Journal of Urgent Care Medicine

Allergic Rhinitis Rarely Emerges in Adulthood

While many urgent care patients present in the early days of spring with the common symptoms of stuffy nose and sneezing, an allergic rhinitis diagnosis can be somewhat nuanced, according to a review in JAMA Network. Allergic rhinitis, seasonal allergic rhinitis, perennial allergic rhinitis, and non-allergic rhinitis each have different typical symptoms, and therefore, there can be differences in treatment, according to the authors. In a follow-up, MedPage Today reports the majority of allergic rhinitis …

Underlying Conditions Increase Rates of Flu Hospitalization

Patients with underlying medical conditions (UMCs) were more likely to be hospitalized for influenza than those without UMCs, according to a retrospective study across 4 flu seasons published in The Journal of Infectious Diseases. Among 1,403 patients hospitalized with influenza at least once within a season, flu-related hospitalization was highest for patients with congestive heart failure (adjusted rate ratio, 4.2, 95% confidence interval: 3.6–4.9), followed by those with chronic obstructive pulmonary disease (COPD). Multiple UMCs …

Urgent Care Weight Loss Programs Weakened By GLP-1 Costs

The demand for glucagon-like peptide-1 (GLP-1) medications for weight loss has surged, in part because there is a large population of patients who could potentially benefit from them. Meanwhile, advocates are concerned about the recent widespread distribution of compounded versions of the drugs. Since compounded versions often expect patients to measure doses from vials and use syringes for delivery—instead of premeasured autoinjector pens—compounded options can lead to dosing errors. But the advantage of compounded GLP1s …

Self-Collected Test Identifies 3 Sexually Transmitted Infections

The Food and Drug Administration (FDA) has authorized the Visby Medical Women’s Sexual Health Test, the first at-home test for diagnosing 3 sexually transmitted infections (STIs) in females: chlamydia, gonorrhea, and trichomoniasis. The hope is that the option will increase the use of testing and thus help prevent transmission of these STIs. No prescription is required, and the test can be used for those with or without symptoms. Each single-use test kit includes a self-collected …

New Oral Antibiotic for UTI May Help Address Drug Resistance

A new oral antibiotic, gepotidacin, was approved by the Food and Drug Administration (FDA) this week for the treatment of uncomplicated urinary tract infections (UTIs). According to the manufacturer, GSK plc, gepotidacin is a first-in-class antibiotic with a novel mechanism that inhibits bacterial DNA replication to treat female adults and pediatric patients (≥12 years, ≥40 kg) with uncomplicated UTIs. It’s designed to target several of the most common UTI-causing bacteria such as E. coli and …

Measles Outbreak Could Drag on For a Year: Forecast

The surging measles outbreak—now spanning 18 states as of March 20—may continue for about a year, according to health experts in a CNN report. Weekly totals reached 378 confirmed cases nationwide. By comparison, the 2024 total case count for the entire year was 285. Although 95% of the current cases are in patients who were unvaccinated or had unknown vaccination status, a few were reported in people who say they had at least 1 dose …

First-Line Antibiotic Treatment For Chlamydia and Gonorrhea Underutilized

Too few patients are receiving recommended chlamydia and gonorrhea treatment in primary care settings, according to a study published in the Annals of Family Medicine analyzing electronic health records from 2018 to 2022. Among 6,678 confirmed chlamydia cases and 2,206 confirmed gonorrhea cases studied, 75.3% and 69.6%, respectively, received treatment. Treatment rates were higher among women than men (chlamydia: 78.4% vs 67.2%; gonorrhea: 78.9% vs 51.4%). Additionally, younger individuals and those with coinfections were more …

‘Med-tail’ Storefronts Complement Urgent Care Sites

In the latest iteration among floundering commercial retail spaces, landlords are courting healthcare tenants to fill empty storefronts that used to be occupied by department stores and boutiques. Most existing retail spaces have convenient neighborhood locations with enough local traffic to encourage a visit. According to a recent LA Times report, a network of dental offices in California has found early success with this emerging “med-tail” (medical retail) model, treating both scheduled and walk-in patients. …

Ohio X-Ray Regulations Shackle Urgent Care Growth

Most of the legislative issues that affect urgent care operations are governed at the state level, particularly provider scope-of-practice laws. A recent guest column in the Columbus Dispatch by Alan Ayers, MBA, MAcc, President of Urgent Care Consultants and Senior Editor of JUCM, makes the case for urgent care’s untapped potential in providing affordable access to care in rural areas. Kentucky and Indiana are witnessing growth in rural urgent care, but Ohio is lagging because …

One-Fourth of Patients Prescribed Rx Stimulants Misuse Them

A cross-sectional study recently published in JAMA Psychiatry sums up the prevalence of prescription stimulant use disorder (PSUD) among U.S. adults. Using national data, researchers found that 25.3% (95% confidence interval [CI], 23.8%-26.8%) of adults using prescription stimulants reported misuse, and 9.0% (95% CI, 8.0%-10.0%) had PSUD as measured by DSM-5 criteria. Misuse and PSUD were significantly more prevalent among those prescribed amphetamines compared to methylphenidate. The study also identified demographic trends, with the largest …