Charlesnika T. Evans
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View article: Factors associated with repeat <i>Clostridioides difficile</i> testing in VA medical centers
Factors associated with repeat <i>Clostridioides difficile</i> testing in VA medical centers Open
Clostridioides difficile infection (CDI) guidelines advise against repeat testing within 7 days. This retrospective study identified factors associated with 7-day repeat testing. Attending physicians (aOR = 0.67) and advanced practice prac…
View article: Standard vs. enhanced implementation strategies to increase adoption of a multidrug-resistant organism alert tool: a cluster randomized trial
Standard vs. enhanced implementation strategies to increase adoption of a multidrug-resistant organism alert tool: a cluster randomized trial Open
Background The Veterans Health Administration (VHA) launched VA Bug Alert (VABA) to identify admitted patients who are infected or colonized with multidrug-resistant organisms (MDROs) in real time and promote timely infection prevention me…
View article: Dissemination and Implementation of a Telehealth-Enabled Program for Providing Infectious Disease Expertise in Rural Settings
Dissemination and Implementation of a Telehealth-Enabled Program for Providing Infectious Disease Expertise in Rural Settings Open
Background Telehealth can facilitate improving antibiotic use and related antimicrobial stewardship activities in facilities underserved by infectious diseases (IDs) expertise. We describe implementation of the Department of Veterans Affai…
View article: <i>Scheffersomyces spartinae</i> Fungemia among Pediatric Patients, Pakistan, 2020–2024
<i>Scheffersomyces spartinae</i> Fungemia among Pediatric Patients, Pakistan, 2020–2024 Open
Prevalence of emerging fungal infections is increasing, particularly among immunocompromised persons, children, and older persons. We report 108 cases of Scheffersomyces spartinae infection in pediatric patients from Karachi and other citi…
View article: Andexanet alfa increases 30-day thrombotic events relative to four-factor prothrombin complex concentrate for factor Xa inhibitors-related intracerebral hemorrhage in veterans
Andexanet alfa increases 30-day thrombotic events relative to four-factor prothrombin complex concentrate for factor Xa inhibitors-related intracerebral hemorrhage in veterans Open
In Veterans with fXa inhibitor-related ICH receiving AA or 4F-PCC, there was no difference in 90-day mortality. Consistent with previous literature from non-Veterans studies, 30-day thrombotic events were significantly higher in Veterans w…
View article: Long COVID and its associations with burnout, anxiety, and depression among U. S. healthcare workers in the United States
Long COVID and its associations with burnout, anxiety, and depression among U. S. healthcare workers in the United States Open
Background Data on Long COVID and its associations with burnout, anxiety and depression among healthcare workers (HCW) in the United States (U. S.) is limited. Methods This study utilized cross-sectional data from the final survey conducte…
View article: Organizational models and patient-reported outcomes for palliative care across five tertiary hospitals in Nigeria: An environmental scan
Organizational models and patient-reported outcomes for palliative care across five tertiary hospitals in Nigeria: An environmental scan Open
Palliative care (PC) is an essential, effective, and affordable component of health care. Global need is rising, with the greatest burden in low-and-middle-income countries. This is especially true in Nigeria where the need is growing rapi…
View article: Development and validation of two novel antibiotic use metrics suitable for facilities and practitioners in post-acute and long-term care settings
Development and validation of two novel antibiotic use metrics suitable for facilities and practitioners in post-acute and long-term care settings Open
Objective: Many post-acute and long-term care settings (PALTCs) struggle to measure antibiotic use via the standard metric, days of therapy (DOT) per 1000 days of care (DOC). Our objective was to develop antibiotic use metrics more tailore…
View article: The Association of Social Determinants of Health on Monitoring for Disease Progression Among Patients With Primary Open-Angle Glaucoma
The Association of Social Determinants of Health on Monitoring for Disease Progression Among Patients With Primary Open-Angle Glaucoma Open
