Clinical

Pre-exposure prophylaxis (PrEP) against HIV infection is controversial. Proponents hail it as a long-overdue opportunity to save lives and stem a public health crisis. Some urgent care providers are exploring whether it’s a viable opportunity both clinically and economically. Then again, some clinicians and public health officials believe offering PrEP de-incentivizes patients from using safe-sex practices and making healthy sexual decisions. A newly published article in the Journal of the American Medical Association raises another …

Urgent care providers have gotten the message that rampant opioid prescribing has led to a public health crisis rooted in addiction and death. And it’s likely new prescriptions have dropped considerably as a result. However, knee-jerk attempts to stop taking them immediately also poses the threat of “serious harm” to patients, according to the U.S. Food and Drug Administration. Going cold turkey or dropping existing doses too suddenly has led to withdrawal symptoms, uncontrolled pain, …

In response to mounting cases across the globe, this week the Centers for Disease Control and Prevention called Candida auris an “emerging fungus” that poses a “serious global threat.” It spreads in healthcare settings via contact with exposed surfaces and person-to-person contact. It’s also resistant to some or all antifungal drugs, according to the CDC, making it an especially vexing concern. The most common symptoms include chills and fever that do not respond to antibiotic …

A study just published in the journal Pediatrics reveals that the rate of antibiotic prescribing for children with symptoms of acute respiratory infections is higher in connection with direct-to-consumer telemedicine than for those children whose parents take them to an urgent care center or primary care provider. Unfortunately, only 59% of those prescriptions were in accord with existing guidelines, the authors reported; the rate of “compliant” prescriptions in urgent care and primary care visits topped …

The Centers for Disease Control and Prevention—along with the Food and Drug Administration, the Department of Agriculture, and numerous state departments of health—are investigating a growing outbreak of Shiga-producing E coli. Cases have turned up in Georgia, Kentucky, Ohio, Tennessee, and Virginia as of April 4. So far 72 people have been infected; there have been multiple hospitalizations, but no deaths or cases of hemolytic uremic syndrome (a type of kidney failure) have occurred, to …

We’ve told you about a warning from the Centers for Disease Control and Prevention that influenza season continues to linger, no matter what the calendar says. A new study in JAMA Cardiology serves as reminder that it’s essential—and possibly lifesaving—to remain vigilant for related cardiovascular concerns, especially among heart failure patients with the flu. The authors of the study evaluated the connection between flu activity and hospitalizations for heart failure and myocardial infarction in four …

Cases of hepatitis A virus (HAV) in the United States have been creeping up slowly but steadily since 2016 for several years now—to the extent that there are now over then 15,000 active cases across the country. Over half of those (57%) have resulted in hospitalizations, and 140 people have died. In response, the Centers for Disease Control and Prevention just issued an advisory on its Health Alert Network for patients, public health departments, healthcare …

Warmer weather means a lot of things in the United States—putting away the heavy coats, longer daylight hours, more time outside—but not necessarily the end of flu season, especially this year. The Centers for Disease Control and Prevention just issued a new warning that even though the H1N1 strain of influenza that has dominated the 2018–2019 season is on the wane, there’s been a recent uptick in cases of the stronger H3N2 strain. During the …

You’ve read here about the advent of urgent care facilities dedicated to mental health issues. Psychiatric urgent care has not gained much traction thus far, however. That doesn’t mean such patients will stop presenting, of course. By the time patients do present due to mental health concerns, in fact, they’re likely to be in full-blown crisis or possibly in the throes of a drug-induced event. As always, the first priority is to assess the current …

The intersection of uninsured Americans and the high cost of medications is a dangerous one. One aspect that may go under-recognized amid the politicized headlines is exactly how some patients choose to cope with shortfalls or gaps in coverage. And it may affect more patients than you realize; according to new data from the Centers for Disease Control and Prevention, around one-third of uninsured American say they did not take their medication as prescribed in …