Clinical

It’s widely believed that the number of flu deaths is much higher than data would lead us to believe each year, due to the fact that cause of death is often attributed to complications from flu. One of the main culprits is community-acquired pneumonia. So, for the first time in more than 10 years, the Infectious Diseases Society of America has updated its guidelines on treating CAP. The take-home message is that adults who test …

On the heels of a World Health Organization decision to classify burnout as a legitimate workplace phenomenon, the National Academy of Medicine just released a report focused on preventing, identifying, and helping to manage clinician burnout. It also estimates that between one third and one half of all clinicians in the United States are affected by burnout. Objectives laid out in the report include establishing positive work environments; addressing burnout in training and at the …

The Centers for Disease Control and Prevention has issued new, interim guidelines on assessing and treating patients with lung disease that could have been caused by use of e-cigarettes. The guidance emphasizes that close follow-up is needed, in light of cases in which “some patients who initially had mild symptoms experienced a rapid worsening of symptoms within 48 hours.”  The CDC says it will continue to refine its recommendations as new data emerge. As of …

Regular readers of JUCM News (or any local or national mainstream news source) know that the incidence of sexually transmitted diseases has been rising for years—to the extent that there were 2.4 million new infections last year alone, according to the Centers for Disease Control and Prevention. Cases of syphilis, gonorrhea, and chlamydia are at all-time highs, and the CDC says it’s concerned about an increase in the number of newborn babies who have syphilis. …

You probably learned how to administer CPR before you even entered med school. It’s not exactly a complex medical procedure, after all. It’s so simple, in fact, that very little clinical research has gone into assessing whether there’s a better, more effective way to do it—until now. The National Institutes of Health Resuscitation Outcomes Consortium tested various combinations of chest compression frequency and chest compression depth to assess the optimal method. The research took into …

Around 90% of men who have sex with men say they’re aware of the availability and purpose of preexposure prophylaxis (PrEP) against HIV transmission—and usage among that population rose five-fold (from 6% to 35%) between 2014 and 2017, according to new data from the Centers for Disease Control and Prevention. Nonetheless, overall usage in terms of numbers remains relatively low, due in part to the reluctance of some healthcare providers to offer the necessary patient …

The Centers for Disease Control and Prevention recommends all Americans who are eligible for a flu shot (meaning anyone over the age of 6 months, for the most part) get one before the end of this month. That’s too late to prevent a serious outbreak in Baton Rouge, LA, though, where a school saw 38% of its upper-grade students body stricken with flu-like symptoms. While not all cases were confirmed to be influenza infection, the …

Millennials’ preference for walk-in care compared with traditional, office-based primary care has been well documented. And the fact that Americans born between 1980 and 1996 are visiting urgent care centers in ever-growing numbers makes sense; they don’t like the idea of making appointments or having an ongoing relationship with one medical provider, and really don’t like going to see a provider unless they’re sick—and then they want to see one now. So, the news that …

Some patients are eager to take your advice regarding vaccine-preventable diseases. Others not so much. That doesn’t mean they’re unreachable, however. A study just published in Pediatrics indicates how you approach the subject can make a difference. Focusing on human papillomavirus (HPV) vaccination, the researchers found that acceptance rates were higher when the clinician used a “presumptive” communication style—making a strong recommendation based on the presumption that vaccination will be acceptable to the patient, as …

With Sanofi now tasked with negotiating approval of Tamiflu to be sold over-the-counter, and with the 2019–2020 influenza season off to an early start, urgent care providers need to put on their health educator hats to both ensure patient safety and protect profitability during one of the busiest times of the year. It’s likely patients will think they have fewer worries than ever about the flu, but nothing could be further from the truth. First …