Journal of Urgent Care Medicine

Phenylephrine Removed From Shelves

In a unanimous decision, an FDA advisory committee recently determined that phenylephrine, a key ingredient in popular over-the-counter nasal decongestants, is no more effective than a placebo in treating cold and allergy symptoms. The committee reviewed mounting evidence indicating that oral phenylephrine is an ineffective remedy for nasal congestion, even though many consumers use products that contain it, such as Sudafed PE and NyQuil. In response, CVS retail pharmacies discontinued the sale of products containing …

New RSV Vaccine Recommended For Rationing by CDC

The Centers for Disease Control and Prevention (CDC) has recommended rationing nirsevimab, the new monoclonal antibody immunization product designed to protect infants from respiratory syncytial virus (RSV), due to strained supply nationwide. Because the supply challenges are occurring during the RSV season, CDC suggested on Monday in a health alert that providers should prioritize available nirsevimab 100 mg doses for infants of less than 6 months of age and infants with underlying conditions that place …

Enhanced Nasal Suctioning Doesn’t Help Baby’s Bronchiolitis

A study in JAMA Network Open compared the effectiveness of enhanced nasal suctioning and minimal suctioning in infants with bronchiolitis discharged home from pediatric emergency departments (EDs). In a clinical trial of 367 infants at 4 tertiary-care pediatric EDs in Canada, participants were randomized to minimal suctioning via bulb or enhanced suctioning via a battery-operated device. The authors found enhanced suctioning did not alter the disease course compared with minimal suctioning. Get some sleep: How …

Diabetes Among Kids Increased Since the Pandemic

Rates of new-onset type 2 diabetes increased by 62% and type 1 diabetes by 17% among US youth after the COVID-19 pandemic began, with a significant rise observed in Black and Hispanic populations, according to a study in JAMA Network Open. The study, conducted by Kaiser Permanente researchers, tracked diabetes rates among individuals 0 to 19 years old with no prior diabetes history from January 2016 to December 2021. The impact was particularly pronounced in: …

New CKM Syndrome Combines Multiple Chronic Conditions

The American Heart Association introduced the concept of a new medical condition called cardiovascular-kidney-metabolic syndrome (CKM) in a recent article in Circulation. The rising incidence of multiple chronic health issues in younger Americans, particularly obesity, diabetes, and heart and kidney disease, calls for earlier diagnosis and risk assessment, the association says. The synergy between metabolic risk factors, such as abdominal fat, high blood pressure, high cholesterol, and elevated blood sugar, has long-term effects on health …

Gestational Diabetes and Long-Term Health

A recent study published in JAMA Internal Medicine involving more than 91,000 female participants 25 to 42 years old reveals that moms with a history of gestational diabetes face a slightly increased risk of mortality over a 30-year period compared to those without a history of the condition. The researchers found that women reporting a gestational diabetes diagnosis were 1.28 times more likely to experience mortality—a rate of 1.74 per 1,000 person-years compared to 1.49 …

Delicious Relief from Functional Dyspepsia

A Thai study published in BMJ Evidence-Based Medicine concluded that curcumin, a natural compound derived from turmeric, had comparable efficacy to omeprazole in treating functional dyspepsia. Baseline dyspepsia scores were comparable between the groups participating in this randomized, double-blind, controlled trial of 151 patients. They were divided into those receiving curcumin alone, those receiving omeprazole alone, and those receiving curcumin plus omeprazole. Participants in the combination group took two 250 mg curcumin capsules, four times a …

Researchers Develop Mpox Point of Care Test

Last spring, a global outbreak of mpox (formerly known as “monkey pox”) spread to 110 countries. Cases in the United States as of last month have reached a total of 30,767, according to the Centers for Disease Control and Prevention. Meanwhile, researchers have found that a newly developed point-of-care assay for the rapid detection of the mpox virus has the potential for use in “low-resource and remote settings,” allowing for rapid point-of-care diagnosis. The results …

Parents Accidentally Double Dose Kids’ ADHD Meds

Researchers at Nationwide Children’s Hospital in Ohio found a disturbing number of preventable mistakes made by parents and caregivers involving medications given to children for attention deficit/hyperactivity disorder (ADHD). The most common error (54%) was accidental double dosing. What’s more concerning is that the rate of errors in giving kids ADHD medications has risen significantly over the past two decades. From 2000 through 2021, errors increased by almost 300%. Kids between the ages 6 and …

Loss of Taste or Smell a Less Likely COVID-19 Symptom

Clinical teams are facing some difficulty in distinguishing between COVID-19, allergies, and the common cold this season because some traditional COVID-19 symptoms—such as dry cough and loss of taste or smell—have now become less common. The Zoe COVID Symptom Study in the UK supports this trend, with physicians observing milder disease, mostly concentrated in the upper respiratory tract. Sore throat was often identified as the first noticeable symptom, as reported in an NBC News article. …

Login to JUCM