A5112751158- HIV/AIDS Research and Interventions
- Child Nutrition and Water Access
- HIV Research and Treatment
- Breastfeeding Practices and Influences
- Food Security and Health in Diverse Populations
- Antibiotic Use and Resistance
- Pediatric health and respiratory diseases
- Streptococcal Infections and Treatments
- Healthcare cost, quality, practices
- Mobile Health and mHealth Applications
- Bacterial Identification and Susceptibility Testing
- HIV/AIDS drug development and treatment
- Telemedicine and Telehealth Implementation
- Adolescent Sexual and Reproductive Health
- Global Maternal and Child Health
- Nosocomial Infections in ICU
- Sepsis Diagnosis and Treatment
- Poverty, Education, and Child Welfare
- Healthcare Systems and Technology
- Pharmaceutical Practices and Patient Outcomes
- Adolescent and Pediatric Healthcare
- Pharmaceutical industry and healthcare
- Antimicrobial Resistance in Staphylococcus
- Injury Epidemiology and Prevention
- Child and Adolescent Health
Children's Healthcare of Atlanta
2018-2025
Communities In Schools of Orange County
2024
University of Pittsburgh
2024
Oregon Medical Research Center
2024
Lindsay Unified School District
2024
New York Proton Center
2024
Office of Infectious Diseases
2022
Centers for Disease Control and Prevention
2007-2014
Centers for Disease Control and Prevention
2013
Center for Global Health
2013
Background: In 2006, a pediatric diarrhea outbreak occurred in Botswana, coinciding with heavy rains. Surveillance recorded 3 times increase cases and 25 fold deaths between January March. Botswana has high HIV prevalence among pregnant women (33.4% 2005), an estimated 35% of all infants under the age 6 months are not breastfed. Methods: We followed children <5 years old country's second largest referral hospital at peak by chart review, interviewed mothers, conducted laboratory testing for...
Background: Botswana has high antenatal human immunodeficiency virus (HIV) prevalence (33.4%). The public health system provides free services for prevention of mother to child transmission HIV (PMTCT) and antiretroviral therapy, which can reduce vertical from 35% <5%. Infant diagnosis is challenging in resource-limited settings, among HIV-exposed infants unknown. Dried blood spot (DBS) polymerase chain reaction (PCR) a feasible method assess PMTCT programs identify HIV-infected children....
Abstract Background Focal intracranial infections are rare but life-threatening complications of sinusitis, otitis media and mastoiditis in children. Management requires collaboration between multiple specialists prolonged antimicrobial treatment. Methods We retrospectively identified patients hospitalized at our tertiary care children’s hospital with focal from Jan 2022 - April 2024 followed infectious disease clinic. Patient charts were reviewed to inventory imaging, surgical interventions...
In early 2006, coinciding with heavy rains, Botswana health facilities reported increases in diarrhea, mortality, and acute malnutrition among young children. Data on human immunodeficiency virus, feeding, water/sanitation were collected by random cluster survey. Anthropometric data measured drinking water samples tested. Of 537 surveyed children less than five years of age, one-third experienced ≥ 1 episode diarrhea. Prevalence was 7.9%, the mortality rate for age 2.6/10,000/day during...
There is consensus on the benefits for all infants of exclusive breastfeeding 6 months and introduction appropriate complementary foods at months, followed by continued breastfeeding. However, guidelines infant young child feeding (IYCF) HIV-positive mothers have changed continually since 2000. This article explores issues evidence related to IYCF prevention care paediatric HIV in resource-limited settings light new treatment guidelines, implementation challenges knowledge gaps. In 2010...
Abstract In a pediatric hospital system over 2 years, 58,607 doses of antibiotic were wasted, an average 80 per day, including drugs in shortage nationwide. Approximately 50% waste occurred within the first days admission or day discharge, with ampicillin being most wasted drug (N = 7,789 doses).
