Research Topics
| Yehuda CarmeliSummaryAffiliation: Harvard University Country: USA Publications
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Publications
Antecedent treatment with different antibiotic agents as a risk factor for vancomycin-resistant EnterococcusYehuda Carmeli
Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
Emerg Infect Dis 8:802-7. 2002..Vancomycin was not a risk factor for isolation of VRE...
Use of insurance claims data to assess outpatient antimicrobial therapy for gram-positive infectionsYehuda Carmeli
Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA
Pharmacotherapy 22:55S-62S. 2002..To demonstrate this approach, a study of the cost of intravenous vancomycin home care therapy was conducted using claims data from a large insurance company...
Health and economic outcomes of vancomycin-resistant enterococciYehuda Carmeli
Division of Infectious Diseases, Tel Aviv Sourasky Medical Center, 6 Weizman St, Tel Aviv 62749, Israel
Arch Intern Med 162:2223-8. 2002..The health and economic impact of vancomycin-resistant enterococci has not been quantified...
Transfer of carbapenem-resistant plasmid from Klebsiella pneumoniae ST258 to Escherichia coli in patientMoran G Goren
Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Emerg Infect Dis 16:1014-7. 2010..The KPC-3 plasmid was identical in isolates of both species. The patient's gut flora contained a carbapenem-susceptible E. coli strain isogenic with the KPC-3-producing isolate, which suggests horizontal interspecies plasmid transfer...
Isolation of imipenem-resistant Enterobacter species: emergence of KPC-2 carbapenemase, molecular characterization, epidemiology, and outcomesDror Marchaim
Division of Epidemiology, Tel Aviv Sourasky Medical Center, 6 Weizmann St, Tel Aviv 64239, Israel
Antimicrob Agents Chemother 52:1413-8. 2008..IRE infections are associated with increased mortality. Enhanced measures to control the hospital spread of IRE are warranted...
Cost-effectiveness evaluation of ertapenem versus piperacillin/tazobactam in the treatment of complicated intraabdominal infections accounting for antibiotic resistanceJeroen P Jansen
Mapi Values, Boston, MA 02108, USA
Value Health 12:234-44. 2009..To evaluate the cost-effectiveness of ertapenem versus piperacillin/tazobactam in the treatment of community-acquired complicated intraabdominal infections accounting for development of antibiotic resistance in the Dutch setting...
Evaluation of PCR-based testing for surveillance of KPC-producing carbapenem-resistant members of the Enterobacteriaceae familyVered Schechner
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
J Clin Microbiol 47:3261-5. 2009..blaKPC PCR-based testing is a useful method for the surveillance of KPC-producing CRE. Its main advantage over culturing is a shorter time to result, and it may prove to be more sensitive...
Predictors of carbapenem-resistant Klebsiella pneumoniae acquisition among hospitalized adults and effect of acquisition on mortalityMitchell J Schwaber
Division of Epidemiology and Preventive Medicine, Tel Aviv Sourasky Medical Center, 6 Weizmann St, Tel Aviv 64239, Israel
Antimicrob Agents Chemother 52:1028-33. 2008..6; and P = 0.03; for the CRKP group versus the controls, OR, 5.0; 95% CI, 1.7 to 14.8; and P = 0.004). CRKP affects patients with poor functional status, an ICU stay, and antibiotic exposure and is an independent predictor of death...
Emergence of KPC-2 and KPC-3 in carbapenem-resistant Klebsiella pneumoniae strains in an Israeli hospitalAzita Leavitt
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Antimicrob Agents Chemother 51:3026-9. 2007..This rapid dissemination of KPC outside the United States is worrisome...
Ertapenem resistance among extended-spectrum-beta-lactamase-producing Klebsiella pneumoniae isolatesAzita Leavitt
Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
J Clin Microbiol 47:969-74. 2009..These rare resistant subpopulations carried multiple ESBL genes, including TEM-30, SHV-44, CTX-M-2, and CTX-M-10, and they lacked OMPK36. The clinical and diagnostic significance of the results should be further studied...
Treatment with fluoroquinolones or with beta-lactam-beta-lactamase inhibitor combinations is a risk factor for isolation of extended-spectrum-beta-lactamase-producing Klebsiella species in hospitalized patientsKenneth M Wener
Department of Infectious Diseases, Lahey Clinic, Burlington, Massachusetts, USA
Antimicrob Agents Chemother 54:2010-6. 2010..Formulary interventions to limit the spread of ESBL-producing isolates should be tailored to each setting...
