Essencial "Adding value to clinical practice" is an initiative which identifies low-value clinical practices and promotes recommendations on how to avoid them.
In healthy children with a simple febrile seizure, electroencephalogram is not recommended, as this test alone is not useful for predicting the risk of recurrent febrile seizures or the risk of a future epilepsy.
In patients with schizophrenia who do not meet ultra-resistance criteria (i.e., non response to clozapine ), the use of combinations of three or more antipsychotic agents is not routinely recommended.
In patients receiving NSAIDs who do not present an increased risk of gastrointestinal complications, it is not recommended to prescribe gastroprotection with antiulcer drugs.
In adult patients with uncomplicated acute rhinosinusitis, sinuses radiography does not add value to the patient's management.
In adult patients with asthma exacerbations, intramuscular corticosteroids are not recommended as first choice when the oral route is preserved, except for some specific clinical situations.