Journal of Urgent Care Medicine

Nirsevimab May Help Reduce Antibiotic Prescribing for Newborns and Infants

Researchers examining electronic health record data found nirsevimab administration was associated with reduced antibiotic prescribing among infants during their first respiratory syncytial virus (RSV) season, as published in Clinical Infectious Diseases. Among 15,341 eligible infants from 32 pediatric practices in the study, 7,413 (48.3%) received nirsevimab. At 6 months, nirsevimab was associated with a 14.4% reduction in antibiotic prescribing for outpatient acute respiratory tract infections and a 40.3% reduction for outpatient bronchiolitis. Antibiotic prescribing associated …

Urgent Care Encounters Provide Clues For Flu Vaccine Effectiveness

The 2024–2025 influenza season was characterized as having high severity, and in research published in Open Forum Infectious Diseases, researchers found flu shots provided protection not just against hospitalization but also against emergency department (ED) and urgent care (UC) visits during that time. They evaluated influenza vaccine effectiveness using data from 7 healthcare systems in 8 states across 102,854 ED/urgent care visits among children and 233,411 visits among adults. Overall, vaccination was 54% effective against …

Rise In Vibrio Vulnificus Deaths Prompts Public Health Warnings

State health departments are reporting an increase in severe Vibrio vulnificus infections along the Gulf Coast in recent weeks with the highest concern currently centered around Louisiana, which has recorded 9 confirmed cases for the year so far. All 9 patients were hospitalized, and 5 have died. Louisiana normally averages about 7 cases and 1 death per year, so the case counts and deaths have prompted public warnings for consumers to stay out of the …

Heart Failure Definition Gets A Makeover

A new international expert consensus document from leading cardiology groups offers an update on the definition of heart failure, taking into consideration advances in diagnosis and clinical understanding of the disease, as published in the Journal of the American College of Cardiology. While the statement isn’t a clinical practice guideline—and does not include treatment recommendations—it aims to clarify the definition and adopt it universally. For urgent care clinicians, the most relevant point is that heart …

Cyclosporiasis Intestinal Illness Spreads Across Northeast

Several state health departments are actively investigating a growing outbreak of cyclosporiasis. In late June, Michigan reported 177 cases of cyclosporiasis, then by July 4, the case count more than tripled to 572 cases, then grew again on July 9 to 1,251, according to local news reports. The figure represents more than 10 times the usual case counts for the state at this time of year. Ohio, Illinois, and New York are beginning to see …

The Impact of an Urgent Care Point-of-Care Ultrasound Program on Patient Transfers to the Emergency Department

Urgent Message: Training urgent care providers to use point-of-care ultrasound resulted in fewer patient transfers to the emergency department for soft tissue/musculoskeletal and first-trimester pregnancy complaints, while also streamlining care in this single-center program. Keywords: point-of-care ultrasound; urgent care; emergency department transfer; soft tissue infection; musculoskeletal complaints; first-trimester pregnancy Lindsey E. Fish, MD, FCUCM; Genie Roosevelt, MD; Amanda G. Toney, MD Abstract Introduction: The use of point-of-care ultrasound (POCUS) is expanding into multiple clinical areas …

Updated Evidence-Based Pediatric Asthma Management for the Urgent Care Provider

Urgent Message: Acute asthma exacerbations commonly present to urgent care, and providers must be well-equipped to recognize asthma exacerbations and be familiar with management recommendations. Samantha Shear, DO; Laura Calderon Suarez, MD; Maria Sara Valle Nodal, MD Keywords: pediatric asthma; asthma exacerbation; spirometry; inhaled corticosteroids; bronchodilator therapy; urgent care Abstract Overview: Asthma affects nearly 10% of children globally, with an estimated 95.7 million cases reported in 2021. This review discusses updates from the 2025 Global …

Triple Inhaler Approved For Maintenance Treatment Of Asthma

The Food and Drug Administration has approved a fixed-dose triple inhaler containing budesonide/glycopyrrolate/formoterol fumarate for maintenance treatment of asthma in patients aged 12 years and older, according to the manufacturer in a press release. The single-inhaler regimen combines a corticosteroid and a long-acting beta2-agonist with a long-acting muscarinic antagonist. The inhaler is intended for asthma patients not adequately controlled on dual therapy. Approval was based on phase III trials, which showed statistically significant improvements in …

Gynecologic Causes of Abdominal and Pelvic Pain: Diagnosis and Management

Urgent Message: Abdominal and pelvic pain are common presentations to urgent care. Clinicians need to maintain a broad differential to make the correct diagnosis and offer appropriate treatment. Anisah Chauhdry, MS; Naushair Hussain, DO; Michael B. Weinstock, MD Keywords: pelvic pain; ectopic pregnancy; pelvic inflammatory disease; ovarian torsion; ovarian cysts; dysmenorrhea Editor’s Note: The patient case scenario is hypothetical to enhance educational value. Abstract Causes of abdominal and pelvic pain in reproductive-aged women include many …

Shortness of Breath in Pregnancy: Differentiating Physiology from Pathology in Urgent Care

Urgent Message: As shortness of breath and edema are common in pregnancy, urgent care clinicians must distinguish patients with normal physiologic changes from those with emergent conditions like venous thromboembolism, hypertension, eclampsia, and cardiomyopathy. John Ramos, MMS, PA-C, CAQ-EM Key Words: Ambulatory Care; Differential Diagnosis; Dyspnea; Pregnancy Complications; Pregnancy Complications, Cardiovascular Abstract Background: Physiologic changes in pregnancy contribute to shortness of breath and edema. However, these symptoms can also be caused by serious etiologies including …

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