This study aimed to determine the association between SDH and receiving POAG testing according to clinical practice guidelines, with a goal of identifying factors contributing to disparities in care. This should facilitate development of t…
View article: On the necessity of a PROMIS-developed measure of burnout
On the necessity of a PROMIS-developed measure of burnout Open
View article: P-196. Differences in <i>Clostridioides difficile</i> Molecular Epidemiology and Antimicrobial Susceptibility at Two Veterans Affairs Hospitals
P-196. Differences in <i>Clostridioides difficile</i> Molecular Epidemiology and Antimicrobial Susceptibility at Two Veterans Affairs Hospitals Open
Background Clostridioides difficile infections (CDI) are caused by a diverse group of strains with differences in prevalence and differing antimicrobial susceptibilities. Over the past 20 years the C. difficile (CD) molecular epidemiology …
View article: P-897. Inconsistent Participant Demographic Reporting in Published Antibiotic Clinical Trials Targeting Multidrug-Resistant Gram-Negative Organisms
P-897. Inconsistent Participant Demographic Reporting in Published Antibiotic Clinical Trials Targeting Multidrug-Resistant Gram-Negative Organisms Open
Background NIH policies and reporting requirements relating to the inclusion of women and minoritized individuals in clinical trials have evolved since 2000. Over time, prioritization of gender equity in participant recruiting has been suc…
View article: P-193. Risk Factors Associated with Patients Diagnosed with <i>Clostridioides difficile</i> Infection with no Documented Antibiotic Exposures
P-193. Risk Factors Associated with Patients Diagnosed with <i>Clostridioides difficile</i> Infection with no Documented Antibiotic Exposures Open
Background Clostridioides difficile infection (CDI) is a common healthcare-associated infection leading to significant morbidity and mortality. Antibiotic exposure is a primary risk factor associated with CDI, but other common risk factors…
View article: P-194. Evolution of <i>Clostridioides</i> difficile Antimicrobial Susceptibility within the epidemic REA Group BI (RT027) and the endemic REA group Y (RT014/020)
P-194. Evolution of <i>Clostridioides</i> difficile Antimicrobial Susceptibility within the epidemic REA Group BI (RT027) and the endemic REA group Y (RT014/020) Open
Background Antimicrobial resistance in Clostridioides difficile (CD) has been a key contributor for the spread of specific endemic CD strains. Monitoring changes in antimicrobial minimum inhibitor concentration (MIC) over time could potent…
View article: P-1567. Urinary Tract Infections Broadly Impact Quality of Life Among People with Neurogenic Bladder
P-1567. Urinary Tract Infections Broadly Impact Quality of Life Among People with Neurogenic Bladder Open
Background Although recurrent urinary tract infections (UTI) are common complications in people with neurogenic bladder (NB), limited data exist on the specific ways UTIs impact quality of life (QoL) in this population. These data could he…
View article: 206. A Cluster Randomized Trial Evaluating Universal Gloving for Reducing <i>Clostridioides difficile</i> Acquisition and Infection in VA: The GloRI Study
206. A Cluster Randomized Trial Evaluating Universal Gloving for Reducing <i>Clostridioides difficile</i> Acquisition and Infection in VA: The GloRI Study Open
Background Clostridioides difficile infection (CDI), the most common healthcare associated infection (HAI) in U.S. hospitals, causes half a million infections and 30,000 deaths annually. Prevention of hospital-onset (HO) CDI has quickly be…
View article: Ceftazidime/avibactam alone or in combination with an aminoglycoside for treatment of carbapenem-resistant Enterobacterales infections: A retrospective cohort study
Ceftazidime/avibactam alone or in combination with an aminoglycoside for treatment of carbapenem-resistant Enterobacterales infections: A retrospective cohort study Open
View article: Pattern of admissions and needs assessment for palliative care services among in-patients in a tertiary health facility in South-Western Nigeria
Pattern of admissions and needs assessment for palliative care services among in-patients in a tertiary health facility in South-Western Nigeria Open
Majority of the participants need palliative care services but are unavailable and unmet and the most predominant condition was cancer. Majority had no advance care plan or preparation for home care or death despite having advanced stage o…
View article: The effect of antibiotic premedication on postoperative complications following dental extractions
The effect of antibiotic premedication on postoperative complications following dental extractions Open
