Practice Management
In November, we told you the Centers for Disease Control and Prevention was urging clinicians to “act now to better understand, contain, and stop the spread of” infection caused by drug-resistant Candida auris. Since then, the number of C auris cases in the U.S. has more than doubled (from 13 to 35, with 28 of them occurring in New York alone). C auris can cause serious bloodstream infections, transmits easily from person-to-person in healthcare settings, …
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Conventional wisdom says that urgent care is the place to go unless a patient has life- or limb-threatening problems. Even typically benign illness like strep throat can turn into something far worse if it’s not diagnosed and treated correctly, however. In one extreme case detailed on The Today Show website, a Michigan man ended up losing fingers and parts of his feet after a missed diagnosis of strep ultimately led to septic shock that nearly …
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You’ve read here that mumps has been spreading like wildfire in certain states, especially on college campuses and among school-aged children. Instead of winding down, however, outbreaks are actually picking up steam in multiple states, according to the Centers for Disease Control and Prevention, underscoring the need for urgent care centers to help raise awareness about prevention in their communities. The CDC says cases of mumps has been confirmed in 37 states and the District …
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Coming off its highest calendar-year incidence in a decade, mumps struck 495 people in the U.S. in the first 28 days of 2017 alone, according to the Centers for Disease Control and Prevention. The cases are spread across the entire breadth of the country, from Washington to Pennsylvania, pointing to a need for vigilance and preparedness in urgent centers in every region. First, clinics must be ready to assess patients and confirm or dismiss a …
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There’s no shortage of patients reporting to urgent care centers with back pain being their chief complaint. A new study published in Annals of the Rheumatic Diseases confirms they’re not likely to get satisfactory relief from nonsteroidal anti-inflammatory drugs (NSAIDs), though. Machado, et al looked at 35 randomized, placebo-controlled trials that compared the efficacy and safety of NSAIDs with placebo for spinal pain. They found that treatment effects met the threshold for clinical importance in …
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While the country is locked in its annual battle against influenza, a second “bug” is creeping up and taking its toll on schools and workplaces, as well. Like the flu, norovirus picks up steam in the winter months and is especially hard—sometimes deadly—on seniors and young children. Now the Centers for Disease Control and Prevention predicts February will be the peak month for infection, which is characterized by intense gastrological symptoms such as nausea, vomiting, …
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Hospitalizations for influenza are up 66% over the same period last year in Oregon, according to the Oregon Health Authority. They’re not just coming in through the emergency room, either; one clinician says his hospital’s urgent care and family practices departments, in addition to the ED, are all packed with flu patients. The spike in cases has put pressure on all practice settings, prompting the Health Authority to step up its efforts to promote flu …
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Urgent care clinicians have been told to test, or refer for testing, pregnant patients who could have been exposed to Zika virus (or had sexual relations with a partner would could have been exposed). Now the Food and Drug Administration says some such patients could have tested positive for Zika even though they don’t actually have not been infected. LabCorp’s ZIKV Detect test, specifically, should not be relied on to make “significant patient management decisions,” …
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Just weeks ago, the Centers for Disease Control and Prevention revealed there had been more than 2,300 cases of mumps confirmed around the country—more than twice the number that occurred in all of 2015. Today there are over 2,000 under investigation in Arkansas alone, with several other states still reporting higher-than-average outbreaks. Urgent care clinicians in college towns should be aware that campuses in affected areas have been especially hard hit. The University of Missouri …
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Just days after the World Health Organization declared Zika virus is no longer a “global emergency,” a new case that appears to have been transmitted locally was reported in Texas—marking the first time such a domestic case has occurred outside of Florida. More than 250 people in Texas have been infected previously, but all those cases could be traced back to travel in a region where the virus is prevalent, or having sexual relations with …
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