A5013957702- Antibiotic Use and Resistance
- Telemedicine and Telehealth Implementation
- Pneumonia and Respiratory Infections
- Clostridium difficile and Clostridium perfringens research
- Infection Control in Healthcare
- Healthcare Systems and Technology
- Patient Safety and Medication Errors
- Long-Term Effects of COVID-19
- Antibiotic Resistance in Bacteria
- Cardiac Health and Mental Health
- Medication Adherence and Compliance
- Tuberculosis Research and Epidemiology
- Pharmaceutical Practices and Patient Outcomes
- Patient Satisfaction in Healthcare
VA Northeast Ohio Healthcare System
2024-2025
Case Western Reserve University
2024-2025
Geriatric Research Education and Clinical Center
2024-2025
University School
2024
St. Boniface Hospital
2012
Abstract Background Due to congregate living, advanced age, and frailty, nursing home (NH) residents are at high risk for infections caused by respiratory viruses. Protocols the efficient safe administration of antivirals treatment prophylaxis influenza among NH well-established. Similar protocols COVID-19 foreseeable. Use nirmatrelvir/ritonavir, associated with improved outcomes in high-risk patients COVID-19, requires careful examination concomitant medications, renal function, blood...
Abstract Nursing home (NH) residents in the United States routinely attend interactive visits for services such as therapy or dialysis, creating opportunities pathogen transmission. A paucity of studies exist which delineate spread pathogens beyond residents’ in-room environment. In this prospective cohort study, we recruited 197 newly-admitted across three Veterans Affairs NHs to characterize multidrug-resistant organism (MDRO) prevalence, acquisition, and Participant hands, nares, groin,...
Abstract Background Primary care providers (PCPs) may modify their antibiotic prescription practices if aware of potentially damaging impact. Methods We conducted a cluster randomized controlled trial at 12 Veterans Affairs community-based outpatient clinics. PCPs clinics to the intervention group received quarterly use reports with feedback about antibiotics prescribed for acute respiratory infections and adverse event letters alerting Clostridioides difficile infection or...
Background: The influence of increased use telehealth during the emergence COVID-19 on antibiotic prescriptions in outpatient settings is unknown. VA Northeast Ohio Healthcare System has 13 community-based clinics (CBOCs) that provide primary and preventive care. We assessed changes occurred as care shifted from in-person to visits. Methods: Using VHA administrative databases, we identified all CBOC visits between January 1, 2019, December 31, 2020, included a diagnosis for an acute...
Background: Overall, ~12% of outpatient visits result in an antibiotic prescription, and 30% those prescriptions are inappropriate. Behavioral nudges help influence practitioner behavior. We hypothesized that peer comparison combined with a behavioral nudge (a patient alert letter) would prescribers to reduce improve antimicrobial stewardship the setting. pilot-tested this intervention primary care clinics associated large Veterans Affairs (VA) medical center. Methods: conducted clustered...