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Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study

BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.k5092 (Published 16 January 2019) Cite this as: BMJ 2019;364:k5092

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The challenges of developing healthcare quality measures based on ICD-10-CM codes

Re: Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study

To prescribe appropriately antibiotics, physicians have to know at least the different types of Reticulo-Endothelial-System-Hyperfunction-Syndrome (RESHS) , I have discvered 25 years ago, that allows the bedside differential diagnosis of a virus infection and that of the Gram-Pos. and Gram- Neg. bacterial one (1, 2). In addition, in a long clinical experience, RESHS proved to be really reliable in the therapeutic monitoring, among other refined, but more difficult, clinical methods, as

References.
1) Stagnaro S., Sindrome percusso-ascoltatoria di Iperfunzione del Sistema Reticolo-Istiocitario. Min. Med. 74, 479, 1983 [Medline]
2) Stagnaro S., Polimialgia Reumatica Acuta Benigna Variante. Clin. Ter. 118, 193, 1986 [ Medline]
3) Stagnaro-Neri M., Stagnaro S.,Il segno di Daneri. Gazz. Med. It. – Arch. Sc. Med. 147, 215, 1998
4) Sergio Stagnaro. Quantum Biophysical Semeiotics: Recognizing and Treating Osteoporosis, starting from Osteoporosis Inherited Real Risk. Journal of Quantum Biophysical Semeiotics. 25 July, 2011. http://www.sisbq.org/uploads/5/6/8/7/5687930/qbs_osteoporosis.pdf
5 Stagnaro-Neri M., Stagnaro S. Introduzione alla Semeiotica Biofisica. Il Terreno Oncologico. Travel Factory, Roma, 2004. http://www.travelfactory.it/semeiotica_biofisica.htm .

Competing interests: No competing interests

19 January 2019
Sergio Stagnaro
Director
Quantum Biophysical Semeiotic Research Laboratory
Via Erasmo Piaggio 23/8, 16039 Riva Trigoso, Genoa, Italy