Journal of Urgent Care Medicine

Antimicrobial-Resistant Gonorrhea Becomes Global Concern

Canada’s public health agency has reported an increase in antimicrobial-resistant gonococcal infections. Data on 3,377 gonorrhea cases revealed that over a span of 2 years, antimicrobial-resistant gonococcal infections increased while gonococcal cultures demonstrating resistance rose from 24.8% in 2020 to 44.5% in 2021. Resistance to ciprofloxacin was most prevalent, rising from 46.6% of cases in 2020 to 63.1% in 2021. More than 80% of the gonorrhea cases studied were among males, and 55.5% of those …

Abstracts in Urgent Care – June 2022

Maximizing the Value of Urine Dipstick Testing Screening for Intimate Partner Violence Antibiotics for Children with RTI Azithromycin in Pediatric Viral Infection Self-Monitoring BP with Unvalidated Devices Modified Valsalva Maneuver in SVT To Mix or Not to Mix COVID-19 Vaccines? Ivan Koay, MBChB, FRNZCUC, MD Nitrofurantoin Resistance Take-home point: Proteeae group bacteria, which are often resistant to nitrofurantoin, normally result in alkaline (ie, high pH) urine on dipstick testing. Citation: Sheele J, Libertin C, Fink …

LITERATURE REVIEW: Early Administration of Azithromycin and Prevention of Severe Lower RTI

Citation: Bacharier LB, Guilbert TW, Maugeret DT, al. Early administration of azithromycin and prevention of severe lower respiratory tract illnesses in preschool children with a history of such illnesses. JAMA. 2015;314:2034-2044. Reviewed by: Michael B. Weinstock, MD Background/question: The authors wanted to know if antibiotics administered early in the course of a respiratory tract infection (RTI) in children with recurrent, severe RTIs decreased progression of disease. Study: This is a randomized, double-blind, placebo-controlled trial at …