Research Topics
| S D AaronSummaryAffiliation: Ottawa Health Research Institute Country: Canada Publications
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Detail Information
Publications
Characterization of clonal strains of Pseudomonas aeruginosa isolated from cystic fibrosis patients in Ontario, CanadaTrevor Beaudoin
University of Ottawa, Department of Biochemistry, Microbiology and Immunology, ON, Canada
Can J Microbiol 56:548-57. 2010..aeruginosa isolated from CF patients in Ontario, Canada, show a multidrug resistance pattern that can be partially explained as being due to the increased expression of common antibiotic efflux systems...
Exaggeration of treatment benefits using the "event-based" number needed to treatShawn D Aaron
Ottawa Health Research Institute, University of Ottawa, Ottawa, Ont
CMAJ 179:669-71. 2008
TNFα antagonists for acute exacerbations of COPD: a randomised double-blind controlled trialShawn D Aaron
Department of Medicine, The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada
Thorax 68:142-8. 2013....
Antagonistic interactions peak at intermediate genetic distance in clinical and laboratory strains of Pseudomonas aeruginosaSijmen E Schoustra
Biology Department, University of Ottawa, 30 Marie Curie, Ottawa, ON K1N 6N5, Canada
BMC Microbiol 12:40. 2012..The strength of antagonism is therefore expected to peak at intermediate genetic distance...
Treatment of Aspergillus fumigatus in patients with cystic fibrosis: a randomized, placebo-controlled pilot studyShawn D Aaron
The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada
PLoS ONE 7:e36077. 2012..The objective of this study was to determine whether treatment directed against Aspergillus fumigatus improves pulmonary function and clinical outcomes in patients with cystic fibrosis (CF)...
Time course and pattern of COPD exacerbation onsetShawn D Aaron
Department of Medicine, The Ottawa Hospital, General Campus, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada
Thorax 67:238-43. 2012..The natural history and time course of the onset of exacerbation events of chronic obstructive pulmonary disease (COPD) is incompletely understood...
(Correcting) misdiagnoses of asthma: a cost effectiveness analysisSmita Pakhale
University of Ottawa, and The Ottawa Hospital Research Institute, Ottawa, ON K1H 8L6, Canada
BMC Pulm Med 11:27. 2011..Objective: to determine whether a secondary-screening-program to establish a correct diagnosis of asthma in those who report a physician diagnosis of asthma is cost effective...
Physicians' intentions and use of three patient decision aidsIan D Graham
Ottawa Health Research Institute, Clinical Epidemiology Program, Ottawa, ON, Canada
BMC Med Inform Decis Mak 7:20. 2007..The purpose of this study was to describe physicians' perceptions of three decision aids, their expressed intent to use them, and their subsequent use of them...
Antibiotic synergy testing should not be routine for patients with cystic fibrosis who are infected with multiresistant bacterial organismsShawn D Aaron
Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada
Paediatr Respir Rev 8:256-61. 2007..The adoption of antibiotic synergy testing as routine practice for patients with CF would be costly and would not be justified as there is insufficient evidence to suggest that the routine use of these tests improves clinical outcomes...
Should we avoid beta-agonists for moderate and severe chronic obstructive pulmonary disease? NOShawn D Aaron
The Ottawa Hospital, Ottawa, Ontario
Can Fam Physician 53:1290-2, 1294-7. 2007
Multi analyte profiling and variability of inflammatory markers in blood and induced sputum in patients with stable COPDShawn D Aaron
Department of Medicine, The Ottawa Health Research Institute, University of Ottawa, Ottawa, ON, Canada
Respir Res 11:41. 2010..The objective was to determine which proteins could be used as reliable biomarkers to assess COPD disease state and severity...
Counting, analysing and reporting exacerbations of COPD in randomised controlled trialsS D Aaron
The Ottawa Health Research Institute, University of Ottawa, Ottawa, Canada
Thorax 63:122-8. 2008..A study was undertaken to determine if different methods for ascertaining and analysing COPD exacerbations lead to biased estimates of treatment effects...
