Practice Management
Cases of COVID-19 have surged in emergency departments (EDs) over recent weeks, according to new data from the Centers for Disease Control and Prevention (CDC), and surges are now demonstrating upward slopes that could lead to peaks similar to what communities might expect in the cooler months of fall. The weekly average of ED patients with COVID-19 has reached 1.18% in the United States overall but 2.9% in Florida, making the “sunshine state” a leader …
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A recent survey conducted by Physicians Practice provides some benchmarking insight for operators regarding staff salaries. According to survey respondents, more than a quarter of them say their full-time nurse practitioners earn within the range of $100,000-$125,000; only a small percentage earn less than $75,000 a year. As for medical assistants, the largest portion of survey respondents (37%) pin those salaries in the range of $30,000 to $40,000 a year with another 23% saying they …
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A new study in Emerging Infections Diseases describes 5 children who had Rocky Mountain spotted fever (RMSF) and manifested clinical symptoms similar to multisystem inflammatory syndrome (MIS-C) in Mexico. Although the number of cases was small, it may be an important differential because Rocky Mountain spotted fever can progress rapidly to death or severe illness if appropriate antimicrobial drug therapy is not delivered within the first 5 days after illness onset. Among the 5 cases, …
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In a new brief, the Centers for Disease Control and Prevention (CDC) recommends that everyone ages 6 months and older receive an updated 2024-2025 COVID-19 vaccine and flu vaccine once the updated formulations become available this fall—ideally aiming for vaccination in September or October. A few distinct situations have varying dosing schedules for flu vaccines. Just as one example, CDC said adults (especially those 65 years old and older) and pregnant moms in the first …
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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 …
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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 …
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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, …
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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 …
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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. …
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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 …
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