Rachel Wattier, MD, MHS

Title(s)Associate Professor, Pediatrics
SchoolSchool of Medicine
Address550 16th. Street, #4837
San Francisco CA 94158
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    Collapse Biography 
    Collapse Education and Training
    University of California, San Francisco, San Francisco, CAFellowship06/2015Pediatric Infectious Diseases
    University of California, San Francisco, San Francisco, CAFellowship06/2015Clinical Pharmacology
    University of California, San Francisco, San Francisco, CACertificate Program05/2015Advanced Training in Clinical Research
    University of California, San Francisco, San Francisco, CAResidency 06/2012Pediatrics
    Yale University, New Haven, CTM.D., M.H.S.05/2009School of Medicine
    University of Kentucky, Lexington, KYB.S.05/2004Biology, Agricultural Biotechnology

    Collapse Overview 
    Collapse Overview
    Rachel Wattier, M.D., M.H.S. is a pediatric infectious diseases and antimicrobial stewardship physician in the Department of Pediatrics, Division of Infectious Diseases and Global Health. She serves as Medical Director of Antimicrobial Stewardship at UCSF Benioff Children’s Hospital San Francisco and conducts research on judicious application of diagnostic tests and antimicrobial therapy.

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    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Immunophenotypic predictors of influenza vaccine immunogenicity in pediatric hematopoietic cell transplant recipients. Blood Adv. 2024 Feb 22. Amarin JZ, Dulek DE, Simmons J, Hayek H, Chappell JD, Nochowicz CH, Kitko CL, Schuster JE, Muñoz FM, Bocchini CE, Moulton EA, Coffin SE, Freedman JL, Ardura MI, Wattier RL, Maron G, Grimley M, Paulsen G, Danziger-Isakov L, Carpenter PA, Englund JA, Halasa NB, Spieker AJ, Kalams SA. PMID: 38386973.
      View in: PubMed   Mentions:    Fields:    
    2. The Durability of Antibody Responses of Two Doses of High-Dose Relative to Two Doses of Standard-Dose Inactivated Influenza Vaccine in Pediatric Hematopoietic Cell Transplant Recipients: A Multi-Center Randomized Controlled Trial. Clin Infect Dis. 2024 01 25; 78(1):217-226. Schuster JE, Hamdan L, Dulek DE, Kitko CL, Batarseh E, Haddadin Z, Stewart LS, Stahl A, Potter M, Rahman H, Kalams SA, Bocchini CE, Moulton EA, Coffin SE, Ardura MI, Wattier RL, Maron G, Grimley M, Paulsen G, Harrison CJ, Freedman JL, Carpenter PA, Englund JA, Munoz FM, Danziger-Isakov L, Spieker AJ, Halasa NB, Pediatric HCT Flu Study. PMID: 37800415; PMCID: PMC10810702.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCellsCTClinical Trials
    3. Immunogenicity and Safety of Alternative Influenza Vaccination Strategies in Repeated Seasons in Pediatric Hematopoietic-Cell Transplant Recipients. Journal of the Pediatric Infectious Diseases Society. 2023 Nov 20; 12(Supplement_1):s21-s21. Bahakel BH, Spieker SA, Stahl SA, Rahman RH, Amarin AJ, Hamdan HL, Dulek DD, Kitko KC, Batarseh BE, Haddadin HZ, Stewart SL, Potter PM, Kalams KS, Schuster SJ, Coffin CS, Ardura AM, Wattier WR, Maron MG, Bocchini BC, Moulton ME, Grimley GM, Paulsen PG, Harrison HC, Freedman FJ, Carpenter CP, Englund EJ, Munoz MF, Danziger-Isakov DL, Halasa HN. .
