Practice Management
Caffeinated drinks seem to have become a lifestyle for American teens and tweens. A recent study from Epic Research showed that emergency department (ED) visits connected to consuming excessive amounts of caffeine nearly doubled among some age groups from 2017 to 2023. For kids ages 15 to 18, the rate increased from 7.4 per 100,000 visits in 2017 to 13.6 per 100,000 visits in 2023. But for kids ages 11 to 14, visits related to …
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Just as urgent care centers across the nation prepare for peak flu season, the Centers for Disease Control and Prevention (CDC) is also taking note of a rise in Mycoplasma pneumonia cases that’s been going on for the past 6 months. The analysis is based on data from patients discharged from emergency departments with a diagnosis of Mycoplasma pneumonia-associated pneumonia or acute bronchitis. According to the agency, there was a peak in August of this …
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Preventing recurrent urinary tract infection (RUTI) in children usually involves antibiotic prophylaxis. A new meta-analysis in Pediatrics of 23 randomized controlled trials found that for children with a history of RUTI, the antibiotic nitrofurantoin and cranberry products— both cranberry juice and tablets as supplementation—appeared to decrease the incidence of symptomatic episodes. Nitrofurantoin significantly lowering odds of symptomatic UTI episodes during prophylaxis, whether compared with controls (odds ratio [OR] 0.21, 95% confidence interval [CI] 0.07-0.65, P=0.007) …
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Scabies, bedbugs, and body lice commonly cause pruritus and rash, and accurate diagnosis of the symptoms should include consideration for social drivers of health, such as housing status and living environment, according to a recent literature review presented in JAMA. It’s concerning because pruritus may persist after scabies treatment—largely due to misdiagnosis and inadequate treatment—and persistent scratching can present a risk for skin infection. While bedbug bites usually resolve after 1 week without treatment, professional …
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The Food and Drug Administration (FDA) has approved the combination sulopenem etzadroxil and probenecid, an oral antibiotic, to treat bacterial urinary tract infections (UTI) in adult women caused by Escherichia coli, Klebsiella pneumoniae, or Proteus mirabilis. Manufacturer Iterum Therapeutics anticipates a commercial launch for the drug, branded as Orlynvah, in 2025, according to Reuters. The oral drug is taken twice daily for 5 days and can be used to treat uncomplicated UTIs in women who …
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In recent weeks, Florida has experienced a spike in Vibrio vulnificus bacterial infection cases since the widespread flooding and heavy rains in the aftermath of 2 major hurricanes, as reported by the state’s health department. This year, there have already been 74 cases of Vibrio vulnificus infections, similar to the number cases reported in 2022, when Hurricane Ian and other major storms hit the state. The latest data also shows 13 deaths attributed to Vibrio …
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Providers are concerned about a dramatic rise in pneumonia cases in Indianapolis, according to Mirror Indy. The Indiana state health department does not track the disease, but 2 of IU Health’s urgent care locations in Indianapolis reported a 200% increase in cases. The locations saw 43 cases of pneumonia in September, up from 14 in August, which includes 15 pediatric cases in September, compared to just 1 in August. The department of health sent an …
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A recent study of adult emergency department (ED) admissions published in Psychiatry Online found that patients taking high doses of prescription amphetamine drugs such as Adderall (>30 mg dextroamphetamine equivalents) have a 5.28-fold increased risk for developing psychosis or mania. Researchers compared 1,374 cases of individuals presenting with first-episode psychosis or mania to 2,748 control patients with a psychiatric hospitalization for other conditions. Data analysis suggests that 81% of cases of psychosis or mania potentially …
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A randomized clinical trial of 133 adults published in JAMA Internal Medicine showed that arm position can have an effect on blood pressure (BP) readings. When subjects supported their arm on their lap, it resulted in systolic BP readings overestimated by 3.9 mm Hg and diastolic BP readings overestimated by 4.0 mm Hg. Additionally, an unsupported arm at the subject’s side overestimated systolic BP by 6.5 mm Hg and diastolic BP by 4.4 mm Hg. …
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Patients taking glucagon-like peptide-1 (GLP-1) drugs like semaglutide for diabetes may have a lower risk of opioid drug overdose, according to a new study led by National Institute on Drug Abuse Director Nora Volkow, MD, published in JAMA Network Open. Previous empirical studies and anecdotal reports of fewer drug cravings among individuals with type 2 diabetes and comorbid opioid use disorder who use semaglutide inspired the study. Because the GLP-1 drugs are relatively new, there …
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