Melissa M. Gaitanis

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The sequelae of hepatitis B virus infection include fulminant liver failure, chronic liver disease, hepatocellular carcinoma, and death. The hepatitis B vaccine is efficacious, safe, and cost-effective, but has been consistently underutilized in high-risk adults despite long-standing recommendations. Instituting routine hepatitis B vaccination for high-risk(More)
BACKGROUND Once an HIV vaccine becomes available, high-risk adults will be a target population for vaccination, and HIV vaccination programs for inmates may be a public health priority. Nothing is known about U.S. inmates' willingness to accept an anticipated HIV vaccine while incarcerated. The goal of this study was to examine inmates' attitudes toward a(More)
A recent analysis demonstrated that infectious diseases (ID) specialty intervention was associated with decreased mortality and hospital readmission. These benefits were greatest if involvement occurred within two days of hospital admission. Antimicrobial stewardship programs should augment the services of an ID specialist team and promote formal(More)
BACKGROUND Prospective audit and feedback is a core antimicrobial stewardship program (ASP) strategy; however its impact is difficult to measure. METHODS Our quasi-experimental study measured the effect of an ASP on clinical outcomes, antimicrobial use, resistance, costs, patient safety (adverse drug events [ADE] and Clostridium difficile infection(More)
In February 2010, Mr. R, a 49-year-old male with well-controlled HIV infection on highly active antiretroviral therapy (HAART), was referred to our HIV/viral hepatitis coinfection clinic for evaluation of chronic hepatitis C virus (HCV) infection. While he was worried about the degree of damage to his liver and whether HCV treatment was indicated, his(More)
Eosinophilic pneumonia comprises a group of lung diseases in which eosinophils appear in increased numbers in the lungs and sometimes in the bloodstream. Several case reports link daptomycin use to this phenomenon. We performed a systematic literature review to identify cases of eosinophilic pneumonia associated with daptomycin use. Relevant studies were(More)
An 83-year-old male with a history of diabetes but with an otherwise intact immune system presented with melena. Upper endoscopy showed gastric and duodenal ulcers. Colonoscopy showed colonic ulcers. Biopsies revealed cytomegalovirus (CMV). Therapy with an antiviral such as ganciclovir should be considered even in an immunocompetent patient if male and over(More)
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