First report on a hyperepidemic clone of KPC-3-producing Klebsiella pneumoniae in Israel genetically related to a strain causing outbreaks in the United StatesShiri Navon-Venezia
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Israel
Antimicrob Agents Chemother 53:818-20. 2009..The threat of the global spread of hyperepidemic, extensively drug-resistant bacterial strains should be recognized and confronted...
Dissemination of the CTX-M-25 family beta-lactamases among Klebsiella pneumoniae, Escherichia coli and Enterobacter cloacae and identification of the novel enzyme CTX-M-41 in Proteus mirabilis in IsraelShiri Navon-Venezia
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
J Antimicrob Chemother 62:289-95. 2008..We aimed to describe the occurrence and to understand the dissemination of this extended-spectrum beta-lactamase family among Enterobacteriaceae strains in our hospital...
Pseudomonas aeruginosa bacteremia upon hospital admission: risk factors for mortality and influence of inadequate empirical antimicrobial therapyVered Schechner
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Diagn Microbiol Infect Dis 71:38-45. 2011..029) were identified as independent predictors of mortality. Inadequate empirical antimicrobial therapy was marginally associated with increased mortality only among patients who presented with severe sepsis or septic shock (P = 0.051)...
Clinical and economic impact of bacteremia with extended- spectrum-beta-lactamase-producing EnterobacteriaceaeMitchell J Schwaber
Division of Epidemiology, Tel Aviv Sourasky Medical Center, 6 Weizmann St, Tel Aviv 64239, Israel
Antimicrob Agents Chemother 50:1257-62. 2006..ESBL production was associated with severe adverse outcomes, including higher overall and infection-related mortality, increased LOS, DAT, discharge to chronic care, and higher costs...
Risk factors for albicans and non-albicans candidemia in the intensive care unitJennifer K Chow
Division of Geographic Medicine and Infectious Diseases, Tufts New England Medical Center, Tufts University School of Medicine, Boston, MA, USA
Crit Care Med 36:1993-8. 2008..To determine risk factors for bloodstream infections (BSI) with Candida non-albicans (C-NA) species and Candida albicans (CA) among critically ill patients...
Molecular and epidemiologic study of polyclonal outbreaks of multidrug-resistant Acinetobacter baumannii infection in an Israeli hospitalDror Marchaim
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, 64239, Israel
Infect Control Hosp Epidemiol 28:945-50. 2007....
The impact of methicillin resistance in Staphylococcus aureus bacteremia on patient outcomes: mortality, length of stay, and hospital chargesSara E Cosgrove
Division of Infectious Diseases, Johns Hopkins Medical Institutions, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA
Infect Control Hosp Epidemiol 26:166-74. 2005..To evaluate the impact of methicillin resistance in Staphylococcus aureus on mortality, length of hospitalization, and hospital charges...
Carbapenem-resistant KPC-2-producing Escherichia coli in a Tel Aviv Medical Center, 2005 to 2008Moran G Goren
The Molecular Epidemiology and Antibiotic Resistance Laboratory, Division of Epidemiology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Antimicrob Agents Chemother 54:2687-91. 2010..Tn4401 elements were identified in all of these plasmids...
Clinical implications of varying degrees of vancomycin susceptibility in methicillin-resistant Staphylococcus aureus bacteremiaMitchell J Schwaber
Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
Emerg Infect Dis 9:657-64. 2003..These data show that patients with vancomycin-susceptible MRSA bacteremia have similar baseline clinical features and outcomes whether or not their bacterial isolates exhibit growth on screening media containing vancomycin...
Plasmid-mediated imipenem-hydrolyzing enzyme KPC-2 among multiple carbapenem-resistant Escherichia coli clones in IsraelShiri Navon-Venezia
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Israel
Antimicrob Agents Chemother 50:3098-101. 2006..This is the first discovery of KPC-2 in E. coli and the first report of this enzyme originating outside the United States...
Efficacy of antibodies against the N-terminal of Pseudomonas aeruginosa flagellin for treating infections in a murine burn wound modelYoav Barnea
Department of Plastic and Reconstructive Surgery, Division of Epidemiology and Laboratory for Molecular Epidemiology and Antimicrobials Research, Pathology Institute, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel
Plast Reconstr Surg 117:2284-91. 2006..The aim of the study was to evaluate the efficacy of polyclonal immunotherapy targeted against the N-terminal of flagellin (anti-N'-fla-b) for treating severe P. aeruginosa infection in a murine burn wound model...
