Division of Infectious Diseases

Fasting around the World: A Celebration of Diversity and Culture at UNMC ID

Infectious Diseases is a specialty that is inherently diverse, if you consider our patient population and the constellation of diseases we treat.  Our UNMC ID division is a diverse and welcoming community, encompassing faculty, fellows, nurses, advanced practice providers and staff from different cultures, languages, race/ethnicities, geographic origin and faiths. Three of our faculty, Drs. Nada Fadul, Salman Ashraf, and Razan El-Ramahi, are Muslim and… Continue Reading

Do you really need to test the poo? Diagnostic stewardship for (outpatient) diarrheal illness

Rapid molecular testing has changed the landscape of diagnostic approaches to many infectious disease syndromes, including diarrheal illnesses. These panels typically have the capacity to diagnose multiple organisms in one test. The FilmArray gastrointestinal pathogen panel (BioFire) tests 22 stool pathogens. Despite the impact of improved clinical efficiency, these tests are often expensive, especially in the outpatient setting, but the convenience of a comprehensive testing… Continue Reading

Dr. Elizabeth Schnaubelt promoted to Lieutenant Colonel in the US Air Force

Please join us in extending congratulations to Dr. Elizabeth Schnaubelt for her promotion to Lieutenant Colonel (Lt Col).  This is a very significant achievement that is given in recognition of a military officer’s expertise, professionalism, and leadership abilities.  Here is a little bit of background on Lt Col Schnaubelt’s role here, and how she found her way to Omaha: Dr. Schnaubelt joined the UNMC/Nebraska Medicine team… Continue Reading

Nadal Fadul, MD on Why I Love ID

Why I love ID and UNMC: The strong commitment to serving the community, the great opportunities provided to faculty; and my former colleague, Salman Ashraf, who is very happy here!  I chose ID because my passion is taking care of people living with HIV, however, I enjoy all of ID and the intellectual challenge it poses. Something about myself unrelated to my work: I enjoy reading… Continue Reading

The Antimicrobial Stewardship Program: Keeper of the S. aureus bacteremia Checklist Manifesto

Staphylococcus aureus bacteremia (SAB) is a serious and sometimes devastating infection. There are established guidelines for optimal management, and more recently, numerous studies have shown the benefits of Infectious Diseases consultation, including improving guideline-adherent management, and reducing hospital stays, 30-day readmissions, and in-hospital mortality. Pharmacist-driven initiatives embedded within the Antimicrobial Stewardship Program (ASP) have also been shown to improve quality of care for patients with… Continue Reading

Bryan Alexander, PharmD on Why I Love ID

Why I love ID: I love academic medicine; working jointly with an interdisciplinary team of experts to sort out the most complex clinical cases excites me. There is no place in the region that fulfills each of the aspects of that statement better than Nebraska Medicine. While more and more of the practice of medicine necessarily moves to the long-term management of chronic disease states,… Continue Reading

When you see CRE: Add Equal Parts Antimicrobial Stewardship and Infection Control

The following was previously posted by Dr. Marcelin to SHEA Journal Club published online in April 2019. Dealing with carbapenem resistant organisms presents both an antimicrobial stewardship and infection control problem. Richter et al. aimed to predict risk factors for carbapenem resistance among Gram-negative rods (CR-GNR). The authors were particularly interested in whether differences exist in risk factors for development of ertapenem-resistance (ER-GNR), versus resistance… Continue Reading