Practice Management
The percentage of emergency department (ED) visits that included influenza testing increased from 2.5% in 2013 to 10.9% in 2022, according to a new data brief from the Centers for Disease Control and Prevention. ED visits for children ages 0–5 years had the highest percentage of tests ordered both in 2013 data (8.6%) and 2022 data (23.1%). Among ED visits by adults, the percentage with an influenza test increased from 1.9% to 9.1% for patients …
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The Centers for Disease Control and Prevention (CDC) reports that respiratory virus activity remains low nationally, while also confirming the first pediatric flu death of the 2024-2025 season, recorded in the middle of October. Overall, 201 laboratory-confirmed influenza-associated hospitalizations were reported between October 1 and November 2, 2024. Weekly trend lines show an increase of 2.4% in terms of outpatient visits to healthcare providers for respiratory illnesses for the week ending November 2. Separately, the …
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At least two human cases of “dual mutant” strains of H1N1 influenza have been detected in Connecticut and Michigan, according to a report from the Centers for Disease Control and Prevention (CDC). Genetic changes are concerning because they could reduce the effectiveness of current antiviral treatments. Mutations of H1N1 appear to have 13-fold greater resistance to the flu treatment oseltamivir—the most commonly prescribed treatment for flu. An analysis of the new H1N1 flu viruses with …
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Outpatient visits for flu like illness are on a steady decline in the United States, indicating reduced activity of respiratory viruses including flu, COVID, and respiratory syncytial virus. The Centers for Disease Control and Prevention (CDC) reports the first week of April showed that visits for respiratory illness with fever plus a cough or sore throat fell to 2.8%, just below the national baseline of 2.9%. Positive labs for flu were down 7.7% since the …
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Omicron versus Flu & RSV – Which is Most Dangerous for Children? Take Home Point: In this study, hospitalization rates were highest for patients with RSV than Omicron (COVID-19) in all age groups of children. Citation: Hedberg P, Abdel-Halem L, Valik J, et. al. Outcomes of Pediatric SARS-CoV-2 Omicron Infection vs Influenza and Respiratory Syncytial Virus Infections. JAMA Pediatr. 2023 Dec 26: e235734. doi: 10.1001/jamapediatrics.2023.5734 Relevance: With increasing availability for respiratory pathogen testing, it is …
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The risk of atherothrombotic events in patients aged 50 and older care more than double in the 14 days following an influenza diagnosis, according to research presented in The Journal of Infectious Diseases. For those with severe cases, the risk of acute myocardial infarction and ischemic stroke increased more than 4-fold and remained high for 2 months following the flu event. Authors examined the link between influenza illness diagnosed in the primary care and hospital settings …
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It’s no surprise that the prevalence of respiratory illnesses continued its upward slant in the waning days of 2023. Respiratory illness indicators surged across two-thirds of the nation, according to the latest data from the Centers for Disease Control and Prevention (CDC), particularly impacting the Midwest and Northeast, where COVID cases were prevalent. COVID hospitalizations rose by 16.7%, causing 29,000 admissions, contributing to a 10% increase in deaths. The Midwest and Northeast reported moderate to …
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What Should We Do with the Nail? Nailbed Repair in Children Take Home Point: After nail bed repair, discarding the fingernail was associated with similar rates of infection and similar cosmetic outcomes compared to replacement of the fingernail. Citation: Jain A, Grieg A, Jones A, et al. Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial. BJS, 2023, 110, 432–438 https://doi.org/10.1093/bjs/znad031 Relevance: Procedures for nail bed …
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JUCM has been fortunate to be on the forefront of research on SARS-CoV-2, from a headline-making article entitled Chest X-Ray Findings in 636 Ambulatory Patients with COVID-19 Presenting to an Urgent Care Center: A Normal Chest X-Ray Is No Guarantee way back in May 2020 right through this issue. The latest COVID research article we’re pleased to present focuses on infection rates of influenza type A/B and COVID in a federal qualified healthcare center in …
Read MoreConfirmed Flu Ups Short-Term Risk for MI Key point: Â Patients with laboratory-confirmed influenza are almost six times more likely to be admitted for acute myocardial infarction (MI) in the following 7 days. Citation: Kwong JC, Schwartz KL, Campitelli MA, et al. Acute myocardial infarction after laboratory-confirmed influenza infection. N Engl J Med. 2018;378(4):345-353. Results of a cohort study published in the New England Journal of Medicine revealed that patients with laboratory-confirmed influenza were almost six …
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