High levels of antimicrobial coresistance among extended-spectrum-beta-lactamase-producing EnterobacteriaceaeMitchell J Schwaber
Division of Epidemiology, Tel Aviv Sourasky Medical Center, 6 Weizmann St, Tel Aviv 64239, Israel
Antimicrob Agents Chemother 49:2137-9. 2005..ESBL nonproducers were more often susceptible to these agents. ESBL-producing Enterobacteriaceae represent a major source of resistance to various antibiotics...
Staphylococcus aureus mediastinitis and sternal osteomyelitis following median sternotomy in a rat modelYoav Barnea
Division of Epidemiology and Laboratory for Molecular Epidemiology and Antimicrobials Research, Tel Aviv Sourasky Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
J Antimicrob Chemother 62:1339-43. 2008..We aimed to develop a new Staphylococcus aureus mediastinitis and sternal osteomyelitis model in rats that can be used to evaluate the efficacy of new antimicrobial treatments...
Predictors of rectal carriage of carbapenem-resistant Enterobacteriaceae (CRE) among patients with known CRE carriage at their next hospital encounterVered Schechner
Division of Epidemiology, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv 64239, Israel
Infect Control Hosp Epidemiol 32:497-503. 2011..Very little is known about the natural history of CRE carriage. We aimed to determine the predictors of a positive CRE rectal screen test among patients with known CRE carriage screened at their next hospital encounter...
CTX-M-2 and a new CTX-M-39 enzyme are the major extended-spectrum beta-lactamases in multiple Escherichia coli clones isolated in Tel Aviv, IsraelInna Chmelnitsky
Division of Epidemiology and Laboratory for Molecular Epidemiology and Antibiotic Research, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel
Antimicrob Agents Chemother 49:4745-50. 2005..We report here a new CTX-M gene, designated bla(CTX-M-39), which revealed 99% homology with bla(CTX-M-26), with a substitution of arginine for glutamine at position 225...
Efficacy of ertapenem for treatment of bloodstream infections caused by extended-spectrum-β-lactamase-producing EnterobacteriaceaeVicki L Collins
Division of Infectious Diseases, Wayne State University, Detroit, Michigan, USA
Antimicrob Agents Chemother 56:2173-7. 2012..From 2005 to 2010, 261 patients with ESBL BSIs were analyzed. Outcomes were equivalent between patients treated with ertapenem and those treated with group 2 carbapenems (mortality rates of 6% and 18%, respectively; P = 0.18)...
Utility of the VITEK 2 Advanced Expert System for identification of extended-spectrum beta-lactamase production in Enterobacter sppMitchell J Schwaber
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Israel
J Clin Microbiol 44:241-3. 2006..5%), and erroneously reported cephalosporin susceptibility in 11 isolates (28%). Refinements in the AES are required in order to improve ESBL detection in Enterobacter...
Endocarditis caused by extended-spectrum-beta-lactamase-producing Klebsiella pneumoniae: emergence of resistance to ciprofloxacin and piperacillin-tazobactam during treatment despite initial susceptibilityOren Zimhony
Division of Infectious Diseases, Kaplan Medical Center Rehovot, Hebrew University and Hadassah, Jerusalem, Israel
Antimicrob Agents Chemother 50:3179-82. 2006..We question if and how PIP-TZ susceptibility should be reported for ESBL-producing Enterobacteriaceae...
Extended-spectrum beta-lactamases among Enterobacter isolates obtained in Tel Aviv, IsraelJacob Schlesinger
Division of Epidemiology, Tel Aviv Sourasky Medical Center, 6 Weizmann St, Tel Aviv 64239, Israel
Antimicrob Agents Chemother 49:1150-6. 2005..The dominant ESBL identified was SHV-12...
Effects of antibiotics on nosocomial epidemiology of vancomycin-resistant enterococciStephan Harbarth
Division of Infectious Diseases, Children's Hospital, Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
Antimicrob Agents Chemother 46:1619-28. 2002
The effects of group 1 versus group 2 carbapenems on imipenem-resistant Pseudomonas aeruginosa: an ecological studyYehuda Carmeli
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel
Diagn Microbiol Infect Dis 70:367-72. 2011..0625) in multivariate analysis. Ertapenem was not associated with IMP-R PA. These data would support preferentially prescribing ertapenem rather than group 2 carbapenems where clinically appropriate...
