Clinical

New research revealed at the recent Annual Meeting of the American College of Emergency Physicians shows that intravenous cetirizine is noninferior to IV diphenhydramine in the treatment of acute urticaria, with a better safety profile. The researchers randomized 262 adult patients with acute urticaria who presented to 1 of 19 EDs or urgent care centers from March 2017 to April 2018 to receive either 50 mg IV diphenhydramine or 10 mg IV cetirizine. Primary endpoint …

With the Centers for Disease Control and Prevention again promoting U.S. Antibiotic Awareness Week (November 18–24) to patients and clinicians alike, new data underscore the deadly consequences of failing to heed accepted prescribing guidelines. The CDC’s 2019 Antibiotic Resistance Threats Report reveals that roughly 35,000 American die every year due to drug-resistant infections, whereas in years past the estimate was approximately 23,000 fatalities.  Total number of antibiotic-resistant infections is over 2.8 million. As the CDC …

Physicians’ perspectives on prescribing opioid pain medications continue to be wildly contradictory, even in the midst of a national crisis, if the results of a recent Harris Poll commissioned by Quest Diagnostics is any indication. Nearly three quarters (72%) said they trust their patients to take controlled substances as prescribed, even though 51% of test results for patients who had been prescribed an opioid or other controlled medication showed signs of drug misuse—and 24% showed …

You know the numbers—some 23,000 American die every year from drug-resistant infections, painting a clear but ugly picture of the effects of inappropriate use of antibiotics. You probably also know, fundamentally, that reducing the number of prescriptions written will help reduce that risk. The question of how to do so is a bit more challenging, especially now that cold and flu season is upon us and driving herds of antibiotic-seeking patients to your facility. Aware …

Two-thirds of pregnant women in the United States are leaving themselves at risk for influenza, tetanus, diphtheria, and acellular pertussis by declining to get the necessary vaccinations, according to data from the Centers for Disease Control and Prevention. Obviously, that also puts their unborn children at risk, ratcheting up the urgency to help them understand that both the flu shot and the Tdap vaccines are not only safe but necessary for their own protection. It’s …

It’s widely believed that the number of flu deaths is much higher than data would lead us to believe each year, due to the fact that cause of death is often attributed to complications from flu. One of the main culprits is community-acquired pneumonia. So, for the first time in more than 10 years, the Infectious Diseases Society of America has updated its guidelines on treating CAP. The take-home message is that adults who test …

On the heels of a World Health Organization decision to classify burnout as a legitimate workplace phenomenon, the National Academy of Medicine just released a report focused on preventing, identifying, and helping to manage clinician burnout. It also estimates that between one third and one half of all clinicians in the United States are affected by burnout. Objectives laid out in the report include establishing positive work environments; addressing burnout in training and at the …

The Centers for Disease Control and Prevention has issued new, interim guidelines on assessing and treating patients with lung disease that could have been caused by use of e-cigarettes. The guidance emphasizes that close follow-up is needed, in light of cases in which “some patients who initially had mild symptoms experienced a rapid worsening of symptoms within 48 hours.”  The CDC says it will continue to refine its recommendations as new data emerge. As of …

Regular readers of JUCM News (or any local or national mainstream news source) know that the incidence of sexually transmitted diseases has been rising for years—to the extent that there were 2.4 million new infections last year alone, according to the Centers for Disease Control and Prevention. Cases of syphilis, gonorrhea, and chlamydia are at all-time highs, and the CDC says it’s concerned about an increase in the number of newborn babies who have syphilis. …

You probably learned how to administer CPR before you even entered med school. It’s not exactly a complex medical procedure, after all. It’s so simple, in fact, that very little clinical research has gone into assessing whether there’s a better, more effective way to do it—until now. The National Institutes of Health Resuscitation Outcomes Consortium tested various combinations of chest compression frequency and chest compression depth to assess the optimal method. The research took into …