      View in: Publisher Site   Mentions:
    4. Adjunctive Diagnostic Studies Completed Following Detection of Candidemia in Children: Secondary Analysis of Observed Practice From a Multicenter Cohort Study Conducted by the Pediatric Fungal Network. J Pediatric Infect Dis Soc. 2023 Sep 27; 12(9):487-495. Wattier RL, Bucayu RFT, Boge CLK, Ross RK, Yildirim I, Zaoutis TE, Palazzi DL, Vora SB, Castagnola E, Avilés-Robles M, Danziger-Isakov L, Tribble AC, Sharma TS, Arrieta AC, Maron G, Berman DM, Yin DE, Sung L, Green M, Roilides E, Belani K, Romero J, Soler-Palacin P, López-Medina E, Nolt D, Bin Hussain IZ, Muller WJ, Hauger SB, Halasa N, Dulek D, Pong A, Gonzalez BE, Abzug MJ, Carlesse F, Huppler AR, Rajan S, Aftandilian C, Ardura MI, Chakrabarti A, Hanisch B, Salvatore CM, Klingspor L, Knackstedt ED, Lutsar I, Santolaya ME, Shuster S, Johnson SK, Steinbach WJ, Fisher BT. PMID: 37589394; PMCID: PMC10533205.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Impact of an Inpatient Allergy Guideline on β-Lactam and Alternative Antibiotic Use. J Allergy Clin Immunol Pract. 2023 08; 11(8):2557-2567.e6. Otani IM, Tang M, Wang L, Anstey KM, Hilts-Horeczko A, Li F, Le VP, Lee M, Bystritsky R, Mulliken JS, Wattier RL, Blumenthal KG, Doernberg SB. PMID: 37182569.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    6. Broad- Versus Narrow-Spectrum Perioperative Antibiotics and Outcomes in Pediatric Congenital Heart Disease Surgery: Analysis of the Vizient Clinical Data Base. J Pediatric Infect Dis Soc. 2023 Apr 28; 12(4):205-213. Cooch PB, Kim MO, Swami N, Tamma PD, Tabbutt S, Steurer MA, Wattier RL. PMID: 37018466; PMCID: PMC10146935.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    7. Influenza Vaccine in Pediatric Recipients of Hematopoietic-Cell Transplants. N Engl J Med. 2023 01 26; 388(4):374-376. Schuster JE, Hamdan L, Dulek DE, Kitko CL, Batarseh E, Haddadin Z, Stewart LS, Stahl A, Potter M, Rahman H, Kalams SA, Coffin S, Ardura MI, Wattier RL, Maron G, Bocchini CE, Moulton EA, Grimley M, Paulsen G, Harrison CJ, Freedman J, Carpenter PA, Englund JA, Munoz FM, Danziger-Isakov L, Spieker AJ, Halasa N, Pediatric HCT Flu Study Group. PMID: 36630610.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    8. Impact of Organism Reporting from Endotracheal Aspirate Cultures on Antimicrobial Prescribing Practices in Mechanically Ventilated Pediatric Patients. J Clin Microbiol. 2022 11 16; 60(11):e0093022. Prinzi AM, Wattier RL, Curtis DJ, Ziniel SI, Fitzgerald A, Pearce K, Parker SK. PMID: 36218349; PMCID: PMC9667758.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    9. Multicenter Prospective Study of Biomarkers for Diagnosis of Invasive Candidiasis in Children and Adolescents. Clin Infect Dis. 2022 08 25; 75(2):248-259. Fisher BT, Boge CLK, Xiao R, Shuster S, Chin-Quee D, Allen J, Shaheen S, Hayden R, Suganda S, Zaoutis TE, Chang YC, Yin DE, Huppler AR, Danziger-Isakov L, Muller WJ, Roilides E, Romero J, Sue PK, Berman D, Wattier RL, Halasa N, Pong A, Maron G, Soler-Palacin P, Hutto SC, Gonzalez BE, Salvatore CM, Rajan S, Green M, Doby Knackstedt E, Hauger SB, Steinbach WJ. PMID: 35134165; PMCID: PMC9890499.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansAnimals
    10. Serotonin Syndrome in an Infant Associated With Linezolid and Opioid Use. J Pediatr Pharmacol Ther. 2022; 27(6):564-568. Essakow J, Jin L, Marupudi N, Wattier R, McQuillen P, Franzon D. PMID: 36988981; PMCID: PMC9400179.
      View in: PubMed   Mentions:
    11. Updated Guidance on Use and Prioritization of Monoclonal Antibody Therapy for Treatment of COVID-19 in Adolescents. J Pediatric Infect Dis Soc. 2022 May 30; 11(5):177-185. Wolf J, Abzug MJ, Anosike BI, Vora SB, Waghmare A, Sue PK, Olivero RM, Oliveira CR, James SH, Morton TH, Maron GM, Young JL, Orscheln RC, Schwenk HT, Bio LL, Willis ZI, Lloyd EC, Hersh AL, Huskins CW, Soma VL, Ratner AJ, Hayes M, Downes K, Chiotos K, Grapentine SP, Wattier RL, Lamb GS, Zachariah P, Nakamura MM. PMID: 35107571; PMCID: PMC8903349.
