Division of Infectious Diseases

Publication Alert: De-Isolation of COVID19 Patients

Content by Dr. Clayton Mowrer, 2021 UNMC ID graduate. Early in the pandemic, it became clear that patients with COVID-19 can demonstrate prolonged detection of viral RNA (as along as weeks to months), which can lead to prolonged hospitalizations, especially for those patients with more severe disease. One of the difficulties often encountered in managing these patients was in determining how long they were required to be in isolation. Initially, the policy… Continue Reading

Biopreparedness Training in ID Fellowship

Content provided by Drs. Hewlett, Ridder and Mowrer. Beginning in 2019, the UNMC ID Fellows have participated in Biopreparedness Training during their 2nd year of fellowship.  The ID Fellows learn about emerging infectious diseases and biopreparedness through didactic teaching sessions with internationally-recognized experts in the field, and also participate in specialized PPE training in the Davis Global Center and National Quarantine Unit alongside the Nebraska Biocontainment… Continue Reading

COVID-19 In Vaccinated Health Care Workers – The Nebraska Medicine Experience

Content provided by Dr. Rick Starlin. Household contacts to active SARS-Cov2 to infectious cases has been identified as a significant risk factor for acquisition of infection since early in the pandemic. We identified this as one of our biggest risk factors for colleague acquisition of SARS-CoV2 to infection at Nebraska Medicine as well. This brief report written by a team from Nebraska Medicine/UNMC, shows our… Continue Reading

Re-Opening Sudan Amidst the COVID-19 Pandemic

Content provided by Dr. Nada Fadul. Sudan emerged from a 30-year dictatorship in 2019 to face the COVID-19 pandemic with a fragile health system and a half-finished transitional government structure. During the dictatorship, the majority of GDP was spent on military and security forces and very little was spent on health. This led to privatization of healthcare and a near complete collapse of the previously… Continue Reading

The Future of ID Training – UNMC ID Participate in Development of IDSA Antimicrobial Stewardship Curriculum

Content written by Drs. Van Schooneveld and Stohs. Antimicrobial stewardship programs improve patient outcomes, efficiency of care, and are a key tool in combating antimicrobial resistance. The field of antimicrobial stewardship is rapidly expanding and while ID fellows have the foundation for leading antimicrobial stewardship efforts, leading such programs require unique skills and knowledge. To meet this need, in 2016 the Infectious Diseases Society of… Continue Reading

VAE – A Perpetual Prevention Problem

Ventilator-Associated Events (VAEs) were adopted by the National Health Safety Network (NHSN) in 2013, and have subsequently been associated with worse patient outcomes. However, the shift to VAE has left controversy as to both its value, and how best to prevent it. Recently, Zhu et al published a large study focused on risk factors and outcomes from VAEs. This study again demonstrated worse outcomes for… Continue Reading

UVGI N95 Decontamination – a Method to Extend the Supply of N95 Respirators in Time of Emergency

Outbreaks due to respiratory viruses pose a unique threat to health care as they require often significant amounts of personal protective equipment. Based upon previous modeling of severe influenza pandemics, the need for N95 filtering face piece respirators (FFRs) would range between 1.7 and 7.3 billion FFR’s, however there were only an estimated 60 million FFRs available at the time of the onset of the… Continue Reading

COVID Vaccine Trial – Update & Future Adolescent Opportunities

The University of Nebraska Medical Center and Nebraska Medicine are participating in an international clinical trial to evaluate the safety and effectiveness of Novavax COVID-19 vaccine for adults.  Novavax vaccine is a protein-based vaccine from the coronavirus spike protein and is adjuvanted with saponin-based Matrix-M™ to enhance the immune response and stimulate high levels of neutralizing antibodies. It does not contain live virus, it cannot replicate, nor cause… Continue Reading

New Faculty Spotlight – Dr. Daniel Brailita

Background: I was born in Bucharest, Romania and completed Medical School there. I trained in Internal Medicine and Infectious Diseases in Texas, finishing as chief resident at Texas Tech and chief fellow at UT Southwestern in Dallas. I moved to Nebraska in 2007 where I helped building the first ID practice encompassing Central Nebraska and Tri-Cities area. My family and I enjoyed the Nebraska Nice… Continue Reading