- Influenza Virus Research Studies
- Respiratory viral infections research
- Urinary Tract Infections Management
- Antibiotic Use and Resistance
- Sepsis Diagnosis and Treatment
- Patient Satisfaction in Healthcare
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Disaster Response and Management
- Neonatal and Maternal Infections
- Pelvic floor disorders treatments
- Bacterial Identification and Susceptibility Testing
- Antimicrobial Resistance in Staphylococcus
- Nosocomial Infections in ICU
- Viral Infections and Outbreaks Research
- Clinical Reasoning and Diagnostic Skills
- Folate and B Vitamins Research
- Fungal Infections and Studies
- Urinary Bladder and Prostate Research
- Infectious Diseases and Tuberculosis
- Geriatric Care and Nursing Homes
- Viral Infections and Vectors
- Pneumonia and Respiratory Infections
- Data-Driven Disease Surveillance
- Bacillus and Francisella bacterial research
- Mycobacterium research and diagnosis
Wyckoff Heights Medical Center
2024
New Mexico Department of Health
2018-2023
Veterans Health Administration
2001
University of New Mexico
1999
Raymond G. Murphy VA Medical Center
1996
New Mexico Regional Federal Medical Center
1996
<h3>Importance</h3> Current information on the characteristics of patients who develop sepsis may help in identifying opportunities to improve outcomes. Most recent studies epidemiology have focused changes incidence or used administrative data sets that provided limited patient-level data. <h3>Objective</h3> To describe adults. <h3>Design, Setting, and Participants</h3> This retrospective cohort study reviewed medical records, death certificates, hospital discharge adult with septic shock...
<h3>Importance</h3> Seasonal influenza virus infection is a major cause of morbidity and mortality may be associated with respiratory nonrespiratory diagnoses. <h3>Objective</h3> To examine the diagnoses reported for adults hospitalized laboratory-confirmed between 2010 2018 in United States. <h3>Design, Setting, Participants</h3> This cross-sectional study used data from US Influenza Hospitalization Surveillance Network (FluSurv-NET) October 1 through April 30 2010-2011 2017-2018 seasons....
<h3>Importance</h3> Controlling antimicrobial resistance in health care is a public priority, although data describing use US nursing homes are limited. <h3>Objective</h3> To measure the prevalence of and describe classes common indications among home residents. <h3>Design, Setting, Participants</h3> Cross-sectional, 1-day point-prevalence surveys performed between April 2017 October 2017, last survey date 31, including 15 276 residents present on 161 randomly selected from counties 10...
Sensitivities of 120 strains Staphylococcus aureus to methicillin, cetylpyridinium chloride (CPC) and chlorhexidine (CH) were measured by the agar dilution technique. The MICs for CPC CH ≤ 2 μg/ml in 93 83% methicillin-sensitive S. aureus, respectively, > 81 methicillin-resistant (MRSA), respectively. Overall, 5–10 times greater than (p < 0.001). also predicted relative susceptibilities bactericidal action these agents growth time-kill studies. possibility that antiseptics disinfectants...
Abstract Background Most multicenter studies of US pediatric sepsis epidemiology use administrative data or focus on intensive care units. We conducted a detailed medical record review to describe in children and young adults. Methods In convenience sample hospitals 10 states, patients aged 30 days–21 years, discharged during 1 October 2014–30 September 2015, with explicit diagnosis codes for severe septic shock, were included. Medical records reviewed documentation sepsis, similar terms....
CDC released the Core Elements of Antibiotic Stewardship (Core Elements) for Nursing Homes (NHs) in 2015. In 2017, CDCs Emerging Infections Program (EIP) evaluated uptake a cohort NHs. NHs from California, Colorado, Connecticut, Georgia, Maryland, Minnesota, New Mexico, York, Oregon, and Tennessee were randomly selected to participate EIP antimicrobial use prevalence survey; participation was voluntary. A NH leader (typically Director or Infection Preventionist) completed questionnaire...
Background: With an aging population, increasingly complex care, and frequent re-admissions, prevention of healthcare-associated infections (HAIs) in nursing homes (NHs) is a federal priority. However, few contemporary sources HAI data exist to inform surveillance, prevention, policy. Prevalence surveys (PSs) are efficient approach generating measure the burden describe types HAI. In 2017, Centers for Disease Control Prevention (CDC) performed its first large-scale PS through Emerging...
