Lisa Winston, MD

Title(s)Professor, Medicine
SchoolSchool of Medicine
Address1001 Potrero Ave
San Francisco CA 94110
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    Collapse Biography 
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    University of California, San FranciscoResidency 1997Internal Medicine
    University of California, San Francisco2017Diversity, Equity, and Inclusion Champion Training

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    Lisa Winston received her MD from Johns Hopkins University School of Medicine in 1994. She completed her residency in Internal Medicine at UCSF and was Chief Resident at San Francisco General Hospital. Dr. Winston then completed fellowships in Infectious Diseases and Clinical Pharmacology at UCSF.

    She directs the Inpatient Medical Services and is the Hospital Epidemiologist at Zuckerberg San Francisco General Hospital and Trauma Center. Her research interests are infection control and prevention and antimicrobial resistant bacterial pathogens.

    • AB, Harvard University, 1990
    • MD, Johns Hopkins University School of Medicine, 1994

    • Internal Medicine Residency, University of California, San Francisco, 1994-1997
    • Chief Resident, University of California, San Francisco, 1997-1998
    • Infectious Diseases Fellowship, University of California, San Francisco, 1998 – 2001
    • Clinical Pharmacology Fellowship, University of California, San Francisco, 1999-2001

    • American Board of Internal Medicine, certified 1997, recertified 2007 and 2017
    • American Board of Internal Medicine, subspecialty Infectious Diseases, certified 2000, recertified 2010

    Memberships & Affiliations:
    • Infectious Diseases Society of America, fellow
    • Society for Healthcare Epidemiology of America

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    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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    1. Trends in U.S. Burden of Clostridioides difficile Infection and Outcomes. N Engl J Med. 2020 04 02; 382(14):1320-1330. Guh AY, Mu Y, Winston LG, Johnston H, Olson D, Farley MM, Wilson LE, Holzbauer SM, Phipps EC, Dumyati GK, Beldavs ZG, Kainer MA, Karlsson M, Gerding DN, McDonald LC. PMID: 32242357.
      View in: PubMed   Mentions: 8     Fields:    Translation:HumansCellsPHPublic Health
    2. Treatment of Clostridioides difficile Infection and Non-compliance with Treatment Guidelines in Adults in 10 US Geographical Locations, 2013-2015. J Gen Intern Med. 2020 Feb; 35(2):412-419. Novosad SA, Mu Y, Winston LG, Johnston H, Basiliere E, Olson DM, Farley MM, Revis A, Wilson L, Perlmutter R, Holzbauer SM, Whitten T, Phipps EC, Dumyati GK, Beldavs ZG, Ocampo VLS, Davis CM, Kainer M, Gerding DN, Guh AY. PMID: 31768906.
      View in: PubMed   Mentions: 1     Fields:    
    3. Toxin Enzyme Immunoassays Detect Clostridioides difficile Infection With Greater Severity and Higher Recurrence Rates. Clin Infect Dis. 2019 10 30; 69(10):1667-1674. Guh AY, Hatfield KM, Winston LG, Martin B, Johnston H, Brousseau G, Farley MM, Wilson L, Perlmutter R, Phipps EC, Dumyati GK, Nelson D, Hatwar T, Kainer MA, Paulick AL, Karlsson M, Gerding DN, McDonald LC. PMID: 30615074.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansCells
    4. 837. Prior Hospitalizations Among Cases of Community-Associated Clostridioides difficile Infection—10 US States, 2014–2015. Open Forum Infectious Diseases. 2019 Oct 23; 6(Supplement_2):s9-s10. Kelly M Hatfield, James Baggs, Lisa Gail Winston, Erin Parker, Helen Johnston, Geoff Brousseau, Danyel M Olson, Scott Fridkin, Lucy Wilson, Rebecca Perlmuter, Stacy Holzbauer, Erin C Phipps, Emily B Hancock, Ghinwa Dumyati, Valerie Ocampo, Marion A Kainer, Lauren C Korhonen, John A Jernigan, L Clifford McDonald, Alice Guh. .
