Publications by authors named "Heather L Daniels"

Article Synopsis
  • The study highlights the importance of vaccinating pediatric solid organ transplant candidates against measles and varicella due to the severe risks these infections pose to immunosuppressed individuals and the challenges of administering live vaccines post-transplant.* -
  • Conducted from 2012 to 2016, the research at Cleveland Clinic Children’s found that over half of the candidates had complete varicella vaccines and a large portion received measles vaccinations, but incomplete immunity was common, particularly in younger patients.* -
  • Despite the increased awareness and the necessity for booster doses, only a small percentage of eligible candidates received additional vaccinations for varicella and measles, indicating gaps in immunity optimization during a period of heightened measles activity globally.*
View Article and Find Full Text PDF

Lack of access to timely, detailed antibiotic use data has limited ambulatory antibiotic stewardship efforts. Antibiotic utilization is tracked across ambulatory care sites and emergency departments (ED) within a large integrated health system. This is a retrospective cohort analysis from June 1, 2019 to May 31, 2020 comparing antibiotic prescribing for all patients with ICD-10 diagnosis codes for cystitis, otitis media, pharyngitis, sinusitis, and upper respiratory tract infections (URTIs) among five ambulatory care departments across northeast Ohio and southeast Florida locations: ED, Urgent Care (UC), On-Demand Telehealth (TEL), Pediatrics (PED), and Primary Care (PC).

View Article and Find Full Text PDF

E-consults replace "curbside" interactions, facilitate provider-specialist communication, document within the medical record, and track relative value units (RVUs). Pediatric infectious diseases (PID) E-consults commonly relate to vaccines, exposures, diagnoses, and treatments. The documented RVU effort of 197 consecutive PID E-consults was equivalent to 70 level 4 new outpatient consults.

View Article and Find Full Text PDF