Urgent Bite 316 - Sinusitis antibiotic choice

Urgent Bite 316 - Sinusitis antibiotic choice

A recent large study in JAMA showed amoxicillin is as effective as augmentin for treating sinusitis.  Which tallies with our national antibiotic guideline advice.  It is important to recognise, sinusitis does not usually require antibiotic therapy.   Check out the paper mentioned [https://pubmed.ncbi.nlm.nih.gov/41999289/] Savage TJ, Butler AM, Kronman MP, Durkin MJ, Sreedhara SK, Kabbani S, Hicks LA, Huybrechts KF. Amoxicillin-Clavulanate vs Amoxicillin for Acute Sinusitis in Adults. JAMA. 2026 May 19;335(19):1694-1705. doi: 10.1001/jama.2025.26902. PMID: 41999289; PMCID: PMC13092118. Check out the national antibiotic guidelines - Te Whata Kura [https://tewhatakura.nz]   Check out the RNZCUC Research Network [https://rnzcuc.org.nz/urgent-care-research-network/] Check out the Bootcamp conference, incorporating the research network meeting [https://rnzcuc.org.nz/bootcamp-and-fellowship-ceremony-2026/]   Check out the Research Review [https://www.researchreview.co.nz/nz/Clinical-Area/General-Medicine/General-Practice.aspx]   www.rnzcuc.org.nz [http://www.rnzcuc.org.nz/] podcast@rnzcuc.org.nz [podcast@rnzcuc.org.nz] https://www.facebook.com/rnzcuc [https://www.facebook.com/rnzcuc] https://twitter.com/rnzcuc [https://twitter.com/rnzcuc]   Music licensed from www.premiumbeat.com [http://www.premiumbeat.com/] Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor

Urgent Bite 315 - Ehlers-Danlos Syndrome

Ehlers-Danlos Syndrome is a genetic connective tissue disorder that can affect many body systems.  It is important to understand how it might intersect with urgent care both as a cause of certain presentations and a factor impacting treatment and management of some UC presentations.     Check out the paper mentioned [https://pmc.ncbi.nlm.nih.gov/articles/PMC4952841/] Sobey G. Ehlers-Danlos syndrome - a commonly misunderstood group of conditions. Clin Med (Lond). 2014 Aug;14(4):432-6. doi: 10.7861/clinmedicine.14-4-432. PMID: 25099849; PMCID: PMC4952841.   www.rnzcuc.org.nz [http://www.rnzcuc.org.nz/] podcast@rnzcuc.org.nz [podcast@rnzcuc.org.nz] https://www.facebook.com/rnzcuc [https://www.facebook.com/rnzcuc] https://twitter.com/rnzcuc [https://twitter.com/rnzcuc]   Music licensed from www.premiumbeat.com [http://www.premiumbeat.com/] Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor

Urgent Bite 314 - Intertrigo

Intertrigo is a common presentation to urgent care.  Caused by rubbing skin in the presence of moisture it can be concurrent and complicated with bacterial and fungal infections.  Targeted, accurate treatment is best, but it is not always obvious which cause is present.   Check out the DermNet NZ page [https://dermnetnz.org/topics/intertrigo] Check out the Stat Pearls page [https://www.ncbi.nlm.nih.gov/books/NBK531489/?report=classic] Nobles T, Syed HA, Miller RA. Intertrigo. [Updated 2024 Oct 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-.     www.rnzcuc.org.nz [http://www.rnzcuc.org.nz/] podcast@rnzcuc.org.nz [podcast@rnzcuc.org.nz] https://www.facebook.com/rnzcuc [https://www.facebook.com/rnzcuc] https://twitter.com/rnzcuc [https://twitter.com/rnzcuc]   Music licensed from www.premiumbeat.com [http://www.premiumbeat.com/] Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor

Urgent Bite 313 - Alternate analgesia for dental pain

While alternative, natural remedies for toothache seem effective, we must remember that they are not without their potential problems.     Check out the paper mentioned [https://pmc.ncbi.nlm.nih.gov/articles/PMC12659986/] Reddy MS, Ramachandra SS, Shetty SR, Khazi SS, Ur Rahman Tippu MS, Narayanan LA, Shetty RM, Azim SA, Ramana VV, Al-Bayati SAAF, Razooki A, Fouad NN. Analgesic Efficacy of Phytotherapeutic Agents in Dental Pain Management: A Systematic Review. Int J Dent. 2025 Nov 20;2025:5614623. doi: 10.1155/ijod/5614623. PMID: 41322706; PMCID: PMC12659986.   Check out the MedSafe Prescriber Update mentioned [https://www.medsafe.govt.nz/profs/PUArticles/PDF/PrescriberUpdate_Dec11.pdf]     www.rnzcuc.org.nz [http://www.rnzcuc.org.nz/] podcast@rnzcuc.org.nz [podcast@rnzcuc.org.nz] https://www.facebook.com/rnzcuc [https://www.facebook.com/rnzcuc] https://twitter.com/rnzcuc [https://twitter.com/rnzcuc]   Music licensed from www.premiumbeat.com [http://www.premiumbeat.com/] Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor

Urgent Bite 312 - Pull out all the stops

While a grand pipe organ has the capacity to pull out all the stops, it is not wise to play it in that state all the time.  Not unlike an urgent care clinician working at 100% for too long.   Check out the BMA article mentioned [https://www.bma.org.uk/media/1145/workload-control-general-practice-mar2018-1.pdf]   Check out the video of Anna Lapwood playing the Royal Albert Hall's grand organ alongside Bonobo [https://www.youtube.com/watch?v=AdyAF9M3XVw]     www.rnzcuc.org.nz [http://www.rnzcuc.org.nz/] podcast@rnzcuc.org.nz [podcast@rnzcuc.org.nz] https://www.facebook.com/rnzcuc [https://www.facebook.com/rnzcuc] https://twitter.com/rnzcuc [https://twitter.com/rnzcuc]   Music licensed from www.premiumbeat.com [http://www.premiumbeat.com/] Full Grip by Score Squad Sound Effect by free sound_community via Pixabay   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor