Choosing Wisely recommendations on the wise use of antibiotics November 2020

The Choosing Wisely campaign has these messages for health professionals about using antibiotics wisely.

Australasian Society for Infectious Diseases

  • Do not use antibiotics in asymptomatic bacteriuria.
  • Do not take a swab or use antibiotics for the management of a leg ulcer without clinical infection.
  • Avoid prescribing antibiotics for upper respiratory tract infection (with the exception of sore throat in populations at high risk for complication of group A infection, such as acute rheumatic fever or post-streptococcal glomulornephritis).

Australian and New Zealand Society for Geriatric Medicine

  • Do not use antimicrobials to treat bacteriuria in older adults where specific urinary tract symptoms are not present.

College of Intensive Care Medicine of Australia And New Zealand

  • Consider antibiotic de-escalation daily.

Internal Medicine Society of Australia and New Zealand

  • Once patients have become afebrile (non-feverish) and are clinically improving, don’t continue prescribing intravenous antibiotics to those with uncomplicated infections and no high-risk features if they are tolerant of oral antibiotics.

New Zealand and Australian Societies of Otolaryngology Head and Neck Surgery

  • Don’t prescribe oral antibiotics for uncomplicated acute discharge from grommets.
  • Don’t prescribe oral antibiotics for uncomplicated acute otitis externa.

New Zealand Dermatological Society

  • Don’t use oral antibiotics for the treatment of atopic dermatitis unless there is clinicalevidence of infection.
  • Don’t routinely use topical antibiotics on a surgical wound.

Paediatrics & Child Health

  • Do not routinely prescribe oral antibiotics to children with fever without an identified bacterial infection.