Research Topics
| J P MetlaySummaryAffiliation: University of Pennsylvania Country: USA Publications
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Publications
Hospital-reported pneumococcal susceptibility to penicillinJoshua P Metlay
VA Medical Center, Philadelphia, Pennsylvania, USA
Emerg Infect Dis 10:54-9. 2004..8). In addition, correlations were not significant in reported pneumococcal susceptibility to penicillin within individual hospitals during the 3 years...
Medication safety in older adults: home-based practice patternsJoshua P Metlay
Penn Program for the Reduction in Medication Errors, Center for Clinical Epidemiology and Biostatistics, Philadelphia, Pennsylvania 19104, USA
J Am Geriatr Soc 53:976-82. 2005..To identify the current state of medication-taking practices of community-dwelling older adults on high-risk medications...- Assessing the suitability of intervention sites for quality improvement studies in emergency departmentsJoshua P Metlay
Center for Health Equity Research and Promotion, VA Medical Center and University of Pennsylvania School of Medicine, Philadelphia, USA
Acad Emerg Med 12:667-70. 2005.... - Impact of pediatric vaccination with pneumococcal conjugate vaccine on the risk of bacteremic pneumococcal pneumonia in adultsJoshua P Metlay
Department of Veterans Affairs, VA Medical Center, 9th Floor, Philadelphia PA 19104, USA
Vaccine 24:468-75. 2006.... - Antimicrobial drug resistance, regulation, and researchJoshua P Metlay
VA Medical Center, University of Pennsylvania School of Medicine, Center for Clinical Epidemiology and Biostatistics, Philadelphia, Pennsylvania 19104, USA
Emerg Infect Dis 12:183-90. 2006..Recent consultations and collaborations between regulators, academics, and industry are welcome. Efforts to coordinate regulatory measures would benefit from greater levels of international dialogue... - Prior antimicrobial drug exposure: a risk factor for trimethoprim-sulfamethoxazole-resistant urinary tract infectionsJoshua P Metlay
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
J Antimicrob Chemother 51:963-70. 2003..We used a novel data system to identify patterns of individual antimicrobial drug exposures associated with trimethoprim-sulfamethoxazole-resistant urinary tract infections (UTIs)... - Agreement between patient self-report and a Veterans Affairs national pharmacy database for identifying recent exposures to antibioticsJoshua P Metlay
Philadelphia Veterans Affairs Medical Center, Division of General Internal Medicine, Department of Medicine, Center for Clinical Epidemiology and Biostatistics, Univ of Pennsylvania, Philadelphia, PA, USA
Pharmacoepidemiol Drug Saf 12:9-15. 2003..The authors compared self-report with pharmacy dispensing data to determine the accuracy of self-reported antibiotic exposure... - Antibiotic prescribing decisions of generalists and infectious disease specialists: thresholds for adopting new drug therapiesJoshua P Metlay
Center for Health Equity Research and Promotion, Department of Veterans Affairs, University of Pennsylvania, Philadelphia, USA
Med Decis Making 22:498-505. 2002..Thus, the adoption of recommendations to limit overuse of newer antibiotics may be variable across clinical settings and providers, reducing the impact of these recommendations on emerging resistance... - Macrolide resistance in adults with bacteremic pneumococcal pneumoniaJoshua P Metlay
Center for Clinical Epidemiology and Biostatistics, Philadelphia Veterans Affairs Medical Center, 423 Guardian Drive, Philadelphia, PA 19104, USA
Emerg Infect Dis 12:1223-30. 2006..Among patients who reported taking antimicrobial agents in the 6 months preceding infection, failure to complete the course of prescribed drugs was associated with an increased probability of macrolide resistance (OR 3.4)... - Outcomes in lower respiratory tract infections and the impact of antimicrobial drug resistanceJoshua P Metlay
Veterans Affairs Medical Center and Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
Clin Microbiol Infect 8:1-11. 2002..Additional studies are urgently needed to assess better whether the current empiric treatment guidelines are adequate or will need to be adjusted as patterns of resistance continue to evolve... - National trends in the use of antibiotics by primary care physicians for adult patients with coughJ P Metlay
General Medicine Division, Massachusetts Division, Massachusetts General Hospital and Harvard Medical School, Boston, USA
Arch Intern Med 158:1813-8. 1998..Efforts to reduce the inappropriate use will need to be evaluated against current trends in the outpatient use of antibiotics... - Impact of penicillin susceptibility on medical outcomes for adult patients with bacteremic pneumococcal pneumoniaJ P Metlay
Veterans Affairs Medical Center and University of Pennsylvania School of Medicine, Philadelphia, PA, 19104, USA
