Urgent Updates | June 23, 2022

ANALYSIS OF RACIAL AND ETHNIC DIVERSITY OF POPULATION SERVED AND IMAGING USED IN US CHILDREN’S HOSPITAL EMERGENCY DEPARTMENTS
In this cross-sectional study of 38 children’s hospitals encompassing more than 12 million ED visits, hospitals with a higher percentage of patients from minoritized groups had larger differences in imaging between non-Hispanic Black and non-Hispanic White patients, with non-Hispanic White patients consistently more likely to receive diagnostic imaging.

These findings suggest the need for interventions at the hospital level to improve equity in imaging in pediatric emergency medicine.
Full Access: JAMA

FDA CAUTIONS AGAINST USING OTC PRODUCTS TO REMOVE SKIN SPOTS, MOLES
US Food and Drug Administration (FDA) warns against the use of over-the-counter products for removing moles, seborrheic keratoses (wart-like growths that are often brown), or skin tags, emphasizing that none are approved by the FDA for at-home use. Dermatologists and the FDA say these products may lead to skin injuries, infection requiring antibiotics, scarring, and delayed skin cancer diagnosis and treatment.
Full Access: Medscape

COMPREHENSIVE ASSESSMENT OF HOLDING URINE AS A BEHAVIORAL RISK FACTOR FOR UTI IN WOMEN AND REASONS FOR DELAYED VOIDING
A questionnaire based cross-sectional study was performed with 816 hostel residents with written consent showed that holding urine for long time had proven to be an important risk factor and amongst different reasons of holding urine, holding due to poor sanitary condition of public toilets was the most common. Higher frequency of self-reported UTIs is related to holding of urine, behavioral features and attitude of women.
Full Access: BMC

TRENDS IN SINUSITIS
The COVID-19 pandemic has upended the world of respiratory diseases. Every cough and sniffle raise red flags in a clinical area that already was a drain on health care resources. Roughly 12% of US adults have chronic sinusitis, and about 2.7 million physician and 234,000 emergency department visits are attributed to this diagnosis each year.  Antibiotic resistance is a real problem. Besides education offering patients an alternative for symptom management can help. People like to turn to over-the-counter (OTC) remedies that dry out mucus at the first sign of illness, but she says this is really the opposite of how you want to manage sinusitis.
Full Access: Contemporary Pediatrics