Journal of Urgent Care Medicine

Video Consultation May Not Have Advantages For Pediatric Prescribing

Researchers found the use of video telemedicine to conduct consultations for acutely ill children in rural and community emergency departments (EDs) does not reduce medication errors when compared to consultations done by telephone, as presented in JAMA Network Open. A randomized trial across 15 community and rural EDs that examined 696 cases of acutely ill children found no statistically significant differences in physician-related medication errors between cases leveraging telephone consultations when compared to cases leveraging …

Buprenorphine, Liraglutide Could Be A Promising Combination

An analysis in Stat shared recent findings from the American Association for the Advancement of Science conference that indicate liraglutide–the glucagon-like peptide-1 (GLP-1) medication used for weight loss—significantly reduced opioid cravings for patients in a small randomized controlled trial. The 20 patients used anti-obesity drugs for opioid use disorder for 3 weeks, and those using liraglutide experienced a 40% reduction in opioid cravings, even when the lowest dose was used. Ramp up recovery: Buprenorphine is the …

Flu Can Increase Risk of Heart Attack and Stroke in Older Patients

The risk of atherothrombotic events in patients aged 50 and older care more than double in the 14 days following an influenza diagnosis, according to research presented in The Journal of Infectious Diseases. For those with severe cases, the risk of acute myocardial infarction and ischemic stroke increased more than 4-fold and remained high for 2 months following the flu event. Authors examined the link between influenza illness diagnosed in the primary care and hospital settings …

Active People Had Lower Odds of COVID-19 Infection

A study in JAMA Network Open found people who engaged in higher levels of physical activity before the pandemic experienced lower odds of developing COVID-19 and related hospitalizations from May 2020 through May 2022. In studying patients 45 years or older with 5,890 cases of COVID-19 and 626 hospitalizations, researchers found those who achieved at least 7.5 hours per week of physical activity pre pandemic had significantly reduced odds of COVID-19 diagnosis and hospitalization compared …

CDC Offers Detailed Recommendations on Syphilis Lab Testing

The Centers for Disease Control and Prevention (CDC) released what the agency says are the first comprehensive recommendations on laboratory testing for syphilis. The extensive guidance covers laboratory-based tests, point-of-care tests (POC), processing of samples, and reporting of test results. In general, for symptomatic patients, nontreponemal tests are recommended for laboratory screening. Treponemal tests are used to validate nontreponemal results and to diagnose early syphilis infections not detectable by nontreponemal tests. Additionally, CDC notes that treponemal …

Measles Cases Reported in 8 States And Counting

Cases of measles have been cropping up in Delaware, New Jersey, Georgia, Pennsylvania, Virginia, and Washington with additional cases reported in the past week in Ohio and Maryland. In the Maryland case, the department of health warned the public about possible exposure at Dulles International Airport. Officials in Philadelphia at the end of January confirmed at least 9 known cases in that city alone. It’s concerning because measles was declared eliminated in 2000 by the Centers for …

Poor Vision Associated With Falls and Fractures

A study published in JAMA Ophthalmology showed an increased risk of falls and fractures in older patients with 3 common eye diseases. Researchers found those with age-related macular degeneration (AMD), glaucoma, and cataracts—when compared to individuals who do not have those conditions—experienced an increased risk of falling as well as high-impact and low-impact fractures in the hip, spine, forearm, skull, facial bones, pelvis, ribs, sternum, and lower leg. When studying incidents of falling against a cohort …

Kids With Multiple Prescriptions Experience Adverse Drug Events

With more pharmaceutical products on the market for children, parents may be wary of having their kids take more than one drug at a time. A recent study in Pediatrics found 21.4% of children receiving Medicaid in the United States who took multiple prescription drugs in 2019 experienced adverse events stemming from drug interactions. Researchers studied drug-drug interactions (DDIs) for 781,019 patients under age 18 who took 2 or more outpatient prescriptions. The drugs most …

Syphilis Cases Rise 80%—10 Times More Newborns Diagnosed

According to a newly released Centers for Disease Control and Prevention (CDC) report, 207,255 total syphilis cases were documented in the United States in 2022, representing a nearly 80% increase in just 5 years. Although cases hit historic lows in 2000 and 2002, the trendline has climbed steeply since. Cases in nearly every demographic group and region increased, CDC says. Even more concerning, 3,755 cases of congenital syphilis were recorded among newborns in 2022, which represents more …

Protective Effect Against HPV Seen in Vaccinated Generation

New long-term data shows the human papillomavirus (HPV) vaccine introduced in 2006 to reduce the incidence of cervical cancer in women is having its intended effect. An observational study of 447,845 women in Scotland born between 1988 and 1996 revealed there were no cases of cervical cancer found among those who received the vaccine at age 12 or 13—even if the patient did not receive all 3 of the recommended doses. Those who were immunized …