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2022 Community Health Needs Assessment Health Profile Monroe County, Lehigh Valley Health Network

LVHN Annual & Statistical Reports

No abstract provided.

Medication Use Evaluation Of Vancomycin And Clindamycin For Group B Streptococcus Prophylaxis In Labor And Delivery Patients, Michelle Gronski Pharmd, Katelin Kimler Pharmd, Bcpps

Department of Pharmacy

No abstract provided.

Infectious Complications And Microbiology During Induction Chemotherapy Over A Decade At A Community Pediatric Cancer Center, Julia Vandenheuvel Md, Tibisay Villalobos Md

Department of Pediatrics

No abstract provided.

Challenges In Evaluating Pediatric Fever And Rash In The Era Of Covid-19 And Multisystem Inflammatory Syndrome In Children (Mis-C)., Taylor Jarvill, Priyanka Lauber Do, Samuel Umaru Md, Tibisay Villalobos Md, Susan K. Yaeger Md

Department of Emergency Medicine

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has challenged the medical community to characterize and treat a new illness. Now almost two years after the initial confirmed cases of COVID-19, medical teams are faced with another unique disease process temporally related to the pandemic-multisystem inflammatory syndrome in children (MIS-C). The comparison of these patients’ presentations illustrates the new challenges of evaluating a pediatric rash and fever in the era of MIS-C. Case Reports: This report presents three cases with features of MIS-C, positivity for SARS-CoV-2, rashes, fevers, gastrointestinal involvement, and elevated inflammatory markers. The first case poses a diagnostic …

Fever Of Unknown Origin (Fuo) In A Healthy Child: A Reminder Of An Uncommon Presentation Of An Uncommon Disease, Julia Vandenheuvel Md, Tibisay Villalobos Md

Department of Pediatrics

No abstract provided.

Better Medicine, Lehigh Valley Health Network

Better Medicine

No abstract provided.

Do Virtual Visits Have An Effect On Outpatient Antibiotic Prescribing For Uris?, Sydney Harris, Eric Young, Jarrod W. Kile Rphd, Kathryn Zaffiri Mph

Research Scholars

No abstract provided.

People Living With Hiv (Plwh) And Covid-19. The Lvhn Experience, Jacob Frank, Marcelo Gareca Md

Research Scholars

No abstract provided.

Management Of Peritonsillar Abscess Within A Local Emergency Department: A Quality Analysis Study., Briana K Ortega, Spencer Short, Bryan G. Kane Md, Robert M. Dedio Md

Department of Emergency Medicine

OBJECTIVE: Peritonsillar abscess (PTA) is the most common deep space infection of the head and neck, affecting thousands of people annually with high treatment costs. The purpose of this project was to determine how in-network emergency departments (EDs) adhere to generally accepted guidelines regarding diagnosis and management of potential PTAs.

METHODS: The authors performed a retrospective chart review to identify patients with PTA in five EDs in one year. Information pertaining to diagnostic tests, treatment, and airway status was also collected. Descriptive analysis was used to assess if EDs were consistent with generally accepted guidelines.

RESULTS: Six hundred twenty-one patient …

Esr And Crp Testing May Not Be Useful In Monitoring Patients With Native Vertebral Osteomyelitis, Abigail Heilenman, Amy Slenker Md

Research Scholars

No abstract provided.

The Impact Of Covid-19 On Pregnancy And Neonatal Outcomes, Jessica Davis, Joanne Quiñones Md, Msce, Michael Young

Research Scholars

No abstract provided.

