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  1. Article ; Online: Updating the Diagnostic Criteria for Infective Endocarditis: Time for a (Valve) Replacement.

    Paras, Molly L

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2023  Volume 77, Issue 4, Page(s) 527–528

    MeSH term(s) Humans ; Endocarditis, Bacterial/diagnosis ; Endocarditis/diagnosis ; Heart ; Communicable Diseases
    Language English
    Publishing date 2023-05-03
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciad269
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  2. Article ; Online: Should Contact Precautions Be Used for Patients with MRSA Infection and Colonization in Acute Care Settings?

    Li, Suellen / Paras, Molly L

    NEJM evidence

    2024  Volume 3, Issue 2, Page(s) EVIDtt2300302

    Abstract: Are Contact Precautions for Patients with MRSA Useful?MRSA infections lead to substantial morbidity and mortality. Hospitals commonly implement "contact precautions" to reduce MRSA transmission; however, recent studies have challenged the effectiveness ... ...

    Abstract Are Contact Precautions for Patients with MRSA Useful?MRSA infections lead to substantial morbidity and mortality. Hospitals commonly implement "contact precautions" to reduce MRSA transmission; however, recent studies have challenged the effectiveness of this strategy, and the use of contact precautions has been associated with certain adverse events. This article reviews the existing evidence and proposes a randomized trial to assess the efficacy of contact precautions in preventing MRSA transmission.
    MeSH term(s) Humans ; Methicillin-Resistant Staphylococcus aureus ; Cross Infection/prevention & control ; Staphylococcal Infections/prevention & control ; Infection Control ; Hospitals
    Language English
    Publishing date 2024-01-23
    Publishing country United States
    Document type Review ; Journal Article
    ISSN 2766-5526
    ISSN (online) 2766-5526
    DOI 10.1056/EVIDtt2300302
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  3. Article ; Online: Case 4-2024: A 39-Year-Old Man with Fever and Headache after International Travel.

    Ryan, Edward T / Succi, Marc D / Paras, Molly L / Klontz, Erik H

    The New England journal of medicine

    2024  Volume 390, Issue 6, Page(s) 549–556

    MeSH term(s) Adult ; Humans ; Male ; Fever/etiology ; Headache/etiology ; Travel ; Internationality ; Travel-Related Illness
    Language English
    Publishing date 2024-02-07
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMcpc2309382
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  4. Article ; Online: Vegetation Size in Patients with Infective Endocarditis: Does Size Matter?

    Paras, Molly L / Jassar, Arminder S

    Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography

    2022  Volume 35, Issue 6, Page(s) 576–578

    MeSH term(s) Endocarditis/diagnosis ; Endocarditis/diagnostic imaging ; Endocarditis, Bacterial/diagnosis ; Endocarditis, Bacterial/diagnostic imaging ; Humans
    Language English
    Publishing date 2022-02-24
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1035622-8
    ISSN 1097-6795 ; 0894-7317
    ISSN (online) 1097-6795
    ISSN 0894-7317
    DOI 10.1016/j.echo.2022.02.007
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  5. Article ; Online: National survey of infectious disease fellowship program directors: A call for subspecialized training in infection prevention and control and healthcare epidemiology.

    Winkler, Marisa L / Paras, Molly L / Wright, Sharon B / Shenoy, Erica S

    Infection control and hospital epidemiology

    2024  Volume 45, Issue 5, Page(s) 562–566

    Abstract: Objective: The importance of infection prevention and control and healthcare epidemiology (IPC/HE) in healthcare facilities was highlighted during the COVID-19 pandemic. Infectious disease (ID) clinicians often hold leadership positions in IPC/HE teams; ...

