Primary Care Physicians Prepare for Surge in Respiratory Viruses

Core Concepts

Primary care physicians should prepare for a surge in respiratory infections by focusing on COVID, influenza, and RSV vaccinations.

Abstract

• Hospitalizations for COVID-19 in the US have risen for 8 consecutive weeks.
• Florida and Georgia data indicate the start of RSV season.
• Experts recommend flu shots for long COVID patients.
• Concerns about COVID, influenza, and RSV are prevalent among patients.
• Discussions on handling COVID boosters, Paxlovid use, vaccine hesitancy, and vaccination order.
• Unpredictability of respiratory virus seasons poses challenges for clinicians.
• Importance of testing and telemedicine in managing respiratory infections.
• Rise in group A streptococcal infections during the pandemic.
• Recommendations on administering multiple vaccines and potential interactions.
• Strategies to increase patient access to vaccines.

Stats

Hospitalizations for COVID-19 in the United States have increased for 8 weeks in a row.
People frequently ask if they need the COVID booster.
The risk for hospitalization decreases based on earlier studies for 4 to 6 months after a COVID booster.
The frequency of rebound COVID in patients taking Paxlovid is around 10%.
The older you are, the more likely RSV infection will land you in the hospital.
COVID vaccine efficacy has fallen from 95% to under 70% depending on the study.

Quotes

"I think it's important that I try to persuade people to take a direct-acting antiviral if they're in a high-risk category rather than tough it out." - Dr. Auwaerter
"People more engaged in their health have asked me about the RSV vaccine." - Dr. Auwaerter
"The basic components of the vaccine are the same, right?" - Dr. Auwaerter

Key Insights Distilled From

PCPs Prep for 'Less Predictable' Respiratory Virus Season

by Medscape Sta... at www.medscape.com 09-14-2023

https://www.medscape.com/viewarticle/996486

Deeper Inquiries

How can primary care physicians address misinformation about COVID boosters and vaccine safety effectively?

Primary care physicians can address misinformation about COVID boosters and vaccine safety effectively by staying informed and up-to-date on the latest research and recommendations. They should be prepared to explain the science behind the vaccines, including how they work, their safety profiles, and the benefits of getting vaccinated. It's essential to listen to patients' concerns and address them with empathy and understanding. Providing clear, accurate information in a non-judgmental manner can help build trust and credibility with patients. Additionally, physicians can leverage reputable sources such as the CDC, WHO, and peer-reviewed journals to counter misinformation and provide evidence-based guidance.

Does the focus on COVID, influenza, and RSV vaccines overshadow the importance of other respiratory infections like pneumococcal pneumonia?

While the focus on COVID, influenza, and RSV vaccines is crucial given the current public health challenges, it is essential not to overlook the importance of other respiratory infections like pneumococcal pneumonia. Pneumococcal pneumonia remains a significant cause of hospitalization, especially in older patients, and its prevalence has been impacted by the pandemic. Healthcare providers should continue to emphasize the importance of pneumococcal vaccination, especially for high-risk populations, and ensure that patients are up to date with their vaccinations. By maintaining a comprehensive approach to respiratory infections, healthcare providers can better protect patients from a range of respiratory illnesses and their associated complications.

How can healthcare providers navigate vaccine hesitancy and resistance among patients effectively?

Healthcare providers can navigate vaccine hesitancy and resistance among patients effectively by employing a patient-centered approach that focuses on building trust, providing education, and addressing individual concerns. It's essential to listen to patients' questions and fears without judgment and offer clear, evidence-based information to address their specific worries. Engaging in open, honest conversations about the benefits of vaccination, including protecting oneself and others, preventing severe illness, and contributing to community immunity, can help patients make informed decisions. Additionally, healthcare providers can leverage their relationships with patients to personalize the vaccination discussion, tailoring information to individual needs and circumstances. Building a supportive, non-coercive environment where patients feel heard and respected is key to overcoming vaccine hesitancy and increasing vaccination rates.