A threshold regression model for recurrent exacerbations in chronic obstructive pulmonary diseaseS D Aaron
Ottawa Health Research Institute, Ottawa, Ontario, Canada
J Clin Epidemiol 63:1324-31. 2010..A successful model will provide a suitable statistical structure for analysis of the effects of medical interventions on a patient's health status, and, possibly, offer new insights into the underlying disease process...
Infection with transmissible strains of Pseudomonas aeruginosa and clinical outcomes in adults with cystic fibrosisShawn D Aaron
Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada, K1H 8L6
JAMA 304:2145-53. 2010..Studies from Australia and the United Kingdom have shown that some patients with cystic fibrosis are infected with common transmissible strains of Pseudomonas aeruginosa...
Overdiagnosis of asthma in obese and nonobese adultsShawn D Aaron
Ottawa Health Research Institute, Ottawa, Ont, USA
CMAJ 179:1121-31. 2008..It is unclear whether asthma is overdiagnosed in developed countries, particularly among obese individuals, who may be more likely than nonobese people to experience dyspnea...
Persistency of Pseudomonas aeruginosa in sputum cultures and clinical outcomes in adult patients with cystic fibrosisA Burkett
The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada
Eur J Clin Microbiol Infect Dis 31:1603-10. 2012..No clinical benefit was identified in patients who cleared PA from sputum compared to those who remained persistently infected...
The role of ipratropium bromide in the emergency management of acute asthma exacerbation: a metaanalysis of randomized clinical trialsR G Stoodley
Department of Pharmacy, University of Ottawa Heart Institute, and the Department of Medicine, Ottawa General Hospital, University of Ottawa, Ottawa, Ontario, Canada
Ann Emerg Med 34:8-18. 1999..This study was conducted to determine whether the addition of inhaled ipratropium to inhaled beta-agonist therapy is effective in the treatment of adults with acute asthma exacerbation...
Combination antibiotic susceptibility of biofilm-grown Burkholderia cepacia and Pseudomonas aeruginosa isolated from patients with pulmonary exacerbations of cystic fibrosisL Dales
The Ottawa Health Research Institute, University of Ottawa, Ottawa, ON, Canada
Eur J Clin Microbiol Infect Dis 28:1275-9. 2009..Bacterial biofilms of CF organisms are highly resistant to antibiotics. This study identified potentially effective antibiotic combinations to guide the empirical treatment of CF pulmonary exacerbations...
Multiple combination bactericidal antibiotic testing for patients with cystic fibrosis infected with Burkholderia cepaciaS D Aaron
Department of Medicine, University of Ottawa, Ontario, Ottawa, Canada
Am J Respir Crit Care Med 161:1206-12. 2000..cepacia in vitro. MCBT testing is a useful technique to help clinicians decide on appropriate nonantagonistic combination antibiotic therapy for patients with CF infected with B. cepacia...
Single and combination antibiotic susceptibilities of planktonic, adherent, and biofilm-grown Pseudomonas aeruginosa isolates cultured from sputa of adults with cystic fibrosisShawn D Aaron
Departments of Medicine, The Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada
J Clin Microbiol 40:4172-9. 2002..005). We conclude that biofilm-grown bacteria derived from patients with CF show decreased susceptibility to the bactericidal effects of antibiotic combinations than do adherent and planktonically grown bacteria...
Comparison of three typing methods for Pseudomonas aeruginosa isolates from patients with cystic fibrosisV Waters
Division of Infectious Diseases, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada
Eur J Clin Microbiol Infect Dis 31:3341-50. 2012..aeruginosa isolates from CF patients. MLST had the greatest predictive value in identifying strains as unique and, thus, has the potential to be a cost-efficient, high-throughput, first-pass typing method...
Physiological changes during symptom recovery from moderate exacerbations of COPDC M Parker
102 Stuart Street, Kingston, Ontario, Canada
Eur Respir J 26:420-8. 2005..Improvement of dyspnoea following acute exacerbations of chronic obstructive pulmonary disease was associated with reduction in lung hyperinflation and consequent increase in expiratory flow rates...