Clin Infect Dis 30:520-8. 2000..Among adults with bacteremic pneumococcal pneumonia, infection with penicillin-nonsusceptible pneumococci is associated with an increased risk of adverse outcome... - Tensions in antibiotic prescribing: pitting social concerns against the interests of individual patientsJoshua P Metlay
Philadelphia Veterans Affairs Medical Center, University of Pennsylvania School of Medicine, 712 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA
J Gen Intern Med 17:87-94. 2002..However, optimal use from the perspective of the community (reserving newer agents for future use) is not always consistent with optimal use from the perspective of the individual patient (prescribing newer, broader agents)... - Antibacterial drug resistance: implications for the treatment of patients with community-acquired pneumoniaJoshua P Metlay
Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, PA 19104, USA
Infect Dis Clin North Am 18:777-90. 2004..Whether levels of drug resistance will continue to increase or decline is unknown. Therefore,carefully designed outcomes studies likely will continue to be essential to help define optimal therapy for patients who have CAP... - Update on community-acquired pneumonia: impact of antibiotic resistance on clinical outcomesJoshua P Metlay
Veterans Affairs Medical Center, and Division of General Internal Medicine, Center for Clinical Epidemiology and Bistatistics, University of Pennsylvania School of Medicine, Philadelphia, 17104, USA
Curr Opin Infect Dis 15:163-7. 2002..However, as patterns of drug resistance evolve, future studies will be needed to address the continued appropriateness of current empirical treatment guidelines for these patients... - Cluster-randomized trial to improve antibiotic use for adults with acute respiratory infections treated in emergency departmentsJoshua P Metlay
Center for Health Equity Research and Promotion, VA Medical Center, Philadelphia, PA, USA
Ann Emerg Med 50:221-30. 2007..We evaluate the effectiveness of an educational program in hospital emergency departments (EDs) targeting reduction in antibiotic overuse for acute respiratory tract infections... - Antibiotic treatment of acute respiratory infections in acute care settingsRalph Gonzales
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA 94118, USA
Acad Emerg Med 13:288-94. 2006..To examine the patterns of antibiotic use for acute respiratory tract infections (ARIs) in acute care settings... - Impact of hospital formularies on fluoroquinolone prescribing in emergency departmentsSherrie L Aspinall
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, and Unviersity of Pittsburgh School of Pharmacy, Pittsburgh, PA 15240, USA
Am J Manag Care 13:241-8. 2007..To examine factors associated with fluoroquinolone prescribing among adults receiving antibiotics for acute respiratory tract infections (ARIs) in emergency departments... 
Antibiotic prescriptions are associated with increased patient satisfaction with emergency department visits for acute respiratory tract infectionsCordelia R Stearns
Center for Health Equity Research and Promotion, VA Medical Center, Philadelphia, PA, USA
Acad Emerg Med 16:934-41. 2009....- Identifying mutator phenotypes among fluoroquinolone-resistant strains of Streptococcus pneumoniae using fluctuation analysisCarolyn V Gould
Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
Antimicrob Agents Chemother 51:3225-9. 2007.... - Measuring symptomatic and functional recovery in patients with community-acquired pneumoniaJ P Metlay
Department of Medicine, Massachusetts General Hospital, Boston 02114, USA
J Gen Intern Med 12:423-30. 1997..Delayed resolution of symptoms is associated with increased utilization of outpatient physician visits... - How long does it take to "rule out" bacteremia in children with central venous catheters?Samir S Shah
Children s Hospital of Philadelphia, Division of Infectious Diseases, Room 1526, North Campus, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA
Pediatrics 121:135-41. 2008.... - Patient attitudes regarding participation in studies of antimicrobial resistancePam Tolomeo
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104 6021, USA
Infect Control Hosp Epidemiol 29:155-9. 2008..However, participation rates have been low in studies that involve fecal sampling. Attitudes toward such studies among potential study participants have not been assessed... - Clinical and public health implications of macrolide-resistant Streptococcus pneumoniaeR C Moellering
Beth Israel Deaconess Medical Center, Department of Medicine, Boston, MA 02215, USA
J Chemother 14:42-56. 2002..Further studies are required to monitor and control macrolide resistance and evaluate settings in which macrolide treatment failures are occurring, and new therapeutic interventions are needed... - Risk factors for nonadherence to warfarin: results from the IN-RANGE studyAlec B Platt