Objectives We aimed to evaluate the association between antibiotic prophylaxis and adverse outcomes following tooth extraction within the Veterans Affairs Healthcare System. Methods We conducted a retrospective cohort study of patients und…
View article: Survey of VA Laboratory Practices for Carbapenem-resistant Acinetobacter baumannii and Pseudomonas aeruginosa
Survey of VA Laboratory Practices for Carbapenem-resistant Acinetobacter baumannii and Pseudomonas aeruginosa Open
Background: Carbapenem-resistant Acinetobacter baumannii (CRAB) and Pseudomonas aeruginosa (CRPA) are drug-resistant pathogens causing high mortality rates with limited treatment options. Understanding the incidence of these organisms and …
View article: Budget Impact Analysis for the Spread and Financial Sustainability of Videoconference Antimicrobial Stewardship Programs
Budget Impact Analysis for the Spread and Financial Sustainability of Videoconference Antimicrobial Stewardship Programs Open
Background: In rural areas, antimicrobial stewardship programs often have limited access to infectious disease (ID) expertise. Videoconference Antimicrobial Stewardship Teams (VASTs) pair rural Veterans Affairs (VA) medical centers with an…
View article: High Prevalence of Laxative Use Among Those Tested for Clostridioides difficile Infection in VA Hospitals
High Prevalence of Laxative Use Among Those Tested for Clostridioides difficile Infection in VA Hospitals Open
Background: Clostridioides difficile infection (CDI) is associated with 500,000 infections and 30,000 deaths per year. Inappropriate testing and treatment of patients with asymptomatic colonization occurs frequently (between 15% and 41%). …
View article: UTI Symptomatology and Antibiotic Prescribing among US Veterans Seen in Outpatient Clinics
UTI Symptomatology and Antibiotic Prescribing among US Veterans Seen in Outpatient Clinics Open
Background: Infectious Diseases Society of America guidelines recommend antibiotic prescribing for urinary tract infections (UTIs) when there is a positive culture and signs and symptoms of infection. Despite these guidelines, prescribing …
View article: Feasibility, acceptability, and efficacy of a positive emotion regulation intervention to promote resilience for healthcare workers during the COVID-19 pandemic: A randomized controlled trial
Feasibility, acceptability, and efficacy of a positive emotion regulation intervention to promote resilience for healthcare workers during the COVID-19 pandemic: A randomized controlled trial Open
Introduction Burnout poses a substantial, ongoing threat to healthcare worker (HCW) wellbeing and to the delivery of safe, quality healthcare. While systemic and organization-level changes in healthcare are critically important, HCWs also …
View article: Development and implementation of a nationwide multidrug-resistant organism tracking and alert system for Veterans Affairs medical centers
Development and implementation of a nationwide multidrug-resistant organism tracking and alert system for Veterans Affairs medical centers Open
Objective: Develop and implement a system in the Veterans Health Administration (VA) to alert local medical center personnel in real time when an acute- or long-term care patient/resident is admitted to their facility with a history of col…
View article: Editorial Board
Editorial Board Open
View article: Research agenda for transmission prevention within the Veterans Health Administration, 2024–2028
Research agenda for transmission prevention within the Veterans Health Administration, 2024–2028 Open
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View article: Barriers and facilitators to guideline concordant dental antibiotic prescribing in the United States: A qualitative study of the National Dental <scp>PBRN</scp>
Barriers and facilitators to guideline concordant dental antibiotic prescribing in the United States: A qualitative study of the National Dental <span>PBRN</span> Open
Objectives While factors contributing to dental antibiotic overprescribing have previously been described, previous work has lacked any theoretical behavior change framework that could guide future intervention development. The purpose of …
View article: Knowledge, perceptions, and beliefs about urinary tract infections in persons with neurogenic bladder and impacts on interventions to promote person-centered care
Knowledge, perceptions, and beliefs about urinary tract infections in persons with neurogenic bladder and impacts on interventions to promote person-centered care Open
View article: Editorial Board
Editorial Board Open