Journal of Urgent Care Medicine

Schools Ease Student Return Protocol, Perhaps Too Much

The American Academy of Pediatrics offers recommendations for parents with sick kids, saying they should stay home for fever, vomiting, or diarrhea in the past 24 hours or when kids aren’t well enough to participate at school. But many school districts have their own sets of rules for when a child can or cannot come to class. According to AP News, 25% of California students missed 10% of class days last school year, and the …

Abstracts in Urgent Care: June, 2010

Upper Gastrointestinal Tract Hemorrhage, Warfarin, and Urinary Tract Antibiotics Key point: Ciprofloxacin increased GI hemorrhage while on coumadin by twice as much, and cotrimoxazole by four times. Citation: Fischer HD, Juurlink DN, Mamdani MM, et al. Hemorrhage during warfarin therapy associated with cotrimoxazole and other urinary tract anti-infective agents: A population-based study. Arch Intern Med. 2010; 170(7): 617-621. Hemorrhage is a well-known side effect of long-term warfarin use in older patients. Interactions between warfarin and …