Fluoroquinolones and the risk for methicillin-resistant Staphylococcus aureus in hospitalized patientsStephen G Weber
Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA
Emerg Infect Dis 9:1415-22. 2003..4; p <0.0001; ciprofloxacin OR 2.5; p = 0.005) but not MSSA. Exposure to levofloxacin or ciprofloxacin is a significant risk factor for the isolation of MRSA, but not MSSA...
Surveillance cultures and duration of carriage of multidrug-resistant Acinetobacter baumanniiDror Marchaim
Division of Epidemiology, Tel Aviv Sourasky Medical Center, 6 Weizmann St, Tel Aviv 64239, Israel
J Clin Microbiol 45:1551-5. 2007..The proportion of individuals with previous MDR A. baumannii isolation who remain carriers for prolonged periods is substantial. These data should be considered when designing measures to limit the spread of MDR A. baumannii...
Fluoroquinolones protective against cephalosporin resistance in gram-negative nosocomial pathogensMitchell J Schwaber
Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA
Emerg Infect Dis 10:94-9. 2004....
Evaluation of an accelerated protocol for detection of extended-spectrum beta-lactamase-producing gram-negative bacilli from positive blood culturesShiri Navon-Venezia
Molecular Epidemiology Laboratory, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weizman St, Tel Aviv 64239, Israel
J Clin Microbiol 43:439-41. 2005..Results of the direct ESBL testing were reported 2.3 days sooner and were comparable to those of the standard NCCLS method with sensitivity, specificity, and positive and negative predictive values of 100, 98, 94, and 100%, respectively...
Novel rat model of methicillin-resistant Staphylococcus aureus-infected silicone breast implants: a study of biofilm pathogenesisEhud Arad
Department of Plastic and Reconstructive Surgery and the Laboratory for Epidemiology and Antibiotic Research, Tel Aviv Sourasky Medical Center, Affiliated with Tel Aviv Sackler Medical School, Tel Aviv University, Tel Aviv, Israel
Plast Reconstr Surg 131:205-14. 2013..It may persist over time in the form of biofilm without overt manifestation and is extremely difficult to eradicate. The authors' aim was to establish a novel model for biofilm infection of silicone breast implants in rats...
High tigecycline resistance in multidrug-resistant Acinetobacter baumanniiShiri Navon-Venezia
The Laboratory for Molecular Epidemiology and Antibiotic Research, Department of Epidemiology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
J Antimicrob Chemother 59:772-4. 2007..We aimed to evaluate the in vitro activity of tigecycline against MDR A. baumannii clones isolated before tigecycline was used in our institution...
Mortality and delay in effective therapy associated with extended-spectrum beta-lactamase production in Enterobacteriaceae bacteraemia: a systematic review and meta-analysisMitchell J Schwaber
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
J Antimicrob Chemother 60:913-20. 2007..We performed a systematic review and meta-analysis to examine the impact of extended-spectrum beta-lactamase (ESBL) production on mortality and delay in effective therapy in Enterobacteriaceae bacteraemia...
Complete nucleotide sequence of KPC-3-encoding plasmid pKpQIL in the epidemic Klebsiella pneumoniae sequence type 258Azita Leavitt
Division of Epidemiology, Molecular Epidemiology and Antibiotic Resistance Laboratory, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Antimicrob Agents Chemother 54:4493-6. 2010..pKpQIL is a 113,637-bp, self-transmissible plasmid that belongs to the incompatibility group IncFII. It consists of a large backbone of a pKPN4-like plasmid and carries the bla(KPC-3)-containing Tn4401a transposon of a pNYC-like plasmid...
Laboratory evaluation of the CHROMagar KPC medium for identification of carbapenem-nonsusceptible EnterobacteriaceaeJacob Moran Gilad
Clinical Microbiology Laboratory, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv 64239, Israel
Diagn Microbiol Infect Dis 70:565-7. 2011..coli...
Accounting for the development of antibacterial resistance in the cost effectiveness of ertapenem versus piperacillin/tazobactam in the treatment of diabetic foot infections in the UKJeroen P Jansen
Mapi Values, Boston, Massachusetts 02114, USA
Pharmacoeconomics 27:1045-56. 2009....
