Journal of Urgent Care Medicine

Rare Flu Strain Sparks Concerns For Treatment Resistance

At least two human cases of “dual mutant” strains of H1N1 influenza have been detected in Connecticut and Michigan, according to a report from the Centers for Disease Control and Prevention (CDC). Genetic changes are concerning because they could reduce the effectiveness of current antiviral treatments. Mutations of H1N1 appear to have 13-fold greater resistance to the flu treatment oseltamivir—the most commonly prescribed treatment for flu. An analysis of the new H1N1 flu viruses with …

Women More Likely to Have Long COVID

New analysis from the Agency for Healthcare Research and Quality (AHRQ) indicates that nearly 18 million US adults have experienced long COVID. Data gathered through the agency’s Medical Expenditure Panel Survey of more than 17,400 adults found 8,275 had a history of COVID-19, and 1,202 reported long-COVID symptoms. Women (8.6%) were more likely than men (5.1%) to report long COVID, and adults aged 35 to 64 were more affected than other age groups. White and …

CDC: Americans Have Little Immunity Against Avian Flu

Preliminary findings from ongoing testing by the Centers for Disease Control and Prevention (CDC) indicate that Americans have little to no pre-existing immunity to the H5N1 avian flu virus found on dairy and poultry farms. The CDC’s conclusions are based on blood samples collected from the 2021-2023 flu seasons. These samples showed low antibody levels against the H5N1 virus, suggesting minimal immunity. Despite this, the risk to the general public remains low, according to CDC, …

RSV Rates Doubled During 2022-2023 Flu Season

During the 2022-2023 season, pediatric hospitalizations for respiratory syncytial virus (RSV) doubled compared to the previous year. This information comes from a study in JAMA Network Open involving 700,000 children, examining RSV-related hospitalizations and intensive care unit (ICU) admissions from July 1, 2017, to March 31, 2023. The hospitalization rate was 289.1 per 100,000 children in 2021-2022, which is consistent with the rates from 2017 to 2020. However in the following year, the 2022-2023 season …

Encouraging Trends Found in Recent UTI Prescribing Practices

Researchers from Boston Children’s Hospital analyzed US emergency department visits for pediatric urinary tract infections (UTIs) to uncover trends in antibiotic prescribing practices. As reported by CIDRAP, from 2011 to 2020, use of trimethoprim-sulfamethoxazole for pediatric UTIs prescriptions declined from 20.6% to 9.9% of visits—which was considered encouraging against concerns for increasing drug resistance—and the use of enteral first-generation cephalosporins increased from 15.2% to 32.6% of visits. Meanwhile, use of enteral third-generation cephalosporins remained flat. …

Highly Contagious Fungal Infections Emerge in US

Two new, highly contagious fungal infections that cause rashes have been identified in the United States by New York University Langone Health researchers, according to Becker’s. The fungi species Trichophyton mentagrophytes type VII have produced severe skin infections, typically in men who have male sexual partners. Infections are challenging to treat, according to the news item, but they have been responding to treatment with terbinafine. A separate study also found that Trichophyton indotineae infections tend …

Patients Stop Weight-Loss Treatment Sooner Than They Should

Data suggests that many people who use GLP-1 drugs semaglutide and liraglutide to treat obesity and diabetes are not staying on their weight-loss plans as long as what is recommended, according to an issue brief from Blue Health Intelligence. Typically, 12 weeks is the accepted guideline for achieving meaningful weight loss. Yet, an analysis of claims from 170,000 plan members found that about 58% of people using GLP-1 medications were on their treatment plan for …

CDC Suggests Comprehensive Approach With Doxy PEP Recommendations

The Centers for Disease Control and Prevention (CDC) this week released new clinical guidelines on the use of doxycycline postexposure prophylaxis (doxy PEP) for bacterial sexually transmitted infection prevention. In part, CDC’s recommendations include the use of doxy PEP for gay, bisexual, and other men who have sex with men (MSM) and transgender women (TGW) who have had a bacterial sexually transmitted infections diagnosed in the past 12 months as part of provider shared decision-making. …

Heat Waves Increase Risk of Preterm Birth

Researchers have identified local heat waves as a factor that can lead to an increased risk of preterm birth and stillbirth, according to a cohort study published in JAMA Network Open. Authors found a significant link between periods of high temperatures in some of the top metropolitan statistical areas in the United States and early deliveries. Looking at 53 million births from 1993 to 2017, they concluded that after 4 consecutive days of mean temperatures …

Clinicians May Not Recognize Rare Measles Cases

The US Centers for Disease Control and Prevention (CDC) has reported a surge in measles cases, including 57 cases associated with a migrant shelter in Chicago, Illinois, according to a new CDC report. It previously recorded 97 confirmed cases in the first quarter of 2024. It’s a significant uptick when compared to the average of 5 cases during the first quarters of 2020-2023. Almost all recent cases were among the unvaccinated. Among the World Health …

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