Journal of Urgent Care Medicine

More Kids Could Benefit From Influenza Antivirals

In a global study of more than 1.4 million outpatient and emergency department prescription claims for children between 2010 and 2019, as presented in Pediatrics, researchers found there is wide variability in prescribing as well as underuse of influenza antivirals for children. Kids were most commonly seen in outpatient office visits and urgent care settings. Oseltamivir was the most frequently prescribed antiviral (99.8%), which makes sense because it’s the only oral influenza antiviral approved by the FDA …

SARS-CoV-2 and Influenza Type A/B Infection Rates: A Report of a Federal Qualified Health Care Center-Urgent Care Department During Omicron Wave In Rhode Island

Urgent message: Influenza types A and B have demonstrated a pattern that increases patient volumes in urgent care centers during “flu season.” But the COVID-19 virus, including its different variants, continues to have different patterns throughout multiple waves and has shown to overcome/oppress other predictable viruses. Cesar Mora Jaramillo, MD, FAAFP, FCUCM Citation: Jaramillo CM. SARS-CoV-2 and influenza type A/B Infection rates: a report of a federal qualified health care center-urgent care department during Omicron …

With No Respite Between COVID-19 and Influenza, It’s Time to Start Banging the Flu Shot (and Testing) Drum

When COVID-19 first became a widespread concern in the U.S., it wasn’t unusual to hear consoling murmurs along the lines of “Well, at least it’s not flu season.” Unfortunately, the persistent nature of the pandemic has reduced that to wishful thinking for a quick resolution. The term “twindemic” is now being bandied about. The one piece of good news is that the Food and Drug Administration has issued an Emergency Use Authorization for a combination …

Update: Influenza Is Hitting Children Especially Hard this Season

The latest data from the Centers for Disease Control and Prevention reveal that 92 children have died from influenza so far this season—the highest number of deaths for this point in the season in a decade. Ominously, the CDC also points out that a second wave of flu outbreaks has been gaining momentum over the past few weeks. Overall, flu has killed an estimated 14,000 people this season, out of roughly 26 million confirmed cases. …

Updated IDSA Guidelines Stress Early, Appropriate Treatment for Community-Acquired Pneumonia + Influenza

Urgent message: Just as what is predicted to be a brutal flu season picks up steam, the Infectious Diseases Society of America has released new guidelines stressing the need for timely, dual treatment in adults with community-acquired pneumonia who also test positive for influenza. Cornelius O’Leary, Jr., MD After more than a decade, the Infectious Diseases Society of American has published new guidelines on community-acquired-pneumonia—noteworthy for both its switch from narratives to a Grading of …

Barely a Week into the ‘Season,’ Influenza Shuts Down a School for an Entire Week

The Centers for Disease Control and Prevention recommends all Americans who are eligible for a flu shot (meaning anyone over the age of 6 months, for the most part) get one before the end of this month. That’s too late to prevent a serious outbreak in Baton Rouge, LA, though, where a school saw 38% of its upper-grade students body stricken with flu-like symptoms. While not all cases were confirmed to be influenza infection, the …

As Flu Season Hangs On, Be Vigilant for Patients with Influenza and Heart Failure

We’ve told you about a warning from the Centers for Disease Control and Prevention that influenza season continues to linger, no matter what the calendar says. A new study in JAMA Cardiology serves as reminder that it’s essential—and possibly lifesaving—to remain vigilant for related cardiovascular concerns, especially among heart failure patients with the flu. The authors of the study evaluated the connection between flu activity and hospitalizations for heart failure and myocardial infarction in four …

Treating Patients Infected with Influenza Virus in the Urgent Care Setting

Urgent message: As patients start to feel the effects of the 2018–2019 influenza season, urgent care centers can expect to see visits by patients with related symptoms increase. Providers must be prepared to identify and treat patients most at risk for complications and poor outcomes—armed with old standbys and a newly approved antiviral agent. Samantha Arnold, DO Introduction Last month, JUCM explored prevention, diagnosis, and testing for influenza. In this issue, we focus on management …

An Urgent Care Approach to Influenza—Before Onset

Urgent message: The urgent care clinician must have a thorough understanding of different influenza types and strains, disease course, and preventive measures—including, but not limited to, vaccination—at the outset of flu season. Introduction Influenza is most deadly in the very young, very old, and those with comorbid conditions. Typically, onset is rapid and seasonal, though patients may initially present with few or nonspecific symptoms. Complicating things further, there are many different strains of the flu. …

Nebulizer Supplies, Diltiazem IV, Influenza Vaccines with E/M Codes, and Critical Care Coding in Urgent Care

Q.I am using an EHR, but it does not seem to code nebulizer treatments correctly. It produces codes 94640 (nebulizer treatment) and J7620 (albuterol/ipra – tropium bromide), but it misses the codes for administration set, with small volume non-filtered pneumatic nebulizer, disposable (A7003) and tubing (A7011 ). Why is this? A.The administration set code (A7003) and tubing code (A7011) code are actually bundled into the code for the treatment (ie, they are included in 94640). …

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