Clinical

As we’ve pointed out—and as has been emphasized in mainstream media reports in recent weeks—far more Americans are at risk for contracting influenza than the coronavirus. The same holds true for associated deaths, as well. At least 15 million people have been diagnosed with flu so far this season. Mortality projections from the Centers for Disease Control and Prevention range from 14,000 to 36,000. Compare that with the fact that as of February 17 there …

With the current coronavirus outbreak continuing internationally—including more than 42,700 cases and over a thousand deaths in China, as well as 13 confirmed cases in the U.S. to date, the World Health Organization was moved to create an all-new name to aid in tracking and to properly reflect the nature of the pathogen. What has been known up to now as 2019-nCoV will be called COVID-19 from this point forward. This will be important for …

Urgent care and emergency room physicians have been taken to task for writing too many prescriptions for patients who present with sore throat, earache, and other typical upper respiratory complaints. A new study out of Case Western Reserve University and published in the Journal of the American Dental Association points out that they need to be more vigilant when it comes to prescribing for patients who present with dental pain and swelling, however. One of …

Mainstream media coverage of the international 2019 novel coronavirus (2019-nCoV) outbreak continues at a breakneck pace, even though there have been very few confirmed cases in the U.S. at this point. It seems to be weighing on every patient locked into a winter cold, but the fact is that many more patients are dying of influenza than are likely to even be exposed to 2019-nCoV. While clinicians should be vigilant for symptoms of 2019-nCoV and …

Seeing opioid prescriptions increase by some 300% over a 25-year period in the United States—and their home state of Maryland land in the top five states for opioid-related deaths in 2017—decision makers at Anne Arundel Health System determined to find a way to reduce their rate of opioid prescribing without hindering efforts to reduce patients’ suffering. As it turns out, they didn’t have to look too hard. First, they recognized that physicians were writing for …

Literally every day international health officials, the Centers for Disease Control and Prevention, and state health departments issue new statements about suspected or confirmed cases of 2019 Novel Coronavirus (2019-nCoV), possible routes of transmission, and the precautions thought to be helpful in stemming its spread. The CDC updates its dedicated 2019-nCoV webpage as needed and should be considered the most reliable source of solid information on the virus itself, but the Urgent Care Association has …

Recognizing both an increase in incidence of sexually transmitted disease and patient preference for where they seek treatment for STDs, the Centers for Disease Control and Prevention has issued a new set of guidelines on the subject. While previous guidelines, such as those put forth by the CDC in 2015, still reflect current thinking on treatment, the new set, dubbed Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services, 2020, address a general approach to …

A new Gallup poll reveals that fewer Americans are convinced parents should get their children vaccinated as time goes on, and it appears that lack of education could be a key factor. According to the new study, 84% of 1,025 randomly sampled adults believe it is “extremely or very important” for parents to ensure their children receive recommended vaccinations. In 2001, the last time such data were collected, 94% thought so. One clue as why …

The good news is that prescribers in emergency rooms seem to be getting the message that opioid medications have been overprescribed for too long, contributing to widespread addiction and increasing deaths by overdose and suicide. According to data just released by the Centers for Disease Control and Prevention, opioid prescriptions originating in the ED dropped by nearly one third between 2006–2007 and 2016–2017—reversing a 5-year upward trend. Decreases were highest among visits by younger adults …