Clinical

Having been lulled into a fall sense of safety when it came to children and COVID-19, it came as a shock to the general public when word started to spread about multisystem inflammatory syndrome in children (MIS-C). It’s probably less shocking, but perhaps just as frightening, then, to learn that MIS appears to strike adults with the virus. The concern about this revelation—besides caring for the individual patient who’s affected—is that this has occurred under …

Since the COVID-19 pandemic really took hold in the U.S., there’s been a presumption that patients who were infected with and then recovered from the virus had protection against reinfection. We now know that’s not correct, however; patients can get COVID-19 more than once. So far, evidence indicates reinfection is rare—but there have been confirmed cases, the first one in the U.S. being a symptomatic 25-year-old, otherwise healthy, man who first tested positive on April …

Since March, there have been many conflicting reports, as well as actual studies, on how COVID-19 is transmitted, who is at greatest risk, and how the virus is transmitted. The length of time a patient is considered infectious has been the subject of ever-changing intel, as well. At one point, 6 days was thought to be the window; then it was 10, and then 14 days. Now the Journal of Infection has published a paper …

2020 has seen a new word introduced into the lexicon of healthcare in the United States. With the COVID-19 pandemic stretching on into the foreseeable future and coinciding with the advent of influenza season, public health experts are warning about a possible twindemic—simultaneous widespread outbreaks of both COVID-19 and flu. As such, there’s a lot of emphasis pushing flu shots harder than ever, especially in healthcare settings. According to a blog post by Alan Ayers, …

There was fear in some quarters that the shutdown of many businesses and inhibited social life due to the COVID-19 pandemic would ultimately lead to increasing rates of depression, substance abuse, and suicide. For the most part, that has not come to fruition at this point. However, an article just released on JAMA Network Open indicates that alcohol consumption increased dramatically in the early months of social distancing. Quoting Nielsen data, the article reveals that …

The nature of urgent care presents daily opportunities to provide care for patients you’ve never seen before and may never see again. The downside is there’s no history with such patients—and no chance to build rapport and establish the clear communication that comes from familiarity. Now remember that you’re speaking to each other through masks. Even if dosing is specified on that bottle of pain medication, did they hear you say it can only be …

As with all things related to the COVID-19 pandemic, the question of whether children are as prone to infection as adults—and their ability to transmit it—has been widely debated. As JUCM News readers know, there is evidence that asymptomatic children are more capable of transmitting the virus than some severely ill adults. On the other hand are data from a study just published in JAMA Pediatrics, indicating that the likelihood of younger patients infecting others …

Recently, we told you about new research showing that many children who’ve been infected with COVID-19 are asymptomatic, calling into question the value of school-based screening for common symptoms like fever and cough. Possibly more concerning for urgent care operators and staffs, who by now have also instituted screening procedures for all patients, is new data showing that more than half of pregnant women with COVID-19 may also be asymptomatic. A new study of pregnant …

Several times over the past week, the Centers for Disease Control and Prevention has proclaimed new information on how the coronavirus spreads. First they announced new evidence that the virus spreads mainly through the air via respiratory aerosols and droplets, not just through direct propulsion of exhaled droplets as previously stated. Aerosol experts cheered. Then the CDC deleted that information from its website, but kept the suggestion that exhaled droplets launched from one person to …

Patients with substance use disorders (SUDs) are at up to 10-times the risk for COVID-19 compared with nonaddicts, according to a study published in the journal Molecular Psychiatry. After analyzing the electronic health records of more than 73 million patients, researchers discovered that patients addicted to opioids were at the greatest risk (10-fold higher than nonaddicts), buy by no means the only group whose addiction leaves them at increased vulnerability for the virus. Tobacco use …