MEDICAL SERVICES

Departments

Languages

  • English

  • Spanish

EDUCATION

Medical School

  • University of California, San Francisco , 1986 , San Francisco , CA

Internship

Pediatrics
  • Boston Children's Hospital , 1987 , Boston , MA

Residency

Pediatrics
  • Boston Children's Hospital , 1989 , Boston , MA

Fellowship

  • Boston Children's Hospital , 1992 , Boston , MA

CERTIFICATIONS

  • American Board of Internal Medicine, Infectious Diseases
  • American Board of Pediatrics, Pediatric Emergency Medicine
  • American Board of Pediatrics, General Pediatrics

PUBLICATIONS

Publications powered by Harvard Catalyst Profiles

  1. Outcomes of Patients with Sepsis in a Pediatric Emergency Department after Automated Sepsis Screening. J Pediatr. 2021 Aug; 235:239-245.e4. View abstract
  2. Is lymphangitic streaking associated with different pathogens? Am J Emerg Med. 2021 08; 46:34-37. View abstract
  3. Comparison of Manual and Automated Sepsis Screening Tools in a Pediatric Emergency Department. Pediatrics. 2021 02; 147(2). View abstract
  4. Effect of a Sepsis Screening Algorithm on Care of Children with False-Positive Sepsis Alerts. J Pediatr. 2021 04; 231:193-199.e1. View abstract
  5. Presentation, Diagnostic Evaluation, Management, and Rates of Serious Bacterial Infection in Infants With Acute Dacryocystitis Presenting to the Emergency Department. Pediatr Infect Dis J. 2020 12; 39(12):1065-1068. View abstract
  6. Bacteriology of pediatric breast abscesses beyond the neonatal period. Am J Emerg Med. 2021 03; 41:193-196. View abstract
  7. Clinician Perceptions of Timing and Presentation of Drug-Drug Interaction Alerts. Appl Clin Inform. 2020 05; 11(3):487-496. View abstract
  8. Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic. Appl Clin Inform. 2020 May; 11(3):452-459. View abstract
  9. Utility of Blood Cultures and Empiric Antibiotics in Febrile Pediatric Hemophilia Patients With Central Venous Access Devices. Pediatr Emerg Care. 2020 Apr 28. View abstract
  10. Identifying Patients at Lowest Risk for Streptococcal Pharyngitis: A National Validation Study. J Pediatr. 2020 05; 220:132-138.e2. View abstract
  11. Performance of an Automated Screening Algorithm for Early Detection of Pediatric Severe Sepsis. Pediatr Crit Care Med. 2019 12; 20(12):e516-e523. View abstract
  12. Variability in antimicrobial use in pediatric ventilator-associated events. Infect Control Hosp Epidemiol. 2019 01; 40(1):32-39. View abstract
  13. Predictors of Primary Intracranial Hypertension in Children Using a Newly Suggested Opening Pressure Cutoff of 280 mm H2O. Pediatr Neurol. 2019 02; 91:27-33. View abstract
  14. Predictors of a drainable suppurative adenitis among children presenting with cervical adenopathy. Am J Emerg Med. 2019 01; 37(1):109-113. View abstract
  15. An Investigation of Drug-Drug Interaction Alert Overrides at a Pediatric Hospital. Hosp Pediatr. 2018 05; 8(5):293-299. View abstract
  16. Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patients and Families Say About Safety-Related Knowledge, Behaviors, and Attitudes After Reading Visit Notes. J Patient Saf. 2018 Apr 27. View abstract
  17. Should patients with complex febrile seizure be admitted for further management? Am J Emerg Med. 2018 08; 36(8):1386-1390. View abstract
  18. Association between Search Behaviors and Disease Prevalence Rates at 18 U.S. Children's Hospitals. Appl Clin Inform. 2017 10; 8(4):1144-1152. View abstract
  19. Doing More About Health Care Disparities: Moving Past Description to Action. Pediatrics. 2017 10; 140(4). View abstract
  20. Utility of Lumbar Puncture in Children Presenting With Status Epilepticus. Pediatr Emerg Care. 2017 Aug; 33(8):544-547. View abstract
  21. A Pediatric Approach to Ventilator-Associated Events Surveillance. Infect Control Hosp Epidemiol. 2017 03; 38(3):327-333. View abstract
  22. Use of cidofovir in pediatric patients with adenovirus infection. F1000Res. 2016; 5:758. View abstract
