The Choosing Wisely Canada campaign is an initiative that aims to involve physicians and patients in collaborative decision making to avoid unnecessary tests and treatments. The Rhinology Subspecialty Group of the Canadian Society of Otolaryngology – Head & Neck Surgery developed a list of five evidence-based recommendations for the management of acute rhinosinusitis and nasal fractures: (1) don’t prescribe antibiotics to patients with acute sinusitis who do not meet the diagnostic criteria for acute bacterial rhinosinusitis; (2) don’t order a CT scan for uncomplicated acute rhinosinusitis; (3) don’t order plain film sinus x-rays; (4) don’t swab the nasal cavity as part of the work up for rhinosinusitis; and (5) don’t order a plain film x-ray in the evaluation of nasal fractures.
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机译:选择明智的加拿大竞选活动是一项旨在让医生和患者参与合作决策的倡议,以避免不必要的测试和治疗。 Canadian Osolaryngology的哨亲课程群 - 头颈外科手术列表了五个基于证据的建议,用于管理急性鼻窦炎和鼻腔骨折:(1)不要向患有急性鼻窦炎的患者开出抗生素符合急性细菌鼻窦炎的诊断标准; (2)不要为简单的急性鼻窦炎进行CT扫描; (3)不要订购普通电影窦X射线; (4)不要将鼻腔拭子作为鼻窦炎的部分的一部分; (5)在评估鼻骨骨折时,不要下普通薄膜X射线。
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