Department of Medicine, University of Pennsylvania School of Medicine, PA, USA
Pharmacoepidemiol Drug Saf 17:853-60. 2008..Warfarin is widely used to prevent stroke and venous thromboembolism despite its narrow therapeutic window. Warfarin nonadherence is a substantial problem, but risk factors have not been well elucidated... - Treatment and outcomes for patients with bacteremic pneumococcal pneumoniaCatherine M Berjohn
Drexel School of Public Health, Philadelphia, PA, USA
Medicine (Baltimore) 87:160-6. 2008..Current patterns of drug resistance did not lead to delays in administration of active antimicrobial therapy... - Facility-level variation in antibiotic prescriptions for veterans with upper respiratory infectionsSherrie L Aspinall
Center for Health Equity Research and Promotion, Veterans Affairs Healthcare System, Pittsburgh, USA
Clin Ther 27:258-62. 2005..Organizational factors, such as time pressure, may be important targets for future interventions designed to reduce inappropriate antibiotic use in ambulatory care settings... - Observed association between antidepressant use and pneumonia risk was confounded by comorbidity measuresSean Hennessy
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
J Clin Epidemiol 60:911-8. 2007..A prior study suggested that antidepressants might increase the risk of hospitalization for pneumonia in the elderly. This study sought to confirm or refute this hypothesis... - The impact of emergency department crowding measures on time to antibiotics for patients with community-acquired pneumoniaJesse M Pines
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Ann Emerg Med 50:510-6. 2007..We seek to determine the impact of emergency department (ED) crowding on delays in antibiotic administration for patients with community-acquired pneumonia... - Pay for performance for antibiotic timing in pneumonia: caveat emptorJesse M Pines
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, USA
Jt Comm J Qual Patient Saf 32:531-5. 2006..The answer is to find measures of system throughput and/or work flow that are associated with improved patient care outcomes... - Effect of communication errors during calls to an antimicrobial stewardship programDarren R Linkin
Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Infect Control Hosp Epidemiol 28:1374-81. 2007.... - Social capital and glucose controlJudith A Long
Philadelphia Veterans Affairs Center for Health Equity Research and Promotion, 1201 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104 6021, USA
J Community Health 35:519-26. 2010..No other measure of social capital was associated with HbA1c. In this study of black veterans with diabetes we observed that living in neighborhoods where people work together is associated with better glucose control... - Can we predict daily adherence to warfarin?: Results from the International Normalized Ratio Adherence and Genetics (IN-RANGE) StudyAlec B Platt
MSCE, University of Pennsylvania School of Medicine, 707 Blockley Hall, 423 Guardian Dr, Philadelphia, PA 19104 6021, USA
Chest 137:883-9. 2010..Currently, no comprehensive screening tool exists to help providers assess the risk of nonadherence at the time of initiation of warfarin therapy... - Adverse events associated with prolonged antibiotic useSharon B Meropol
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Pharmacoepidemiol Drug Saf 17:523-32. 2008.... - Perceived social support among adults seeking care for acute respiratory tract infections in US EDsSara K Levin
Department of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA
Am J Emerg Med 27:582-7. 2009..Social support levels among adults seeking care in the ED for acute respiratory tract infections are similar to general population cohorts, suggesting that social support is not a strong determinant of health care seeking in EDs... - Diagnostic E-codes for commonly used, narrow therapeutic index medications poorly predict adverse drug eventsCharles E Leonard
Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
J Clin Epidemiol 61:561-71. 2008..We sought to examine the validity of specific hospital discharge codes in identifying drug toxicity precipitating hospitalization, among elderly users of high-risk medications... - Reduced antibiotic prescribing for acute respiratory infections in adults and childrenSharon B Meropol
Center for Clinical Epidemiology and Biostatistics, Penn Center for Education and Research on Therapeutics, Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Br J Gen Pract 59:e321-8. 2009..In the US, prescribing for acute non-specific respiratory infections (ARIs) has decreased, but broad-spectrum antibacterial prescribing has soared... - Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding eventsJoshua P Metlay
Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