Incidence Of Secondary Hemophagocytic Lymphohistiocytosis In Critically-Ill Covid-19 Patients., Jamie Allen, Matthew M Mccambridge, Hope Kincaid, Joshua A Kalter

Department of Emergency Medicine

Objective Coronavirus disease 2019 (COVID-19) is associated with diffuse lung injury that can progress to acute respiratory distress syndrome, multisystem-organ failure, and death. The inflammatory storm seen in many COVID-19 patients closely resembles secondary hemophagocytic lymphohistiocytosis (sHLH) which has been described in other virus-associated severe sepsis. We sought to describe the incidence of sHLH in COVID-19 infected patients. Design In this retrospective study, we reviewed the records of critically ill COVID-19 positive patients to determine the incidence of sHLH. An H-score for sHLH diagnosis was determined for each study participant, with a score greater than 169 points needed for diagnosis. …

Transient Leukopenia, Thrombocytopenia, And Severe Neutropenia Associated With Acute Sars-Cov-2 Infection, Austin Schatzman, Julia Vandenheuvel Md, Tibisay Villalobos Md, Kris Rooney Md

Department of Pediatrics

No abstract provided.

Multiplex Molecular Stool Testing Rarely Impacts Antimicrobial Treatment Decisions More Than Three Days After Admission, Abdul Aleem Md, Gabriela Firak, Amy Slenker Md

Research and Historical Works - 2021

Background Acute diarrheal illness in the United States is a significant cause of healthcare utilization and hospitalizations. For patients who develop diarrhea while hospitalized, testing for pathogens other than () using conventional stool testing is low yield. Newer testing modalities for infectious diarrhea such as themultiplex molecular stool testing provide an improved detection rate and a faster turn-around time compared to conventional stool testing. Methods We retrospectively examined the use of a multiplex molecular stool test at our institution for all hospital encounters over a two-year period to determine which organisms were identified ≤ 3 days and > 3 days after …

Brucella Melitensis-Induced Transaminitis., Rajesh Essrani Md, Anastasia Shnitser Md

Department of Medicine

Brucellosis is infrequently reported in the United States and is mostly an occupational hazard among workers engaged in livestock raising and processing. It is a systemic infectious disease and can involve the liver in varying ways, ranging from benign subclinical increases in serum aminotransferase levels to ominous chronic suppurative disease. It is endemic in many countries, primarily those of the Mediterranean region. It is usually treated with antibiotics. We present a case of a 37-year-old female who developed

Blood Culture Contamination, Erick Castillo Jimenez Rn, Brianna Delpiano Bsn, Rn, Jenelle Maehrer Rn, Sabrina Simpson Bsn, Rn, Alyssa Villani Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Lehigh Valley Topper Cancer Institute: 2021 Statistical Report, Lehigh Valley Health Network

Lehigh Valley Topper Cancer Institute

No abstract provided.

Comparing Completion Of Early Childhood Vaccines To Late Childhood Vaccines In Adolescent Emergency Shelter Residents, Taylor Jarvill, Jeffrey Downen, Brittany Gaudet Bs, Msph, Nina Liu, Cecilia E. Zemanek Bs, Ceyda H. Sablak Bs, Allison N. Kayne Bs, Hope Kincaid Mph, Cph, Amy B. Smith Phd, Robert D. Barraco Md, Mph, Hoonani M. Cuadrado, Marna R. Greenberg Do, Mph, Facep

USF-LVHN SELECT

No abstract provided.

Evaluation Of Pediatric Patients Diagnosed With Lyme Disease In The Lehigh Valley, Jessica Phan, Katiemarie Vottero Do, Tibisay Villalobos Md, Kristin M. Held Wheatley Pharmd, Bcop, Farina Klocksieben, Kris Rooney Md

USF-LVHN SELECT

No abstract provided.

Practice-Based Vaccine Initiative To Increase Vaccination Rates In Immunocompromised Patients, Victor Quach, Zaina Shahid Md, Nabila Zamir Md, Amy Slenker Md, James Ross Md, Facp, Rahul Mhaskar, Marie S. O'Brien Do

USF-LVHN SELECT

No abstract provided.

Decreasing Utilization Of The Comprehensive Respiratory Viral Panel In The Inpatient Setting At Lehigh Valley Health Network, Seon Kyung Nam, Amy Slenker Md

USF-LVHN SELECT

No abstract provided.