Predictors of pulmonary exacerbations in patients with cystic fibrosis infected with multi-resistant bacteriaJ K Block
Ottawa Hospital, General Campus, 501 Smyth Road, Mailbox 211, Ottawa, Ontario, Canada K1H 8L6
Thorax 61:969-74. 2006..It is hoped that knowledge of these risk factors will allow better identification and closer monitoring of patients who are at high risk of exacerbations...
A retrospective analysis of biofilm antibiotic susceptibility testing: a better predictor of clinical response in cystic fibrosis exacerbationsTara Keays
The Ottawa Health Research Institute, University of Ottawa, ON, Canada
J Cyst Fibros 8:122-7. 2009..This study assessed whether CF patients infected with multiresistant organisms had improved clinical outcomes if given antibiotics that inhibited their biofilm-grown bacteria...
Effect of weight reduction on respiratory function and airway reactivity in obese womenShawn D Aaron
Department of Medicine, University of Ottawa, Ottawa, ON, Canada
Chest 125:2046-52. 2004..Population-based studies have documented an association between obesity and an increased prevalence of asthma in women...
How accurate is spirometry at predicting restrictive pulmonary impairment?S D Aaron
Department of Medicine, Ottawa General Hospital, University of Ottawa, Ontario, Canada
Chest 115:869-73. 1999..To determine the accuracy with which spirometric measurements of FVC and expiratory flow rates can diagnose the presence of a restrictive impairment...
Confirmation of asthma in an era of overdiagnosisV P Luks
University of Ottawa, Ottawa, ON, Canada
Eur Respir J 36:255-60. 2010..For the majority with a previous physician diagnosis of asthma, only pre- and post-bronchodilator spirometry and a single methacholine challenge test are required in order to confirm asthma...
Combination antibiotic susceptibility testing to treat exacerbations of cystic fibrosis associated with multiresistant bacteria: a randomised, double-blind, controlled clinical trialShawn D Aaron
The Ottawa Health Research Institute, University of Ottawa, Ottawa, ON, Canada
Lancet 366:463-71. 2005....
Adult cystic fibrosis exacerbations and new strains of Pseudomonas aeruginosaShawn D Aaron
Department of Medicine and Peditrics Univeristy of Ottawa Otawa, Ontario, Canada
Am J Respir Crit Care Med 169:811-5. 2004..We conclude that for the majority of adult patients with cystic fibrosis a new pulmonary exacerbation is not caused by the acquisition of a new strain of P. aeruginosa...
Epidemiological investigation and glycotyping of clinical Pseudomonas aeruginosa isolates from patients with cystic fibrosis by mass spectrometry: association with multiple drug resistanceEleonora Altman
Institute for Biological Sciences, National Research Council of Canada, Ottawa, Ontario, Canada
J Microbiol Methods 76:204-8. 2009..We screened P. aeruginosa isolates for lipopolysaccharide structure and presence/absence of alginate and correlated these findings with antibiotic resistance patterns...
Feasibility of a structured 3-minute walk test as a clinical decision tool for patients presenting to the emergency department with acute dyspnoeaA M Pan
Clinical Epidemiology Unit, Ottawa Health Research Institute, The Ottawa Hospital, Ottawa, Canada
Emerg Med J 26:278-82. 2009..It also aimed to gather evidence and directions for the design of a multicentre study to derive clinical guidelines...
Granulocyte inflammatory markers and airway infection during acute exacerbation of chronic obstructive pulmonary diseaseS D Aaron
Department of Medicine, Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada
Am J Respir Crit Care Med 163:349-55. 2001....
The use of ipratropium bromide for the management of acute asthma exacerbation in adults and children: a systematic reviewS D Aaron
The Ottawa Hospital and The Ottawa Hospital Research Institute, University of Ottawa, Ontario, Canada
J Asthma 38:521-30. 2001....