J Gen Intern Med 23:1589-94. 2008..Adverse drug events are an important cause of preventable hospitalizations... - The prevalence of fluoroquinolone resistance mechanisms in colonizing Escherichia coli isolates recovered from hospitalized patientsEbbing Lautenbach
Divisions of Infectious Diseases, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Clin Infect Dis 51:280-5. 2010..Fluoroquinolones are the most commonly prescribed antimicrobials. The epidemiology of fecal colonization with Escherichia coli demonstrating reduced susceptibility to fluoroquinolones remains unclear... - Increased risk of digoxin toxicity following hospitalizationKevin Haynes
Program for the Reduction in Medication Errors, Department of Biostatistics and Epidemiology and School of Medicine, University of Pennsylvania, Philadelphia, PA 19104 6021, USA
Pharmacoepidemiol Drug Saf 18:28-35. 2009..The objective of the study was to identify health care system factors that affect the risk of digoxin toxicity for older adults on digoxin... - Gastrointestinal tract colonization with fluoroquinolone-resistant Escherichia coli in hospitalized patients: changes over time in risk factors for resistanceEbbing Lautenbach
Division of Infectious Diseases, Department of Medicine, the Center for Clinical Epidemiology and Biostatistics, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104 6021, USA
Infect Control Hosp Epidemiol 30:18-24. 2009..The objective of this study was to identify the prevalence of and risk factors for FQREC colonization among hospitalized patients... - Access to emergency care in the United StatesBrendan G Carr
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
Ann Emerg Med 54:261-9. 2009..Rapid access to emergency services is essential for emergency care-sensitive conditions such as acute myocardial infarction, stroke, sepsis, and major trauma. We seek to determine US population access to an emergency department (ED)... - Exposure to children as a risk factor for bacteremic pneumococcal disease: changes in the post-conjugate vaccine eraJoshua P Metlay
Department of Medicine, University of Pennsylvania School of Medicine, 712 Blockley Hall, 423 Guardian Dr, Philadelphia, PA 19104, USA
Arch Intern Med 170:725-31. 2010..We examined recent trends in serotypes responsible for disease and current risk factors among adults... - Changes in veterans' use of outpatient care from 1992 to 2000Judith A Long
Philadelphia Veterans Affairs Center for Health Equity Research and Promotion, University of Pennsylvania s Leonard Davis Institute of Health Economics, PA 19104 6021, USA
Am J Public Health 95:2246-51. 2005..To determine whether the reorganization was associated with changes in patterns of out-patient VHA use, we sought to evaluate changes in characteristics of veterans who use VHA outpatient services between 1992 and 2000... - Risk factors for fluoroquinolone resistance in nosocomial Escherichia coli and Klebsiella pneumoniae infectionsEbbing Lautenbach
Department of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
Arch Intern Med 162:2469-77. 2002..Risk factors for FQ resistance in these pathogens remain unknown. Although FQs are important components of the present antimicrobial arsenal, their continued usefulness is threatened by rising FQ resistance... - The association between emergency department crowding and hospital performance on antibiotic timing for pneumonia and percutaneous intervention for myocardial infarctionJesse M Pines
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 13:873-8. 2006..Antibiotics within four hours of arrival for patients with pneumonia and percutaneous intervention (PCI) within two hours for patients with acute myocardial infarction (AMI) are standard measures of emergency department (ED) quality... - Inaccurate communications in telephone calls to an antimicrobial stewardship programDarren R Linkin
Department of Medicine, Division of Infectious Diseases, University of Pennsylvania, Philadelphia, PA 19104, USA
Infect Control Hosp Epidemiol 27:688-94. 2006.... - The validity and feasibility of saliva melatonin assessment in the elderlyNalaka S Gooneratne
Division of Geriatric Medicine, School of Medicine, University of Pennsylvania, Pennsylvania, PA, USA
J Pineal Res 34:88-94. 2003..Saliva specimens provide an economical and practical method for melatonin assessment, however, in older adults, issues such as hyposalivation and low melatonin levels limit the feasibility and validity, respectively, of saliva melatonin... - Association between fluoroquinolone resistance and mortality in Escherichia coli and Klebsiella pneumoniae infections: the role of inadequate empirical antimicrobial therapyEbbing Lautenbach
Division of Infectious Diseases, Department of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, USA