Update on Pseudomonas aeruginosa and Acinetobacter baumannii infections in the healthcare settingShiri Navon-Venezia
Divisions of Epidemiology and Infectious Diseases, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Curr Opin Infect Dis 18:306-13. 2005..In the absence of new antibiotic agents, new modalities of treatment should be developed...
Glycopeptides are no more effective than beta-lactam agents for prevention of surgical site infection after cardiac surgery: a meta-analysisMaureen K Bolon
Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA
Clin Infect Dis 38:1357-63. 2004..58-1.01) and were superior for prevention of SSIs caused by methicillin-resistant gram-positive bacteria (RR, 0.54; 95% CI, 0.33-0.90). Standard prophylaxis for cardiac surgery should continue to be beta-lactams in most circumstances...
The magnitude of the association between fluoroquinolone use and quinolone-resistant Escherichia coli and Klebsiella pneumoniae may be lower than previously reportedMaureen K Bolon
Division of Infectious Diseases, Beth Israel Deaconess Medical Center Boston, Massachusetts, USA
Antimicrob Agents Chemother 48:1934-40. 2004..5. Fluoroquinolone use is significantly associated with the isolation of fluoroquinolone-resistant Enterobacteriaceae; however, previous studies likely exaggerated the magnitude of this association...
How to stem the tide of carbapenemase-producing enterobacteriaceae?: proactive versus reactive strategiesEfraim Bilavsky
Division of Epidemiology and Preventive Medicine, Tel Aviv Sourasky Medical Center, Israel
Curr Opin Infect Dis 23:327-31. 2010..The purpose of this review is to highlight the impact of these problematic pathogens and to examine infection control policies needed in order to limit their spread...
Multidrug-resistant Acinetobacter baumanniiAharon Abbo
Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv 64239, Israel
Emerg Infect Dis 11:22-9. 2005..Penicillins were protective. The complex epidemiology may explain why the emergence of MDR A. baumannii is difficult to control...
Characteristics of microorganisms cultured from infected wounds post-hysterectomyAnat Yerushalmy
Department of Obstetrics and Gynecology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Eur J Obstet Gynecol Reprod Biol 141:169-72. 2008..To characterize organisms causing wound infection following abdominal hysterectomy...
National multicenter study of predictors and outcomes of bacteremia upon hospital admission caused by Enterobacteriaceae producing extended-spectrum beta-lactamasesDror Marchaim
Division of Epidemiology, Tel Aviv Sourasky Medical Center, 6 Weizmann St, Tel Aviv 64239, Israel
Antimicrob Agents Chemother 54:5099-104. 2010..Efforts should be directed to improving the detection of patients with ESBL bacteremia UHA and to providing immediate appropriate therapy...
Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus aureus surgical site infectionJohn J Engemann
Division of Infectious Diseases, Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA
Clin Infect Dis 36:592-8. 2003..Methicillin resistance is independently associated with increased mortality and hospital charges among patients with S. aureus SSI...
Treatment options for multidrug-resistant Acinetobacter speciesJacob Gilad
Clinical Microbiology Laboratory, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Drugs 68:165-89. 2008....
Multidrug-resistant Pseudomonas aeruginosa: risk factors and clinical impactValerie Aloush
Department of Internal Medicine VI, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Israel
Antimicrob Agents Chemother 50:43-8. 2006..aeruginosa is complex. Critically ill patients that require intensive care and are treated with multiple antibiotic agents are at high risk. MDR P. aeruginosa infections are associated with severe adverse clinical outcomes...
Factors associated with candidemia caused by non-albicans Candida species versus Candida albicans in the intensive care unitJennifer K Chow
Division of Geographic Medicine and Infectious Diseases, Tufts New England Medical Center, Tufts University School of Medicine, Boston, Massachusetts 02111, USA
Clin Infect Dis 46:1206-13. 2008..We examined factors associated with BSIs due to non-albicans Candida species, compared with C. albicans BSIs, in an ICU patient population...
Predictors of pandemic (H1N1) 2009 virus positivity and adverse outcomes among hospitalized patients with a compatible syndromeAmir Shlomai
Department of Medicine B, Tel Aviv Sourasky Medical Center, Israel
Isr Med Assoc J 12:622-7. 2010..A pandemic (H1N1) influenza A virus was identified in 2009...
