The College of Urgent Care Medicine

Urgent Updates

Urgent Updates are highlights of guidelines from other groups, reviewed by Urgent Care physicians. These highlights represent the actual intent of these articles and how they relate to the practice of Urgent Care medicine.

 

Urgent Updates | December 26, 2024

Estimated Global and Regional Incidence and Prevalence of Herpes Simplex Virus Infections and Genital Ulcer Disease in 2020 Genital HSV infections have a high incidence and prevalence worldwide, contributing to a significant genital ulcer disease burden. Genital herpes affects more than 846 million younger adults globally, with 1 in 5...

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Urgent Updates | December 19, 2024

Waterborne Disease Outbreaks Associated with Splash Pads — U.S., 1997–2022 Waterborne pathogens that cause acute gastrointestinal illness can be transmitted by ingesting water contaminated with feces from infected persons. During 1997–2022, public health officials reported 60 waterborne disease outbreaks associated with splash pads. These reported outbreaks resulted in 10,611 cases,...

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Urgent Updates | December 12, 2024

Primary Care Physicians Underutilize Nonantibiotic Prophylaxis for Recurrent UTIs Researchers surveyed 40 primary care physicians at one academic medical center and found that 96% of primary care physicians prescribe vaginal estrogen therapy for recurrent UTI prevention. Estrogen deficiency and urinary retention are strong contributors to infection. However, 78% of physicians...

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Urgent Updates | December 5, 2024

2024 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations This latest summary addresses the most recent published resuscitation evidence reviewed by the International Liaison Committee on Resuscitation task force science experts. In addition, the task forces list priority knowledge gaps for further research. Full Access:...

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Urgent Updates | November 28, 2024

Anaphylaxis: Guidelines from the Joint Task Force on Allergy-Immunology Practice Parameters Guidelines discuss the following: anaphylaxis following ingestion of red meat is rare but, if present, may be related to a prior tick bite due to alpha-gal allergy. Prompt epinephrine injection continues to be an essential treatment of acute anaphylaxis,...

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Urgent Updates | November 21, 2024

CDC Weekly Infectious Disease Roundup The following are the latest infectious disease updates from the Centers for Disease Control and Prevention (CDC). The report includes new outbreak of E coli, Mpox and respiratory infections. Full Access: DGAlerts FDA OKs New Drug for Urinary Tract Infections The FDA has approved Orlynvah,...

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Urgent Updates | November 14, 2024

A Cosmetic Regimen Formulated to Address the Multi-Modal Pathogenesis of Rosacea Demonstrates Efficacy for Treating Facial Redness and Skin’s Appearance Patients with rosacea often turn to over-the-counter products to reduce facial redness and improve skin’s appearance. In this study, a cosmetic skincare regimen designed to reduce facial redness demonstrated efficacy...

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Urgent Updates | November 7, 2024

Investigation Update: E. coli Outbreak, Onions Served at McDonald’s – November 13, 2024 Epidemiologic and traceback data show that fresh, slivered onions served at McDonald’s are the likely source of this outbreak. Onions were pulled from affected McDonald’s locations and Taylor Farms recalled yellow slivered onions sent to other food...

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Urgent Updates | October 31, 2024

Order Set Cuts Antibiotic Use for Pediatric Ear Infections in Half An order set was created to automatically choose 5-day antibiotic courses for ear infections. The proportion of patients receiving 5-day antibiotic courses rose from 3% to 83% during the study period. Overall antibiotic use was cut in half due...

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Urgent Updates | October 24, 2024

The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement from the American Heart Association Despite the ubiquity of elevated inpatient BPs, few position papers, guidelines or consensus statements have focused on improving BP management in the acute care setting. Therefore, this scientific statement aims to...

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Urgent Updates | October 3, 2024

U.S. COVID-19 Markers Show More Declines COVID-19 activity continued to decline in many areas, the Centers for Disease Control and Prevention (CDC) said in its latest updates. Test positivity for COVID-19 was 13.5% last week, down from 14.9% the week before. Hospitalizations continue to decline but remain highest in seniors,...

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Urgent Updates | September 26, 2024

Whooping Cough Is on the Rise The number of people reported with whooping cough, a bacterial respiratory illness, has been increasing in the U.S. Reported cases are more than twice as high this year. So far this year, 14,569 cases have been reported to the agency, more than four times...

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Urgent Updates | September 19, 2024

Diagnosis, Risk Stratification, and Treatment of Pericarditis Pericarditis accounts for up to 5% of emergency department visits for nonischemic chest pain in North America and Western Europe. With appropriate treatment, 70% to 85% of these patients have a benign course. In acute pericarditis, the development of constrictive pericarditis (<0.5%) and...

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Urgent Updates | September 12, 2024

Saline Nasal Drops Shortened Colds in Young Children, Reduced Household Transmission Hypertonic saline can reduce symptom duration in children aged 0 to 6 years by 2 days (a 25% relative reduction) and can also reduce transmission of colds within households. The researchers reported mild and infrequent side effects of hypertonic...

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Urgent Updates | September 5, 2024

Are Doctors Missing Cases of H5N1 Bird Flu in People Who Drink Raw Milk? Raw milk from cows infected with the H5N1 bird flu has been shown to contain very high levels of the virus, making it quite risky for people to consume. Emergency departments and healthcare professionals have received...

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Urgent Updates | August 29, 2024

FDA Approves First Nasal Spray for Treatment of Anaphylaxis On August 9, the U.S. Food and Drug Administration approved neffy (epinephrine nasal spray) for the emergency treatment of allergic reactions (Type I), including those that are life-threatening (anaphylaxis) in adult and pediatric patients who weigh at least 30 kilograms (about...

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Urgent Updates | August 8, 2024

A Multicenter, Open-Label Long-Term Safety Study of Rimegepant for the Acute Treatment of Migraine This multicenter, long-term, open-label safety study showed that Rimegepant 75 mg up to once per day as EOD + PRN for 12 weeks or PRN for up to 52 weeks was safe and well tolerated. No signal of hepatotoxicity,...

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Urgent Updates | August 1, 2024

Increased Risk of Dengue Virus Infections in the United States The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to notify healthcare clinicians, public health authorities and the public of an increased risk of dengue virus (DENV) infections in the U.S. in...

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