Journal of Urgent Care Medicine

Clinicians Vary in Antiviral Recommendations For Children With Flu

In practice, just under half of pediatricians (49.5%) follow national recommendations from the American Academy of Pediatrics (AAP) for use of the antiviral oseltamivir for children hospitalized with influenza, according to survey results published in Pediatrics. The survey polled 787 physicians from 5 specialties among 7 children’s hospitals in the United States from March 2024 to June 2024. AAP recommends that all children hospitalized for flu receive oseltamivir. Knowing about AAP recommendations increased the pediatricians’ …

Is There Room For More Antiviral Prescribing in Urgent Care?

A multi-state study analyzed prescribing patterns of influenza antiviral medications in emergency departments (ED) and urgent care (UC) centers and found that many high-risk adults (those with cardiovascular disease, renal disease, weakened immune systems, or individuals older than 70 years) with positive influenza virus test results do not receive antiviral treatment, which the authors believe could help reduce the risk of complications. As published in Clinical Infectious Diseases, researchers found that slightly more than half …

RSV Vaccine Protection Wanes Quickly For Older Adults

The protection offered by the respiratory syncytial virus (RSV) vaccine wanes over time for older adults, even with a booster dose 1 year after initial vaccination, according to a study published in Lancet Respiratory Medicine. This clinical trial of nearly 25,000 participants in 17 countries is one of the first studies measuring the efficacy of the relatively new RSV vaccine over subsequent seasons for those aged 60 years or older. Research data shows that efficacy …

CDC Updates Meningococcal, RSV, Chikungunya Vaccine Recommendations

The Centers for Disease Control and Prevention’s vaccine advisory committee voted on recommendations for 3 vaccines in recent days, according to CIDRAP. The committee recommended the use of the newly approved 5-in-1 meningococcal (groups A, B, C, W, and Y) vaccine as part of the adolescent meningococcal vaccination schedule. They also recommended that adults aged 50 to 59 years who are at increased risk of severe disease from respiratory syncytial virus (RSV) receive a single …

Antibiotics In Early Childhood Linked To Chronic Conditions

When kids are exposed to antibiotics before age 2, they may be at greater risk for asthma (hazard ratio [HR] 1.24, 1.22-1.26), food allergy (HR 1.33, 1.26-1.40), and allergic rhinitis (HR 1.06, 1.03-1.10), according to a retrospective analysis published in the Journal of Infectious Diseases. While the study doesn’t prove that early antibiotic exposure caused the conditions, the authors note that antibiotics do play a critical role in combatting bacterial infections. Researchers studied antibiotic exposure …

Midafternoon May Be the Optimal Time For Asthma Inhaler Use

For adults with mild to moderate asthma, a dose of inhaled beclomethasone dipropionate (BDP) taken in the afternoon suppressed the worsening of nighttime lung function better than other dosing regimens, a small crossover trial published in Thorax showed. A single 400 µg dose between 3PM and 4PM improved nighttime forced expiratory volume compared to baseline in a 28-day study of 25 participants, which included a washout period. However, when the same dose was given between 8AM …

New Outlook Considers 3 Total MMR Vaccines, Starting at 6 Months

Pediatric infectious disease experts are considering revising recommendations to encourage an early, additional dose of the measles, mumps, and rubella (MMR) vaccine for 6- to 11-month-old infants in high-risk areas, according to MedPage Today. The shift would change the 2-dose regimen per lifetime to 3 doses, while also getting an earlier start. Public health leaders recently discussed in a JAMA perspective the possibility of expanding vaccine recommendations for infants who live in regions with known …

Allergic Rhinitis Rarely Emerges in Adulthood

While many urgent care patients present in the early days of spring with the common symptoms of stuffy nose and sneezing, an allergic rhinitis diagnosis can be somewhat nuanced, according to a review in JAMA Network. Allergic rhinitis, seasonal allergic rhinitis, perennial allergic rhinitis, and non-allergic rhinitis each have different typical symptoms, and therefore, there can be differences in treatment, according to the authors. In a follow-up, MedPage Today reports the majority of allergic rhinitis …

Underlying Conditions Increase Rates of Flu Hospitalization

Patients with underlying medical conditions (UMCs) were more likely to be hospitalized for influenza than those without UMCs, according to a retrospective study across 4 flu seasons published in The Journal of Infectious Diseases. Among 1,403 patients hospitalized with influenza at least once within a season, flu-related hospitalization was highest for patients with congestive heart failure (adjusted rate ratio, 4.2, 95% confidence interval: 3.6–4.9), followed by those with chronic obstructive pulmonary disease (COPD). Multiple UMCs …

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