Update on the “Choosing Wisely” initiative in infectious diseases in Germany

  1. Draenert, Rika ORCID logo
  2. Jung, Norma
  3. Addo, Marylyn M.
  4. Berner, Reinhard
  5. Bickel, Markus
  6. Bogner, Johannes
  7. Cornely, Oliver
  8. de With, Katja
  9. Fätkenheuer, Gerd
  10. Hagel, Stefan
  11. Hanses, Frank
  12. Harrer, Thomas
  13. Hartmann, Pia
  14. Herold, Susanne
  15. Hippenstiel, Stefan
  16. Kern, Winfried
  17. Klauke, Stephan
  18. Klinker, Hartwig
  19. Lehmann, Clara
  20. Lemmen, Sebastian
  21. Lübbert, Christoph
  22. Pletz, Mathias W. R.
  23. Rieg, Siegbert
  24. Ruf, Bernhard R.
  25. Rupp, Jan
  26. Salzberger, Bernd
  27. Slevogt, Hortense
  28. Stellbrink, Hans-Jürgen
  29. Stephan, Christoph
  30. Suttorp, Norbert
  31. Ullmann, Andrew
  32. Witzenrath, Martin
  33. Witzke, Oliver

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1000 Titel
  • Update on the “Choosing Wisely” initiative in infectious diseases in Germany
1000 Autor/in
  1. Draenert, Rika |
  2. Jung, Norma |
  3. Addo, Marylyn M. |
  4. Berner, Reinhard |
  5. Bickel, Markus |
  6. Bogner, Johannes |
  7. Cornely, Oliver |
  8. de With, Katja |
  9. Fätkenheuer, Gerd |
  10. Hagel, Stefan |
  11. Hanses, Frank |
  12. Harrer, Thomas |
  13. Hartmann, Pia |
  14. Herold, Susanne |
  15. Hippenstiel, Stefan |
  16. Kern, Winfried |
  17. Klauke, Stephan |
  18. Klinker, Hartwig |
  19. Lehmann, Clara |
  20. Lemmen, Sebastian |
  21. Lübbert, Christoph |
  22. Pletz, Mathias W. R. |
  23. Rieg, Siegbert |
  24. Ruf, Bernhard R. |
  25. Rupp, Jan |
  26. Salzberger, Bernd |
  27. Slevogt, Hortense |
  28. Stellbrink, Hans-Jürgen |
  29. Stephan, Christoph |
  30. Suttorp, Norbert |
  31. Ullmann, Andrew |
  32. Witzenrath, Martin |
  33. Witzke, Oliver |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-03-10
1000 Erschienen in
1000 Quellenangabe
  • 48(3):317-321
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s15010-020-01400-z |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256090/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!The Choosing Wisely!##!Methods!#!The recommendations of the DGI are part of the 'Klug entscheiden' initiative of the German Society of Internal Medicine (DGIM). Topics for the new items were suggested by members of the DGI, checked for scientific evidence and consented within the DGI and the DGIM before publication.!##!Results!#!The new recommendations are: (1) individuals with immune-suppression, advanced liver cirrhosis or renal insufficiency should receive a dual pneumococcal vaccination. (2) In case of positive blood cultures with Candida spp. thorough diagnostics and treatment should be initiated. (3) In case of suspected meningitis, adult patients should receive dexamethasone and antibiotics immediately after venipuncture for blood cultures and before potential imaging. (4) In case of suspected meningitis a CT scan before lumbar puncture should not be ordered-except for symptoms indicating high CSF pressure or focal brain pathology or in cases of severe immune-suppression. (5) In patients with suspected severe infections, a minimum of two pairs of blood cultures should be drawn using separate venipunctures prior to antibiotic therapy-regardless of body temperature. There is no need of a minimum time interval in between the blood draws.!##!Conclusion!#!Applying these new Choosing Wisely
1000 Sacherschließung
lokal Meningitis
lokal Communicable Diseases/diagnostic imaging [MeSH]
lokal Humans [MeSH]
lokal Infectious diseases
lokal Delivery of Health Care [MeSH]
lokal Practice Guidelines as Topic [MeSH]
lokal Vaccination
lokal Blood cultures
lokal Societies, Medical [MeSH]
lokal Germany [MeSH]
lokal Review
lokal Communicable Diseases/therapy [MeSH]
lokal Communicable Diseases/diagnosis [MeSH]
lokal Choosing Wisely
1000 Liste der Beteiligten
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1000 Erstellt am 2023-11-18T12:13:34.396+0100
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1000 Zuletzt bearbeitet Fri Dec 01 14:03:38 CET 2023
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