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    5. Mind the Base Rate: an Exercise in Clinical Reasoning. J Gen Intern Med. 2019 09; 34(9):1941-1945. Aronowitz PB, Williams DM, Henderson MC, Winston LG. PMID: 31270792.
      View in: PubMed   Mentions:    Fields:    
    6. Overcoming the Barrier. N Engl J Med. 2018 12 06; 379(23):2256-2261. Geha RM, Dhaliwal G, Winston LG, Kickler TS, Manesh R. PMID: 30575451.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCells
    7. 490. Comparison of Clostridium difficile Infection Outcomes by Diagnostic Testing Method. Open Forum Infectious Diseases. 2018 Nov 26; 5(suppl_1):s181-s182. Alice Guh, Kelly Hatfield, Lisa G Winston, Brittany Martin, Helen Johnston, Geoff Brousseau, Monica M Farley, Lucy E Wilson, Rebecca Perlmutter, Erin C Phipps, Ghinwa Dumyati, Deborah Nelson, Trupti Hatwar, Marion A Kainer, L Clifford McDonald. .
      View in: Publisher Site   Mentions:
    8. 482. Association between Socioeconomic Status Factors and Incidence of Community-Associated Clostridium difficile Infection Utilizing Factor Analysis—United States, 2014–2015. Open Forum Infectious Diseases. 2018 Nov 26; 5(suppl_1):s179-s179. Kimberly Skrobarcek, Yi Mu, Jennifer Ahern, Zintars Beldavs, Geoff Brousseau, Ghinwa Dumyati, Monica M Farley, Stacy Holzbauer, Marion A Kainer, James I Meek, Rebecca Perlmutter, Erin C Phipps, Lisa G Winston, Alice Y Guh. .
      View in: Publisher Site   Mentions:
    9. 492. Long-Term Outcomes of Clostridium difficile Infection Among Medicare Beneficiaries. Open Forum Infectious Diseases. 2018 Nov 26; 5(suppl_1):s182-s182. Kelly M Hatfield, James Baggs, Lisa G Winston, Erin Parker, Brittany Martin, James I Meek, Danyel Olson, Monica M Farley, Andrew Revis, Stacy Holzbauer, Maria Bye, Lucy Wilson, Rebecca Perlmutter, Erin C Phipps, Rebecca Pierce, Valerie L S Ocampo, Marion A Kainer, Miranda Smith, L Clifford McDonald, John A Jernigan, Alice Guh. .
      View in: Publisher Site   Mentions:
    10. 1788. Cost-Effectiveness of Penicillin Skin Testing Among Patients With Methicillin-Sensitive Staphylococcus aureus Bacteremia and Reported Penicillin Allergy. Open Forum Infectious Diseases. 2018 Nov 26; 5(suppl_1):s506-s507. Alon Vaisman, Henry F Chambers, Lisa G Winston, Dhruv Kazi. .
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    11. Association of Rapid Molecular Testing With Duration of Respiratory Isolation for Patients With Possible Tuberculosis in a US Hospital. JAMA Intern Med. 2018 10 01; 178(10):1380-1388. Chaisson LH, Duong D, Cattamanchi A, Roemer M, Handley MA, Schillinger D, Sur M, Pham P, Lin MA, Goldman LE, Quan J, Perez S, Healy M, Higashi J, Winston L, Haller B, Luetkemeyer AF, Davis JL. PMID: 30178007.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansCellsPHPublic Health
    12. Examining the association between hospital-onset Clostridium difficile infection and multiple-bed room exposure: a case-control study. Infect Control Hosp Epidemiol. 2018 09; 39(9):1068-1073. Vaisman A, Jula M, Wagner J, Winston LG. PMID: 30060776.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCells
    13. Trends in incidence of long-term-care facility onset Clostridium difficile infections in 10 US geographic locations during 2011-2015. Am J Infect Control. 2018 07; 46(7):840-842. Guh AY, Mu Y, Baggs J, Winston LG, Bamberg W, Lyons C, Farley MM, Wilson LE, Holzbauer SM, Phipps EC, Beldavs ZG, Kainer MA, Karlsson M, Gerding DN, Dumyati G. PMID: 29329918.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    14. Risk Factors for Community-Associated Clostridium difficile Infection in Adults: A Case-Control Study. Open Forum Infect Dis. 2017; 4(4):ofx171. Guh AY, Adkins SH, Li Q, Bulens SN, Farley MM, Smith Z, Holzbauer SM, Whitten T, Phipps EC, Hancock EB, Dumyati G, Concannon C, Kainer MA, Rue B, Lyons C, Olson DM, Wilson L, Perlmutter R, Winston LG, Parker E, Bamberg W, Beldavs ZG, Ocampo V, Karlsson M, Gerding DN, McDonald LC. PMID: 29732377.