  23. Ventilator-Associated Events in Neonates and Children--A New Paradigm. Crit Care Med. 2016 Jan; 44(1):14-22. View abstract
  24. Drug-Drug Interactions Among Hospitalized Children Receiving Chronic Antiepileptic Drug Therapy. Hosp Pediatr. 2016 May; 6(5):282-9. View abstract
  25. An Introduction to Natural Language Processing: How You Can Get More From Those Electronic Notes You Are Generating. Pediatr Emerg Care. 2015 Jul; 31(7):536-41. View abstract
  26. Electronic medication reconciliation and medication errors. Int J Qual Health Care. 2015 Aug; 27(4):314-9. View abstract
  27. Febrile seizures: emergency medicine perspective. Curr Opin Pediatr. 2015 Jun; 27(3):292-7. View abstract
  28. Factors associated with meaningful use incentives in children's hospitals. Pediatrics. 2015 Jun; 135(6):e1409-16. View abstract
  29. Preserving patient privacy and confidentiality in the era of personal health records. Pediatrics. 2015 May; 135(5):e1125-7. View abstract
  30. Group A streptococcal bacteremia without a source is associated with less severe disease in children. Pediatr Infect Dis J. 2015 Apr; 34(4):447-9. View abstract
  31. Impact of the meaningful use incentive program on electronic health record adoption by US children's hospitals. J Am Med Inform Assoc. 2015 Mar; 22(2):390-8. View abstract
  32. The Yield of Neuroimaging in Children Presenting to the Emergency Department With Acute Ataxia in the Post-Varicella Vaccine Era. J Child Neurol. 2015 Sep; 30(10):1333-9. View abstract
  33. Pediatric first time non-febrile seizure with focal manifestations: is emergent imaging indicated? Seizure. 2014 Oct; 23(9):740-5. View abstract
  34. Core drug-drug interaction alerts for inclusion in pediatric electronic health records with computerized prescriber order entry. J Patient Saf. 2014 Mar; 10(1):59-63. View abstract
  35. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. JAMA. 2013 Dec 04; 310(21):2262-70. View abstract
  36. A randomized controlled trial of a vancomycin loading dose in children. Pediatr Infect Dis J. 2013 Nov; 32(11):1217-23. View abstract
  37. Bacteremia risk and outpatient management of febrile patients with sickle cell disease. Pediatrics. 2013 Jun; 131(6):1035-41. View abstract
  38. Change in adoption of electronic health records by US children's hospitals. Pediatrics. 2013 May; 131(5):e1563-75. View abstract
  39. IT in the ED: past, present, and future. Pediatr Emerg Care. 2013 Mar; 29(3):402-5. View abstract
  40. Emergency department management of pediatric patients with cyanotic heart disease and fever. J Emerg Med. 2013 Mar; 44(3):599-604. View abstract
  41. IT in the ED: a new section of Pediatric Emergency Care. Pediatr Emerg Care. 2012 Dec; 28(12):1399-401. View abstract
  42. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012 Apr; 38(4):178-83. View abstract
  43. Yield of emergent neuroimaging among children presenting with a first complex febrile seizure. Pediatr Emerg Care. 2012 Apr; 28(4):316-21. View abstract
  44. Occurrence of metabolic acidosis in pediatric emergency department patients as a data source for disease surveillance systems. Pediatr Emerg Care. 2010 Oct; 26(10):733-8. View abstract
  45. Yield of lumbar puncture among children who present with their first complex febrile seizure. Pediatrics. 2010 Jul; 126(1):62-9. View abstract
  46. Acute periorbital infections: who needs emergent imaging? Pediatrics. 2010 Apr; 125(4):e719-26. View abstract
  47. Risk of serious bacterial infection in isolated and unsuspected neutropenia. Acad Emerg Med. 2010 Feb; 17(2):163-7. View abstract
  48. Risk of Serious Bacterial Infection in Isolated and Unsuspected Neutropenia. Acad Emerg Med 'In press'. 2010; 17:1-5. View abstract
  49. Acute Periorbital Infections: Who Needs Emergent Imaging?. Pediatrics. Accepted for publication. 2010. View abstract
  50. Effect of trainees on length of stay in the pediatric emergency department. Acad Emerg Med. 2009 Sep; 16(9):859-65. View abstract
  51. Assessing quality indicators for pediatric community-acquired pneumonia. Am J Med Qual. 2009 Sep-Oct; 24(5):419-27. View abstract
