Practice Management
In addition to reminding clinicians that all patients 6 months of age and older should receive flu shots by the end of this month, the Centers for Disease Control and Prevention is trying to get the word out that children between 6 months and 8 years of age should receive their vaccinations twice, approximately 28 days apart. Like last year, the CDC also recommends against using the nasal pump spray because it’s been deemed inefficient …
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The Centers for Disease Control and Prevention has served notice that 47 states and the District of Columbia have confirmed cases of West Nile virus (WNV) in people, birds, or mosquitoes this year. All told, there have been 1,295 cases among humans. California has seen the most—258 cases, with 47 popping up in a single week this month, including 12 fatalities. Texas is second in the country, with 105 cases, but has a higher number …
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We told you in August about a hepatitis A outbreak that killed eight people in San Diego County, CA. The worse news is that hep A continues to spread throughout California—and could continue to do so for years to come, according to the Centers for Disease Control and Preventions. At least 569 people have been infected, including 17 who have died, since last November in San Diego, Santa Cruz, and Los Angeles counties. They’re among …
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Rising rates of antibiotic resistance in general have been discussed extensively. What has not been addressed as specifically is the growing number of cases of antibiotic-resistant gonorrhea and other sexually transmitted diseases. Data that show condom use is declining makes this trend even more alarming, the World Health Organization warns. Neisseria gonorrhoeae, the bacteria that causes the STD, in particular, has become prone to developing resistance to the drugs used to treat it, according to …
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The 2016–2017 flu season is far enough behind us that health system numbers crunchers can assess how well the vaccine performed—and it’s definitely a mixed bag. While it was a good match for the predominant strain (Type A H3N2) and was around 42% effective in preventing illness severe enough to send patients to the doctor’s office, the Centers for Disease Control and Prevention admits that it was essentially ineffective in protecting people age 65 and …
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New guidelines for caring for young athletes with concussions favor movement over rest more than previous recommendations. The advisory, published in the British Journal of Sports Medicine, suggests that getting the patient to start moving—slowly, with gradual increases—may shorten recovery time. The authors are very clear that this does not mean returning to the field of play right away, however. Rather, where patients have been instructed to rest until symptoms completely disappear previously, there now …
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A pair of recent news stores add up to a cautionary tale for clinicians inclined to assume ailments commonly identified in the urgent care setting pose no serious threats. One case resulted in the partial amputation of a child’s leg, while the other cost a child her life. In Akron, OH a 6-year-old girl’s strep throat was followed by a flu diagnosis. When her left leg began to swell and she begged her parents not …
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Just a month ago, we told you the number of current cases of Candida auris had more than doubled (from 13 to 35) in the United States. Now the Centers for Disease Control and Prevention has revealed that at least 61 people have been diagnosed with C auris in recent years, and called the current situation a “catastrophic threat” to public health. The mortality rate for C auris infection is about 60%. The greatest concern …
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Various bodies in the United States are devoting significant resources to tracking methicillin-resistant Staphylococcus aureus (MRSA) infections. However, they’re doing so in “silos” with little coordination from one to the next, which is getting in the way of developing strategies to control the spread of MRSA, according to a report published in Antimicrobial Resistance & Infection Control. At least one of the organizations cited in the report for tracking and reporting MRSA infections, Tricare, which …
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With the opioid addiction crisis hanging over their heads, physicians are constantly weighing the risk vs benefit of prescribing narcotics for patients in extreme pain. This can be especially tough when treating younger patients who’ve sustained an injury, such as those increasingly common in youth sports. Many physicians who specialize in sports medicine have started using a multimodal approach that employs counseling, physical therapy, and even nerve blocks. Some states have launched efforts (and even …
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