Division of Infectious Diseases

Ongoing Debate on the Treatment of Staphylococcus aureus Bacteremia

Dr. Andre Kalil, our Director of Transplant Infectious Diseases, recently co-authored a reply to Geriak et al.: “Clinical Data on Daptomycin plus Ceftaroline versus Standard of Care Monotherapy in the Treatment of Methicillin-Resistant Staphylococcus aureus Bacteremia.” Debate around the findings of this article was recently featured by Dr. Razan El Ramahi in the IDSA ID journal club and on this blog. In their reply to… Continue Reading

At the center of the 2018 West Nile Virus season, UNMC ID physicians encountered an unusual presentation

In 2018, we experienced a particularly severe West Nile Virus season, with an unusually high amount of neuroinvasive disease. Last summer, our senior ID Fellow Dr. Lindsey Rearigh shared an informational blog post about the disease, and more recently, she and Dr. Sara Bares published a case report in the Journal of Neurovirology describing a a patient with an unusual presentation of West Nile Virus… Continue Reading

COVID-19 – What is UNMC ID doing?

Although it has not been officially declared a pandemic by the World Health Organization (WHO), as of this morning, there were 81, 191 confirmed cases of COVID-19 and 2,768 deaths worldwide. To date, 57 of these cases are within US borders, and there are increasing cases throughout the world. UNMC & Nebraska Medicine have had our quarantine and biocontainment units active and caring for patients… Continue Reading

Evaluating Next-Generation Melioidosis Diagnostics

In addition to being one of our ID physicians, Dr. James Lawler serves as the Director or International Programs and Innovation at the Global Center for Health Security, a center that will focus on training federal personnel to manage highly infectious diseases, and Director of Clinical and Biodefense Research at the National Strategic Research Institute.  His interest in global health extends to his research, and we’re excited to… Continue Reading

Following up on pharmacist-led HIV pre-exposure prophylaxis

Earlier this year we featured a study by UNMC ID Drs. Sara Bares and Susan Swindells: “Midwest pharmacists’ familiarity, experience, and willingness to provide pre-exposure prophylaxis (PrEP) for HIV.”  We’re excited to share an update on their work building inter-professional relationships to increase PrEP education and use in Nebraska that was recently published in Open Forum Infectious Diseases: “Acceptability and feasibility of a pharmacist-led HIV pre-exposure prophylaxis… Continue Reading

Are you ever involved with prescribing antibiotics in the hospital? We want to hear from you!

The Nebraska Medicine Antimicrobial Stewardship Program (ASP) invites you to participate in a research survey entitled: Use of Oral Antibiotic Therapy (OAT) for Definitive Treatment of Uncomplicated Bloodstream Infections (uBSIs): Opportunities for Antimicrobial Stewardship. There are several studies describing successful use of oral antibiotics to treat bloodstream infections, but are clinicians actually using oral antibiotics for bacteremia? The purpose of this study is to evaluate… Continue Reading

#IDWeek2019: An infectious air of inclusion, knowledge, and empowerment

This year, our ID division was well represented at IDWeek, with several residents and students attending (and presenting) for the first time. One of our third year Internal Medicine/Pediatrics residents interested in Infectious Diseases, Dr. Joe Wang, wrote about his experiences, published last week on Doximity. We are very proud of him and share his IDWeek recap below: **** IDWeek is the seminal event for… Continue Reading

Placing PICCs for Antibiotics – Potential Undue Risks May Outweight Benefits

PICC placement is common practice for intravenous (IV) antibiotic needs, however, we may be inadvertently placing certain patients at higher risks for complications. A recent study by Paje et al assessed the frequency of PICC placement among patients with CKD stage 3b or greater, a practice discordant with current guidelines. This prospective study included data from over 20,000 adult patients across 52 hospitals participating in… Continue Reading

A Day in the Life of Central Venous Access Devices

This post comes courtesy of Dr. Mark Rupp, who recently published a study in the Journal of Infusion Nursing about outpatient maintenance practices for central venous access devices (CVADs)! Our patients are increasingly receiving intravenous therapy at home via indwelling CVADs. However, limited data exist regarding patients’ experiences with outpatient CVADs. Regina Nailon is the lead author on a recently published paper in the Journal… Continue Reading

Inter-Professional Relationships in HIV Pre-exposure Prophylaxis

We’re excited to feature a recent publication borne from student-faculty collaboration that highlights the importance of interdisciplinary care! Dr. Jordan Broekhuis, the lead author, is one of our former HIV Enhanced Medical Education Track (EMET) students who is now a surgery resident at Beth Israel Deaconess.  He completed his EMET work here at UNMC under the mentorship of Drs. Sara Bares and Susan Swindells.  Their… Continue Reading