Urgent message: Concern over the potential spread of COVID-19 may (or may not) have affected the timeliness with which parents chose to present with children who had symptoms concerning for acute otitis media, thereby throwing the concept of “delayed” antibiotic prescribing into question. Emily J. Montgomery, MD; Brian R. Lee, PhD, MPH; Amanda Montalbano, MD, MPH; Amanda Nedved, MD Citation: Montgomery RJ, Lee BR, Montalbano A, Nedved A. Time to presentation for acute otitis media …
Read MoreApproach to the Transgender Adolescent and Specific Health Considerations
Urgent message: It is common for transgender patients to have a history of poor experiences with healthcare providers. As such, they may be less likely to have an ongoing clinical relationship with a primary care provider, making urgent care a likely destination when a need arises. Familiarity with issues facing adolescent transgender patients, in particular, can benefit both the provider and the patient. Timothy McGinnis and Emily Montgomery, MD THE CASE A 15-year-old transgender male …
Read MoreIt’s Officially Time to Start Offering COVID-19 Boosters to 16- and 17-Year-Olds
With the blessing of the Centers for Disease Control of Prevention and the Food and Drug Administration, urgent care providers are now at liberty to administer booster doses of COVID-19 vaccine for patients as young as 16 years of age. The CDC made its recommendation the same day the FDA announced that it had expanded its Emergency Use Authorization for the Pfizer-BioNTech vaccine to include 16- and 17-year-olds. As with adults, those boosters can be …
Read MoreMake Sure Parents Know Kids with Asthma May Be Especially Vulnerable with COVID-19
While patients with asthma were not found to be at greater risk for COVID-19 or poor outcomes with the virus early on in the pandemic, it now appears that children with asthma are more likely to wind up in the hospital if they become infected. In fact, according to an article published in MedPage Today, a retrospective study of approximately 750,000 children (5 to 17 years of age) in Scotland showed a greater than sixfold …
Read MoreEspecially These Days, Kids Hospitalized with CAP May Be Coming Your Way Post Discharge
COVID-19 continues to have many people a little skittish about rushing to the emergency room. And between the pandemic and staffing problems, even some hospital administrators are recommending that patients visit an urgent care center unless they truly have an emergency. As such, urgent care providers should be aware of a new study published by JAMA Network regarding the need for re-treatment of children who were hospitalized with community-acquired pneumonia. The population consisted of 824 …
Read MoreVaccination of 5- to 11-Year-Olds Against COVID-19 Isn’t Just Approved—It’s Urgent
At this point, you’ve probably heard that the Food and Drug Administration and the Centers for Disease Control and Prevention recommend that children 5- to 11-years-old be vaccinated against COVID-19 with the Pfizer pediatric vaccine. What may be news is the sense of urgency the CDC is exhibiting in sharing the news, with the agency suggesting in a statement that healthcare providers “begin vaccinating them as soon as possible.” While the perception of the public (and some public officials) …
Read MoreLearner Presence Does Not Negatively Impact Patient Experience in Pediatric Urgent Care
Urgent message: Shorter urgent care visits are correlated with higher experience scores. The presence of learners does not negatively impact patient experience scores. David Skoglund, MD, MS; Brian Lee, PhD, MPH; and Amanda Montalbano, MD, MPH Citation: Skoglund D, Lee B, Montalbano A. Learner presence does not negatively impact patient experience in pediatric urgent care. J Urgent Care Med. 2021;16(2):30-36. ABSTRACT Objective The number of trainees seeking pediatric educational opportunities in community outpatient settings is …
Read MoreToo Many Kids Are Behind on Basic Vaccinations Thanks to the Pandemic. Help Them Catch Up
While COVID-19 vaccination mandates are the raging debate of the moment, something more fundamental but equally fraught with the potential for danger has gone largely unnoticed. Many medical practices—including pediatric offices—discouraged or outright ceased visits for routine care at times during the pandemic. Consequently, according to new research published by JAMA Pediatrics, the proportion of children who are up to date on their childhood vaccinations has suffered. Based on review of vaccination rates in 2019 …
Read MoreCOVID-19 Cases Are Dropping in Adults, but Surging in Children. Counsel Parents Accordingly
Owing to the facts that adults have been eligible to receive the COVID-19 vaccine longer than children (with many children still not able to do so) and schools have been back in session for more than a month now, cases among children have grown to the extent that they now make up a disproportionate share of the U.S. caseload. According to data from the American Academy of Pediatrics, children make up 22% of the U.S. …
Read MoreSome Parents May Rage, but Data Show School Mask Mandates Reduce Risk for COVID-19
Drive through many residential neighborhoods in the U.S. and you’re likely to see banners raging against mask mandates for schoolchildren. Grassroots organizations have even taken to buying space on billboards decrying the “cruelty” of making children wear masks and ridiculing the notion that doing so offers any protection at all. The Centers for Disease Control and Prevention would probably beg to differ, however, as data from a newly released study show there is a distinct …
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