Clinical

As with all things related to COVID-19, early efforts to treat patients sufficiently to avoid hospitalization had the appearance of throwing the proverbial spaghetti at the wall to see what stuck. Over time, data started to illuminate which approaches offered the most promise. Now, with multiple states tracking a gradual uptick in both positive cases and hospitalizations as fall approaches, new research published in Reviews in Medical Virology supplements existing data showing that nirmatrelvir-ritonavir (Paxlovid) …

As long as 2 years after recovering from COVID-19, some patients who were healthy before becoming infected now experience blood clots, diabetes, neurological complications, fatigue, and mental health issues thought to be related to the virus. The authors of research published in the journal Nature measured disability adjusted life years (DALY) in patients who had recovered from COVID-19 or developed long COVID, with each DALY unit reflecting 1 year of healthy life lost due to …

The U.S. Preventive Services Task Force reported 4 years ago that oral preexposure prophylaxis (PrEP) reduced the likelihood of HIV infection in adults at increased risk for infection. At the time, offering PrEP in urgent care was a controversial prospect; while there was little debate as to the public health benefits, some UC operators found the complex side-effects profile daunting for a setting largely dedicated to episodic care. Now a meta-analysis of newer PrEP regimens …

It’s not unusual for patients presenting to urgent care to have elevated blood pressure that doesn’t necessarily indicate that they have hypertension. Even extreme blood pressure may not mean the patient needs to be dispatched to the emergency room. There are any number of possible explanations for high BP reading besides “hypertension” in urgent care patients—pain, anxiety, and stimulant use being just a few. An article just published in JAMA Internal Medicine highlights another possible …

Uncommonly high temperatures this summer have led increasing numbers of patients to seek care for heat-related conditions at hospitals and urgent care centers across the country. Even in Florida, where people are prepared for extreme heat, emergency room and urgent care operators say they’re seeing more patients with symptoms of heat stroke, heat exhaustion, and other conditions than in recent years. According to a report from WUSF Public Media in Orlando, urgent care centers in …

The midpoint of summer saw the steepest increase on COVID-19 since December 2022, leading some public health authorities and academics to wonder aloud whether we could see another tripledemic—simultaneous, high rates of COVID, influenza, and respiratory syncytial virus—as winter approaches. According to data from the Centers for Disease Control and Prevention, hospitalizations for COVID-19 jumped 10.3% in the week ending July 15. Emergency room visits were also up for the week ending July 21. Given …

Not long ago, JUCM published an article (The X-Waiver Is No More: What This Means for Urgent Care) analyzing how removal of federal caps on prescribing buprenorphine—in effect, paving the way for any provider with a standard DEA controlled-medication license to prescribe—would impact the urgent care industry. On the heels of that, a new study published by JAMA Health Forum assessed the differences between providers who received Drug Addiction Treatment Act (DATA) waivers under the …

While a rise in leprosy cases in Florida is concerning enough, providers and public health officials there are especially alarmed because so many cases are occurring in patients with less-than-traditional risk factors and in patients born in the United States. According to a post by the Centers for Disease Control and Prevention, both those factors “contribute to rising evidence that leprosy has become endemic in the southeastern United States.” Consequently, the CDC advises providers to …