Publications by authors named "Sarah Gierhart"
Background: Management of suspected serious bacterial infections (SBIs) in infants less than 3 months old is challenging. Understanding the epidemiology of SBI is necessary to inform management decisions. Recent publications have challenged the previously accepted distribution of infections by specimen source and pathogen.
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- Carbapenem-resistant strains of Pseudomonas aeruginosa, Acinetobacter spp., and Enterobacteriaceae present significant public health challenges, with underreported trends in diverse U.S. health systems.
- A study analyzed data from a managed-care system covering 280 hospitals between 2005 and 2014, identifying 360,000 potentially carbapenem-resistant strains, mostly in bloodstream infections and those acquired overseas.
- Enterobacteriaceae were found 11 times more often than the other two, but had lower resistance levels; Enterobacteriaceae showed a slight increase in resistance over time, while Acinetobacter spp. and P. aeruginosa showed a decrease.