Journal of Urgent Care Medicine

Poor Vision Associated With Falls and Fractures

A study published in JAMA Ophthalmology showed an increased risk of falls and fractures in older patients with 3 common eye diseases. Researchers found those with age-related macular degeneration (AMD), glaucoma, and cataracts—when compared to individuals who do not have those conditions—experienced an increased risk of falling as well as high-impact and low-impact fractures in the hip, spine, forearm, skull, facial bones, pelvis, ribs, sternum, and lower leg. When studying incidents of falling against a cohort …

Dramatic Rise in Syphilis Cases Contribute to Penicillin Shortage

Syphilis rates increased by nearly 80% between 2018 and 2022, and what’s making matters worse is the ongoing shortage of injectable penicillin, the go-to treatment for patients with syphilis. Public health agencies now are recommending providers ration the drug, according to Kaiser Health News. Pregnant patients should be prioritized first because penicillin is considered the safest treatment for the population. Doxycycline would be an appropriate drug for syphilis cases, but it’s discouraged for pregnant moms …

Kids With Multiple Prescriptions Experience Adverse Drug Events

With more pharmaceutical products on the market for children, parents may be wary of having their kids take more than one drug at a time. A recent study in Pediatrics found 21.4% of children receiving Medicaid in the United States who took multiple prescription drugs in 2019 experienced adverse events stemming from drug interactions. Researchers studied drug-drug interactions (DDIs) for 781,019 patients under age 18 who took 2 or more outpatient prescriptions. The drugs most …

Syphilis Cases Rise 80%—10 Times More Newborns Diagnosed

According to a newly released Centers for Disease Control and Prevention (CDC) report, 207,255 total syphilis cases were documented in the United States in 2022, representing a nearly 80% increase in just 5 years. Although cases hit historic lows in 2000 and 2002, the trendline has climbed steeply since. Cases in nearly every demographic group and region increased, CDC says. Even more concerning, 3,755 cases of congenital syphilis were recorded among newborns in 2022, which represents more …

CVS Closing 25 Clinics in Los Angeles

CVS revealed in a statement on January 30 that it will close 25 of its retail-store-based MinuteClinic locations in Greater Los Angeles in February, leaving just 11 rooftops in the area. The company said the closures will “help support future growth and design the next evolution of community health destinations,” according to reports from the LA Times and Orange County Register. Affected employees who do not find a new position within the company reportedly will …

Join the Bouncebacks! Book Club to Discuss a Critical Case

On February 5, 2024, the Bouncebacks! book club will talk through a new case from the book “Bouncebacks! Critical Care” (published in 2021) from 8PM to 9PM (Eastern) in a virtual meeting room. Fellow clinicians can join in the discussion of a case of a 52-year-old man with alcohol use disorder and chest pain. All the related information will be presented, and ownership of the book is not required to participate. Panelists include Heath Jolliff, …

Protective Effect Against HPV Seen in Vaccinated Generation

New long-term data shows the human papillomavirus (HPV) vaccine introduced in 2006 to reduce the incidence of cervical cancer in women is having its intended effect. An observational study of 447,845 women in Scotland born between 1988 and 1996 revealed there were no cases of cervical cancer found among those who received the vaccine at age 12 or 13—even if the patient did not receive all 3 of the recommended doses. Those who were immunized …

Device Aims to Improve Dermatology Referrals

The Food And Drug Administration recently approved a device that provides non-invasive skin cancer screening at the point of care, according to Reuters. DermaSensor, a privately held company, says its spectroscopy technology can use light and artificial intelligence to evaluate cellular and subcellular characteristics to assist clinicians in identifying the presence of skin cancer in suspicious moles or lesions. A study by the Mayo Clinic of more than 1,000 patients showed that the device had …

CDC: More Kids Visited Urgent Care in 2022

More parents are bringing their kids to urgent care, according to new national trend data captured in a survey by the Centers for Disease Control and Prevention (CDC). The percentage of children and adolescents (17 years old and younger) who had at least 1 visit to an urgent care center or a retail clinic in the past 12 months increased from 21.6% in 2021 to 28.4% in 2022. When CDC broke down the data into …

COVID-19 Elevates Risk of Digestive Conditions

Insights on a number of health conditions potentially triggered by or exacerbated by COVID-19 continue to surface in the literature. Researchers have found a higher risk of digestive disorders in COVID-19 survivors when comparing them to a contemporary group (who lived at the same time as the COVID-19 group), and a historical group (whose data was sourced from a time period prior to October 2019). Analysis of the BMC Medicine study presented in CIDRAP show …