Practice Management
Long COVID is possibly more prevalent than what might be recorded in electronic health record (EHR) diagnostic or referral codes, according to a descriptive study in eClinicalMedicine. Researchers analyzed clinical data from more than 19 million adults in England from November 2020 to January 2023. A total of 55,465 patients were identified with long COVID, based on 20,025 diagnostic codes and 35,440 referral codes. Median follow-up was 2.2 years, and the rate of long COVID …
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Encouraging Shorter Course Antibiotic Prescribing Take Home Point: In this quality improvement project, both education with performance feedback in combination with clinical decision support (CDS) were effective in modifying clinician behavior surrounding antibiotic prescribing. Citation: Vernacchio L, Hatoun J, Patane L, et al. Improving Short Course Treatment of Pediatric Infections: A Randomized Quality Improvement Trial. Pediatrics.2024;153(2): e2023063691 Relevance: There is increasing evidence that shorter courses of antibiotics for the treatment of pediatric pneumonias (CAP) and …
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Patients who test positive for COVID-19 or believe they are infected no longer need to stay home and isolate for 5 days, as per new Centers for Disease Control and Prevention (CDC) guidelines adopted last week. The CDC reworked its prevailing guidance, saying that COVID-19 “is no longer the emergency that it once was,” and people who with COVID-19 can return to everyday activities if their symptoms are mild, have been improving, and it’s been …
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Omicron versus Flu & RSV – Which is Most Dangerous for Children? Take Home Point: In this study, hospitalization rates were highest for patients with RSV than Omicron (COVID-19) in all age groups of children. Citation: Hedberg P, Abdel-Halem L, Valik J, et. al. Outcomes of Pediatric SARS-CoV-2 Omicron Infection vs Influenza and Respiratory Syncytial Virus Infections. JAMA Pediatr. 2023 Dec 26: e235734. doi: 10.1001/jamapediatrics.2023.5734 Relevance: With increasing availability for respiratory pathogen testing, it is …
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A study in JAMA Network Open found people who engaged in higher levels of physical activity before the pandemic experienced lower odds of developing COVID-19 and related hospitalizations from May 2020 through May 2022. In studying patients 45 years or older with 5,890 cases of COVID-19 and 626 hospitalizations, researchers found those who achieved at least 7.5 hours per week of physical activity pre pandemic had significantly reduced odds of COVID-19 diagnosis and hospitalization compared …
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Insights on a number of health conditions potentially triggered by or exacerbated by COVID-19 continue to surface in the literature. Researchers have found a higher risk of digestive disorders in COVID-19 survivors when comparing them to a contemporary group (who lived at the same time as the COVID-19 group), and a historical group (whose data was sourced from a time period prior to October 2019). Analysis of the BMC Medicine study presented in CIDRAP show …
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The JN.1 variant of the SARS-CoV-2 virus appears to be more contagious than other members of the Omicron family, driving indicators of infection levels and COVID-19 illness. Even so, this currently circulating variant seems to produce a more mild illness with less need for medical attention. Data from the Centers for Disease Control and Prevention as reported in JAMA Network shows emergency department visits for COVID-19 are down 21% this year, and the percentage of …
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Urgent care centers and emergency departments (EDs) in Cook Children’s Medical Centers in Fort Worth and Prosper, Texas, are grappling with a sudden surge in RSV, influenza, and COVID-19. According to the medical center’s website, the hospitals are overwhelmed, struggling to accommodate infants with severe RSV cases. Last week, of the more than 800 RSV tests conducted, 29% were positive, while COVID-19 positivity stood at 4%. The medical center’s urgent care centers see about 800 …
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What Should We Do with the Nail? Nailbed Repair in Children Take Home Point: After nail bed repair, discarding the fingernail was associated with similar rates of infection and similar cosmetic outcomes compared to replacement of the fingernail. Citation: Jain A, Grieg A, Jones A, et al. Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial. BJS, 2023, 110, 432–438 https://doi.org/10.1093/bjs/znad031 Relevance: Procedures for nail bed …
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How Long Should We Prescribe Antibiotics for Pediatric UTI? Take-Home Point: Children receiving 5 days of antibiotics for urinary tract infection (UTI) had a higher rate of treatment failure that children receiving 10-day courses. However, absolute treatment failure rates were low in both groups. Citation: Zaoutis T, Shaikh N, Fisher B, et. al. Short-Course Therapy for Urinary Tract Infections in Children: The SCOUT Randomized Clinical Trial. JAMA Pediatr. 2023 Jun 26; e231979. Relevance: There have …
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