  52. Utility of lumbar puncture for first simple febrile seizure among children 6 to 18 months of age. Pediatrics. 2009 Jan; 123(1):6-12. View abstract
  53. Radiographic pneumonia in young, highly febrile children with leukocytosis before and after universal conjugate pneumococcal vaccination. Pediatr Emerg Care. 2009 Jan; 25(1):1-7. View abstract
  54. A decision rule for predicting bacterial meningitis in children with cerebrospinal fluid pleocytosis when gram stain is negative or unavailable. Acad Emerg Med. 2008 May; 15(5):437-44. View abstract
  55. Test characteristics and interpretation of cerebrospinal fluid gram stain in children. Pediatr Infect Dis J. 2008 Apr; 27(4):309-13. View abstract
  56. Antimicrobials and Infectious Diseases. Manual of Pediatric Therapeutics. Editors Graef JW, Wolfsdorf JI, Greenes DS. 2008; 80-174. View abstract
  57. The toddler with fever. Pediatric Infectious Diseases. The Requisites in Pediatrics. Editors Bergelson JM, Shah SS, Zaoutis TE. 2008; 245-250. View abstract
  58. Pneumonia. Pediatric Infectious Diseases. The Requisites in Pediatrics. Editors Bergelson JM, Shah SS, Zaoutis TE. 2008; 117-124. View abstract
  59. Pneumonia in the immunocompromised host. Principles and Practice of Pediatric Infectious Diseases. Editors Long SS, Pickering LK, Prober CG. 2008; 265-9. View abstract
  60. Infection following bites. Principles and Practice of Pediatric Infectious Diseases. Editors Long SS, Pickering LK, Prober CG. 2008; 525-30. View abstract
  61. Leukocyte counts in urine reflect the risk of concomitant sepsis in bacteriuric infants: a retrospective cohort study. BMC Pediatr. 2007 Jun 13; 7:24. View abstract
  62. Factors associated with antimicrobial resistance and mortality in pneumococcal bacteremia. J Emerg Med. 2007 May; 32(4):349-57. View abstract
  63. Clinical predictors of occult pneumonia in the febrile child. Acad Emerg Med. 2007 Mar; 14(3):243-9. View abstract
  64. Use of human immunodeficiency virus postexposure prophylaxis in adolescent sexual assault victims. Arch Pediatr Adolesc Med. 2006 Jul; 160(7):674-80. View abstract
  65. Extreme thrombocytosis predicts Kawasaki disease in infants. Clin Pediatr (Phila). 2006 Jun; 45(5):446-52. View abstract
  66. An automated electronic case log: using electronic information systems to assess training in emergency medicine. Acad Emerg Med. 2006 Jul; 13(7):733-9. View abstract
  67. Identifying hospitalized infants who have bronchiolitis and are at high risk for apnea. Ann Emerg Med. 2006 Oct; 48(4):441-7. View abstract
  68. Corrections for leukocytes and percent of neutrophils do not match observations in blood-contaminated cerebrospinal fluid and have no value over uncorrected cells for diagnosis. Pediatr Infect Dis J. 2006 Jan; 25(1):8-11. View abstract
  69. Sexually Transmitted Diseases. Textbook of Pediatric Emergency Medicine. Editors: Fleisher and Ludwig. 2006; 853-871. View abstract
  70. Pneumonia in hospitalized children. Pediatr Clin North Am. 2005 Aug; 52(4):1059-81, viii. View abstract
  71. Accuracy and test characteristics of ancillary tests of cerebrospinal fluid for predicting acute bacterial meningitis in children with low white blood cell counts in cerebrospinal fluid. Acad Emerg Med. 2005 Apr; 12(4):303-9. View abstract
  72. Fever. Signs and Symptoms In Pediatrics. Edited by Davis MA, Gruskin KD, Chiang VW, Manzi S, Davis MA. 2005; 183-198. View abstract
  73. A low peripheral blood white blood cell count in infants younger than 90 days increases the odds of acute bacterial meningitis relative to bacteremia. Acad Emerg Med. 2004 Dec; 11(12):1297-301. View abstract
  74. Explanation of mathematical model. Pediatr Infect Dis J. 2004 Sep; 23(9):893. View abstract
  75. Disseminated histoplasmosis in a nonendemic area. Pediatr Infect Dis J. 2004 Aug; 23(8):781-2. View abstract
  76. Differentiating acute bacterial meningitis from acute viral meningitis among children with cerebrospinal fluid pleocytosis: a multivariable regression model. Pediatr Infect Dis J. 2004 Jun; 23(6):511-7. View abstract