    Abstract Objective: The importance of infection prevention and control and healthcare epidemiology (IPC/HE) in healthcare facilities was highlighted during the COVID-19 pandemic. Infectious disease (ID) clinicians often hold leadership positions in IPC/HE teams; however, there is no standard for training or certification of ID physicians specializing in IPC/HE. We evaluated the current state of IPC/HE training in ID fellowship programs.
    Design: A national survey of ID fellowship program directors was conducted to assess current IPC/HE training components in programs and plans for expanded offerings.
    Setting and participants: All ID fellowship program directors in the United States and Puerto Rico.
    Methods: Surveys were distributed using Research Electronic Data Capture (REDCap) to program directors in March 2023, with 2 reminder emails; the survey closed after 4 weeks.
    Results: Of 166 program directors, 54 (32.5%) responded to the survey. Among respondent programs, 49 (90.7%) of 54 programs reported didactic training in IPC/HE averaging 4.4 hours over the course of the fellowship. Also, 18 (33.3%) of 54 reported a dedicated IPC/HE training track. Furthermore, 23 programs (42.6%) reported barriers to expanding training. There was support (n = 47, 87.0%) for formal IPC/HE certification from a professional society within the standard fellowship.
    Conclusions: Despite the COVID-19 pandemic highlighting the need for ID medical doctors with IPC/HE expertise, formal training in ID fellowship remains limited. Most program directors support formalization of IPC/HE training by a professional organization. Creation of standardized advanced curriculums for ID fellowship training in IPC/HE could be considered by the Society of Healthcare Epidemiology of America (SHEA) to grow, retain, and enhance the IPC/HE physician workforce.
    MeSH term(s) Humans ; United States ; Fellowships and Scholarships ; Pandemics/prevention & control ; COVID-19 ; Education, Medical, Graduate ; Delivery of Health Care ; Communicable Diseases ; Surveys and Questionnaires
    Language English
    Publishing date 2024-01-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2023.281
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    Zs.A 1714: Show issues Location:
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  6. Article ; Online: Alternate Care Site Infection Prevention and Control Practices: A Rapid Systematic Review.

    Paras, Molly L / Searle, Eileen F / Lydston, Melis / Shenoy, Erica S

    Health security

    2023  Volume 21, Issue 4, Page(s) 286–302

    Abstract: Alternate care sites (ACSs) are temporary medical locations established in response to events that disrupt or limit the ability of established medical facilities to provide adequate care. As with established medical facilities, ACSs require careful ... ...

    Abstract Alternate care sites (ACSs) are temporary medical locations established in response to events that disrupt or limit the ability of established medical facilities to provide adequate care. As with established medical facilities, ACSs require careful consideration of infection prevention and control (IPC) practices to mitigate risk of nosocomial transmission and occupational exposure. We conducted a rapid systematic review of published literature from the date of inception of each database until the date the search was run (September 2021) on the IPC practices in ACSs. The practices described were categorized using the National Institute of Occupational Safety and Health hierarchy of controls framework, including elimination, substitution, engineering controls, administrative controls, and personal protective equipment. Of 313 articles identified, 55 were included. The majority (n=45, 81.8%) were case reports and described ACSs established in the context of infectious disease outbreaks (n=48, 87.3%), natural disasters (n=5, 9%), and military deployments (n=2, 3.6%). Implementation of engineering and/or administrative control practices predominated, with personal protective equipment emphasized in articles related to infectious disease outbreaks. These findings emphasize both a need for more high-quality research into the best practices for IPC in ACSs and how to incorporate the most effective strategies in these settings in response to future events.
    MeSH term(s) Humans ; Infection Control ; Disease Outbreaks/prevention & control ; Delivery of Health Care ; Health Facilities ; Occupational Exposure
    Language English
    Publishing date 2023-06-13
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 2823049-8
    ISSN 2326-5108 ; 2326-5094
    ISSN (online) 2326-5108
    ISSN 2326-5094
    DOI 10.1089/hs.2022.0163
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Analysis of the Infectious Diseases Fellowship Program Directors Postmatch 2023 Survey.

    Andrews, Hayden S / Chirch, Lisa M / Luther, Vera P / Shnekendorf, Rachel / Nolan, Nathanial S / Paras, Molly L

    The Journal of infectious diseases

    2024  Volume 229, Issue 3, Page(s) 630–634

    Abstract: The 2023 United States infectious diseases (ID) fellowship match resulted in a large percentage of programs with unfilled positions. A survey was sent to ID program directors nationwide to better understand their perceptions on the match. Program ... ...