Brucella Melitensis-Induced Transaminitis, Rajesh Essrani Md

Department of Medicine

No abstract provided.

Fat Embolism Syndrome As The Presenting Syndrome Of Undiagnosed Sickle Cell Disease In A Middle-Aged Adult, Jamie Allen Do, Osman Z. Abbasi Do, Louis Morolla Do, Andres Zirlinger Md, Jeffrey M. Gesell Do, Benjamin Lin Ms

Department of Emergency Medicine

No abstract provided.

The Impact Of Appendectomy In Clostridium Difficile Infection And Length Of Hospital Stay., Rajesh Essrani Md, Dany Saturno, Shehriyar Mehershahi, Rajesh Kumar Essrani, Muhammad Rajib Hossain, Shri Jai Kirshan Ravi, Andrea Berger, Asif Mehmood

Department of Emergency Medicine

Introduction We aim to investigate Clostridium difficile infection (CDI) recurrence, severity, complications, and length of hospital stay in patients with and without prior history of appendectomy who were admitted to the hospital with CDI. Method We analyzed retrospective data for 862 patients, 18 years and older, with C. difficile inpatients diagnosed between January 1, 2017 and December 31, 2018 and sorted into two groups, with or without prior appendicectomy, to look for outcomes such as recurrence, hospital stay, complications, and related death in each group and use statistical analysis for comparison. Result There were 862 patients admitted with CDI, of …

Foundations Of An Outpatient Antibiotic Stewardship Program, Brian Stello Md, Eric T. Young Md, Jarrod W. Kile Rphd, Timothy J. Friel Md, Grant M. Greenberg M.D., M.H.S.A., M.A., Tibisay Villalobos Md, Kristin M. Held-Wheatley Pharmd, Bcop, Katarzyna Jabbour Pharmd, Bcps, Kathryn Zaffiri Mph

Department of Family Medicine

No abstract provided.

Assessment Of The Sexually Transmitted Infection Testing At Lvhn In Symptomatic Patients Who Present To The Emergency Department Or Ambulatory Setting, Sarah Vetesi, Marcelo Gareca Md, Amy Slenker Md

Research Scholars Poster Presentation

No abstract provided.

The Impact Of Multiplex Respiratory Pathogen Pcr Testing At A Large Academic Institution, Hailey Reiss, Jarrod W. Kile Rphd, Bcps, Eric Young Md

Research Scholars Poster Presentation

No abstract provided.

Evaluation Of Concurrent Esr And Crp Testing In Native Vertebral Osteomyelitis (Nvo): Is More Really Better?, Noah Kriner, Amy Slenker Md

Research Scholars Poster Presentation

No abstract provided.

The Affect Of Cleaning Mobile Equipment After Every Use On Infection Rates, Kyley Bandholz Rn, Bsn, Erum Khurshid Rn, Bsn, Jill Kula Rn, Bsn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Unique Case Of Gastroenteritis Presenting As Pneumatosis Intestinalis With Emphysematous Gastritis And Portal Vein Gas: Do Not Take Gastroenteritis Lightly., Asif Mehmood, Rajesh Essrani Md, Swetha Parvataneni, Umair Iqbal

Department of Medicine

Pneumatosis intestinalis (PI) consists of multiple, thin, gas-filled cysts in the wall of the gastrointestinal (GI) tract. It is an uncommon entity that can involve any gastrointestinal site from the stomach to the rectum. Isolated stomach involvement is rare. PI can represent a broad spectrum of diseases with variable prognoses. We present the case of a patient who was admitted with gastroenteritis-like symptoms. He remained hemodynamically stable, and on further imaging with contrast-enhanced computed tomography of the abdomen and pelvis, air was found in the portal vein and gastric wall, with minimal thickening of the proximal small bowel concerning for …