Journal of Urgent Care Medicine

Too Many Kids With AOM Use Antibiotics For Too Long

A study conducted at 2 pediatric academic healthcare systems resulted in data showing that 75% of antibiotic prescriptions for children with acute otitis media (AOM) were written for durations longer than recommended. As presented in the Journal of the Pediatric Infectious Diseases Society, the researchers focused on 5-day antibiotic prescriptions as the primary outcome and compared them to 7-day and 10-day prescriptions. They also examined treatment failure, recurrence of AOM, hospitalization, and adverse drug events. …

Abstracts in Urgent Care – March 2022

When Handlebar Meets Abdomen Corticosteroids and Asthma Antibiotics in Pediatric PAC Surfactant Use in AOM COVID Pneumonia and Disease Progression Neutralizing Antibodies in COVID Pediatric Abdominal Injuries from Handlebars Take-home point: Handlebar impact is a high-risk mechanism for serious intraabdominal injury in children and necessity of operative intervention is common. Citation: Vanderwalle R, Barker S, Raymond J, et. al. Pediatric handlebar injuries: more than meets the abdomen. Pediatr Emerg Care. 2021;37(9):e517-e523. Relevance: It is important …

Time to Presentation for Acute Otitis Media During the COVID-19 Pandemic

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 …

Urgent Care Management of Acute Otitis Media in Children

Urgent message: The possibility of ear infection is the most common reason parents seek care for their young children during viral upper respiratory infections with fever. Urgent care providers should know the new criteria for making the clinical diagnosis and how to use technology such as an acoustic otoscope before concluding that antibiotics are necessary. MICHAEL E. PICHICHERO, MD Diagnosing acute otitis media (AOM) is a visual process based on viewing the eardrum and determining …

Abstracts in Urgent Care: April, 2014

Prompt Treatment of Pediatric UTI Prevents Renal Scarring Key point: To avoid renal scarring, don’t wait for urine culture in pediatric patients. Treat within 3 days. Citation: Coulthard MG, Lambert HJ, Vernon SJ, et al. Does prompt treatment of urinary tract infection in preschool children prevent renal scarring: Mixed retrospective and prospective audits. Arch Dis Child. 2013 Dec 18; [e-pub ahead of print]. Investigators in England looked at the relationship between time to treatment and …

Treating Common Upper Respiratory Tract Infections in an Era of Increasing Antibiotic Resistance

Urgent message: Thorough evaluation and thoughtful prescribing can help ensure responsible, effective care and patient satisfaction. Joseph Toscano, MD Introduction Upper respiratory tract infections (URTIs) are among the most common reasons patients seek assistance in urgent care practice. The common cold, otitis media, acute sinusitis, and acute pharyngitis are well known to patient and provider alike. Acute bronchitis is a lower respiratory tract infection, with features similar to URTIs. These infections are most often self-limited …

Abstracts In Urgent Care: October, 2008

A Short Video About What to Expect in the ED Increases Patient Satisfaction Key point: Showing the video to patients in the ED waiting room increased their satisfaction with the ED experience. Citation: Papa L, Seaberg DC, Rees E, et al. Does a waiting room video about what to expect during an emergency department visit improve patient satisfaction? CJEM. 2008;10:347-354. Assessment of patient satisfaction has become a component of physician and emergency department evaluation. Investigators …