  77. Intracerebral abscess in children: historical trends at Children's Hospital Boston. Pediatrics. 2004 Jun; 113(6):1765-70. View abstract
  78. Update on the Management of the Febrile Infant. Clinical Pediatric Emergency Medicine. 2004; 5(1):5-12. View abstract
  79. Utility of sepsis evaluation in infants 90 days of age or younger with fever and clinical bronchiolitis. Pediatr Infect Dis J. 2003 Dec; 22(12):1053-6. View abstract
  80. Evaluation of a rapid urine antigen assay for the detection of invasive pneumococcal disease in children. Pediatrics. 2003 Dec; 112(6 Pt 1):1279-82. View abstract
  81. Identifying febrile young infants with bacteremia: is the peripheral white blood cell count an accurate screen? Ann Emerg Med. 2003 Aug; 42(2):216-25. View abstract
  82. Prolonged partial thromboplastin times in children with fever and petechiae without bacteremia or sepsis. Pediatr Emerg Care. 2003 Aug; 19(4):244-7. View abstract
  83. Antibiotic Therapy for Otitis Media In Children (ATOMIC)—Patient Risk Stratification and Evidence-Based Selection of Antimicrobial Therapy. Emergency Medicine Consensus Reports. 2003; 1-18. View abstract
  84. A clinical practice guideline for treatment of septic arthritis in children: efficacy in improving process of care and effect on outcome of septic arthritis of the hip. J Bone Joint Surg Am. 2003 Jun; 85(6):994-9. View abstract
  85. Utility of the peripheral blood white blood cell count for identifying sick young infants who need lumbar puncture. Ann Emerg Med. 2003 Feb; 41(2):206-14. View abstract
  86. The role of emergent neuroimaging in children with new-onset afebrile seizures. Pediatrics. 2003 Jan; 111(1):1-5. View abstract
  87. Pneumonia in the immunocompromised host. Principles and Practice of Pediatric Infectious Diseases. Editors Long SS, Pickering LK, Prober CG. 2003; 237-241. View abstract
  88. Persistent and recurrent pneumonia. Principles and Practice of Pediatric Infectious Diseases. Editors Long SS, Pickering LK, Prober CG. 2003; 231-237. View abstract
  89. Complications of acute pneumonia. Principles and Practice of Pediatric Infectious Diseases. Editors Long SS, Pickering LK, Prober CG. 2003; 225-231. View abstract
  90. Rapid antigen assay for the diagnosis of pneumococcal bacteremia in children: a preliminary study. Ann Emerg Med. 2002 Oct; 40(4):399-404. View abstract
  91. Infectious diseases. Pediatr Emerg Care. 2002 Apr; 18(2):125-9. View abstract
  92. Human Immunodeficiency Virus Infection. In Synopsis of Pediatric Emergency Medicine; Editors: Fleisher and Ludwig. 2002; 326-331. View abstract
  93. Management of febrile children in the age of the conjugate pneumococcal vaccine: a cost-effectiveness analysis. Pediatrics. 2001 Oct; 108(4):835-44. View abstract
  94. Time to positivity of blood cultures for children with Streptococcus pneumoniae bacteremia. Clin Infect Dis. 2001 Oct 15; 33(8):1324-8. View abstract
  95. Predictive model for serious bacterial infections among infants younger than 3 months of age. Pediatrics. 2001 Aug; 108(2):311-6. View abstract
  96. Financial and clinical impact of false-positive blood culture results. Clin Infect Dis. 2001 Aug 01; 33(3):296-9. View abstract
  97. Fever. Audio-Digest: Emergency Medicine. 2001; 18(9). View abstract
  98. Lack of reduction in hospitalizations and emergency department visits for varicella in the first 2 years post-vaccine licensure. Pediatr Emerg Care. 2001 Apr; 17(2):101-3. View abstract
  99. Fever interval before diagnosis, prior antibiotic treatment, and clinical outcome for young children with bacterial meningitis. Clin Infect Dis. 2001 Feb 15; 32(4):566-72. View abstract
  100. Reliability of the urinalysis for predicting urinary tract infections in young febrile children. Arch Pediatr Adolesc Med. 2001 Jan; 155(1):60-5. View abstract
  101. Lyme disease. eMedicine. 2001. View abstract
  102. Pneumococcal bacteremia. eMedicine. 2001. View abstract
