- Antibiotic Use and Resistance
- Pediatric Urology and Nephrology Studies
- Fungal Infections and Studies
- Antifungal resistance and susceptibility
- Urinary Tract Infections Management
- Emergency and Acute Care Studies
- Indoor Air Quality and Microbial Exposure
- Complementary and Alternative Medicine Studies
- COVID-19 epidemiological studies
- Vaccine Coverage and Hesitancy
- COVID-19 and Mental Health
- Vector-Borne Animal Diseases
- Patient Satisfaction in Healthcare
- Neutropenia and Cancer Infections
- Colorectal Cancer Screening and Detection
- SARS-CoV-2 and COVID-19 Research
- Vector-borne infectious diseases
- Viral Infections and Vectors
- Legionella and Acanthamoeba research
- Water Treatment and Disinfection
Centers for Disease Control and Prevention
2013-2024
Office of Minority Health and Health Equity
2019
Epidemic Intelligence Service
2016
Missouri Department of Health and Senior Services
2016
National Center for Emerging and Zoonotic Infectious Diseases
2016
King Abdulaziz University
2016
King Faisal Specialist Hospital & Research Centre
2016
National Center for Immunization and Respiratory Diseases
2013
Abstract Healthcare settings can amplify transmission of Middle East respiratory syndrome coronavirus (MERS-CoV), but knowledge gaps about the epidemiology remain. We conducted a retrospective cohort study among healthcare personnel in hospital units that treated MERS-CoV patients. Participants were interviewed exposures to patients, use personal protective equipment, and signs symptoms illness after exposure. Infection status was determined by presence antibodies against MERS-CoV. To assess...
, a multidrug-resistant yeast, can spread rapidly in ventilator-capable skilled-nursing facilities (vSNFs) and long-term acute care hospitals (LTACHs). In 2018, laboratory serving LTACHs southern California began identifying species of
Importance Multiplex molecular syndromic panels for diagnosis of urinary tract infection (UTI) lack clinical data supporting their use in routine care. They also have the potential to exacerbate inappropriate antibiotic prescribing. Objective To describe frequency unspecified multiplex testing administrative claims with a primary UTI Medicare population over time, assess costs, and characterize health care professionals (eg, clinicians, laboratories, physician assistants, nurse...
During a Legionnaires' disease (LD) outbreak, combined epidemiological and environmental investigations were conducted to identify prevention recommendations for facilities where elderly residents live independently but have an increased risk of legionellosis.Survey responses (n = 143) used calculate attack rates describe transmission routes by estimating relative (RR) 95% confidence intervals (95% CI). Potable water collected from five apartments LD patients three randomly-selected without...
Coxiella burnetii is a zoonotic pathogen that causes Q fever in humans and transmitted primarily from infected goats, sheep, or cows. typically presents as an acute febrile illness; however, individuals with certain predisposing conditions, including cardiac valvulopathy, are at risk for chronic fever, serious manifestation may present endocarditis. In response to cluster of cases detected by public health surveillance, we evaluated C. infection community operates large-scale cow goat dairy....
In south Asia, where diarrhea is common and antibiotics are accessible without prescription, antimicrobial resistance an emerging serious problem. However, beliefs behaviors related to poorly understood. We explored laypersons' health-care providers' (HCP) awareness perceptions of in the context treatment adult diarrheal disease Karachi, Pakistan. In-depth, open-ended interviews were conducted with 40 laypersons 45 HCPs a lower-middle-class urban neighborhood. Interviews Urdu audiotaped,...
Abstract Background Patients in long-term acute care hospitals (LTACHs) and skilled nursing facilities with ventilator units (VSNFs) are at high risk for Candida auris colonization; among patients colonized this emerging pathogen, 5%–10% develop invasive disease >45% mortality. In September 2018, a California LTACH-affiliated laboratory began enhanced C. surveillance by classifying species of isolated from routine urine specimens. February 2019, the first known Southern case was detected...
Abstract Background The majority of recent estimates on the direct medical cost attributable to hospital-onset infections (HOIs) has focused device- or procedure-associated HOIs. costs HOIs that are not associated with device use procedures have been extensively studied. Objective We developed simulation models for 16 and estimated total cost, including nondevice-related in USA 2011 2015. Data Methods used discharge HOI-related hospitalization from National Inpatient Sample applied an...
Background: Multiplex molecular tests for infectious diseases can provide highly sensitive results rapidly; however, these may more readily detect asymptomatic colonization. There are reports of non-FDA approved laboratory-developed multiplex the diagnosis urinary tract infections (UTI). Differentiating UTI from bacteriuria is challenging, especially in older adults. The increased sensitivity exacerbate this challenge. We sought to describe use testing UTIs Medicare claims. Methods: was...