Treatment with a broad-spectrum cephalosporin versus piperacillin-tazobactam and the risk for isolation of broad-spectrum cephalosporin-resistant Enterobacter speciesMitchell J Schwaber
Department of Medicine, Beth Israel Deaconess Medical Center and Massachusetts General Hospital, Boston, Massachusetts, USA
Antimicrob Agents Chemother 47:1882-6. 2003..and the equivalence in risk associated with piperacillin-tazobactam and broad-spectrum cephalosporins may have important clinical and epidemiologic implications...
Methicillin-resistant Staphylococcus aureus in neonatal intensive care unitGili Regev-Yochay
Infectious Diseases Unit, Sheba Medical Center, Tel Hashomer, Ramat Gan, 52621 Israel
Emerg Infect Dis 11:453-6. 2005..Fifteen infected neonates were identified, 2 of whom died. This outbreak illustrates how a rare community pathogen can rapidly spread through nosocomial transmission...
Parental Staphylococcus aureus carriage is associated with staphylococcal carriage in young childrenGili Regev-Yochay
Infectious Diseases Unit, Sheba Medical Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Pediatr Infect Dis J 28:960-5. 2009..Our previous study suggested that S. aureus carriage in children is associated with parental carriage. Here we wished to distinguish the different components that play a role in the risk to a child of a S. aureus-carrying parent...
Epidemiological interpretation of studies examining the effect of antibiotic usage on resistanceVered Schechner
Division of Epidemiology and Preventive Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Clin Microbiol Rev 26:289-307. 2013..Approaches to measuring antibiotic use and antibiotic resistance are presented. Important methodological issues such as confounding, establishing temporality, and control group selection are examined...
Hospital-acquired infective endocarditis: should the definition be broadened?Ronen Ben-Ami
Infectious Diseases Unit, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Israel
Clin Infect Dis 38:843-50. 2004..We conclude that characteristics of hospital-acquired IE extend to episodes arising within 6 months after discharge from the hospital and suggest that the definition of hospital-acquired IE be broadened to include these episodes...
Epidemiological interpretation of antibiotic resistance studies - what are we missing?Mitchell J Schwaber
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel
Nat Rev Microbiol 2:979-83. 2004..A more appropriate measure of this burden is the rate of isolation of resistant organisms, that is, the absolute number of resistant isolates in a population over time...
Mupirocin prophylaxis to prevent Staphylococcus aureus infection in patients undergoing dialysis: a meta-analysisEvelina Tacconelli
Division of Infectious Diseases, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA
Clin Infect Dis 37:1629-38. 2003..Mupirocin prophylaxis substantially reduces the rate of S. aureus infection in the dialysis population. Optimal regimens that minimize the emergence of mupirocin resistance need to be explored...
Antimicrobial resistance and patient outcomes: the hazards of adjustmentMitchell J Schwaber
Division of Epidemiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
Crit Care 10:164. 2006..We discuss how failure to distinguish between confounders and intermediate variables can bias the analysis, and we address methods of approaching this issue...
The establishment of a Pseudomonas aeruginosa-infected burn-wound sepsis model and the effect of imipenem treatmentYoav Barnea
Department of Plastic and Reconstructive Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Ann Plast Surg 56:674-9. 2006..We present a standardized Pseudomonas aeruginosa (PA) infected burn-wound model in mice for evaluating new antimicrobials and therapy strategies for PA infections and demonstrate the effect of the antibiotic imipenem in this model...
Comparison of mortality associated with methicillin-resistant and methicillin-susceptible Staphylococcus aureus bacteremia: a meta-analysisSara E Cosgrove
Division of Infectious Diseases, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts, USA
Clin Infect Dis 36:53-9. 2003..54-2.42; P<.001); significant heterogeneity was present. We explored the reasons for heterogeneity by means of subgroup analyses. MRSA bacteremia is associated with significantly higher mortality rate than is MSSA bacteremia...
Antibacterial properties of dermaseptin S4 derivatives with in vivo activityShiri Navon-Venezia
Division of Infectious Diseases, Sourasky Medical Center, Tel Aviv, Israel
Antimicrob Agents Chemother 46:689-94. 2002..Overall, the data suggest that dermaseptin S4 derivatives could be useful in treatment of infections, including infections caused by multidrug-resistant bacteria...