      View in: PubMed   Mentions: 10     Fields:    Translation:HumansCells
    12. From "More is Better" to "Less is More": A Commentary on Antimicrobial Use in Pediatric Oncology. J Pediatric Infect Dis Soc. 2022 May 30; 11(5):229-238. Wattier RL, Esbenshade AJ. PMID: 35099542.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    13. Indirect Standardization as a Case Mix Adjustment Method to Improve Comparison of Children's Hospitals' Antimicrobial Use. Clin Infect Dis. 2021 09 07; 73(5):925-932. Wattier RL, Thurm CW, Parker SK, Banerjee R, Hersh AL, Pediatric Health Information System Antimicrobial Stewardship Research Group. PMID: 33320178.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    14. Comparative Effectiveness of Echinocandins vs Triazoles or Amphotericin B Formulations as Initial Directed Therapy for Invasive Candidiasis in Children and Adolescents. J Pediatric Infect Dis Soc. 2021 Aug 10. Fisher BT, Zaoutis TE, Xiao R, Wattier RL, Castagnola E, Pana ZD, Fullenkamp A, Boge CLK, Ross RK, Yildirim I, Palazzi DL, Danziger-Isakov L, Vora SB, Arrieta A, Yin DE, Avilés-Robles M, Sharma T, Tribble AC, Maron G, Berman D, Green M, Sung L, Romero J, Hauger SB, Roilides E, Belani K, Nolt D, Soler-Palacin P, López-Medina E, Muller WJ, Halasa N, Dulek D, Hussain IZB, Pong A, Hoffman J, Rajan S, Gonzalez BE, Hanisch B, Aftandilian C, Carlesse F, Abzug MJ, Huppler AR, Salvatore CM, Ardura MI, Chakrabarti A, Santolaya ME, Localio AR, Steinbach WJ. PMID: 34374424.
      View in: PubMed   Mentions: 3     Fields:    
    15. Initial Guidance on Use of Monoclonal Antibody Therapy for Treatment of Coronavirus Disease 2019 in Children and Adolescents. J Pediatric Infect Dis Soc. 2021 May 28; 10(5):629-634. Wolf J, Abzug MJ, Wattier RL, Sue PK, Vora SB, Zachariah P, Dulek DE, Waghmare A, Olivero R, Downes KJ, James SH, Pinninti SG, Yarbrough A, Aldrich ML, MacBrayne CE, Soma VL, Grapentine SP, Oliveira CR, Hayes M, Kimberlin DW, Jones SB, Bio LL, Morton TH, Hankins JS, Maron GM, Timberlake K, Young JL, Orscheln RC, Schwenk HT, Goldman DL, Groves HE, Huskins WC, Rajapakse NS, Lamb GS, Tribble AC, Lloyd EC, Hersh AL, Thorell EA, Ratner AJ, Chiotos K, Nakamura MM. PMID: 33388760; PMCID: PMC7799019.
      View in: PubMed   Mentions: 32     Fields:    Translation:HumansCellsPHPublic Health
    16. Multicenter Interim Guidance on Use of Antivirals for Children With Coronavirus Disease 2019/Severe Acute Respiratory Syndrome Coronavirus 2. J Pediatric Infect Dis Soc. 2021 Feb 13; 10(1):34-48. Chiotos K, Hayes M, Kimberlin DW, Jones SB, James SH, Pinninti SG, Yarbrough A, Abzug MJ, MacBrayne CE, Soma VL, Dulek DE, Vora SB, Waghmare A, Wolf J, Olivero R, Grapentine S, Wattier RL, Bio L, Cross SJ, Dillman NO, Downes KJ, Oliveira CR, Timberlake K, Young J, Orscheln RC, Tamma PD, Schwenk HT, Zachariah P, Aldrich ML, Goldman DL, Groves HE, Rajapakse NS, Lamb GS, Tribble AC, Hersh AL, Thorell EA, Denison MR, Ratner AJ, Newland JG, Nakamura MM. PMID: 32918548; PMCID: PMC7543452.
      View in: PubMed   Mentions: 48     Fields:    Translation:Humans
    17. 25 Mucormycosis, fusariosis, scedosporiasis, and other invasive mold diseases. . 2021 Jan 1; 181-194.e3. Wattier WR, Steinbach SW. .
      View in: Publisher Site   Mentions:
    18. 1348. Indirect Standardization to Improve Comparison of Children’s Hospitals’ Antimicrobial Use. Open Forum Infectious Diseases. 2020 Dec 31; 7(Suppl 1):s685-s685. Wattier WR, Thurm TC, Banerjee BR, Banerjee BR, Hersh HA. .
      View in: Publisher Site   Mentions:
    19. 1361. Variation in Perioperative Antibiotic Use for Children Undergoing Congenital Heart Disease Surgery in U.S. Academically Affiliated Centers. Open Forum Infectious Diseases. 2020 Dec 31; 7(Suppl 1):s691-s692. Cooch CP, Wattier WR, Steurer-Muller SM. .