    Abstract The 2023 United States infectious diseases (ID) fellowship match resulted in a large percentage of programs with unfilled positions. A survey was sent to ID program directors nationwide to better understand their perceptions on the match. Program directors perceived geography, a small applicant pool, and low specialty pay as contributing factors to the match results. Developing specialized fellowship tracks, increasing funding for the ID trainee pipeline, and national advocacy for higher compensation were identified as areas to focus on to increase the applicant pool. Areas of controversy, such as decreasing the number or size of fellowship programs, require further discussion.
    MeSH term(s) United States ; Fellowships and Scholarships ; Surveys and Questionnaires ; Medicine
    Language English
    Publishing date 2024-01-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1093/infdis/jiad514
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  8. Article: High-Volume, High-Acuity, and High-Impact Learning: Tips and Tricks for Infectious Diseases Training Programs.

    Luther, Vera P / Paras, Molly L / Schultz, Sara / Aziz, Mariam / Balba, Gayle / McCarty, Todd P / Razonable, Raymund R / Reece, Rebecca / Shnekendorf, Rachel / Sundareshan, Vidya / Chirch, Lisa M

    Open forum infectious diseases

    2024  Volume 11, Issue 3, Page(s) ofae016

    Abstract: The Infectious Diseases Society of America Training Program Directors Committee met in October 2022 and discussed an observed increase in clinical volume and acuity on infectious diseases (ID) services, and its impact on fellow education. Committee ... ...

    Abstract The Infectious Diseases Society of America Training Program Directors Committee met in October 2022 and discussed an observed increase in clinical volume and acuity on infectious diseases (ID) services, and its impact on fellow education. Committee members sought to develop specific goals and strategies related to improving training program culture, preserving quality education on inpatient consult services and in the clinic, and negotiating change at the annual IDWeek Training Program Director meeting. This paper outlines a presentation of ideas brought forth at the meeting and is meant to serve as a reference document for infectious diseases training program directors seeking guidance in this area.
    Language English
    Publishing date 2024-01-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2757767-3
    ISSN 2328-8957
    ISSN 2328-8957
    DOI 10.1093/ofid/ofae016
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  9. Article ; Online: Separating the rash from the chaff: novel clinical decision support deployed during the mpox outbreak.

    Lazarus, Jacob E / Green, Chloe V / Jerry, Michelle S / Germaine, Lindsay / McEvoy, Dustin S / Dugdale, Caitlin M / Hysell, Kristen M / Craig, Rebecca L / Paras, Molly L / Heller, Howard M / Ard, Kevin L / Albin, John S / Lee, Hang / Shenoy, Erica S

    Infection control and hospital epidemiology

    2024  , Page(s) 1–3

    Abstract: A clinical decision support system, EvalMpox, was developed to apply person under investigation (PUI) criteria for patients presenting with rash and to recommend testing for PUIs. Of 668 patients evaluated, an EvalMpox recommendation for testing had a ... ...

    Abstract A clinical decision support system, EvalMpox, was developed to apply person under investigation (PUI) criteria for patients presenting with rash and to recommend testing for PUIs. Of 668 patients evaluated, an EvalMpox recommendation for testing had a positive predictive value of 35% and a negative predictive value of 99% for a positive mpox test.
    Language English
    Publishing date 2024-04-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2024.51
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  10. Article ; Online: Case 13-2022: A 56-Year-Old Man with Myalgias, Fever, and Bradycardia.

    Paras, Molly L / Khurshid, Shaan / Foldyna, Borek / Huang, Alex L / Hohmann, Elizabeth L / Cooper, Leslie T / Christensen, Bianca B

    The New England journal of medicine

    2022  Volume 386, Issue 17, Page(s) 1647–1657

    MeSH term(s) Bradycardia/diagnosis ; Bradycardia/etiology ; Diagnosis, Differential ; Fever/diagnosis ; Fever/etiology ; Humans ; Male ; Middle Aged ; Myalgia/diagnosis ; Myalgia/etiology
    Language English
    Publishing date 2022-02-28
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMcpc2201233
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