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Australasian Society for Infectious Diseases: low value interventions

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The challenge will be changing clinicians’ behaviour and practice so that the use of low value interventions decreases

In March 2015, the Australasian Society for Infectious Diseases (ASID) was one of 41 medical societies of the Royal Australasian College of Physicians to participate in the EVOLVE initiative, aimed at identifying five practices or interventions that were of low value or of limited usefulness.1 ASID members, including paediatricians, were surveyed and asked to short-list (and rank) suggested low value interventions (LVIs). From this survey emerged an overall short list that was circulated to respondents for further comment, and the final five LVIs were submitted to the ASID Council for endorsement.1

We present these five interventions below, with rationales as to why they are considered to be of low value. There are, of course, some uncommon situations where these interventions may demonstrate utility and we give some examples of these exceptions.

It is notable that four of the five interventions relate to the inappropriate use of antibiotics. Antibiotic use, both appropriate and inappropriate, is the major driver of antimicrobial resistance, which a recent World Health Organization report has highlighted as “an increasingly serious threat to global public health”.2 Inappropriate…