Studies of bloodstream infection outcomes: reading between the linesSara E Cosgrove
Infect Control Hosp Epidemiol 24:884-6. 2003
The economic effect of oral linezolid versus intravenous vancomycin in the outpatient setting: the payer perspectivePeggy S McKinnon
Clinical Research Infectious Diseases, Barnes Jewish Hospital, St Louis, Missouri 63110, USA
Manag Care Interface 20:23-34. 2007..Outpatient treatment with oral linezolid was associated with significantly lower resource utilization and total medical costs compared with IV vancomycin...
Occurrence and phenotypic characteristics of extended-spectrum beta-lactamases among members of the family Enterobacteriaceae at the Tel-Aviv Medical Center (Israel) and evaluation of diagnostic testsShiri Navon-Venezia
Laboratory for Molecular Epidemiology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
J Clin Microbiol 41:155-8. 2003..The CTX-CLAV combination confirmed ESBL producers better than the CTZ-CLAV combination, with sensitivity varying between species. Combined CTZ-CLAV and CTX-CLAV testing detected all these strains; CPD-CLAV provided no additional benefit...
Reference group choice and antibiotic resistance outcomesKeith S Kaye
Duke University Medical Center, Durham, North Carolina 27710, USA
Emerg Infect Dis 10:1125-8. 2004..Cases were compared to uninfected patients and patients infected with the corresponding, susceptible organism. VRE and MRSA were associated with adverse outcomes. The effect was greater when uninfected control patients were used...
First national surveillance of susceptibility of extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella spp. to antimicrobials in IsraelRaul Colodner
Clinical Microbiology Laboratory, Ha Emek Medical Center, 18101, Afula, Israel
Diagn Microbiol Infect Dis 57:201-5. 2007..3% (12.3-28.5%, 96/256). Coresistance, cross-resistance, and variability between institutions were high. Only carbapenems retain predicted activity against ESBL-producing E. coli and Klebsiella spp. across Israeli hospitals...
Enterococcal bacteraemia: epidemiological, microbiological, clinical and prognostic characteristics, and the impact of high level gentamicin resistanceHila Shaked
Infectious Diseases Unit, Tel-Aviv Sourasky Medical Centre, Tel-Aviv, Israel
Scand J Infect Dis 38:995-1000. 2006..6, p<0.00001) and HLGR (OR=6.4, p=0.006). It was concluded that HLGR adversely affects the outcome of bacteraemic enterococcal infection...
Should third-generation cephalosporins be avoided against AmpC-inducible Enterobacteriaceae?David M Livermore
Clin Microbiol Infect 10:84-5. 2004
Prior antimicrobial therapy and risk for hospital-acquired Candida glabrata and Candida krusei fungemia: a case-case-control studyMichael Y Lin
University of Chicago Hospitals, Illinois, USA
Antimicrob Agents Chemother 49:4555-60. 2005..glabrata or C. krusei candidemia. Further studies are needed to prospectively analyze specific antimicrobial risks for nosocomial candidemia across multiple hospital centers...
Association between carriage of Streptococcus pneumoniae and Staphylococcus aureus in ChildrenGili Regev-Yochay
Sheba Medical Center, Tel Hashomer, Israel
JAMA 292:716-20. 2004..Of particular significance may be an interaction between Streptococcus pneumoniae and Staphylococcus aureus, in view of the recent emergence of community-acquired methicillin-resistant S aureus...
Effect of various antibacterial preparations on the pathogenic oral flora in elderly patients fed via nasogastric tubeArthur Leibovitz
Shmuel-Harofeh Hospital, Geriatric Medical Center, POB 2, Be'er-Ya'akov, 70350, Israel
Antimicrob Agents Chemother 49:3566-8. 2005..We prospectively evaluated six antiseptic compounds in nasogastric tube-fed frail elderly patients; only polymixine reduced oropharyngeal colonization with GNB. None had an effect on S. aureus colonization...
Control-group selection importance in studies of antimicrobial resistance: examples applied to Pseudomonas aeruginosa, Enterococci, and Escherichia coliAnthony D Harris
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, and VA Maryland Health Care System, Baltimore, MD, USA
Clin Infect Dis 34:1558-63. 2002..68). The selection of control patients from the potentially suboptimal control type 1 can falsely identify certain antibiotics and overestimate the OR of the resistance-defining antibiotic...
