- Urinary Tract Infections Management
- Patient Satisfaction in Healthcare
- Antibiotic Use and Resistance
- Bacterial Identification and Susceptibility Testing
- Antimicrobial Resistance in Staphylococcus
- Pelvic floor disorders treatments
- Central Venous Catheters and Hemodialysis
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Infective Endocarditis Diagnosis and Management
- Nosocomial Infections in ICU
- Streptococcal Infections and Treatments
- Healthcare cost, quality, practices
- Pediatric Urology and Nephrology Studies
- Surgical site infection prevention
- Clostridium difficile and Clostridium perfringens research
- Patient Safety and Medication Errors
- Infection Control in Healthcare
- Water Quality and Pollution Assessment
- Complementary and Alternative Medicine Studies
- Pharmaceutical Practices and Patient Outcomes
- Heavy metals in environment
- Urinary Bladder and Prostate Research
- Disaster Response and Management
- Antifungal resistance and susceptibility
Wayne State University
2014-2025
Ascension
2016-2025
Stockholm IVF
2025
IVI Middle East Fertility Clinic
2024-2025
Dr. Kariadi Hospital
2024
Diponegoro University
2024
New York Proton Center
2016-2023
Oregon Medical Research Center
2022-2023
Lindsay Unified School District
2022-2023
Communities In Schools of Orange County
2022-2023
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<h3>Importance</h3> While current reports suggest that a disproportionate share of US coronavirus disease 2019 (COVID-19) cases and deaths are among Black residents, little information is available regarding how race associated with in-hospital mortality. <h3>Objective</h3> To evaluate the association race, adjusting for sociodemographic clinical factors, on all-cause, mortality patients COVID-19. <h3>Design, Setting, Participants</h3> This cohort study included 11 210 adult (age ≥18 years)...
Catheter-associated urinary tract infection (UTI) is a common device-associated in hospitals. Both technical factors — appropriate catheter use, aseptic insertion, and proper maintenance socioadaptive factors, such as cultural behavioral changes hospital units, are important preventing catheter-associated UTI.
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Abstract Background: The coronavirus disease 2019 (COVID-19) pandemic has had a considerable impact on US hospitalizations, affecting processes and patient population. Objective: To evaluate the of COVID-19 central-line–associated bloodstream infections (CLABSIs) catheter associated urinary tract (CAUTIs) in hospitals. Methods: We performed retrospective study CLABSIs CAUTIs 78 12 months before 6 during pandemic. Results: During 2 periods, there were 795,022 central-line days 817,267 days....
Indwelling urinary catheters may lead to both infectious and noninfectious complications are often used in the hospital setting without an appropriate indication. The objective of this study was evaluate results a statewide quality improvement effort reduce inappropriate catheter use.Retrospective analysis data collected between 2007 2010 as part collaborative initiative before, during, after educational intervention promoting adherence indications. were from 163 inpatient units 71...
Staphylococcus aureus bacteremia often persists. The reasons for persistence and its outcome are poorly defined. We conducted a prospective-observational study among 245 consecutive S. (MRSA: n=125; MSSA: n=120) bacteremias (≥1 positive blood cultures (BC)) 234 adults (18–103-y-old; median = 59 y) hospitalized during 1 January 2002–31 December 2002 at 600-bed teaching hospital. Measurements included duration, complication-rate (metastatic infection, relapse or attributable mortality)...
Staphylococcus aureus bacteremia often persists and causes metastatic infections. It is unknown whether the time between blood culture incubation growth detection (i.e., to positivity) in a continuously monitored system--a probable surrogate marker of severity--correlates with outcome.We performed prospective, observational study involving adult inpatients who had S. 1 January 2002 30 June 2003 at 600-bed teaching hospital. Measurements included positivity initial series, duration...
Objective. To determine the effect of nurse-led multidisciplinary rounds on reducing unnecessary use urinary catheters (UCs). Design. Quasi-experimental study with a control group, in 3 phases: preintervention, intervention, and postintervention. Setting. Twelve medical-surgical units within 608-bed teaching hospital, from May 2006 through April 2007. Intervention. A nurse trained indications for UC utilization participated daily 10 units. If no appropriate indication patient's was found,...
Avoiding placement of unnecessary urinary catheters (UCs) in the emergency department (ED) affects UC utilization during hospitalization. The authors sought to evaluate effect establishing institutional guidelines for appropriate coupled with physician (EP) education on utilization.Urinary catheter was measured before and after establishment EP education. Data collected included presence a ED arrival, ED, documentation order placement, reasons compliance guidelines. Chi-square analyses were...
To assess the relevance of vancomycin-intermediate susceptibility (VISA) and heteroresistance (hVISA) in methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia.We determined vancomycin MICs for 371 saved MRSA blood isolates (2002-03; 2005-06) by Etest broth microdilution (BMD), screened hVISA (Etest methods), population analysis profile (PAP)/AUC with suspected reduced (MICs >2 mg/L and/or hVISA-screen-positive versus Mu3 (hVISA control), stratified patient characteristics outcome...
Tigecycline is one of the few remaining therapeutic options for extensively drug-resistant (XDR) Gram-negative bacilli (GNB). MICs tigecycline to Acinetobacter baumannii have been reported be elevated when determined by Etest compared determinations broth microdilution (BMD) method. The study aim was compare susceptibility GNB four different testing methods. were collected from six health care systems (25 hospitals) in southeast Michigan January 2010 September 2011. among A. baumannii,...
Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections (HAIs). The intent of this document is to highlight practical in a concise format designed assist acute care hospitals implementing prioritizing their central line-associated bloodstream infection (CLABSI) prevention efforts. This updates “Strategies Prevent Central Line-Associated Bloodstream Infections Acute Care Hospitals,” 2008. expert...
Urine cultures are nonspecific and often lead to misdiagnosis of urinary tract infection unnecessary antibiotics. Diagnostic stewardship is a set procedures that modifies test ordering, processing, reporting in order optimize diagnosis downstream treatment. In this study, we aimed develop expert guidance on best practices for urine culture diagnostic stewardship.A RAND-modified Delphi approach with multidisciplinary panel was used ascertain practices. Clinical questions guide recommendations...
Infection with SARS-CoV-2, which causes COVID-19, is associated adverse maternal outcomes. While it known that severity of COVID-19 varies by viral strain, the extent to this variation reflected in outcomes, including nonpulmonary not well characterized.To evaluate associations SARS-CoV-2 infection severe morbidities (SMM) pregnant patients delivering during 4 pandemic periods characterized predominant strains.This retrospective cohort study included a multicenter, geographically diverse US...
Importance Guidelines recommend withholding antibiotics in asymptomatic bacteriuria (ASB), including among patients with altered mental status (AMS) and no systemic signs of infection. However, ASB treatment remains common. Objectives To determine prevalence factors associated bacteremia from a presumed urinary source inpatients or without AMS estimate avoided if 2% risk were used as threshold to prompt empiric antibiotic ASB. Design, Setting, Participants This cohort study assessed...
LTX-109 and eight other antimicrobial agents were evaluated against 155 methicillin-resistant Staphylococcus aureus (MRSA) isolates, including strains resistant to vancomycin with decreased susceptibility daptomycin linezolid, by microdilution tests determine MICs. Time-kill assays performed representative MRSA, vancomycin-intermediate S. (VISA), vancomycin-resistant (VRSA) isolates. demonstrated a MIC range of 2 4 μg/ml dose-dependent rapid bactericidal activity aureus. This was not...