      View in: PubMed   Mentions:
    15. Socioeconomic Status Factors Associated with Increased Incidence of Community-Associated Clostridium difficile Infection. Open Forum Infectious Diseases. 2017 Jan 1; 4(suppl_1):s381-s381. Kimberly Skrobarcek, Yi Mu, Lisa G Winston, Geoff Brousseau, Carol Lyons, Monica Farley, Rebecca Perlmutter, Stacy Holzbauer, Erin C Phipps, Ghinwa Dumyati, Zintars G Beldavs, Marion Kainer, Alice Guh. .
      View in: Publisher Site   Mentions:
    16. Association Between Hospital-Onset Clostridium difficile infection and Admission to a Multi-Bed Room: A Case–control Study. Open Forum Infectious Diseases. 2017 Jan 1; 4(suppl_1):s400-s400. Alon Vaisman, Michael Jula, Jessica Wagner, Lisa G Winston. .
      View in: Publisher Site   Mentions:
    17. Treatment of Clostridium difficile Infection in 10 US Geographical Locations, 2013–2014. Open Forum Infectious Diseases. 2016 Dec 1; 3(suppl_1):2124. Shannon Novosad, Lisa G. Winston, Helen Johnston, Elizabeth Badolato, Carol Lyons, Monica Farley, Andrew Revis, Lucy Wilson, Rebecca Perlmutter, Stacy M. Holzbauer, Tory Whitten, Erin C. Phipps, Ghinwa Dumyati, Zintars G. Beldaversus, Valerie L.S. Ocampo, Marion Kainer, Corinne M. Davis, Jamie Barnes, Dale Gerding, Alice Guh. .
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    18. Burden of Nursing Home-Onset Clostridium difficile Infection in the United States: Estimates of Incidence and Patient Outcomes. Open Forum Infect Dis. 2016 Jan; 3(1):ofv196. Hunter JC, Mu Y, Dumyati GK, Farley MM, Winston LG, Johnston HL, Meek JI, Perlmutter R, Holzbauer SM, Beldavs ZG, Phipps EC, Dunn JR, Cohen JA, Avillan J, Stone ND, Gerding DN, McDonald LC, Lessa FC. PMID: 26798767.
      View in: PubMed   Mentions:
    19. Risk Factors for Clostridium difficile Infection Recurrence. Open Forum Infectious Diseases. 2015 Dec 9; 2(suppl_1):933. Sujan C. Reddy, Alice Guh, Fernanda C. Lessa, Yi Mu, Zintars G. Beldavs, Corinne M. Davis, Ghinwa Dumyati, Stacy M. Holzbauer, Helen L. Johnston, Carol Lyons, Erin C. Phipps, Lucy E. Wilson, Lisa G. Winston, Dale N. Gerding, L. Clifford McDonald, Monica M. Farley. .
      View in: Publisher Site   Mentions:
    20. Association Between Outpatient Antibiotic Prescribing Practices and Community-Associated Clostridium difficile Infection. Open Forum Infect Dis. 2015 Sep; 2(3):ofv113. Dantes R, Mu Y, Hicks LA, Cohen J, Bamberg W, Beldavs ZG, Dumyati G, Farley MM, Holzbauer S, Meek J, Phipps E, Wilson L, Winston LG, McDonald LC, Lessa FC. PMID: 26509182.