Clin Infect Dis 41:923-9. 2005..The prevalence of fluoroquinolone (FQ) resistance among Escherichia coli and Klebsiella pneumoniae has increased markedly in recent years. However, the impact of FQ resistance on mortality remains unknown... - Duration of outpatient fecal colonization due to Escherichia coli Isolates with decreased susceptibility to fluoroquinolones: longitudinal study of patients recently discharged from the hospitalEbbing Lautenbach
University of Pennsylvania School of Medicine, Center for Clinical Epidemiology and Biostatistics, 825 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104 6021, USA
Antimicrob Agents Chemother 50:3939-43. 2006..07) but was not associated with other resistance mechanisms, demographics, or antibiotic use... - Declining antibiotic prescriptions for upper respiratory infections, 1993-2004Stefan G Vanderweil
Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA
Acad Emerg Med 14:366-9. 2007..To examine antibiotic prescribing trends for U.S. emergency department (ED) visits with upper respiratory tract infections (URIs) between 1993 and 2004... - The influence of patient adherence on anticoagulation control with warfarin: results from the International Normalized Ratio Adherence and Genetics (IN-RANGE) StudyStephen E Kimmel
Department of Medicine, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, 423 Guardian Drive, Philadelphia, PA 19104, USA
Arch Intern Med 167:229-35. 2007..Warfarin sodium is a highly efficacious drug, but proper levels of anticoagulation are difficult to maintain. Conflicting data exist on the influence of patient adherence on anticoagulation control... - Emergency department operational changes in response to pay-for-performance and antibiotic timing in pneumoniaJesse M Pines
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 14:545-8. 2007.... - Tensions in antibiotic prescribingJoshua P Metlay
University of Pennsylvania, USA
LDI Issue Brief 7:1-4. 2002..This Issue Brief explores one of the fundamental challenges physicians face in optimizing antibiotic use: the potential conflict between what is best for an individual patient, and what is best for society as a whole... - Role of computerized physician order entry systems in facilitating medication errorsRoss Koppel
Department of Sociology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia 19104 USA
JAMA 293:1197-203. 2005..Published studies report that CPOE reduces medication errors up to 81%. Few researchers, however, have focused on the existence or types of medication errors facilitated by CPOE... - Test characteristics of perirectal and rectal swab compared to stool sample for detection of fluoroquinolone-resistant Escherichia coli in the gastrointestinal tractEbbing Lautenbach
Division of Infectious Diseases, Department of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
Antimicrob Agents Chemother 49:798-800. 2005..For rectal swab, the sensitivity was 90% (95% CI, 68 to 99%) and the specificity was 100% (95% CI, 91 to 100%)... - Phenotypic and genotypic characterization of fecal Escherichia coli isolates with decreased susceptibility to fluoroquinolones: results from a large hospital-based surveillance initiativeEbbing Lautenbach
Division of Infectious Diseases, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104 6021, USA
J Infect Dis 194:79-85. 2006..The prevalence of fecal colonization with Escherichia coli that has reduced susceptibility to fluoroquinolones is unknown. A detailed characterization of such isolates is limited... - Reducing antibiotic use in children: a randomized trial in 12 practicesJ A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Massachusetts, USA
Pediatrics 108:1-7. 2001..Setting. Twelve practices affiliated with 2 managed care organizations (MCOs) in eastern Massachusetts and northwest Washington State. Patients. All enrolled children younger than 6 years old... - Socioeconomic risk factors for bacteraemic pneumococcal pneumonia in adultsJ H Flory
Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia PA, USA
Epidemiol Infect 137:717-26. 2009..Of methodological interest, this association was not apparent if census block-group median income was used as a proxy for self-reported income. Further research on socioeconomic risk factors for BPP is needed... - Accuracy of adult reported pneumococcal vaccination status of childrenChris Czaja
Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Ann Epidemiol 15:253-6. 2005..CONCLUSION: Adult report of the pneumococcal vaccination status of children was found to be relatively inaccurate and did not vary by known demographic characteristics... - Primary early thoracoscopy and reduction in length of hospital stay and additional procedures among children with complicated pneumonia: results of a multicenter retrospective cohort studySamir S Shah
Division of Infectious Diseases, The Childrens Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA