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    20. Hospital-level Antibiotic Use and Complexity of Care Among Neonates. J Pediatric Infect Dis Soc. 2020 Dec 31; 9(6):656-663. Singh P, Steurer MA, Cantey JB, Wattier RL. PMID: 31879765; PMCID: PMC7974016.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    21. Multicenter Initial Guidance on Use of Antivirals for Children With Coronavirus Disease 2019/Severe Acute Respiratory Syndrome Coronavirus 2. J Pediatric Infect Dis Soc. 2020 Dec 31; 9(6):701-715. Chiotos K, Hayes M, Kimberlin DW, Jones SB, James SH, Pinninti SG, Yarbrough A, Abzug MJ, MacBrayne CE, Soma VL, Dulek DE, Vora SB, Waghmare A, Wolf J, Olivero R, Grapentine S, Wattier RL, Bio L, Cross SJ, Dillman NO, Downes KJ, Timberlake K, Young J, Orscheln RC, Tamma PD, Schwenk HT, Zachariah P, Aldrich M, Goldman DL, Groves HE, Lamb GS, Tribble AC, Hersh AL, Thorell EA, Denison MR, Ratner AJ, Newland JG, Nakamura MM. PMID: 32318706; PMCID: PMC7188128.
      View in: PubMed   Mentions: 69     Fields:    Translation:Humans
    22. Return to School for Pediatric Solid Organ Transplant Recipients in the United States During the Coronavirus Disease 2019 Pandemic: Expert Opinion on Key Considerations and Best Practices. J Pediatric Infect Dis Soc. 2020 Nov 10; 9(5):551-563. Downes KJ, Danziger-Isakov LA, Cousino MK, Green M, Michaels MG, Muller WJ, Orscheln RC, Sharma TS, Statler VA, Wattier RL, Ardura MI. PMID: 32750142; PMCID: PMC7454776.
      View in: PubMed   Mentions: 13     Fields:    Translation:HumansPHPublic Health
    23. Clustered cases of acral perniosis: Clinical features, histopathology, and relationship to COVID-19. Pediatr Dermatol. 2020 May; 37(3):419-423. Cordoro KM, Reynolds SD, Wattier R, McCalmont TH. PMID: 32396999; PMCID: PMC7272804.
      View in: PubMed   Mentions: 53     Fields:    Translation:HumansCellsPHPublic Health
    24. 2759. Immunogenicity of Inactivated Influenza Vaccines Given Early vs. Late After Pediatric Allogeneic Hematopoietic Cell Transplantation. Open Forum Infectious Diseases. 2019 Oct 23; 6(Suppl 2):s972-s973. Schuster SJ, Schuster SJ, Speaker SA, Hamdan HL, Batarseh BE, Stewart SL, Dulek DD, Kitko KC, Munoz MF, Munoz MF, Bocchini BC, Danziger-Isakov DL, Grimley GM, Goyal GR, Coffin CS, Freedman FJ, Englund EJ, Carpenter CP, Ardura AM, Auletta AJ, Wattier WR, Truong TK, Maron MG, Allison AK, Halasa HN. .
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    25. Allograft of Primary Cutaneous Mucormycosis in a Preterm Neonate: A Case Report. Wounds. 2019 Jul; 31(7):E46-E48. Benjamin T, Wattier R, Dominic W. PMID: 31373557.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    26. 258. Variation in Antibiotic Use Among Neonates Hospitalized in United States Academically Affiliated Centers. Open Forum Infectious Diseases. 2018 Nov 26; 5(suppl_1):s109-s109. Singh SP, Wattier WR. .
      View in: Publisher Site   Mentions:
    27. 293 Antifungal Agents. Principles and Practice of Pediatric Infectious Diseases. 2018 Jan 1; (Clin Infect Dis442007):1532-1541.e3. Wattier WR, Steinbach SW. .
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    28. Reducing Second Gram-Negative Antibiotic Therapy on Pediatric Oncology and Hematopoietic Stem Cell Transplantation Services. Infect Control Hosp Epidemiol. 2017 09; 38(9):1039-1047. Wattier RL, Levy ER, Sabnis AJ, Dvorak CC, Auerbach AD. PMID: 28758610.
      View in: PubMed   Mentions: 13     Fields:    Translation:HumansCells
    29. Multisite external validation of a risk prediction model for the diagnosis of blood stream infections in febrile pediatric oncology patients without severe neutropenia. Cancer. 2017 Oct 01; 123(19):3781-3790. Esbenshade AJ, Zhao Z, Aftandilian C, Saab R, Wattier RL, Beauchemin M, Miller TP, Wilkes JJ, Kelly MJ, Fernbach A, Jeng M, Schwartz CL, Dvorak CC, Shyr Y, Moons KGM, Sulis ML, Friedman DL. PMID: 28542918; PMCID: PMC5610619.