Nigeria has one of the highest HIV burdens as well mother-to-infant transmission rates in world. A pilot program using polymerase chain reaction (PCR)-based testing dried blood spot (DBS) specimens was implemented to enable early identification HIV-infected infants and timely referral linkage care. From February 2007 October 2008, whole collected by finger prick prepare DBS from <18 months presenting six public mother-and-child health facilities Lagos, Nigeria. The were tested Roche Amplicor...
Cambodia has made significant economic, political, and health advancements with the implementation of millennium development goals (MDG). Important gaps in child still exist, however, accurate assessments lingering disparities within country will be essential for meeting Sustainable Development Goals by 2030.This investigation hypothesised that child-health improvements rural areas continue to lag behind urban areas. The study objective was identify specific achievement MDG direct future...
The objective was to optimize antibiotic choice and duration for uncomplicated skin/soft tissue infections (SSTIs) discharged from pediatric emergency departments (EDs) urgent cares (UCs).Pediatric patients aged 0 18 years 3 EDs 8 UCs with a diagnosis of SSTIs were included. Optimal treatment defined as 5 days cephalexin nonpurulent 7 clindamycin or trimethoprim/sulfamethoxazole purulent SSTIs. Exclusion criteria included erysipelas, folliculitis, felon, impetigo, lymphangitis, paronychia,...
We provided safe, effective pediatric infectious disease management through telemedicine over a 3.5-year period, saving patients 31 000 vehicular travel miles. Telemedicine has potential to decrease indirect patient costs while sustainably increasing access subspecialty care.
Abstract Corresponding Author: Lydia Lu, Children’s Healthcare of Atlanta, 2174 North Druid Hills Road NE, GA 30329, Lydia.lu@choa.org, 404-785-5733 Alternate Preeti Jaggi, Emory University, Division Pediatric Infectious Disease, 2015 Uppergate Drive, Suite 534, 30322, Preeti.jaggi@emory.edu, 404-785-0977 No conflicts interest. Background Telemedicine is supported by the Diseases Society America (IDSA) as an evidence-based approach to provide timely, cost-effective infectious disease (ID)...
Abstract Corresponding Author Information: Zayd Ahmad, PharmD, Author, No conflict, Antimicrobial Stewardship Clinical Pharmacist Specialist, Department of Pharmacy, Children’s Healthcare Atlanta, Georgia, United States, 404-785-5437, 1405 Clifton Rd NE, Georgia 30322, zayd.ahmad@choa.org Preeti Jaggi, MD, Alternate Director Stewardship, Associate Professor Pediatrics, Emory University, 614-353-2588, preeti.jaggi@emory.edu Introduction Antibiotics are commonly prescribed in pediatrics....
<h3>Background</h3> WHO put air pollution is one of the largest environmental risks, but people are more concerned about Outdoor Air Quality (OAQ) little Indoor (IAQ). People's indoor activities accounts 70% to 90% time a day. Children may stay longer. This survey learn Chinese families perspectives on IAQ, identify knowledge and behaviour gap collect insights IAQ promotion. <h3>Methods</h3> 10 cities were selected based geography year average PM2.5. 100 school-aged children's participated...
Easy identification of immunocompromised hosts (ICHs) would allow for stratification culture results based on host type. We utilized antimicrobial stewardship program (ASP) team notes written during handshake rounds in the pediatric intensive care unit (PICU) as gold standard status; clinical from primary team, medication orders encounter, problem list, and billing diagnoses documented prior to ASP documentation were extracted develop models that predict status. calculated performance three...
Evaluation for bacterial bloodstream infections (BSIs) is often associated with prescribing empiric antibiotics while awaiting blood culture results, typically 48 hours. We examined characteristics positive cultures treated as BSI vs contaminant in children and BSIs prolonged (≥ 24 hours) time-to-positivity (TTP). In a retrospective study of (≤ 21 years) at our pediatric healthcare system, we abstracted demographic, clinical, data from the electronic medical record all initial March 2021 to...