Shelley S. Magill

ORCID: 0000-0003-4748-1000
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About
Contact & Profiles
Research Areas
  • Nosocomial Infections in ICU
  • Antibiotic Use and Resistance
  • Bacterial Identification and Susceptibility Testing
  • Antifungal resistance and susceptibility
  • Sepsis Diagnosis and Treatment
  • Antimicrobial Resistance in Staphylococcus
  • Urinary Tract Infections Management
  • Respiratory Support and Mechanisms
  • Central Venous Catheters and Hemodialysis
  • Fungal Infections and Studies
  • Emergency and Acute Care Studies
  • Patient Satisfaction in Healthcare
  • COVID-19 and healthcare impacts
  • Neutropenia and Cancer Infections
  • Pneumonia and Respiratory Infections
  • Cardiac Arrest and Resuscitation
  • Antibiotic Resistance in Bacteria
  • Neonatal and Maternal Infections
  • Healthcare cost, quality, practices
  • Mycobacterium research and diagnosis
  • Infection Control and Ventilation
  • Clostridium difficile and Clostridium perfringens research
  • COVID-19 and Mental Health
  • Intensive Care Unit Cognitive Disorders
  • Infective Endocarditis Diagnosis and Management

Centers for Disease Control and Prevention
2016-2025

National Center for Emerging and Zoonotic Infectious Diseases
2012-2024

New York Proton Center
2022-2024

Communities In Schools of Orange County
2022-2024

Oregon Medical Research Center
2022-2024

Lindsay Unified School District
2022-2024

University of Pittsburgh
2022-2024

CDC Foundation
2023

Manhattan Institute for Policy Research
2022

Oregon Health Authority
2021

Currently, no single U.S. surveillance system can provide estimates of the burden all types health care-associated infections across acute care patient populations. We conducted a prevalence survey in 10 geographically diverse states to determine hospitals and generate updated national such infections.

10.1056/nejmoa1306801 article EN New England Journal of Medicine 2014-03-26

Abstract Objective: Describe common pathogens and antimicrobial resistance patterns for healthcare-associated infections (HAIs) that occurred during 2015–2017 were reported to the Centers Disease Control Prevention’s (CDC’s) National Healthcare Safety Network (NHSN). Methods: Data from central line-associated bloodstream (CLABSIs), catheter-associated urinary tract (CAUTIs), ventilator-associated events (VAEs), surgical site (SSIs) acute-care hospitals, long-term inpatient rehabilitation...

10.1017/ice.2019.296 article EN Infection Control and Hospital Epidemiology 2019-11-26

On February 26, 2020, the first U.S. case of community-acquired coronavirus disease 2019 (COVID-19) was confirmed in a patient hospitalized Solano County, California (1). The initially evaluated at hospital A on 15; that time, COVID-19 not suspected, as denied travel or contact with symptomatic persons. During 4-day hospitalization, managed standard precautions and underwent multiple aerosol-generating procedures (AGPs), including nebulizer treatments, bilevel positive airway pressure...

10.15585/mmwr.mm6915e5 article EN MMWR Morbidity and Mortality Weekly Report 2020-04-14

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 assist acute care hospitals implementing prioritizing strategies prevent ventilator-associated pneumonia (VAP) other events (VAEs) improve outcomes mechanically ventilated adults, children, neonates. This updates "Strategies Prevent Ventilator-Associated...

10.1086/677144 article EN Infection Control and Hospital Epidemiology 2014-07-15

Candidemia is common and associated with high morbidity mortality; changes in population-based incidence rates have not been reported.We conducted active, surveillance metropolitan Atlanta, Georgia, Baltimore City/County, Maryland (combined population 5.2 million), during 2008-2011. We calculated candidemia antifungal drug resistance compared prior (Atlanta, 1992-1993; Baltimore, 1998-2000).We identified 2675 cases of 2329 isolates 3 years surveillance. Mean annual crude per 100 000...

10.1093/cid/cis697 article EN Clinical Infectious Diseases 2012-08-14

Inappropriate antimicrobial drug use is associated with adverse events in hospitalized patients and contributes to the emergence spread of resistant pathogens. Targeting effective interventions improve acute care setting requires understanding hospital prescribing practices.

10.1001/jama.2014.12923 article EN JAMA 2014-10-07

Objective. To determine healthcare-associated infection (HAI) prevalence in 9 hospitals Jacksonville, Florida; to evaluate the performance of proxy indicators for HAIs; and refine methodology preparation a multistate survey. Design. Point Patients. Acute care inpatients any age. Methods. HAIs were defined using National Healthcare Safety Network criteria. In each facility trained primary team (PT) prevention (IP) staff performed survey on 1 day, reviewing records collecting data random...

10.1086/664048 article EN Infection Control and Hospital Epidemiology 2012-02-07

Throughout the COVID-19 pandemic, health care personnel (HCP) have been at high risk for exposure to SARS-CoV-2, virus that causes COVID-19, through patient interactions and community (1). The Advisory Committee on Immunization Practices recommended prioritization of HCP vaccination maintain provision critical services reduce spread infection in settings (2). Early distribution two mRNA vaccines (Pfizer-BioNTech Moderna) allowed assessment effectiveness these a real-world setting. A...

10.15585/mmwr.mm7020e2 article EN MMWR Morbidity and Mortality Weekly Report 2021-05-14

BackgroundThe prioritization of U.S. health care personnel for early receipt messenger RNA (mRNA) vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes disease 2019 (Covid-19), allowed evaluation effectiveness these new in a real-world setting.MethodsWe conducted test-negative case–control study involving across 25 states. Cases were defined on basis positive polymerase-chain-reaction (PCR) or antigen-based test SARS-CoV-2 and at least one...

