Improving Appropriate Antibiotic Use for Common Clinical Conditions in Urgent Care

Improving Appropriate Antibiotic Use for Common Clinical Conditions in Urgent Care

Urgent message: Increasingly, patients with symptoms of acute infection run to their nearest urgent care center. As such, urgent care clinicians can contribute greatly to national efforts to save lives by stemming the growth of antibiotic resistance through good antibiotic stewardship. Introduction  Despite being a recent healthcare phenomenon, urgent care centers are responsible for a growing percentage of outpatient healthcare, with an estimated 160 million total annual visits at more than 9,300 sites in the …

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Go to the ED for a Sore Throat? Fuhgeddaboudit, Urges NY Politician

Go to the ED for a Sore Throat? Fuhgeddaboudit, Urges NY Politician

Brooklyn (NY) Borough President Eric Adams has a message for basketball fans, concert goers, and cinephiles in his native environs: Stay out of the emergency room unless you absolutely have to be there; the urgent care center is often a much better, faster, and less costly option. Adams is so keen on that message that he recorded a series of public service announcements that play in the Barclays Center arena and high-end movie theaters in …

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Pharyngitis: Diagnosis and Treatment in the Urgent Care Setting

Pharyngitis: Diagnosis and Treatment in the Urgent Care Setting

Urgent message: Sore throat is a complaint commonly encountered in urgent care. Proper evaluation and understanding and use of appropriate antibiotics will foster better patient care and understanding while limiting antibiotic resistance. William Gluckman, DO, MBA, FACEP and Jessica Kay, PharmD Pharyngitis refers to the inflammation or irritation of the pharynx, including the tonsils, and can have many etiologies, including a variety of infections, cancer, allergic reactions, gastroesophageal reflux, or toxic inhalations and ingestions. This …

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A 45-Year-Old Man with Cough and Sore Throat: A Two-Step Approach to Avoiding a Bounceback

Urgent message: The clinician must address unexpected findings with further questions or testing. Michael B. Weinstock, MD and Ryan Longstreth, MD, FACEP This is the first article in a series that will appear every other month in JUCM, in which we will recount scenarios of actual patients who presented to an emergency department or urgent care facility, were evaluated and discharged, and then “bounced back.” Each of these cases is detailed in the book Bouncebacks! …

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