A5061921988- COVID-19 Clinical Research Studies
- Nosocomial Infections in ICU
- Antibiotic Resistance in Bacteria
- Vibrio bacteria research studies
- Antibiotic Use and Resistance
- Antifungal resistance and susceptibility
- Neuroinflammation and Neurodegeneration Mechanisms
- Respiratory viral infections research
- Pelvic floor disorders treatments
- Neutropenia and Cancer Infections
- Renal and Vascular Pathologies
- Fungal Infections and Studies
- Vascular anomalies and interventions
- Tissue Engineering and Regenerative Medicine
- Optimism, Hope, and Well-being
- Streptococcal Infections and Treatments
- Tuberculosis Research and Epidemiology
- Urological Disorders and Treatments
- COVID-19 diagnosis using AI
- Pressure Ulcer Prevention and Management
- Pediatric Urology and Nephrology Studies
- Tryptophan and brain disorders
- Enterobacteriaceae and Cronobacter Research
- Patient Satisfaction in Healthcare
- Genetics, Aging, and Longevity in Model Organisms
South Texas Veterans Health Care System
2019-2025
Baptist Health System
2024
The University of Texas Health Science Center at San Antonio
2024
American Public University System
2023
Murphy Oil Corporation (United States)
2019-2021
Abstract Some people remain healthier throughout life than others but the underlying reasons are poorly understood. Here we hypothesize this advantage is attributable in part to optimal immune resilience (IR), defined as capacity preserve and/or rapidly restore functions that promote disease resistance (immunocompetence) and control inflammation infectious diseases well other causes of inflammatory stress. We gauge IR levels with two distinct peripheral blood metrics quantify balance between...
The risk of severe coronavirus disease 2019 (COVID-19) varies significantly among persons similar age and is higher in males. Age-independent, sex-biased differences susceptibility to COVID-19 may be ascribable deficits a sexually dimorphic protective attribute that we termed immunologic resilience (IR).
Abstract Background Use of scenario-based simulation for healthcare personal (HCP) in the prevention associated infections remains an area that is proving to have positive educational effects. The Society Healthcare Epidemiology America (SHEA) 2022 Recommendations ongoing assessment and reinforced education CDI knowledge HCPs. Methods This was developed as a learning intervention increase functional skills bedside An interdisciplinary team created thirty-minute escape room theme protective...
Abstract Background RSV infections, known for their respiratory complications, present a unique challenge in healthcare settings. Respiratory syncytial virus (RSV) causes substantial morbidity and mortality older adults, resulting approximately 60,000–160,000 hospitalizations 6,000–10,000 deaths annually among adults aged ≥65 years Methods Retrospective review of the cases from January 1, 2022 to October 27, 2023, at South Texas Veterans system. We collected data(age outcome patients)...
Abstract Background Covid-19 infection is associated with a lack of immune resilience that may be magnified using immunomodulators to suppress the cytokine storm, facilitating emergence opportunistic infections. We describe five cases cryptococcal complications among hospitalized patients. Methods This was retrospective cohort study based on chart review performed at Audie Murphy Veteran Affairs Hospital from 8/2020 8/2021; level 1A facility 232 beds and an active bone marrow transplantation...
Background: Urinary tract infections (UTIs) are common healthcare-associated infections. Evidenced-based practice (EBP) successes of catheter associated urinary infection (CAUTI) bundles has resulted in rates decreasing >50% community-based nursing homes. The South Texas Community Living Center (CLC SA), our 42-bed long-term care and rehabilitation center, conducts routine prevention surveillance. During surveillance, the team noticed an increase UTI percentages CAUTI rates. Thus, we...
Abstract Background Clostridioides difficile infection (CDI) continues to be a major global public health concern, particularly during the ongoing SARS-CoV-2 coronavirus disease 2019 (COVID-19) pandemic. Despite new social distancing guidelines and enhanced control procedures (e.g., masking, hand hygiene) being implemented since beginning of COVID-19, little evidence indicates whether these changes have influenced prevalence CDI hospitalizations. This study aims measure before COVID-19...
Background: Drug-resistant pathogens are a significant source of increased cost and patient complications in long-term and/or congregate care settings. Once introduced, depending on the environmental niche which they establish mechanisms employ for survival, can be difficult to eradicate. We report details an epidemiologic investigation multidrug-resistant Acinetobacter baumannii (MDR-A) outbreak spinal cord intervention (SCI) unit within Veterans Affairs facility San Antonio, Texas, that...
Abstract Background Healthcare-associated infections (HAI) have tremendously increased since the coronavirus-19 pandemic. With this increase, various attempts should be made to keep multidrug-resistant organisms in check. In 2021, Veterans Affairs San Antonio identified a patient with Acinetobacter baumannii complex (MDR-A). This study was undertaken determine temporal and spatial relationship of similarly MDR-A from other patients at our facility help prevent spread. We highlight role...
Abstract Background Tuberculosis (TB) remains a significant public health concern, and exposure in healthcare settings is prevalent. Current guidelines recommend testing for TB by acid-fast bacilli (AFB) smear microscopy with 3 sputum samples and/or using nucleic acid amplification test (NAAT), mycobacterium culture. The purpose of this project to compare how different diagnostic tests affect the duration stay respiratory isolation. Methods This study was conducted at Veteran Affairs South...
Abstract Background Prior to the COVID-19 pandemic, incidence of infection related ventilator associated complications plus possible pneumonias (IVAC+) was decreasing; however, as number hospitalizations increased, so did IVAC+. Our goal investigate if there a relationship between these two occurrences. Methods This retrospective study at Audie Murphy VA Hospital (ALMVA) from October 2017 December 2021. ALMVA is level 1A facility with 232 beds and an active bone marrow transplant program in...
Abstract Background Coronavirus disease-19 (COVID-19) has been associated with an increase in healthcare-associated infections (HAI). This is likely multifactorial (i.e. higher hospitalization rates, COVID-19 and post-COVID-19 complications, lower staffing, delayed care among others). The objective of this study was to determine the association between rates central line- blood stream (CLABSI). Methods We conducted a retrospective acute unit hospitalizations Veterans Affairs (VA) hospital...