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A lumbar puncture may be useful to diagnose a central nervous system infection but is not routinely needed.
However, postvaccination testing of anti-HBs antibody levels is not routinely needed because of the high response rate (> 96%) to vaccination.
We also found that production of ESBL was not an independent risk factor for persistent KpB, which indicates that follow-up blood cultures are not routinely needed in cases of ESBL-producing KpB.
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The existing recommendation that episiotomy should not be used routinely needs to be reinforced.
For virus isolation, primary ovine or bovine cells, not routinely present, are needed.
It is not clear whether these babies can be managed on the postnatal ward (PNW) or routinely need to be admitted to the neonatal unit after birth.
These results add weight to assertions that clinical microbiology laboratories need not routinely screen for vancomycin heteroresistance in S. aureus isolates with vancomycin MICs in the susceptible range (2, 8 ).
While at the present time, PCR is not routinely available and its methods need more standardization, optimization, and quality control, in the future, an internationally accepted standardized kit might be available, which would facilitate the expanded use of PCR for pertussis diagnosis [ 16, 35].
The comorbidities coded for depression need not routinely be coded just because a patient is on ongoing medication.
Nineteen clinicians spoke of "teething problems" with bedside care and using the trolley (14; ANNP), of whom 13 mentioned the need for familiarisation and six reported that the trolley was not sufficiently integrated into hospital practice, for example, it was not routinely brought into births, and if needed at short notice, there was not always time to set it up.
Yet, a recent compliance evaluation conducted in 36 hospitals in 14 countries found that practitioners do not routinely follow the guidelines; improvement is needed, especially in the areas of CAP prevention, initial empirical therapy, and switch from intravenous (IV) to oral antibiotics [ 12].
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