      View in: PubMed   Mentions:
    21. Burden of Clostridium difficile infection in the United States. N Engl J Med. 2015 06 11; 372(24):2369-70. Lessa FC, Winston LG, McDonald LC. PMID: 26061850.
      View in: PubMed   Mentions: 78     Fields:    Translation:HumansCells
    22. Novel handwashes are superior to soap and water in removal of Clostridium difficile spores from the hands. Am J Infect Control. 2015 May 01; 43(5):530-2. Isaacson D, Haller B, Leslie H, Roemer M, Winston L. PMID: 25952050.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansCellsPHPublic Health
    23. Burden of Clostridium difficile infection in the United States. N Engl J Med. 2015 Feb 26; 372(9):825-34. Lessa FC, Mu Y, Bamberg WM, Beldavs ZG, Dumyati GK, Dunn JR, Farley MM, Holzbauer SM, Meek JI, Phipps EC, Wilson LE, Winston LG, Cohen JA, Limbago BM, Fridkin SK, Gerding DN, McDonald LC. PMID: 25714160.
      View in: PubMed   Mentions: 558     Fields:    Translation:HumansCellsPHPublic Health
    24. A Critical Evaluation of Healthcare-Associated Pneumonia and the Need for Anti-pseudomonal Therapy, Including Double Coverage. Current Emergency and Hospital Medicine Reports. 2014 Dec 1; 2(4):196-204. Rita P. Nguyen, Lisa G. Winston. .
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    25. Determinants of Clostridium difficile Infection Incidence Across Diverse United States Geographic Locations. Open Forum Infect Dis. 2014 Sep; 1(2):ofu048. Lessa FC, Mu Y, Winston LG, Dumyati GK, Farley MM, Beldavs ZG, Kast K, Holzbauer SM, Meek JI, Cohen J, McDonald LC, Fridkin SK. PMID: 25734120.
      View in: PubMed   Mentions:
    26. NAP1 strain type predicts outcomes from Clostridium difficile infection. Clin Infect Dis. 2014 May; 58(10):1394-400. See I, Mu Y, Cohen J, Beldavs ZG, Winston LG, Dumyati G, Holzbauer S, Dunn J, Farley MM, Lyons C, Johnston H, Phipps E, Perlmutter R, Anderson L, Gerding DN, Lessa FC. PMID: 24604900.
      View in: PubMed   Mentions: 54     Fields:    Translation:HumansCellsPHPublic Health
    27. Clostridium difficile infection among children across diverse US geographic locations. Pediatrics. 2014 Apr; 133(4):651-8. Wendt JM, Cohen JA, Mu Y, Dumyati GK, Dunn JR, Holzbauer SM, Winston LG, Johnston HL, Meek JI, Farley MM, Wilson LE, Phipps EC, Beldavs ZG, Gerding DN, McDonald LC, Gould CV, Lessa FC. PMID: 24590748.
      View in: PubMed   Mentions: 27     Fields:    Translation:HumansCells
    28. 524National estimates of incidence, recurrence, hospitalization, and death of nursing home-onset Clostridium difficile infections — United States, 2012. Open Forum Infectious Diseases. 2014 Jan 1; 1(Suppl 1):s16-s16. Jennifer C. Hunter, Yi Mu, Ghinwa K. Dumyati, Monica M. Farley, Lisa G. Winston, Helen L. Johnston, James I. Meek, Lucy E. Wilson, M Stacy, Zintars G. Beldavs, Erin C. Phipps, John R. Dunn, Jessica a. Cohen, Nimalie D. Stone, L. Clifford Mcdonald, Fernanda C. Lessa. .
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    29. Effect of nucleic acid amplification testing on population-based incidence rates of Clostridium difficile infection. Clin Infect Dis. 2013 Nov; 57(9):1304-7. Gould CV, Edwards JR, Cohen J, Bamberg WM, Clark LA, Farley MM, Johnston H, Nadle J, Winston L, Gerding DN, McDonald LC, Lessa FC. PMID: 23899677.
