Practice Management
Not surprisingly, seasonal influenza activity is increasing nationwide, primarily among children and young adults. The Centers for Disease Control and Prevention’s most recent FluView dashboard reports a 5% rate of positivity for the week ending November 22, 2025, up from 2.9% the week before. Overall, activity is low, however, of the influenza A cases subtyped, H3N2 accounted for 82.3% of them. There is some concern over a variant of H3N2 called subclade K, which is …
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A systematic review and meta-analysis of 155 studies evaluated the literature on the link between any viral infection and the odds of heart attack and stroke risk. Authors found influenza and COVID infections raised such risks as much as 3-to-5-fold in the weeks following the initial infection, as published in the Journal of the American Heart Association. Also noted in a related news release on the study, overall, the findings suggest acute and chronic viral …
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A meta-analysis published in the New England Journal of Medicine of 511 studies found peer-reviewed evidence supports the safety and effectiveness of vaccines for COVID-19, respiratory syncytial virus (RSV), and influenza during the 2025–2026 season. The COVID-19 vaccines for the XBB.1.5 variant had a pooled vaccine effectiveness against hospitalization of 46-50% among adults and 37% among adults with weakened immune systems, according to the analysis. For RSV, vaccines had pooled estimates of 68% for maternal …
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Urgent Message: This study confirms variable prescription rates among different ethnicities in Aotearoa, New Zealand, for COVID-19 antiviral medication despite efforts to reduce health inequities. M. Adrianne Pimentel, MBChB, MHlthLd, FRNZCUC Key Words: Antiviral Prescribing, COVID-19, Comorbidity Abstract Introduction: In Aotearoa, New Zealand, COVID-19 disproportionately increased mortality and morbidity outcomes in Māori and Pacific patients. In an effort to counteract these health inequities, the government aimed to increase access to COVID-19 antiviral medication for Māori …
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According to detailed state-level data collected by Experity across urgent care centers, Texas (30.9%) and Utah (30.8%) are leading the nation in COVID-19 positivity rates through August 18, 2025. Summer’s big picture, dating back to June 1, shows the 7-day positivity rate overall has grown from 5% to 20% for U.S. urgent cares—a rate that is lower than this time last year. Positivity rates in 2024 peaked at 31.3% in August, according to Experity. With …
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The American Academy of Pediatrics (AAP) this week released an immunization schedule including evidence-based guidance for COVID-19 vaccines for children and adolescents. What some see as controversial, however, is the fact that the AAP schedule doesn’t align with recent government agency announcements. Specifically, AAP recommends the COVID vaccine for all children 6 months to 23 months of age as well as older children who are in several risk groups. By contrast, the latest Food and …
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One of the Centers for Disease Control and Prevention’s work groups is considering backpedaling universal COVID-19 vaccine recommendations—the current thinking—in favor of recommendations based on individual risk for the occurrence of more severe disease. If the suggestion advances, guidance would still call for adults aged 65 years and older as well as anyone with underlying health risks to receive at least 2 doses of the COVID vaccine every year. However, anyone outside of the high-risk …
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A newly discovered COVID strain known as XEC has emerged worldwide, according to an outbreak tracking tool by Scripps Research. The omicron variant KP.3.1.1 made up 52.7% of COVID-19 cases between September 1 and September 14, 2024, yet the XEC COVID-19 variant and another known as MV.1 seem likely to become the next dominant strains, according to a news item in USA Today. First appearing late June in Berlin, Germany, the XEC strain has been …
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Can Large Language Models Help in Assessing Acuity of Patients Presenting to ED? Take Home Point: Integration of large language models (LLMs) in the emergency department (ED) could enhance triage processes. This warrants further investigation particularly in the urgent care (UC) space. Citation: Williams C, Zack T, Miao B, et. al. Use of a Large Language Model to Assess Clinical Acuity of Adults in the Emergency Department. JAMA Netw Open. 2024 May 1;7(5): e248895. doi: …
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COVID-19’s summer surge has taken many urgent care centers by surprise. Respiratory viruses usually ramp up in October and continue on through late winter. However, record-high heat across the country could be driving more people to cool off indoors where the virus is more likely to spread. As of August 6, the Centers for Disease Control and Prevention estimates that COVID-19 infections are growing or likely growing in 32 states. Meanwhile, the reported weekly positivity …
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