Abstract Background Influenza is a substantial cause of annual morbidity and mortality; however, correctly identifying those patients at increased risk for severe disease often challenging. Several severity indices have been developed; these scores not validated use in with influenza. We evaluated the discrimination three clinical predicting influenza‐associated outcomes. Methods used data from Hospitalization Surveillance Network to assess outcomes hospitalized influenza United States...
The role of nursing homes (NH) in transmission antimicrobial-resistant (AR) organisms is growing concern. AR control requires evidence-based NH stewardship interventions; however, data on antimicrobial use (AU) from US NHs are scant. In the absence other AU surveillance approaches, prevalence surveys can generate essential data, including rationale and indication. 2017, an survey was conducted through CDC’s Emerging Infections Program (EIP) to determine epidemiology residents. California,...
Abstract Background Influenza vaccination may reduce illness severity among those with influenza; however, data are limited. We determined whether outcomes were less severe vaccinated compared unvaccinated adults hospitalized influenza over 5 seasons. Methods included (≥18 years) laboratory-confirmed during seasons 2013–2014 through 2017–2018 and identified the US Hospitalization Surveillance Network (FluSurv-NET). Vaccination status was obtained medical records, vaccine registries,...
Abstract Background Influenza virus infection most commonly causes acute respiratory tract illness, however may also lead to non-respiratory complications including cardiovascular (CV) events. We describe the frequency of and risk factors for CV events in adults hospitalized with influenza United States. Methods included aged > 18 years during seasons 2010–2011 through 2017–2018 FluSurv-NET, a multi-state population-based surveillance system that includes detailed medical chart review...
Abstract Background Sepsis is an important contributor to mortality among children and young adults. However, recent studies focused on hospital management burden estimation do not provide critical data inform prevention efforts. We conducted detailed medical record reviews describe the epidemiology clinical characteristics of adults with sepsis early recognition targets. Methods utilized Emerging Infections Program (EIP) collect comprehensive via retrospective review for patients severe or...
Abstract Background The 2018–19 influenza season was characterized by prolonged co-circulation of Influenza A H3N2 (H3) and H1N1pdm09 (H1) viruses. We used data from the Hospitalization Surveillance Network (FluSurv-NET) to describe age-related differences in distribution subtypes. Methods included all cases residing within a FluSurv-NET catchment area hospitalized with laboratory-confirmed during October 1, 2018–April 30, 2019. multiply imputed subtype for 63% unknown based imputation on...
Abstract Background Influenza can lead to severe outcomes among adults hospitalized with influenza, and causes substantial annual morbidity mortality. We evaluated the performance of validated pneumonia severity indices in predicting influenza-associated outcomes. Methods conducted a multicenter study within CDC’s Hospitalization Surveillance Network (FluSurv-NET) which included (≥ 18 years) laboratory-confirmed influenza during 2017–18 season. Medical charts were abstracted obtain data on...
Abstract Background Seasonal influenza vaccine may attenuate disease severity among people infected with despite vaccination, but effectiveness decrease increasing time between vaccination and infection. Patient characteristics play a role in the timing of receipt. Methods We used data from Influenza Hospitalization Surveillance Network (FluSurv-NET) included patients ≥ 9 years hospitalized laboratory-confirmed during October 1–April 30 seasons 2013–2014 through 2016–2017 who received...
Background: With the emergence of antibiotic resistant threats and need for appropriate use, laboratory microbiology information is important to guide clinical decision making in nursing homes, where access such data can be limited. Susceptibility are necessary inform selection monitor changes resistance patterns over time. To contribute existing that describe among home residents, we summarized susceptibility from organisms commonly isolated urine cultures collected as part CDC multistate,...
Background: Antibiotics are among the most commonly prescribed drugs in nursing homes; urinary tract infections (UTIs) a frequent indication. Although there is no gold standard for diagnosis of UTIs, various criteria have been developed to inform and standardize home prescribing decisions, with goal reducing unnecessary antibiotic prescribing. Using different published designed guide decisions on initiating treatment UTIs (ie, symptomatic, catheter-associated, uncomplicated cystitis), our...