10.1056/nejmoa2106599 article EN New England Journal of Medicine 2021-09-22

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 assist acute care hospitals implementing prioritizing strategies prevent ventilator-associated pneumonia (VAP) other events (VAEs) improve outcomes mechanically ventilated adults, children, neonates. This updates “Strategies Prevent Ventilator-Associated...

10.1017/s0899823x00193894 article EN Infection Control and Hospital Epidemiology 2014-09-01

The CDC introduced ventilator-associated event (VAE) definitions in January 2013. Little is known about VAE prevention. We hypothesized that daily, coordinated spontaneous awakening trials (SATs) and breathing (SBTs) might prevent VAEs.To assess the preventability of VAEs.We nested a multicenter quality improvement collaborative within prospective study surveillance among 20 intensive care units between November 2011 May Twelve joined implemented an opt-out protocol for nurses respiratory...

10.1164/rccm.201407-1394oc article EN American Journal of Respiratory and Critical Care Medicine 2014-11-04

Prevalence of Staphylococcus aureus community-acquired pneumonia (CAP) and its clinical features remain incompletely understood, complicating empirical selection antibiotics.Using a multicenter, prospective surveillance study adults hospitalized with CAP, we calculated the prevalence methicillin-resistant S. (MRSA) methicillin-susceptible (MSSA) among all CAP episodes. We compared epidemiologic, radiographic, characteristics (per respiratory or blood culture) those pneumococcal culture urine...

10.1093/cid/ciw300 article EN Clinical Infectious Diseases 2016-05-08

OBJECTIVE To describe pathogen distribution and antimicrobial resistance patterns for healthcare-associated infections (HAIs) reported to the National Healthcare Safety Network (NHSN) from pediatric locations during 2011–2014. METHODS Device-associated infection data were analyzed central line-associated bloodstream (CLABSI), catheter-associated urinary tract (CAUTI), ventilator-associated pneumonia (VAP), surgical site (SSI). Pooled mean percentage was calculated a variety of...

10.1017/ice.2017.236 article EN Infection Control and Hospital Epidemiology 2017-12-18

Sepsis is a serious and often fatal clinical syndrome, resulting from infection. Information on patient demographics, risk factors, infections leading to sepsis needed integrate comprehensive prevention, early recognition, treatment strategies.To describe characteristics of patients with sepsis, CDC partners conducted retrospective chart review in four New York hospitals. Random samples medical records adult pediatric administrative codes for severe or septic shock were reviewed.Medical 246...

10.15585/mmwr.mm6533e1 article EN MMWR Morbidity and Mortality Weekly Report 2016-08-23

Sepsis is a clinical syndrome caused by dysregulated host response to infection (1). Because there no confirmatory diagnostic test, the diagnosis of sepsis based on evidence and judgement. Both death certificates health services utilization data (administrative claims) have been used assess incidence mortality, but estimates vary depending surveillance definition source. To highlight challenges variability associated with estimating CDC compared national sepsis-related mortality using WONDER...

10.15585/mmwr.mm6513a2 article EN MMWR Morbidity and Mortality Weekly Report 2016-04-07

Objectives: The subjectivity and complexity of surveillance definitions for ventilator-associated pneumonia preclude meaningful internal or external benchmarking therefore hamper quality improvement initiatives ventilated patients. We explored the feasibility creating objective pneumonia. Design: identified clinical signs suitable inclusion in definitions, proposed candidate incorporating these signs, then applied to retrospective data measure their frequencies associations with adverse...

10.1097/ccm.0b013e318260c6d9 article EN Critical Care Medicine 2012-09-18

Abstract Background Candidemia is a common healthcare-associated bloodstream infection with high morbidity and mortality. There are no current estimates of candidemia burden in the United States (US). Methods In 2017, Centers for Disease Control Prevention conducted active population-based surveillance through Emerging Infections Program 45 counties 9 states encompassing approximately 17 million persons (5% national population). Laboratories serving catchment area population reported all...

10.1093/cid/ciaa193 article EN public-domain Clinical Infectious Diseases 2020-02-25

Health care personnel (HCP) can be exposed to SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), both within and outside workplace, increasing their risk for infection. Among 6,760 adults hospitalized during March 1-May 31, 2020, whom HCP status was determined by COVID-19-Associated Hospitalization Surveillance Network (COVID-NET), 5.9% were HCP. Nursing-related occupations (36.3%) represented largest proportion of with COVID-19. Median age 49 years, 89.8% had at least...

10.15585/mmwr.mm6943e3 article EN MMWR Morbidity and Mortality Weekly Report 2020-10-26

<h3>Importance</h3> Hospital antimicrobial consumption data are widely available; however, large-scale assessments of the quality use in US hospitals limited. <h3>Objective</h3> To evaluate appropriateness for hospitalized patients treated community-acquired pneumonia (CAP) or urinary tract infection (UTI) present at admission who had received fluoroquinolone intravenous vancomycin treatment. <h3>Design, Setting, and Participants</h3> This cross-sectional study included from a prevalence...

10.1001/jamanetworkopen.2021.2007 article EN cc-by-nc-nd JAMA Network Open 2021-03-18

Abstract Objective: To describe common pathogens and antimicrobial resistance patterns for healthcare-associated infections (HAIs) among pediatric patients that occurred in 2015–2017 were reported to the Centers Disease Control Prevention’s National Healthcare Safety Network (NHSN). Methods: Antimicrobial data analyzed implicated central line-associated bloodstream (CLABSIs), catheter-associated urinary tract (CAUTIs), ventilator-associated pneumonias (VAPs), surgical site (SSIs). This...

10.1017/ice.2019.297 article EN Infection Control and Hospital Epidemiology 2019-11-25
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