      View in: PubMed   Mentions: 23     Fields:    Translation:Humans
    30. Epidemiology of community-associated Clostridium difficile infection, 2009 through 2011. JAMA Intern Med. 2013 Jul 22; 173(14):1359-67. Chitnis AS, Holzbauer SM, Belflower RM, Winston LG, Bamberg WM, Lyons C, Farley MM, Dumyati GK, Wilson LE, Beldavs ZG, Dunn JR, Gould LH, MacCannell DR, Gerding DN, McDonald LC, Lessa FC. PMID: 23780507.
      View in: PubMed   Mentions: 119     Fields:    Translation:HumansCellsPHPublic Health
    31. Risk factors for methicillin-resistant Staphylococcus aureus in patients with community-onset and hospital-onset pneumonia. Respir Med. 2013 Aug; 107(8):1266-70. Wooten DA, Winston LG. PMID: 23756035.
      View in: PubMed   Mentions: 13     Fields:    Translation:HumansCells
    32. Does doxycycline protect against development of Clostridium difficile infection? Clin Infect Dis. 2012 Sep; 55(5):615-20. Doernberg SB, Winston LG, Deck DH, Chambers HF. PMID: 22563022.
      View in: PubMed   Mentions: 16     Fields:    Translation:HumansCells
    33. Risk factors for acquisition of extended-spectrum ß-lactamase-producing Escherichia coli in an urban county hospital. Am J Infect Control. 2012 Mar; 40(2):123-7. Doernberg SB, Winston LG. PMID: 21775020.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansCells
    34. Predictors of pneumonia severity in HIV-infected adults admitted to an Urban public hospital. AIDS Patient Care STDS. 2011 May; 25(5):273-7. Chew KW, Yen IH, Li JZ, Winston LG. PMID: 21488749.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    35. Coming home with MRSA. Arch Intern Med. 2009 Aug 10; 169(15):1379-80. Winston L, Chambers H. PMID: 19667300.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCellsPHPublic Health
    36. Antimicrobial Resistance in Staphylococci: Mechanisms of Resistance and Clinical Implications. Antimicrobial Drug Resistance. 2009 Jan 1; 735-748. Lisa G. Winston, Henry F. Chambers. .
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    37. CHAPTER 81 ENDOCARDITIS. Pharmacology and Therapeutics. 2009 Jan 1; 1121-1140. Lisa G. Winston, Daniel Deck, Ann F. Bolger. .
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    38. Infective endocarditis in an urban medical center: association of individual drugs with valvular involvement. J Infect. 2008 Aug; 57(2):132-8. Jain V, Yang MH, Kovacicova-Lezcano G, Juhle LS, Bolger AF, Winston LG. PMID: 18597851.
      View in: PubMed   Mentions: 19     Fields:    Translation:HumansCells
    39. Clinical failures of appropriately-treated methicillin-resistant Staphylococcus aureus infections. J Infect. 2008 Aug; 57(2):110-5. Dombrowski JC, Winston LG. PMID: 18533269.
      View in: PubMed   Mentions: 19     Fields:    Translation:HumansCells
    40. Efficacy of short-course antibiotic regimens for community-acquired pneumonia: a meta-analysis. Am J Med. 2007 Sep; 120(9):783-90. Li JZ, Winston LG, Moore DH, Bent S. PMID: 17765048.
      View in: PubMed   Mentions: 23     Fields:    Translation:Humans
    41. False-positive culture results from patient tissue specimens due to contamination of RPMI medium with Cryptococcus albidus. J Clin Microbiol. 2007 May; 45(5):1604-6. Winston LG, Roemer M, Goodman C, Haller B. PMID: 17314221.
      View in: PubMed   Mentions:    Fields:    Translation:HumansAnimals
    42. Preoperative use of mupirocin for the prevention of healthcare-associated Staphylococcus aureus infections: a cost-effectiveness analysis. Infect Control Hosp Epidemiol. 2006 Dec; 27(12):1304-12. Young LS, Winston LG. PMID: 17152027.
