Practice Management
Coming off its highest calendar-year incidence in a decade, mumps struck 495 people in the U.S. in the first 28 days of 2017 alone, according to the Centers for Disease Control and Prevention. The cases are spread across the entire breadth of the country, from Washington to Pennsylvania, pointing to a need for vigilance and preparedness in urgent centers in every region. First, clinics must be ready to assess patients and confirm or dismiss a …
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There’s no shortage of patients reporting to urgent care centers with back pain being their chief complaint. A new study published in Annals of the Rheumatic Diseases confirms they’re not likely to get satisfactory relief from nonsteroidal anti-inflammatory drugs (NSAIDs), though. Machado, et al looked at 35 randomized, placebo-controlled trials that compared the efficacy and safety of NSAIDs with placebo for spinal pain. They found that treatment effects met the threshold for clinical importance in …
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While the country is locked in its annual battle against influenza, a second “bug” is creeping up and taking its toll on schools and workplaces, as well. Like the flu, norovirus picks up steam in the winter months and is especially hard—sometimes deadly—on seniors and young children. Now the Centers for Disease Control and Prevention predicts February will be the peak month for infection, which is characterized by intense gastrological symptoms such as nausea, vomiting, …
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Hospitalizations for influenza are up 66% over the same period last year in Oregon, according to the Oregon Health Authority. They’re not just coming in through the emergency room, either; one clinician says his hospital’s urgent care and family practices departments, in addition to the ED, are all packed with flu patients. The spike in cases has put pressure on all practice settings, prompting the Health Authority to step up its efforts to promote flu …
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Urgent care clinicians have been told to test, or refer for testing, pregnant patients who could have been exposed to Zika virus (or had sexual relations with a partner would could have been exposed). Now the Food and Drug Administration says some such patients could have tested positive for Zika even though they don’t actually have not been infected. LabCorp’s ZIKV Detect test, specifically, should not be relied on to make “significant patient management decisions,” …
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Just weeks ago, the Centers for Disease Control and Prevention revealed there had been more than 2,300 cases of mumps confirmed around the country—more than twice the number that occurred in all of 2015. Today there are over 2,000 under investigation in Arkansas alone, with several other states still reporting higher-than-average outbreaks. Urgent care clinicians in college towns should be aware that campuses in affected areas have been especially hard hit. The University of Missouri …
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Just days after the World Health Organization declared Zika virus is no longer a “global emergency,” a new case that appears to have been transmitted locally was reported in Texas—marking the first time such a domestic case has occurred outside of Florida. More than 250 people in Texas have been infected previously, but all those cases could be traced back to travel in a region where the virus is prevalent, or having sexual relations with …
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The Centers for Disease Control and Prevention (CDC) continues to stress that immunization—plus everyday hygiene—is the best way to avoid potentially deadly flu. Urgent care providers are in an especially good position to try to influence patients, as anyone feeling bad enough to seek immediate care may be susceptible to suggestions on how to avoid feeling even worse down the road. The CDC recommends six steps providers can take to encourage even reluctant patients to …
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The University of Missouri is just one location seeing a dramatic increase in cases of mumps, currently; 31 cases have been confirmed there, with test results still to come on 27 more people. Harvard University and the State University of New York have also reported outbreaks, and a scattering of towns in Arkansas have reported over 400 cases since this summer. With mumps being a self-limiting viral infection, the best urgent care clinicians can do …
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Calling it “an emerging threat,” the head of the Centers for Disease Control and Prevention is urging healthcare providers in all settings to “act now to better understand, contain, and stop the spread of” infection caused by drug-resistant Candida auris. CDC Director Tom Frieden, MD, MPH, notes that C auris can be fatal, making the new drug-resistant strain especially concerning. The CDC recently issued its first report of 13 cases in the United States (in …
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