Canadian Family Physician最新文献

{"title":"Resistant <i>Mycoplasma pneumoniae</i> in children.","authors":"Caeleigh Smith, Karin Ng, Kendra Sih, Alastair Mcalpine, Ran D Goldman","doi":"10.46747/cfp.710708487","DOIUrl":"10.46747/cfp.710708487","url":null,"abstract":"<p><strong>Question: </strong>A 5-year-old child was seen in our clinic with a clinical presentation consistent with community-acquired pneumonia. She was prescribed a course of amoxicillin and azithromycin, but remained febrile and returned to the clinic 3 days later. The family just returned from a trip to Japan. What is the current available evidence for treatment of macrolide-resistant <i>Mycoplasma pneumoniae</i> pneumonia?</p><p><strong>Answer: </strong>Macrolide-resistant <i>M pneumoniae</i> (MRMP) rates are increasing worldwide, with especially high prevalence in China, Japan, and Taiwan. Most evidence in children supports the use of tetracyclines for MRMP with more limited evidence supporting fluoroquinolones for this indication. Children with <i>M pneumoniae</i> pneumonia and a history of recent travel to countries with high rates of resistance or who do not improve within 48 to 72 hours of macrolide treatment should be treated with 2 mg/kg of doxycycline orally twice daily (maximum 100 mg per dose).</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"487-489"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An invitation to joy: rural and remote practice.","authors":"Carrie Bernard","doi":"10.46747/cfp.710708525","DOIUrl":"10.46747/cfp.710708525","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"525"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repenser les mandats de retour de services pour les diplômés internationaux en médecine: Répartir des soins communautaires durables et équitables au Canada.","authors":"Oluseyi Akinola, Mariana da Silva Jardim, Gina Aggarwal, Taofiq Olusegun Oyedokun, Anjali Menezes","doi":"10.46747/cfp.710708e154","DOIUrl":"10.46747/cfp.710708e154","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"e154-e157"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tick-borne anaplasmosis: First known case in southwestern Ontario.","authors":"Fikre Germa, Tom Szakacs","doi":"10.46747/cfp.710708483","DOIUrl":"10.46747/cfp.710708483","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"483-486"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A new chapter: Reflections on my journey with <i>Canadian Family Physician</i>.","authors":"Sarah Fraser","doi":"10.46747/cfp.710708448","DOIUrl":"10.46747/cfp.710708448","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"448"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.46747/cfp.710708450_2","DOIUrl":"10.46747/cfp.710708450_2","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"450"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une invitation à la joie : la pratique dans les régions rurales et éloignées.","authors":"Carrie Bernard","doi":"10.46747/cfp.710708526","DOIUrl":"10.46747/cfp.710708526","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 7-8","pages":"526"},"PeriodicalIF":2.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stepwise considerations when using artificial intelligence tools for administrative tasks in primary care.","authors":"Amanda L Terry, Keith Thompson, Sian Tsuei, Daniel J Lizotte","doi":"10.46747/cfp.7106e90","DOIUrl":"10.46747/cfp.7106e90","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"e90-e93"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends colliding: Aging comprehensive family physicians and the growing complexity of their patients.","authors":"Kamila Premji, Richard H Glazier, Michael E Green, Shahriar Khan, Maria Mathews, Steve Nastos, Eliot Frymire, Susan E Schultz, Bridget L Ryan","doi":"10.46747/cfp.7106406","DOIUrl":"10.46747/cfp.7106406","url":null,"abstract":"<p><strong>Objective: </strong>To assist in workforce planning by updating trends in the characteristics of near-retirement comprehensive family physicians (FPs) and their patients since the COVID-19 pandemic.</p><p><strong>Design: </strong>Population-level serial cross-sectional analysis using linked health administrative datasets.</p><p><strong>Setting: </strong>Ontario.</p><p><strong>Participants: </strong>The Ontario population as of March 31, 2022 (15,023,570), and the comprehensive FPs to whom they are attached (9375). We compared these populations to pre-pandemic analyses (2008, 2013, and 2019).</p><p><strong>Main outcome measures: </strong>Temporal trends in the number, proportion, and characteristics of comprehensive FPs; comprehensive FPs nearing retirement; and patients attached to comprehensive FPs, focusing on FPs nearing retirement.</p><p><strong>Results: </strong>After 2019, growth in the overall comprehensive FP workforce stagnated (2019: 9377; 2022: 9375). For the first time during the study period, in 2022 there was a decline in the number and proportion of early-career physicians (age <35 years) and female physicians comprised the majority (51.5%) of the workforce. An increasing proportion of the workforce is age 65 and older (2008: 10.0%; 2013: 14.4%; 2019: 13.9%; 2022: 15.2%), and correspondingly, an increasing number and proportion of patients are attached to near-retirement FPs. The oldest FP cohort (age ≥70) also increased in number and proportion in 2022. Patients attached to near-retirement FPs were older and had higher levels of chronic conditions compared with patients across the overall FP workforce. Mean roster sizes remained relatively stable and female FPs consistently cared for smaller rosters than male FPs. An increasing proportion of patients had the highest level of complexity, and practices of all FP age groups comprised increasing proportions of those with the highest resource needs.</p><p><strong>Conclusion: </strong>Changes to the comprehensive FP workforce since the COVID-19 pandemic, together with increasing patient complexity, raise concerns about the workforce's capacity to absorb patients whose FPs are poised to retire.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"406-416"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Money talk: a CFPC financial update.","authors":"Michael Allan, Theresa Maguire-Garber","doi":"10.46747/cfp.7106440","DOIUrl":"10.46747/cfp.7106440","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"440"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}