      View in: PubMed   Mentions: 7     Fields:    Translation:HumansCells
    30. Pediatric Invasive Aspergillosis. J Fungi (Basel). 2016 Jun 13; 2(2). Wattier RL, Ramirez-Avila L. PMID: 29376936; PMCID: PMC5753081.
      View in: PubMed   Mentions: 2  
    31. Pediatric invasive aspergillosis. Journal of Fungi. 2016; 19(2). Wattier RL, Ramirez-Avila L. View Publication.
    32. Risk of serious bloodstream infections is low in pediatric hematopoietic stem cell transplant (HSCT) recipients with fevers due to antithymocyte globulins and alemtuzumab. Bone Marrow Transplant. 2016 11; 51(11):1510-1512. Horn B, O'Kane S, Wattier RL, Wahlstrom JT, Melton A, Cowan MJ, Dvorak CC. PMID: 27272452; PMCID: PMC9241576.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    33. Serotherapy-Related Fevers, Blood Stream Infections (BSI), and Antibiotic Use in Pediatric Allogeneic Hematopoietic Cell Transplant (HCT) Recipients. Biology of Blood and Marrow Transplantation. 2016 Mar 1; 22(3):s246-s247. Horn HB, O'Kane OS, Wattier WR, Wahlstrom WJ, Melton MA, Cowan CM, Dvorak DC. .
      View in: Publisher Site   Mentions:
    34. Repeat blood cultures in children with persistent fever and neutropenia: Diagnostic and clinical implications. Pediatr Blood Cancer. 2015 Aug; 62(8):1421-6. Wattier RL, Dvorak CC, Auerbach AD, Weintrub PS. PMID: 25728605; PMCID: PMC4482780.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    35. A Prospective, International Cohort Study of Invasive Mold Infections in Children. J Pediatric Infect Dis Soc. 2015 Dec; 4(4):313-22. Wattier RL, Dvorak CC, Hoffman JA, Brozovich AA, Bin-Hussain I, Groll AH, Castagnola E, Knapp KM, Zaoutis TE, Gustafsson B, Sung L, Berman D, Halasa NB, Abzug MJ, Velegraki A, Sharma TS, Fisher BT, Steinbach WJ. PMID: 26582870; PMCID: PMC4681382.
      View in: PubMed   Mentions: 30     Fields:    Translation:HumansAnimals
    36. Induction of IL-6 and CCL5 (RANTES) in human respiratory epithelial (A549) cells by clinical isolates of respiratory syncytial virus is strain specific. Virol J. 2012 Sep 10; 9:190. Levitz R, Wattier R, Phillips P, Solomon A, Lawler J, Lazar I, Weibel C, Kahn JS. PMID: 22962966; PMCID: PMC3463437.
      View in: PubMed   Mentions: 18     Fields:    Translation:HumansCells
    37. Role of human polyomaviruses in respiratory tract disease in young children. Emerg Infect Dis. 2008 Nov; 14(11):1766-8. Wattier RL, Vázquez M, Weibel C, Shapiro ED, Ferguson D, Landry ML, Kahn JS. PMID: 18976566; PMCID: PMC2630739.
      View in: PubMed   Mentions: 21     Fields:    Translation:HumansCells
    38. Functionality of Borrelia burgdorferi LuxS: the Lyme disease spirochete produces and responds to the pheromone autoinducer-2 and lacks a complete activated-methyl cycle. Int J Med Microbiol. 2006 May; 296 Suppl 40:92-102. von Lackum K, Babb K, Riley SP, Wattier RL, Bykowski T, Stevenson B. PMID: 16530477.
      View in: PubMed   Mentions: 12     Fields:    Translation:Cells
    39. Synthesis of autoinducer 2 by the lyme disease spirochete, Borrelia burgdorferi. J Bacteriol. 2005 May; 187(9):3079-87. Babb K, von Lackum K, Wattier RL, Riley SP, Stevenson B. PMID: 15838035; PMCID: PMC1082833.
      View in: PubMed   Mentions: 16     Fields:    Translation:Cells
    40. Quorum sensing by the Lyme disease spirochete. Microbes Infect. 2003 Sep; 5(11):991-7. Stevenson B, von Lackum K, Wattier RL, McAlister JD, Miller JC, Babb K. PMID: 12941391.
      View in: PubMed   Mentions: 9     Fields:    Translation:HumansAnimalsCells
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