Journal of Urgent Care Medicine

OTC Allergy Nasal Spray Could Protect Against COVID Infection: Phase 2 Study

A phase 2 clinical trial found that azelastine nasal spray could potentially prevent COVID-19 infections in healthy adults, as published in JAMA Internal Medicine. Among 450 study participants, SARS-CoV-2 infection as determined by polymerase chain reaction testing occurred in 2.2% of those using azelastine compared with 6.7% in the placebo group, representing a 67% relative risk reduction (odds ratio, 0.31; 95% confidence interval, 0.11-0.87). Symptomatic COVID-19 infections were also less frequent with azelastine (1.8% vs …

FDA Warns More Kids Are Getting Sick From Exposure To Nicotine Pouches

The Food and Drug Administration (FDA) is warning clinicians and parents about the potential health risks of nicotine pouches, especially those that do not have child-resistant packaging. Reports of accidental exposures to nicotine pouches have increased with some cases leading to nicotine poisoning, and according to FDA, children can experience toxic effects after exposure to as little as 1-4 milligrams of nicotine. Symptoms can include confusion, vomiting, and loss of consciousness. In a statement, the …

Urgent Care Increases HIV Testing: Study Intervention

By using an educational and EHR intervention, Intermountain Health significantly increased HIV co-testing for patient encounters involving testing for gonorrhea and/or chlamydia (GC/CT) in urgent care (UC) and emergency departments (ED). Urgent care HIV co-testing increased from 29% in the preintervention period to 39% during the 24-month intervention—from April 2023 through March 2024. Also, ED co-testing rates increased from 12% to 25% during the intervention as well. The analysis of 18,783 encounters published in Clinical …

Yet Another Reason To Eat A Decent Breakfast: Reduced Fracture Risk

On busy days, many people choose to skip breakfast in order to get out the door on time or similarly end up eating dinner late because they’re otherwise occupied. Turns out, those dietary habits could pose a risk for osteoporotic fracture, according to a study published in the Journal of the Endocrine Society. The study of 927,130 Japanese adults, followed over 2.6 years, tracked 28,196 major fractures, with an incidence rate of 10.8 per 1,000 …

Wisconsin, Ohio Confirm New Measles Cases

In Wisconsin, health officials have confirmed several new measles cases, raising the state’s outbreak total to 24 as of September 2, 2025, with 2 people hospitalized (8.3%). All of the cases are in unvaccinated people, but no deaths have been confirmed. More than half of cases are among those aged 5-17 years; 33.3% are in those over age 18; and 12.5% are in those under age 5. Officials say the ongoing investigation indicates that measles …

Are Flu Shots A Worthwhile Business For The Upcoming Season?

The Centers for Disease Control and Prevention (CDC) posted its recommendations for the 2025–2026 flu season, which are largely the same from years past. Among the key changes are: the approval of the FluMist nasal spray influenza vaccine for self-administration or caregiver administration; and the expansion of the approved age threshold for the Flublok vaccine from age 18 years or older to 9 years or older. Overall, the routine annual flu vaccine is recommended for …

HbA1c Improves For Those Using AI App That Predicts Glucose Response

An artificial intelligence (AI) tool combined with real-time biometric tracking and human coaching produced significant clinical improvements for adults with type 2 diabetes in a Cleveland Clinic study published in NEJM Catalyst. The intervention delivered personalized nutrition and lifestyle guidance through an AI-powered app that analyzed health data from wearable sensors and devices, which monitored blood glucose, weight, blood pressure, activity, and sleep. App recommendations were then based on predicted glucose responses to meals. The …

ACOG Recommends Moms Get COVID Vaccines

The American College of Obstetricians and Gynecologists (ACOG) has released clinical guidance for vaccination during pregnancy to protect against influenza, respiratory syncytial virus (RSV), and COVID-19—at least some of which is in contrast to what the Centers for Disease Control and Prevention (CDC) and Food and Drug Administration (FDA) have recently framed up for the forthcoming cold-and-flu season. Specifically, ACOG recommends that all women who are pregnant, planning to become pregnant, or nursing should receive …

High COVID Positivity in August Sheds Light on Seasonality Trends

According to detailed state-level data collected by Experity across urgent care centers, Texas (30.9%) and Utah (30.8%) are leading the nation in COVID-19 positivity rates through August 18, 2025. Summer’s big picture, dating back to June 1, shows the 7-day positivity rate overall has grown from 5% to 20% for U.S. urgent cares—a rate that is lower than this time last year. Positivity rates in 2024 peaked at 31.3% in August, according to Experity. With …

Self-Administered Flu Shot Nasal Spray Ready To Arrive On Doorsteps

One year after approval, the nasal formulation of the flu vaccine is now available in 34 states for at-home use for individuals 2 through 49 years of age, according to an announcement. Consumers can order the FluMist nasal spray online directly from manufacturer AstraZeneca after completing a screening and assessment, and if appropriate, receive a prescription for home delivery of the self-administered vaccine. Consumers can also leverage their insurance benefits, according to the announcement. FluMist …

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