      View in: PubMed   Mentions: 7     Fields:    Translation:Cells
    43. Phase II, randomized, double-blind, multicenter study comparing the safety and pharmacokinetics of tefibazumab to placebo for treatment of Staphylococcus aureus bacteremia. Antimicrob Agents Chemother. 2006 Aug; 50(8):2751-5. Weems JJ, Steinberg JP, Filler S, Baddley JW, Corey GR, Sampathkumar P, Winston L, John JF, Kubin CJ, Talwani R, Moore T, Patti JM, Hetherington S, Texter M, Wenzel E, Kelley VA, Fowler VG. PMID: 16870768.
      View in: PubMed   Mentions: 45     Fields:    Translation:HumansCellsCTClinical Trials
    44. Modern epidemiology, prophylaxis, and diagnosis and therapy for infective endocarditis. Curr Cardiol Rep. 2006 Mar; 8(2):102-8. Winston LG, Bolger AF. PMID: 16524536.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    45. Impact of a piperacillin-tazobactam shortage on antimicrobial prescribing and the rate of vancomycin-resistant enterococci and Clostridium difficile infections. Pharmacotherapy. 2006 Jan; 26(1):61-7. Mendez MN, Gibbs L, Jacobs RA, McCulloch CE, Winston L, Guglielmo BJ. PMID: 16509027.
      View in: PubMed   Mentions: 10     Fields:    Translation:HumansCells
    46. Introduction of a waterless hand gel was associated with a reduced rate of ventilator-associated pneumonia in a surgical intensive care unit. Infect Control Hosp Epidemiol. 2004 Dec; 25(12):1015-6. Winston LG, Felt SC, Huang WH, Chambers HF. PMID: 15636285.
      View in: PubMed   Mentions:    Fields:    Translation:HumansPHPublic Health
    47. Impact of a formulary switch from ticarcillin-clavulanate to piperacillin-tazobactam on colonization with vancomycin-resistant enterococci. Am J Infect Control. 2004 Dec; 32(8):462-9. Winston LG, Charlebois ED, Pang S, Bangsberg DR, Perdreau-Remington F, Chambers HF. PMID: 15573053.
      View in: PubMed   Mentions: 7     Fields:    Translation:HumansCells
    48. Clinical, epidemiologic, and molecular evaluation of a clonal outbreak of methicillin-resistant Staphylococcus aureus infection. Clin Infect Dis. 2004 Apr 15; 38(8):1075-83. Young LS, Perdreau-Remington F, Winston LG. PMID: 15095210.
      View in: PubMed   Mentions: 9     Fields:    Translation:HumansCellsPHPublic Health
    49. API 20 strep identification system may incorrectly speciate enterococci with low level resistance to vancomycin. Diagn Microbiol Infect Dis. 2004 Apr; 48(4):287-8. Winston LG, Pang S, Haller BL, Wong M, Chambers HF, Perdreau-Remington F. PMID: 15062923.
      View in: PubMed   Mentions: 4     Fields:    Translation:HumansCells
    50. Mupirocin prophylaxis misses by a nose. Ann Intern Med. 2004 Mar 16; 140(6):484-5. Chambers HF, Winston LG. PMID: 15023716.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansCells
    51. Once-daily dosing of aminoglycosides: how much monitoring is truly required? Am J Med. 2003 Feb 15; 114(3):239-40. Winston L, Benowitz N. PMID: 12637142.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    52. Epidemiology of vancomycin-resistant Enterococcus faecium under a selective isolation policy at an urban county hospital. Am J Infect Control. 2002 Nov; 30(7):400-6. Winston LG, Bangsberg DR, Chambers HF, Felt SC, Rosen JI, Charlebois ED, Wong M, Steele L, Gerberding JL, Perdreau-Remington F. PMID: 12410216.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCellsPHPublic Health
    53. Penicillin-nonsusceptible Streptococcus pneumoniae at San Francisco General Hospital. Clin Infect Dis. 1999 Sep; 29(3):580-5. Winston LG, Perlman JL, Rose DA, Gerberding JL. PMID: 10530451.
      View in: PubMed   Mentions: 6     Fields:    Translation:HumansCells
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