  103. Information System applications in the Emergency Department. Clinical Pediatric Emergency Medicine. 2001. View abstract
  104. Time to detection of positive cultures in 28- to 90-day-old febrile infants. Pediatrics. 2000 Dec; 106(6):E74. View abstract
  105. Predictors of bacteremia in febrile children 3 to 36 months of age. Pediatrics. 2000 Nov; 106(5):977-82. View abstract
  106. The pediatric forum: white blood cell count likelihood ratios for bacteremia in febrile young children Arch Pediatr Adolesc Med. 2000 Sep; 154(9):963-4. View abstract
  107. Reevaluation of outpatients with Streptococcus pneumoniae bacteremia. Pediatrics. 2000 Mar; 105(3 Pt 1):502-9. View abstract
  108. Human Immunodeficiency Virus Infection. Textbook of Pediatric Emergency Medicine; Editors: Fleisher and Ludwig. 2000; 795-809. View abstract
  109. Bacteremia-associated pneumococcal pneumonia and the benefit of initial parenteral antimicrobial therapy. Pediatr Infect Dis J. 1999 Dec; 18(12):1081-5. View abstract
  110. Non-typhi Salmonella bacteremia in children. Pediatr Infect Dis J. 1999 Dec; 18(12):1073-7. View abstract
  111. Nasopharyngeal colonization with pathogens causing otitis media: how does this information help us? Pediatr Infect Dis J. 1999 Dec; 18(12):1120-4. View abstract
  112. Bacteraemia in young children with high fever: still no easy answers. Med J Aust. 1999 May 17; 170(10):462-3. View abstract
  113. Low risk of bacteremia in febrile children with recognizable viral syndromes. Pediatr Infect Dis J. 1999 Mar; 18(3):258-61. View abstract
  114. Occult pneumonias: empiric chest radiographs in febrile children with leukocytosis. Ann Emerg Med. 1999 Feb; 33(2):166-73. View abstract
  115. Clinical implications of penicillin and ceftriaxone resistance among children with pneumococcal bacteremia. Pediatr Infect Dis J. 1999 Jan; 18(1):35-41. View abstract
  116. Occult bacteremia with group B streptococci in an outpatient setting. Pediatrics. 1998 Jul; 102(1 Pt 1):67-72. View abstract
  117. Risk of bacteremia for febrile young children in the post-Haemophilus influenzae type b era. Arch Pediatr Adolesc Med. 1998 Jul; 152(7):624-8. View abstract
  118. Parenteral vs oral antibiotics in the prevention of serious bacterial infections in children with Streptococcus pneumoniae occult bacteremia: a meta-analysis. Acad Emerg Med. 1998 Jun; 5(6):599-606. View abstract
  119. Do oral antibiotics prevent meningitis and serious bacterial infections in children with Streptococcus pneumoniae occult bacteremia? A meta-analysis. Pediatrics. 1997 Mar; 99(3):438-44. View abstract
  120. Antibiotics and Infectious Disorders. Manual of Pediatric Therapeutics. 1997; 76-164. View abstract
  121. Invasive pneumococcal infections in human immunodeficiency virus-infected children. J Infect Dis. 1996 Apr; 173(4):870-6. View abstract
  122. Group A beta-hemolytic streptococcal bacteremia: historical overview, changing incidence, and recent association with varicella. Pediatrics. 1995 Sep; 96(3 Pt 1):428-33. View abstract
  123. Effect of antibiotic therapy on the outcome of outpatients with unsuspected bacteremia. Pediatr Infect Dis J. 1995 Sep; 14(9):760-7. View abstract
  124. Osteomyelitis and septic arthritis in children: appropriate use of imaging to guide treatment. AJR Am J Roentgenol. 1995 Aug; 165(2):399-403. View abstract
  125. Pediatric infectious disease emergencies. Curr Opin Pediatr. 1995 Jun; 7(3):302-8. View abstract
  126. Care of bereaved parents. A study of patient satisfaction. J Reprod Med. 1994 Feb; 39(2):80-6. View abstract
  127. Case report: streptococcal toxic shock syndrome presenting as septic thrombophlebitis in a child with varicella. Pediatr Infect Dis J. 1993 Dec; 12(12):1033-4. View abstract
  128. HIV-infected children in the pediatric emergency department. Pediatr Emerg Care. 1993 Oct; 9(5):265-9. View abstract
  129. Occult bacteremia in the 3-month-old to 3-year-old age group. Pediatr Ann. 1993 Aug; 22(8):484, 487-93. View abstract