Choosing Wisely Top Five List for Newborn Medicine

1. Avoid routine use of antireflux medications for treatment of symptomatic GERD or for treatment of apnea and desaturation in preterm infants.
2. Avoid routine continuation of antibiotic therapy beyond 48 hours for initially asymptomatic infants without evidence of bacterial infection.
3. Avoid routine use of pneumograms for predischarge assessment of ongoing and/or prolonged apnea of prematurity.
4. Avoid routine daily chest radiographs without an indication for intubated infants.
5. Avoid routine screening term-equivalent or discharge brain MRIs in preterm infants.
  • GERD, gastroesophageal reflux disease.