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“Choosing wisely” (Klug entscheiden) is an initiative of the German Society of Internal Medicine (Deutsche Gesellschaft für Innere Medizin e.V., DGIM) in cooperation with other medical societies, targeting the overuse and underuse of diagnostics and therapeutics. To this end, it offers recommendations for diagnosis and treatment options that are optimal for patients to promote indication quality in medicine [1,2,3,4].
A highly topical issue in infectious disease is the use of antibiotics and other anti-infectives. Overuse promotes antimicrobial resistance, a substantial threat faced by healthcare systems worldwide. On the one hand, rational use of antibiotics is beneficial for the individual patient. On the other hand, it can help reduce the spread of resistant pathogens [4].
One of the recommendations is “Do not treat asymptomatic bacteriuria with antibiotics” [1, 3]. The accompanying images illustrate this recommendation for both doctors and patients. It was created as part of a creative competition celebrating the 50th anniversary of the journal INFECTION and was awarded third place.
Earlier communications regarding the “choosing wisely” initiative are listed in the references.
Data availability
No datasets were generated or analysed during the current study.
References
Jung N. Klug entscheiden: in der Infektiologie. Dtsch Arztebl. 2016;113:608–11.
Jung N, Lehmann C, Fätkenheuer G. The, “Choosing Wisely”: initiative in infectious diseases. Infection. 2016;44:283–90. https://doi.org/10.1007/s15010-015-0848-9.
Lehmann C, Berner R, Bogner JR, Cornely OA, de With K, Herold S, Kern WV, Lemmen S, Pletz MW, Ruf B, Salzberger B, Stellbrink HJ, Suttorp N, Ullmann AJ, Fätkenheuer G, Jung N. The, “Choosing Wisely” initiative in infectious diseases. Infection. 2017;45:263–8. https://doi.org/10.1007/s15010-017-0997-0.
Jung N, Tometten L, Draenert R. Choosing Wisely internationally – helpful recommendations for antimicrobial stewardship! Infection. 2023;51:567–81. https://doi.org/10.1007/s15010-023-02005-y.
Funding
Open Access funding enabled and organized by Projekt DEAL. There was no funding provided for creating the images. Third place in the competition was awarded 350 €.
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APS prepared the images and description.
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The authors declare no competing interests.
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No consent was obtained since the creation of the images did not include research involving human subjects.
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There have been no human research participants involved in creating the images who would have to consent to publishing beside the author.
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The image has previously been published on the website of the DGI (Deutsche Gesellschaft für Infektiologie e.V.) (DGI ehrt Gewinnerbeiträge des Kreativ-Wettbewerbs "Klug entscheiden "- Deutsche Gesellschaft für Infektiologie (dgi-net.de)).
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Schnell, A.P. No antibiotics for asymptomatic bacteriuria. Infection (2024). https://doi.org/10.1007/s15010-024-02369-9
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DOI: https://doi.org/10.1007/s15010-024-02369-9