Sputum versus bronchoscopy for diagnosis of Pseudomonas aeruginosa biofilms in cystic fibrosisS D Aaron
Deptartment of Medicine, The Ottawa Hospital, General Campus, 501 Smyth Road, Box 211, Ottawa, Ontario, Canada, K1H 8L6
Eur Respir J 24:631-7. 2004..In conclusion, sputum collection provides as much information as bronchoscopy for characterising the genotype and antibiotic susceptibility of chronic Pseudomonas aeruginosa infection in patients with stable cystic fibrosis...
A spirometry-based algorithm to direct lung function testing in the pulmonary function laboratoryChristine A Glady
Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada
Chest 123:1939-46. 2003..CONCLUSIONS: A spirometry-based algorithm accurately excludes pulmonary restriction and reduces unnecessary lung volume testing in the PFT laboratory almost in half...
A comparison of obese and nonobese people with asthma: exploring an asthma-obesity interactionSmita Pakhale
MSc, The Ottawa Hospital, 501 Smyth Rd, Ottawa, ON, Canada K1H 8L6
Chest 137:1316-23. 2010....
Development of a decision aid for adult cystic fibrosis patients considering referral for lung transplantationKatherine L Vandemheen
Ottawa Health Research Institute, University of Ottawa, Ontario, Canada
Prog Transplant 20:81-7. 2010..Most adults with cystic fibrosis are eventually required to make a decision about referral for lung transplantation...
Multiple combination bactericidal testing of staphylococcal biofilms from implant-associated infectionsRaphael Saginur
Department of Medicine, CPC 470, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, ON K1Y 4E9
Antimicrob Agents Chemother 50:55-61. 2006..Other frequently effective antimicrobials were vancomycin and fusidic acid. Susceptibility testing involving biofilm-associated bacteria suggests new options for combination antibiotic therapy...
Post-randomisation exclusions: the intention to treat principle and excluding patients from analysisDean Fergusson
Ottawa Health Research Institute, 501 Smyth Road, Box 201, Ottawa, ON, Canada K1H 8L6
BMJ 325:652-4. 2002
Tiotropium in combination with placebo, salmeterol, or fluticasone-salmeterol for treatment of chronic obstructive pulmonary disease: a randomized trialShawn D Aaron
The Ottawa Health Research Institute and University of Ottawa, Ottawa, Ontario, Canada
Ann Intern Med 146:545-55. 2007..Treatment of moderate or severe chronic obstructive pulmonary disease (COPD) with combinations of inhaled corticosteroids, long-acting beta-agonists, and long-acting anticholinergic bronchodilators is common but unstudied...
Spirometry in the primary care setting: influence on clinical diagnosis and management of airflow obstructionRobert E Dales
Department of Medicine, University of Ottawa, Ottawa, ON, Canada
Chest 128:2443-7. 2005..To determine if screening spirometry in the primary care setting influences the physician's diagnosis and management of obstructive lung disease...
Infection with Burkholderia cepacia complex bacteria and pulmonary exacerbations of cystic fibrosisMelissa St Denis
The Ottawa Hospital, General Campus, 501 Smyth Rd, Ottawa, ON, Canada
Chest 131:1188-96. 2007..Our objective was to determine whether pulmonary exacerbations of CF are associated with acquisition of new B cepacia strains or with B cepacia strain replacement...
The prevalence of airflow obstruction in rural primary careRobert E Dales
Department of Medicine, University of Ottawa, Clinical Epidemiololgy Unit, Ottawa Health Research Institute, 501 Smyth Road, Ottawa, Ontario, Canada K1H 8L6
Respir Med 100:754-9. 2006..We conclude that airflow obstruction is common in rural primary care practice and cannot be accurately predicted by symptoms. It is undiagnosed half of the time, and often not treated even when symptomatic...
Sex differences in the clinical presentation and management of airflow obstructionR E Dales
Dept of Medicine, University of Ottawa, Canada
Eur Respir J 28:319-22. 2006..9%, respectively). In conclusion, the current results suggest that females are more likely than males to report breathlessness and be prescribed respiratory medications independent of differences in the severity of airflow obstruction...
