Journal of Urgent Care Medicine

UCA Renews Campaign to Boost Antibiotics Best Practices

The Urgent Care Association, long a proponent of sound antibiotic stewardship as a safeguard against drug-resistant bacteria, is working with the George Washington University Antibiotic Resistance Center on an initiative to improve antibiotic prescribing practices. One key element, through the College of Urgent Care Medicine, is an antibiotic stewardship toolkit based on the Core Elements of Outpatient Antibiotic Stewardship developed by the Centers for Disease Control and Prevention. UCA also just took part in—and sponsored—a …

CDC: Antibiotics Are Still Being Overprescribed for Respiratory Infections—Including Flu

Far too many prescriptions are being written for patients with acute respiratory infections, including influenza, according to a new report from the Centers for Disease Control and Prevention. As many as 41% of antibiotic prescriptions for ARIs were deemed “inappropriate” by the CDC. In addition, despite published guidelines, vigorous public awareness campaigns, and missives to prescribers, nearly 30% of patients who tested positive for viral flu infection were prescribed antibiotics. The data, published in JAMA …

Antibiotics Week: A Chance to Attract—and Protect—New Patients

The Centers for Disease Control and Prevention and the White House are working together to foster more responsible use of antibiotics in all healthcare settings by promoting Get Smart About Antibiotics Week, November 14–20. The CDC estimates 2 million Americans become infected with an antibiotic-resistant germ every year, meaning illness that could previously have been treated with a standard antibiotic may land your patients in the hospital (or worse; 23,000 patients die every year from …

Productive Cough and Chills in an Adult

A 37-year-old woman without a significant past medical history presents after 3 days of a cough that produces yellow sputum with some streaks of blood. She has not checked her temperature but says she has “felt warm” and has some chills. She does have associated shortness of breath, but she reports that she has not had chest pain, leg pain or swelling, sweating, or headache. She has a history of hypertension, and she takes an …

CDC’s Get Smart About Antibiotics Week 2015 Supports Urgent Care Patient Education

The Centers for Disease Control and Prevention’s Get Smart About Antibiotics Week 2015 offers an opportunity for urgent care center management to get the word out about both their own services and the importance of responsible antibiotic use. With more than a third of urgent care centers in the US writing between 73 and 144 prescriptions for antibiotics each month, clinicians are all too familiar with the patient who shows up looking for a Z-Pak …

Abstracts in Urgent Care: May, 2014

Signs of aging and risk of heart disease Key point: Some outward signs of aging may correlate with increased risk of heart disease including MI. Citation: Christoffersen M, Frikke-Schmidt R, Schnohr P, et al. Visible age-related signs and risk of ischemic heart disease in the general population: A prospective cohort study. Circulation. 2014;4l128(9):990-998. Investigators in Denmark in this 35-year prospective trial attempted to see if outward signs of aging (frontoparietal baldness, crown top baldness, earlobe crease, …

Abstracts in Urgent Care: February, 2014

Pyuria Poor Predictor of UTI in Nephrolithiasis Key point: Classic symptoms and urine culture are the best indicators of infection in patients with acute nephrolithiasis. Pyuria proved a poor predictor. Citation: Abrahamian FM, Krishnadasan A, Mower WR, Moran GJ, Talan DA. Association of pyuria and clinical characteristics with the presence of urinary tract infection among patients with acute nephrolithiasis. Ann Emerg Med 2013;62(5):526-533. Infection can complicate the diagnosis of acute nephrolithiasis. Patients with both a …