Joseph F. Perz

ORCID: 0000-0002-1706-8787
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About
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Research Areas
  • Infection Control in Healthcare
  • Hepatitis B Virus Studies
  • Hepatitis C virus research
  • Liver Disease Diagnosis and Treatment
  • Mycobacterium research and diagnosis
  • Disaster Response and Management
  • Medical Device Sterilization and Disinfection
  • Healthcare cost, quality, practices
  • Antibiotic Use and Resistance
  • Geriatric Care and Nursing Homes
  • Clostridium difficile and Clostridium perfringens research
  • Viral Infections and Outbreaks Research
  • Patient Safety and Medication Errors
  • Surgical site infection prevention
  • Tuberculosis Research and Epidemiology
  • Public Health Policies and Education
  • Infectious Diseases and Mycology
  • Safe Handling of Antineoplastic Drugs
  • COVID-19 and healthcare impacts
  • Bacillus and Francisella bacterial research
  • Diabetes Management and Research
  • Antifungal resistance and susceptibility
  • Influenza Virus Research Studies
  • Pneumonia and Respiratory Infections
  • Viral gastroenteritis research and epidemiology

National Center for Emerging and Zoonotic Infectious Diseases
2013-2024

Centers for Disease Control and Prevention
2013-2024

The Centers
2012-2022

Federal Reserve
2022

Centers for Disease Control and Prevention
2020

National Jewish Health
2019

University of Colorado Denver
2019

University of Iowa
2019

Hyattsville Community Development Corporation
2014

Creative Commons
2014

In the spring of 2015, investigators in Switzerland reported a cluster six patients with invasive infection Mycobacterium chimaera, species nontuberculous mycobacterium ubiquitous soil and water. The infected had undergone open-heart surgery that used contaminated heater-cooler devices during extracorporeal circulation (1). July Pennsylvania hospital also identified mycobacterial infections among patients. Similar to Swiss report, field investigation by Department Health, assistance from...

10.15585/mmwr.mm6540a6 article EN MMWR Morbidity and Mortality Weekly Report 2016-10-13

Overuse of antibiotics has contributed to microbial resistance, compromising the treatment bacterial infections. Very high levels (>50%) antibiotic resistance among invasive Streptococcus pneumoniae have been documented in Knox County, Tennessee.To determine effectiveness a community-wide intervention aimed at reducing inappropriate use children.The County Health Department led multifaceted year-long campaign (May 1997 through April 1998) decreasing unnecessary children. Tennessee's 3 other...

10.1001/jama.287.23.3103 article EN JAMA 2002-06-19

In January 2008, 3 persons with acute hepatitis C who all underwent endoscopy at a single facility in Nevada were identified.We reviewed clinical and laboratory data from initially detected cases of infection control practices the clinic where case patients endoscopy. Persons procedures on days when tested for virus (HCV) other bloodborne pathogens. Quasispecies analysis determined relatedness HCV infected.In addition to initial cases, 5 additional clinic-acquired identified 2 procedure...

10.1086/653937 article EN Clinical Infectious Diseases 2010-06-24

During 2013, the Maryland Department of Health and Mental Hygiene in Baltimore, MD, USA, received report 2 residents whose surgical sites were infected with rapidly growing mycobacteria after cosmetic procedures at a clinic (clinic A) Dominican Republic. A multistate investigation was initiated; probable case defined as site infection unresponsive to therapy patient who had undergone surgery We identified 21 case-patients 6 states 1 5 Republic clinics; 13 (62%) A. Isolates from 12 (92%)...

10.3201/eid2208.151938 article EN cc-by Emerging infectious diseases 2016-07-14

Invasive nontuberculous mycobacteria (NTM) infections may result from a previously unrecognized source of transmission, heater-cooler devices (HCDs) used during cardiac surgery. In July 2015, the Pennsylvania Department Health notified Centers for Disease Control and Prevention (CDC) about cluster NTM among cardiothoracic surgical patients at 1 hospital. We conducted case-control study to identify exposures causing infection, examining 11 case-patients 48 control-patients. Eight (73%) had...

10.3201/eid2305.161899 article EN cc-by Emerging infectious diseases 2017-04-07

ABSTRACT Cryptosporidium , an enteric parasite of humans and a wide range other mammals, presents numerous challenges to the supply safe drinking water. We performed wildlife survey, focusing on white-tailed deer small assess whether they may serve as environmental sources . A PCR-based approach that permitted genetic characterization via sequence analysis was applied fecal samples ( n = 111) collected from September 1996 July 1998 three areas in lower New York State. Southern revealed 22...

