From ID Week: Outbreak-Related Hep A Infections Are on the Rise Key point: Hepatitis A infection may be evolving from common-source exposure to outbreak exposure. Urgent care clinicians can influence this phenomenon by recommending that at-risk adults receive immunization. Citation: Foster M, Hofmeister M, Yin S, et al. Changing epidemiology of hepatitis A virus infections—United States, 2009–2017. Oral Abstract Session. ID Week 2018. Available at: https://idsa.confex.com/idsa/2018/webprogram/Paper74176.html. Accessed October 8, 2018. Between 2007 and 2017, the …
Read MoreAbstracts In Urgent Care – October 2018
New Data Show ‘Steep and Sustained’ Increase in STD Occurrence—Especially Syphilis Key point: Over the past 5 years, rates of syphilis, gonorrhea, and chlamydia have all increased in the United States, with syphilis cases almost doubling and cases of antibiotic-reistant gonorrhea rising. Citation: Centers for Disease Control and Prevention. 2018 STD Prevention Conference. New CDC Analysis Shows Steep and Sustained Increases in STDs. August 28, 2018. Available at: https://www.cdc.gov/nchhstp/newsroom/2018/2018-std-prevention-conference.html#Graphics. Accessed September 7, 2018. Every other …
Read MoreAbstracts in Urgent Care – September 2018
WHO Announces ICD-11, Coming Next Year Key point: New set will reflect current terminologies and classifications, integrate more smoothly with new technologies. Citation: World Health Organization. WHO Releases New International Classification of Diseases (ICD 11). June 18, 2018. Available at: http://www.who.int/news-room/detail/18-06-2018-who-releases-new-international-classification-of-diseases-(icd-11). Accessed August 14, 2018. ICD-10 was released in 2015, but according to the World Health Organization (WHO) we can already expect the next revision, ICD-11, sometime early in the next decade. ICD-11 is supposed …
Read MoreAbstracts in Urgent Care – July 2018
CDC Attributes 200+ Cases of Coagulopathy to Synthetic Cannaboids Key point: “Marijuana alternatives” are widely available—and being blamed for multiple deaths. Citation: Moritz E, Austin C, Wahl M, et al. Notes from the field: outbreak of severe illness linked to the vitamin K antagonist brodifacoum and use of synthetic cannabinoids—Illinois, March–April 2018. MMWR Morb Mortal Wkly Rep. 2018;67:607–608. The Centers for Disease Control and Prevention revealed that they have received more than 200 reported cases …
Read MoreAbstracts in Urgent Care – June 2018
Some Oral Antibiotics Up Risk for Kidney Stones Key point: Oral antibiotics are associated with an increased risk for nephrolithiasis in adults and children, with the risk highest in those exposed at a younger age. Citation: Tasian GE, et al. Oral antibiotic exposure and kidney stone disease. J Am Soc Nephrol. 2018; May 10. [Epub ahead of print] The prevalence of kidney stones has increased 70% during the last 30 years, with the most disproportionate …
Read MoreAbstracts in Urgent Care – May 2018
Factors Influencing Provider Efficiency—or Inefficiency—in the ED Key point: Emergency department study on provider efficiency has relevance to urgent care. Citation: Bobb MR, Ahmed A, Van Heukelom P, et al. Which practices make for efficient emergency department providers? Acad Emerg Med. December 18, 2017. [Epub ahead of print] This mixed-methods study published in Academic Emergency Medicine identified five practices/behaviors that increased provider efficiency in the emergency room and two practices that did not. What makes some …
Read MoreAbstracts in Urgent Care – April 2018
ACP Eases Up on A1c Ceiling for Patients with Type 2 Diabetes Key point: The American College of Physicians suggests slightly higher hemoglobin A1c target levels for patients with type 2 diabetes. Citation: Qaseem A, Wilt TJ, Kansagara D, et al. Hemoglobin A1C targets for glycemic control with pharmacologic therapy for nonpregnant adults with type 2 diabetes mellitus: a guidance statement update from the American College of Physicians. Ann Intern Med. March 6, 2018. [Epub ahead …
Read MoreAbstracts in Urgent Care – March 2018
Confirmed Flu Ups Short-Term Risk for MI Key point: Patients with laboratory-confirmed influenza are almost six times more likely to be admitted for acute myocardial infarction (MI) in the following 7 days. Citation: Kwong JC, Schwartz KL, Campitelli MA, et al. Acute myocardial infarction after laboratory-confirmed influenza infection. N Engl J Med. 2018;378(4):345-353. Results of a cohort study published in the New England Journal of Medicine revealed that patients with laboratory-confirmed influenza were almost six …
Read MoreAbstracts in Urgent Care – February 2018
Revisiting Parameters for Treating Hypertension Key point: New guidelines have lower thresholds for diagnosis and treatment of hypertension. Citation: Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/ AGS/APhA/ASH/ASPC/ NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. [Epub ahead of print November 13, 2017] The 2017 American College of Cardiology/American …
Read MoreAbstracts in Urgent Care – December 2017
GLENN HARNETT, MD Innovative Rapid Tests Show Promise in Influenza Key point: Novel DIAs and rapid NAATs had markedly higher sensitivities for influenza A and B in both children and adults than did traditional RIDTs, with equally high specificities. Citation: Merckx J, Wali R, Schiller I et al. Diagnostic accuracy of novel and traditional rapid tests for influenza infection compared with reverse transcriptase polymerase chain reaction: a systematic review and meta-analysis. Ann Intern Med. 2017;167(6):394-409. …
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