Practice Management
Preliminary findings from ongoing testing by the Centers for Disease Control and Prevention (CDC) indicate that Americans have little to no pre-existing immunity to the H5N1 avian flu virus found on dairy and poultry farms. The CDC’s conclusions are based on blood samples collected from the 2021-2023 flu seasons. These samples showed low antibody levels against the H5N1 virus, suggesting minimal immunity. Despite this, the risk to the general public remains low, according to CDC, …
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During the 2022-2023 season, pediatric hospitalizations for respiratory syncytial virus (RSV) doubled compared to the previous year. This information comes from a study in JAMA Network Open involving 700,000 children, examining RSV-related hospitalizations and intensive care unit (ICU) admissions from July 1, 2017, to March 31, 2023. The hospitalization rate was 289.1 per 100,000 children in 2021-2022, which is consistent with the rates from 2017 to 2020. However in the following year, the 2022-2023 season …
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Researchers from Boston Children’s Hospital analyzed US emergency department visits for pediatric urinary tract infections (UTIs) to uncover trends in antibiotic prescribing practices. As reported by CIDRAP, from 2011 to 2020, use of trimethoprim-sulfamethoxazole for pediatric UTIs prescriptions declined from 20.6% to 9.9% of visits—which was considered encouraging against concerns for increasing drug resistance—and the use of enteral first-generation cephalosporins increased from 15.2% to 32.6% of visits. Meanwhile, use of enteral third-generation cephalosporins remained flat. …
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Two new, highly contagious fungal infections that cause rashes have been identified in the United States by New York University Langone Health researchers, according to Becker’s. The fungi species Trichophyton mentagrophytes type VII have produced severe skin infections, typically in men who have male sexual partners. Infections are challenging to treat, according to the news item, but they have been responding to treatment with terbinafine. A separate study also found that Trichophyton indotineae infections tend …
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Data suggests that many people who use GLP-1 drugs semaglutide and liraglutide to treat obesity and diabetes are not staying on their weight-loss plans as long as what is recommended, according to an issue brief from Blue Health Intelligence. Typically, 12 weeks is the accepted guideline for achieving meaningful weight loss. Yet, an analysis of claims from 170,000 plan members found that about 58% of people using GLP-1 medications were on their treatment plan for …
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The Centers for Disease Control and Prevention (CDC) this week released new clinical guidelines on the use of doxycycline postexposure prophylaxis (doxy PEP) for bacterial sexually transmitted infection prevention. In part, CDC’s recommendations include the use of doxy PEP for gay, bisexual, and other men who have sex with men (MSM) and transgender women (TGW) who have had a bacterial sexually transmitted infections diagnosed in the past 12 months as part of provider shared decision-making. …
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Researchers have identified local heat waves as a factor that can lead to an increased risk of preterm birth and stillbirth, according to a cohort study published in JAMA Network Open. Authors found a significant link between periods of high temperatures in some of the top metropolitan statistical areas in the United States and early deliveries. Looking at 53 million births from 1993 to 2017, they concluded that after 4 consecutive days of mean temperatures …
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The US Centers for Disease Control and Prevention (CDC) has reported a surge in measles cases, including 57 cases associated with a migrant shelter in Chicago, Illinois, according to a new CDC report. It previously recorded 97 confirmed cases in the first quarter of 2024. It’s a significant uptick when compared to the average of 5 cases during the first quarters of 2020-2023. Almost all recent cases were among the unvaccinated. Among the World Health …
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Long COVID is possibly more prevalent than what might be recorded in electronic health record (EHR) diagnostic or referral codes, according to a descriptive study in eClinicalMedicine. Researchers analyzed clinical data from more than 19 million adults in England from November 2020 to January 2023. A total of 55,465 patients were identified with long COVID, based on 20,025 diagnostic codes and 35,440 referral codes. Median follow-up was 2.2 years, and the rate of long COVID …
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A clinical panel recently issued dozens of recommendations for treating vitiligo in pediatric, adolescent, and young adult patients, as published in a consensus statement in JAMA Dermatology. The main conclusions point out that topical calcineurin inhibitors, topical corticosteroids, and topical Janus kinase inhibitors are effective treatments for vitiligo in these age groups. Treatment decisions should also consider factors such as the location of vitiligo, body surface area affected, age, and other patient-specific factors. Perhaps a …
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