Journal of Urgent Care Medicine

Cranberry Juice Helps Kids With Recurrent UTI

Preventing recurrent urinary tract infection (RUTI) in children usually involves antibiotic prophylaxis. A new meta-analysis in Pediatrics of 23 randomized controlled trials found that for children with a history of RUTI, the antibiotic nitrofurantoin and cranberry products— both cranberry juice and tablets as supplementation—appeared to decrease the incidence of symptomatic episodes. Nitrofurantoin significantly lowering odds of symptomatic UTI episodes during prophylaxis, whether compared with controls (odds ratio [OR] 0.21, 95% confidence interval [CI] 0.07-0.65, P=0.007) …

Novant Acquires UCI, Adds 52 Urgent Care Clinics

Novant Health has completed its acquisition of UCI Medical Affiliates, Inc. (UCI), previously owned by BlueCross BlueShield of South Carolina. The deal includes 52 Doctors Care urgent care clinics and 20 Progressive Physical Therapy clinics. UCI also provides nonmedical management and administrative services specifically for urgent care and physical therapy operators. Charlotte-based Novant has 3 hospitals in South Carolina, so the urgent care additions will no doubt offer some new referral source potential. Staying the …

New Bouncebacks! Medical and Legal Edition Informs Patient Safety, Reduces Risk

The new Bouncebacks! Medical and Legal 13th Anniversary Edition book, created by JUCM Senior Clinical Editor Michael B. Weinstock, MD, has the potential to change practice by improving patient safety while also decreasing legal risk to the clinician. Bouncebacks! offers actual chart documentation for challenging cases, chapters on legal issues (including “How to Spot the Well-Appearing Patient Who Will Soon Be Dead,” and “Litigation Stress: A Personal Story”), specific documentation recommendations, and deposition and trial …

UH Building Up Urgent Care in Ohio to Match Cleveland Clinic

In the northern Ohio market, University Hospitals (UH) has paired with WellStreet Urgent Care to open a flurry of UH-branded urgent care centers in suburban locations. Within 2 years, the joint venture is aiming to have 36 UH urgent care centers open across the region—directly competing with the existing 36 centers currently operated by UH rival Cleveland Clinic, according to Cleveland.com. UH has selected sites near its primary care offices to better close the loop …

Zoning Upends Bon Secours Urgent Care Plans

Urgent care site selection can be tricky business. Once operators have sized up their addressable market, considered the competition, and estimated the available workforce, opening their doors may seem like a cinch. However, local zoning approvals must figure into site selection strategy as well. Last week, city councilors in Celina, Ohio, voted down a rezoning measure, which ultimately prevented Bon Secours Mercy Health from building a 4,200-square-foot urgent care on a former manufacturing site in …

Ascension Acquires Independent Urgent Care in Kansas

Ascension’s Via Christi Hospital in Kansas has acquired K+STAT Urgent Care, according to local WIBW News. While Via Christi is managing all assets and operations as of November 1, K+STAT will continue to see patients in the same location under its established brand. Via Christi has 6 hospitals and 75 care sites in the state. K+STAT is a single-site urgent care directed by 8 board certified family physicians, according to the website, and it’s the …

AHA Teams Up With FBI on Healthcare Violence Resources

The American Hospital Association (AHA) and the FBI’s Behavioral Analysis Unit collaborated on a new bulletin that offers the first in a series of practical resources to help mitigate violence in healthcare settings. The goal is to promote greater adoption of violence prevention strategies and address the escalating threats and acts of violence against healthcare facilities and workers. As the program moves forward, AHA will provide updated resources for providers to implement threat assessments and …

Consider Patient Environment And Critter Infestations That May Cause Pruritus

Scabies, bedbugs, and body lice commonly cause pruritus and rash, and accurate diagnosis of the symptoms should include consideration for social drivers of health, such as housing status and living environment, according to a recent literature review presented in JAMA. It’s concerning because pruritus may persist after scabies treatment—largely due to misdiagnosis and inadequate treatment—and persistent scratching can present a risk for skin infection. While bedbug bites usually resolve after 1 week without treatment, professional …

New Oral Drug Approved For UTIs

The Food and Drug Administration (FDA) has approved the combination sulopenem etzadroxil and probenecid, an oral antibiotic, to treat bacterial urinary tract infections (UTI) in adult women caused by Escherichia coli, Klebsiella pneumoniae, or Proteus mirabilis. Manufacturer Iterum Therapeutics anticipates a commercial launch for the drug, branded as Orlynvah, in 2025, according to Reuters. The oral drug is taken twice daily for 5 days and can be used to treat uncomplicated UTIs in women who …

Change Healthcare Hack Is Largest Breach Ever, Touching 100 Million

What many industry observers suggested is now confirmed: The Change Healthcare cyberattack earlier this year affected personal information of 100 million people, making it the nation’s largest-ever breach of healthcare data. Parent company UnitedHealthcare recently updated the Department of Health and Human Services’ Office for Civil Rights confirming the scope of the impact. However, it could be months or years before the department completes its investigation of Change and determines a financial penalty if it …