> once bacterial cultures (i.e. blood, cerebrospinal, and\/or urine) have been confirmed negative for 24\u201336 hours, if adequate outpatient follow-up can be assured.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3<\/h2>\n\n\n\n<p>Do not initiate phototherapy in term or late preterm well-appearing infants with neonatal hyperbilirubinemia <a href=\"https:\/\/www.choosingwisely.org\/clinician-lists\/phm3do-not-initiate-phototherapy-in-term-or-late-preterm-well-appearing-infants-with-neonatal-hyperbilirubinemia-if-their-bilirubin-is-below-levels-at-which-the-aap-guidelines-recommend-treatment\/\">if their bilirubin is below levels<\/a> at which the AAP guidelines recommend treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.choosingwisely.org\/clinician-lists\/phm4-do-not-use-broad-spectrum-antibiotics-such-as-ceftriaxone-for-children-hospitalized-with-uncomplicated-community-acquired-pneumonia-use-narrow-spectrum-antibiotics-such-as-penicillin-ampicillin\/\">Do not use broad-spectrum antibiotics<\/a> such as ceftriaxone for children hospitalized with uncomplicated community-acquired pneumonia. Use narrow-spectrum antibiotics such as penicillin, ampicillin or amoxicillin.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5<\/h2>\n\n\n\n<p>Do not start IV antibiotic therapy on well-appearing newborn infants with isolated risk factors for sepsis such as maternal chorioamnionitis, prolonged rupture of membranes, or untreated group-B streptococcal colonization. <a href=\"https:\/\/www.choosingwisely.org\/clinician-lists\/phm5-do-not-start-iv-antibiotic-therapy-on-well-appearing-newborn-infants-with-isolated-risk-factors-for-sepsis-such-as-maternal-chorioamnionitis-prolonged-rupture-of-membranes-or-untreated-group-b\/\">Use clinical tools such as an evidence-based sepsis risk calculator<\/a> to guide management.<\/p>\n<span class=\"tags-links\"><a href=\"https:\/\/pediatricscommunity.com\/info\/antibiotic-utilization\/\" rel=\"tag\">antibiotic utilization<\/a><a href=\"https:\/\/pediatricscommunity.com\/info\/choosing-wisely\/\" rel=\"tag\">Choosing Wisely<\/a><a href=\"https:\/\/pediatricscommunity.com\/info\/community-acquired-pneumonia\/\" rel=\"tag\">community-acquired pneumonia<\/a><a href=\"https:\/\/pediatricscommunity.com\/info\/group-b-strep\/\" rel=\"tag\">group B strep<\/a><a href=\"https:\/\/pediatricscommunity.com\/info\/hyperbilirubinemia\/\" rel=\"tag\">hyperbilirubinemia<\/a><a href=\"https:\/\/pediatricscommunity.com\/info\/phototherapy\/\" rel=\"tag\">phototherapy<\/a><\/span>","protected":false},"excerpt":{"rendered":"<p>1 Do not prescribe IV antibiotics for predetermined durations for patients hospitalized with infections such as pyelonephritis, osteomyelitis and complicated pneumonia. Consider early transition to oral antibiotics. 2 Do not continue hospitalization in well-appearing febrile infants once bacterial cultures (i.e. blood, cerebrospinal, and\/or urine) have been confirmed negative for 24\u201336 hours, if adequate outpatient follow-up [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[335,72],"tags":[524,745,792,1130,1230,1661],"_links":{"self":[{"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/posts\/699"}],"collection":[{"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/comments?post=699"}],"version-history":[{"count":1,"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/posts\/699\/revisions"}],"predecessor-version":[{"id":5356,"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/posts\/699\/revisions\/5356"}],"wp:attachment":[{"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/media?parent=699"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/categories?post=699"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pediatricscommunity.com\/info\/wp-json\/wp\/v2\/tags?post=699"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}