Journal of Urgent Care Medicine

Whooping Cough Cases Rising Toward Previous Peaks

Health officials at the Centers for Disease Control and Prevention (CDC) have reported elevated pertussis activity across multiple states, after months of warning Americans that pertussis—or whooping cough—was on pace to return pre-pandemic levels. Weekly reported cases are accelerating to the highest levels seen in the United States for years. For the month of July alone 2,410 cases were reported, bringing the total case count to 10,257 since January. This is 3.6 times higher than …

New Syphilis Home Screening Test Positioned to Raise Awareness

A new over-the-counter syphilis antibody test has received marketing authorization from the Food and Drug Administration (FDA). Branded as First To Know, the at-home screening test requires just a drop of blood and provides results within about 15 minutes, offering an early indication of a possible syphilis infection. However, any positive result must be further confirmed with laboratory testing. In a clinical trial involving 1,270 participants, the test accurately identified 99.5% of negative cases and …

Rise in Parvovirus B19 Causing Concern For Pregnant Women

The Centers for Disease Control and Prevention (CDC) issued a new health alert, calling attention to unusually high testing positivity rates for the highly transmissible parvovirus B19 as well as clusters of complications among individuals at high risk, such as those with sickle cell disease and pregnant women. Fetal infection can lead to myocarditis and aplastic crisis, and some cases of fetal anemia have required blood transfusions, according to NBC News. Also referred to as …

NY Warns of Antibiotic Resistance For Prophylactic Ciprofloxacin

New York’s department of health issued an advisory last week cautioning healthcare organizations to stop prescribing the antibiotic ciprofloxacin as prophylactic treatment for people who have come in contact with someone who has meningococcal disease. The department created the recommendation based on an increase in antimicrobial resistance with ciprofloxacin. In New York City, 6 of the 35 (17%) isolates from patients diagnosed with invasive meningococcal disease from July 23, 2023, to July 22, 2024, were …

MIS-C Could Be Caused By Molecular Mistaken Identity

New research in Nature suggests that an autoimmune over-reaction could be what’s driving a pattern of multisystem inflammatory syndrome in children (MIS-C) after COVID-19 illness. Researchers looked at 199 blood samples from children with MIS-C and 45 control samples from children with COVID-19 but without MIS-C. About one-third of the MIS-C patients had autoantibodies for part of the human protein SNX8, which is found in the heart, lungs, kidneys, brain, skin, eyes, and gastrointestinal tract. …

Pneumonia Diagnoses in EDs, Hospitals Demonstrate Wide Uncertainty

According to a study in the Annals of Internal Medicine, pneumonia diagnoses made in emergency departments (EDs) and hospitals show particular swings in diagnostic uncertainty. Researchers found that in 57% of patients hospitalized for pneumonia in 118 Veterans Affairs hospitals, the diagnosis of pneumonia changed one way or the other between initial presentation and discharge. Of the patients who were initially diagnosed with pneumonia, 36% did not have a pneumonia diagnosis when discharged. Clinical notes, …

All Adults Over 75 Should Get RSV Vaccine: CDC

The Centers for Disease Control and Prevention (CDC) recently updated vaccine guidance after its advisory committee recommended that all adults aged 75 years and older and adults aged 60–74 years who are at increased risk should receive a single dose of a respiratory syncytial virus (RSV) vaccine. The update reflects CDC’s intent to maximize RSV vaccination coverage among those most likely to benefit and to reduce implementation barriers associated with a previous recommendation that called …

More Antibiotics Used in Virtual UC Compared to In-Person: Study

In a new study published in Clinical Infectious Diseases, data showed that antibiotic prescriptions for respiratory tract infections (RTIs) were significantly more common in virtual urgent care (UC) settings vs in-person UC settings. Researchers from the Cleveland Clinic found that 58% of RTI virtual visits resulted in an antibiotic prescription, while only 43% of in-person visits did. Data included 19,003 visits to virtual UC and 69,189 visits to in-person UC from 2018 through 2022. COVID-19 …

New Blood Test Offers Option For Colorectal Cancer Screening

The Food and Drug Administration (FDA) this week approved a blood test for colorectal cancer screening in average-risk adults aged 45 and older. Known as Shield, it is the first blood test to receive FDA approval as a primary screening method for colorectal cancer and to qualify for Medicare reimbursement, according to a press release. While the price has not been announced, the test is expected to reach the market within a week. Shield will …

Cannabis Present In Rising Number of Suicide Reports

A study in JAMA Network Open examined the presence of cannabis in suicide cases, as reported to US poison centers from 2009 through 2021. Researchers found intentional, suspected suicidal cannabis exposures increased by approximately 17% annually. According to national data, 18,689 exposures were reported in the time frame, and nearly all (96.5%) cases involved exposure to more than 1 substance in addition to cannabis. Overall, 9.6% of exposures resulted in death or major adverse outcomes, …