Arch Pediatr Adolesc Med 162:675-81. 2008.... - Vital-sign abnormalities as predictors of pneumonia in adults with acute cough illnessBrendon R Nolt
The Center for Health Equity Research and Promotion, VA Medical Center and the University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
Am J Emerg Med 25:631-6. 2007..This study examines the strength of the association between vital-sign abnormalities, advanced age, and the diagnosis of community-acquired pneumonia (CAP) in the evaluation of adults with acute cough illness... - Availability of rapid human immunodeficiency virus testing in academic emergency departmentsPeter D Ehrenkranz
Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 15:144-50. 2008..The study objectives were to determine the accessibility of rapid HIV testing in academic EDs, to identify factors that influence an ED's adoption of testing, and to describe current HIV testing practices... - Adherence to warfarin assessed by electronic pill caps, clinician assessment, and patient reports: results from the IN-RANGE studyCatherine S Parker
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, 717 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104 6021, USA
J Gen Intern Med 22:1254-9. 2007..Patient adherence to warfarin may influence anticoagulation control; yet, adherence among warfarin users has not been rigorously studied... - Medication comprehension and safety in older adultsJoshua P Metlay
Leonard Davis Institute of Health Economics, University of Pennsylvania, and Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, Pennsylvania, USA
LDI Issue Brief 14:1-4. 2008..These findings may help clinicians better predict and monitor their patients' adherence to prescription drug regimens... - Costs of treating children with complicated pneumonia: a comparison of primary video-assisted thoracoscopic surgery and chest tube placementSamir S Shah
Division of Infectious Diseases, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Pediatr Pulmonol 45:71-7. 2010.... - Testing strategies in the initial management of patients with community-acquired pneumoniaJoshua P Metlay
Veterans Affairs Medical Center and University of Pennsylvania School of Medicine, 9th Floor, University and Woodland Avenues, Philadelphia, Pennsylvania 19104, USA
Ann Intern Med 138:109-18. 2003.... - Polymicrobial bloodstream infections among children and adolescents with central venous catheters evaluated in ambulatory careKevin J Downes
Divisions of Infectious Diseases, The Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
Clin Infect Dis 46:387-94. 2008..Bloodstream infections (BSIs) are an ever-present concern for clinicians evaluating ill-appearing pediatric patients with central venous catheters (CVCs) in the ambulatory care setting... - Population antibiotic susceptibility for Streptococcus pneumoniae and treatment outcomes in common respiratory tract infectionsJon P Furuno
Department of Epidemiology and Preventive Medicine, University of Maryland, School of Medicine, Baltimore, MD 21201, USA
Pharmacoepidemiol Drug Saf 15:1-9. 2006..CONCLUSION: On the population level, in vitro S. pneumoniae nonsusceptibility to macrolide or beta-lactam antibiotics was not associated with treatment failure in conditions of probable S. pneumoniae etiology... - Clinical prediction model for influenzaSamir S Shah
Arch Pediatr Adolesc Med 158:1018; author reply 1018. 2004 - Educational interventions to improve antibiotic use in the community: report from the International Forum on Antibiotic Resistance (IFAR) colloquium, 2002Roger G Finch
Nottingham City Hospital and University of Nottingham, Nottingham, UK
Lancet Infect Dis 4:44-53. 2004..Current research aims include the application of behaviour-change models, the development and validation of prudent antibiotic prescribing standards, and the refinement of tools to assess educational interventions... - Surveillance for second primary colorectal cancer after adjuvant chemotherapy: an analysis of Intergroup 0089Robert J Green
The Helen and Harry Gray Cancer Institute, 1309 North Flagler Drive, West Palm Beach, FL 33401, USA
Ann Intern Med 136:261-9. 2002..6 (CI, 1.2 to 2.2) and 6.8 (CI, 2.7 to 22.0), respectively. CONCLUSION: The incidence of second primary colorectal cancer remains high despite intensive surveillance strategies... - Cigarette smoking among Chinese Americans and the influence of linguistic acculturationSteven S Fu
Department of Veteran Affairs Medical Center, Section of General Internal Medicine, Center for Chronic Disease Outcomes Research, Minneapolis, MN 55417, USA
Nicotine Tob Res 5:803-11. 2003..Further research is needed to assess whether acculturation is associated with smoking among Chinese American women and with use of smoking cessation treatments and services by Chinese American smokers...