Multiple combination antibiotic susceptibility testing of nontypeable Haemophilus influenzae biofilmsRobert Slinger
Department of Pediatrics, Ottawa, Ontario, Canada K1H 8L1
Diagn Microbiol Infect Dis 56:247-53. 2006..Biofilm testing reveals differences in effectiveness among antibiotics not apparent from conventional susceptibility testing, and suggests novel antibiotic regimens that could be studied for treatment of OME...
The Canadian Optimal Therapy of COPD Trial: design, organization and patient recruitmentShawn D Aaron
The Ottawa Health Research Institute, University of Ottawa, Ottawa, Canada
Can Respir J 11:581-5. 2004....
Approach to resistant gram-negative bacterial pulmonary infections in patients with cystic fibrosisRobert N Chernish
Division of Respiratory Medicine, University of Ottawa, Ontario, Canada
Curr Opin Pulm Med 9:509-15. 2003..Future novel approaches will likely include drugs that can disrupt bacterial biofilm formation and the use of cationic peptide antimicrobial compounds...
Evaluation of a decision aid for making choices about intubation and mechanical ventilation in chronic obstructive pulmonary diseaseKeith G Wilson
The Rehabilitation Centre, Ottawa, Ont, Canada K1H 8M2
Patient Educ Couns 57:88-95. 2005..These findings indicate that a decision aid for MV helps patients plan for life-threatening exacerbations, and may be a useful adjunct to counseling for some patients with severe COPD...
Outpatient oral prednisone after emergency treatment of chronic obstructive pulmonary diseaseShawn D Aaron
Department of Medicine, University of Ottawa, Ottawa, Ont, Canada
N Engl J Med 348:2618-25. 2003..In this randomized, double-blind, placebo-controlled trial, we studied the effectiveness of prednisone in reducing the risk of relapse after outpatient exacerbations of chronic obstructive pulmonary disease (COPD)...
Measurement of short-term changes in dyspnea and disease-specific quality of life following an acute COPD exacerbationShawn D Aaron
The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON
Chest 121:688-96. 2002..To determine whether currently available measurement tools can be used to obtain valid measurements of short-term changes in dyspnea and disease-specific quality of life (QOL) in outpatients with an acute COPD exacerbation...
Randomized trial of a decision aid for patients with cystic fibrosis considering lung transplantationKatherine L Vandemheen
Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada
Am J Respir Crit Care Med 180:761-8. 2009..We developed an evidence-based decision aid for patients with advanced cystic fibrosis considering referral for lung transplantation...
Exacerbation frequency and clinical outcomes in adult patients with cystic fibrosisKaïssa de Boer
The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada
Thorax 66:680-5. 2011..The aim of this study was to determine if frequent pulmonary exacerbations are associated with greater declines in lung function, or an accelerated time to death or lung transplantation in adults with CF...
Rebuttal: should we avoid beta-agonists for moderate and severe chronic obstructive pulmonary disease? NoShawn D Aaron
Can Fam Physician 53:1429-30, 1432. 2007
Pseudomonas aeruginosa and cystic fibrosis--a nasty bug gets nastierShawn D Aaron
Respiration 73:16-7. 2006
Antibiotic susceptabilities of Pseudomonas aeruginosa isolates derived from patients with cystic fibrosis under aerobic, anaerobic, and biofilm conditionsDominic Hill
Department of Infectious Diseases and Immunology, University of Sydney, Sydney, Australia
J Clin Microbiol 43:5085-90. 2005..The findings of this study illustrate that antibiotic sensitivities are dependent on culture conditions and highlight the complexities of choosing appropriate combination therapy for multidrug-resistant P. aeruginosa in the CF lung...
Avoiding mistakes in calculating the number needed to treat in severe COPDShawn D Aaron
Am J Respir Crit Care Med 175:1347; author reply 1347-8. 2007