10.1128/aem.67.3.1154-1162.2001 article EN Applied and Environmental Microbiology 2001-03-01

Approximately 2.7 million persons in the United States have chronic hepatitis C virus (HCV) infection. Health care-associated HCV transmission can occur if aseptic technique is not followed. The authors suspected a health outbreak after report of 4 infections among patients at same hematology/oncology clinic.To determine extent and mechanism clinic patients.Epidemiologic analysis through cohort study.Hematology/oncology eastern Nebraska.Patients who visited from March 2000 December 2001.HCV...

10.7326/0003-4819-142-11-200506070-00007 article EN Annals of Internal Medicine 2005-06-07

Background: As part of routine diabetes care, capillary blood is typically sampled using a finger-stick device and then tested handheld glucose meter. In settings where multiple persons require assistance with monitoring, opportunities for bloodborne pathogen transmission may exist. Methods: Reports hepatitis B virus (HBV) infection outbreaks in the United States that have been attributed to monitoring practices were reviewed summarized. Results: Since 1990, state local health departments...

10.1177/193229680900300208 article EN Journal of Diabetes Science and Technology 2009-03-01

Abstract Objective: Water exposures in healthcare settings and during delivery can place patients at risk for infection with water-related organisms potentially lead to outbreaks. We aimed describe Centers Disease Control Prevention (CDC) consultations involving leading healthcare-associated infections (HAIs). Design: Retrospective observational study. Methods: reviewed internal CDC records from January 1, 2014, through December 31, 2017, using terms organisms, excluding Legionella ,...

10.1017/ice.2019.60 article EN Infection Control and Hospital Epidemiology 2019-04-03

The coronavirus disease 2019 (COVID-19) pandemic has highlighted the vulnerability of residents and staff members in long-term care facilities (LTCFs) (1).Although skilled nursing (SNFs) certified by Centers for Medicare & Medicaid Services (CMS) have federal COVID-19 reporting requirements, national surveillance data are less readily available other types LTCFs, such as assisted living (ALFs) those providing similar residential care.However, many state territorial health departments...

10.15585/mmwr.mm6946a3 article EN MMWR Morbidity and Mortality Weekly Report 2020-11-19

Abstract Background and Objective: In August 2002, the Oklahoma State Department of Health received a report six patients with unexplained hepatitis C virus (HCV) infection treated in same pain remediation clinic. We investigated outbreak's extent etiology. Design, Setting, Participants: conducted retrospective cohort study clinic patients, including serologic survey, interviews infected reviews medical records staff control practices. Patients outpatient treatments one afternoon week within...

10.1086/502442 article EN Infection Control and Hospital Epidemiology 2004-07-01

Abstract Background Injection overuse and unsafe injection practices facilitate transmission of bloodborne pathogens such as hepatitis B virus (HBV), C (HCV), human immunodeficiency (HIV). Anecdotal reports unnecessary therapeutic injections the high prevalence HBV (8.0%), HCV (6.5%), HIV (2.6%) infection in Cambodia have raised concern over safety. To estimate magnitude patterns practices, a rapid assessment was conducted. Methods We surveyed random sample general population Takeo Province...

10.1186/1471-2458-5-56 article EN cc-by BMC Public Health 2005-06-02

Waterborne transmission of Cryptosporidium parvum is well-established as a source in outbreaks cryptosporidiosis; however, the role tap water endemic disease unclear. The authors applied risk assessment approach incorporating uncertainty analysis to examine potential C. infection. model had two components: exposure-infection, relate low-dose exposure infection; and infection-outcome, include probabilities clinical outcomes leading case detection reporting. population was divided into four...

10.1093/oxfordjournals.aje.a009449 article EN American Journal of Epidemiology 1998-02-01

Reports of hepatitis B virus (HBV) and C (HCV) transmission associated with unsafe medical practices have been increasing in the United States. However, contribution healthcare exposures to burden new infections is poorly understood outside recognized outbreaks. We conducted a case-control study at three health departments that perform enhanced viral surveillance New York Oregon. Reported cases symptomatic acute occurring persons≥55 years age from 2006 2008 were enrolled. Controls identified...

10.1002/hep.25688 article EN Hepatology 2012-03-04

Abstract A surgical heater–cooler unit has been implicated as the source for Mycobacterium chimaera infections among cardiac surgery patients in several countries. We isolated M. from units and patient United States. Whole-genome sequencing corroborated a risk these acting reservoir this pathogen.

10.3201/eid2503.181282 article EN cc-by Emerging infectious diseases 2019-02-05
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