Choosing Wisely: 5 ID Tests and Treatments That Probably Aren’t Necessary

By Kelly Young

Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD

As part of the Choosing Wisely campaign, the Infectious Diseases Society of America has released its list of five tests and treatments that physicians and patients should question:

  1. Antibiotics should not be used to treat asymptomatic bacteriuria.
  2. Physicians should avoid prescribing antibiotics for upper respiratory infections since most are viral.
  3. Antibiotics should be avoided for stasis dermatitis of lower extremities. The standard of care is leg elevation plus compression.
  4. In the absence of diarrhea, physicians should not test for Clostridium difficile.
  5. Antibiotic prophylaxis should not be given to patients with mitral valve prolapse to prevent infective endocarditis.


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