Differential effects of levofloxacin and ciprofloxacin on the risk for isolation of quinolone-resistant Pseudomonas aeruginosaKeith S Kaye
Duke University Medical Center, Durham, NC 27710, USA
Antimicrob Agents Chemother 50:2192-6. 2006..6; 95% CI = 0.4 to 0.9), whereas ciprofloxacin had no significant effect (OR = 1.0; 95% CI = 0.6 to 1.8). In conclusion, the use of levofloxacin, but not ciprofloxacin, was associated with isolation of QR P. aeruginosa...
Health and economic outcomes of the emergence of third-generation cephalosporin resistance in Enterobacter speciesSara E Cosgrove
Department of Medicine, The John Hopkins Hospital, 1830 E Monument St, Room 9020, Baltimore, MD 21287, USA
Arch Intern Med 162:185-90. 2002..This study evaluated the clinical and economic impact of the emergence of third-generation cephalosporin-resistant Enterobacter species...
Clinical and economic impact of common multidrug-resistant gram-negative bacilliChristian G Giske
Clinical Microbiology L2:02, Karolinska Institutet-MTC, Karolinska University Hospital Solna, Stockholm SE-17176, Sweden
Antimicrob Agents Chemother 52:813-21. 2008
Predictors of mortality in patients with bloodstream infection due to ceftazidime-resistant Klebsiella pneumoniaeDeverick J Anderson
Duke University Medical Center, Division of Infectious Disease, DUMC Box 3824, Durham, NC 27710, USA
Antimicrob Agents Chemother 50:1715-20. 2006..32; 95% confidence interval, 1.07 to 10.3). Thus, among patients with BSI due to CAZ-R K. pneumoniae, a delay in the initiation of effective therapy of greater than 72 h after BSI was associated with a >3-fold increase in mortality risk...
Genotypic and phenotypic analysis of Clostridium difficile correlated with previous antibiotic exposureMatthew H Samore
VA Salt Lake City Health Care System, and Division of Clinical Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA
Microb Drug Resist 12:23-8. 2006..Resistance of specific C. difficile strains to clindamycin and other antimicrobial agents may contribute to their hospital dissemination and explain, in part, the propensity of clindamycin to trigger nosocomial outbreaks...
Mechanisms by which antibiotics promote dissemination of resistant pneumococci in human populationsMatthew H Samore
Division of Clinical Epidemiology, Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, UT 84132, USA
Am J Epidemiol 163:160-70. 2006..Penicillins accelerate clearance of susceptible strains. The effect of penicillins in increasing resistance is shared equally by treated and untreated members of the population...
Infection of a ventriculoatrial shunt with phenotypically variable Staphylococcus epidermidis masquerading as polymicrobial bacteremia due to various coagulase-negative Staphylococci and Kocuria variansRonen Ben-Ami
Infectious Diseases Unit, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
J Clin Microbiol 41:2444-7. 2003..epidermidis may affect identification to the species level by phenotype-based identification systems. Caution should be exercised when differentiating between true infection and contamination based on strain identification...
The case-case-control study design: addressing the limitations of risk factor studies for antimicrobial resistanceKeith S Kaye
Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA
Infect Control Hosp Epidemiol 26:346-51. 2005..There are significant limitations of the standard case-control study design for identifying risk factors for resistant organisms. The objective of this study was to develop a study design to overcome these limitations...
The impact of antimicrobial resistance on health and economic outcomesSara E Cosgrove
Division of Infectious Disease, Johns Hopkins Hospital, Baltimore, MD, USA
Clin Infect Dis 36:1433-7. 2003....
Impact of severity of illness bias and control group misclassification bias in case-control studies of antimicrobial-resistant organismsAnthony D Harris
Department of Epidemiology and Preventive Medicine, University of Maryland, College Park, USA
Infect Control Hosp Epidemiol 26:342-5. 2005..If this bias exists, these studies might be expected to report lower odds ratios (ORs) because control-patients would be more like case-patients...
Raising standards while watching the bottom line: making a business case for infection controlEli N Perencevich
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA
Infect Control Hosp Epidemiol 28:1121-33. 2007....
Antibiotic therapy in the demented elderly population: redefining the ethical dilemmaMitchell J Schwaber
Arch Intern Med 168:349-50. 2008
