Journal of Urgent Care Medicine

Mild Winters Keep Ticks Biting

The potential for greater spread of harmful pathogens is yet another negative aspect of climate change that should be examined closely, according to infectious diseases experts in a recent JAMA article. Atmospheric changes are driving alterations in pathogens and parasites as temperatures rise and weather extremes persist, including severe heat, droughts, and wildfires. Authors found recent rises in vector-borne, zoonotic, fungal, and waterborne diseases they believe are the result of climate change. Conditions such as …

Comparing Urgent Care and Hospital Pneumonia Diagnoses

A retrospective study conducted across 28 urgent care clinics in Utah found an estimated rate of pneumonia overdiagnosis in urgent care clinics of 30%. The authors arrived at the estimate by examining a group of 7,214 patients’ pneumonia diagnoses recorded from January 2019 through December 2020 in the urgent care centers and comparing them with subsequent diagnoses in an emergency department (ED) or hospital. Of the urgent care patients who were later seen in an …

Taking the Distress Out of Needle Pokes

What’s worse: getting a vaccine or watching your child in distress when he or she gets a vaccine? For many parents, their own heartbreak when experiencing their child’s needle pain makes vaccines and blood draws that much more difficult for both. In time, as a news item from KFF Health News notes, the distress of needle pain can follow children as they grow, posing a barrier to preventive care into adulthood. As many as a …

Rare MIS-C Cases Increased During COVID-19 Surges

As the prevalence of COVID-19 cases increased in the fall of 2023, so too did the cases of multisystem inflammatory syndrome in children (MIS-C). The Centers for Disease Control and Prevention recently reported that MIS-C incidence—while still quite rare—was highest in late 2020 through early 2021. However, cases rose alongside COVID-19 activity in the general population late last year. Among the 117 MIS-C patients with illness onset in 2023, 68 (58%) had no underlying medical …

Rapid Viral Tests Best When They Inform Treatment Decisions

A recent review suggests that the routine application of rapid respiratory viral tests in emergency departments (EDs) offers limited benefits for antimicrobial stewardship. Presented in JAMA Internal Medicine, the review examined 11 randomized clinical trials involving patients with acute respiratory infections (ARIs) seeking care in EDs. It revealed that while rapid viral testing led to increased usage of influenza antivirals among positive cases (absolute risk difference 1%), it did not significantly impact overall antibiotic use, …

Patients, Clinicians Have Similar Accuracy With Interpreting At-Home COVID Tests

When patients use at-home tests to check for COVID-19, their results are similar to results from clinicians using the same tests, according to a study in Microbiology Spectrum. Researchers compared the sensitivity and specificity of Abbott’s BinaxNOW patient-administered rapid antigen test (RAT) against RATs administered by a healthcare provider and against reverse transcription-polymerase chain reaction (RT-PCR). Of the 953 patients, 34.1% had at least 1 COVID-19 symptom. Hospital staff administered a RAT and an RT-PCR …

Smartwatches Show Promise in Detecting Arrhythmia in Kids

According to a retrospective study, smartwatches can detect arrhythmia events in children, including events that are not generally captured with ambulatory monitors. The study presented in Communications Medicine examined medical records for 145 patients under 18 years old and documented potential arrhythmias that were identified by an Apple Watch. Recordings were captured when the patients believed that their heart rhythm was abnormal. Scott Ceresnak, MD, director, of the Pediatric Electrophysiology Program, Stanford Medicine Children’s Health, …

Video Consultation May Not Have Advantages For Pediatric Prescribing

Researchers found the use of video telemedicine to conduct consultations for acutely ill children in rural and community emergency departments (EDs) does not reduce medication errors when compared to consultations done by telephone, as presented in JAMA Network Open. A randomized trial across 15 community and rural EDs that examined 696 cases of acutely ill children found no statistically significant differences in physician-related medication errors between cases leveraging telephone consultations when compared to cases leveraging …

Buprenorphine, Liraglutide Could Be A Promising Combination

An analysis in Stat shared recent findings from the American Association for the Advancement of Science conference that indicate liraglutide–the glucagon-like peptide-1 (GLP-1) medication used for weight loss—significantly reduced opioid cravings for patients in a small randomized controlled trial. The 20 patients used anti-obesity drugs for opioid use disorder for 3 weeks, and those using liraglutide experienced a 40% reduction in opioid cravings, even when the lowest dose was used. Ramp up recovery: Buprenorphine is the …

Flu Can Increase Risk of Heart Attack and Stroke in Older Patients

The risk of atherothrombotic events in patients aged 50 and older care more than double in the 14 days following an influenza diagnosis, according to research presented in The Journal of Infectious Diseases. For those with severe cases, the risk of acute myocardial infarction and ischemic stroke increased more than 4-fold and remained high for 2 months following the flu event. Authors examined the link between influenza illness diagnosed in the primary care and hospital settings …