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Mitigating and preventing hepatitis B virus exposures during hemodialysis across a large regional health system.

Lesho EP, Hix J, Bronstein M, Shastry S, Hanna J, Scroggins G, Grieff M.

Infect Control Hosp Epidemiol. 2019 Sep;40(9):1066-1069. doi: 10.1017/ice.2019.164. Epub 2019 Jun 20. No abstract available.


The Slow-Motion Catastrophe of Antimicrobial Resistance and Practical Interventions for All Prescribers.

Lesho EP, Laguio-Vila M.

Mayo Clin Proc. 2019 Jun;94(6):1040-1047. doi: 10.1016/j.mayocp.2018.11.005. Epub 2019 Mar 25. Review.


Semi-Automated Visualization and ANalysis of Trends: A "SAVANT" for Facilitating Antimicrobial Stewardship Using Antistaphylococcal Resistance and Consumption as a Prototype.

Clifford RJ, Chukwuma U, Sparks ME, Richesson D, Neumann CV, Waterman PE, Moran-Gilad J, Julius MD, Hinkle MK, Lesho EP.

Open Forum Infect Dis. 2018 Mar 23;5(4):ofy066. doi: 10.1093/ofid/ofy066. eCollection 2018 Apr.


Dialysis Without Borders.

Lesho E, Hix J, Bronstein M, Shastry S, Grieff M.

Ann Intern Med. 2018 Dec 18;169(12):895. doi: 10.7326/L18-0524. No abstract available.


A Rapidly Fatal Infection With Haemophilus influenzae Serotype E Harboring bla ROB-1: The Dilemma of Safe De-escalation in the Setting of Potential Extended-Spectrum β-Lactamase Production.

Hanna J, Ogunsesan Y, Snesrud E, Maybank R, Ong A, Kwak Y, Jones A, McGann P, Lesho E.

Open Forum Infect Dis. 2018 Nov 12;5(12):ofy302. doi: 10.1093/ofid/ofy302. eCollection 2018 Dec. No abstract available.


An intervention to control an ICU outbreak of carbapenem-resistant Acinetobacter baumannii: long-term impact for the ICU and hospital.

Ben-Chetrit E, Wiener-Well Y, Lesho E, Kopuit P, Broyer C, Bier L, Assous MV, Benenson S, Cohen MJ, McGann PT, Snesrud E, Levin PD.

Crit Care. 2018 Nov 21;22(1):319. doi: 10.1186/s13054-018-2247-y.


Clinical and Genomic Features of the First Cases of Elizabethkingia anophelis Infection in New York, Including the First Case in a Healthy Infant Without Previous Nosocomial Exposure.

Snesrud E, McGann P, Walsh E, Ong A, Maybank R, Kwak Y, Campbell J, Jones A, Vore K, Hinkle M, Lesho E.

J Pediatric Infect Dis Soc. 2019 Jul 1;8(3):269-271. doi: 10.1093/jpids/piy071.


Multidrug resistant pathogens respond differently to the presence of co-pathogen, commensal, probiotic and host cells.

Chan AP, Choi Y, Brinkac LM, Krishnakumar R, DePew J, Kim M, Hinkle MK, Lesho EP, Fouts DE.

Sci Rep. 2018 Jun 5;8(1):8656. doi: 10.1038/s41598-018-26738-1.


Got GAS? Ease the Bloat with Real-Time Whole-Genome Sequencing.

Lesho EP, Snesrud E, Bronstein M, Pettis M, Ong A, Maybank R, Kwak Y, Jones A, Vore K, McGann P, Hinkle M.

Infect Control Hosp Epidemiol. 2018 Jun;39(6):760-762. doi: 10.1017/ice.2018.73. Epub 2018 Apr 2. No abstract available.


Importation, Mitigation, and Genomic Epidemiology of Candida auris at a Large Teaching Hospital.

Lesho EP, Bronstein MZ, McGann P, Stam J, Kwak Y, Maybank R, McNamara J, Callahan M, Campbell J, Hinkle MK, Walsh EE.

Infect Control Hosp Epidemiol. 2018 Jan;39(1):53-57. doi: 10.1017/ice.2017.231. Epub 2017 Dec 6.


Pseudomonas Endocarditis with an unstable phenotype: the challenges of isolate characterization and Carbapenem stewardship with a partial review of the literature.

Lesho E, Snesrud E, Kwak Y, Ong A, Maybank R, Laguio-Vila M, Falsey AR, Hinkle M.

Antimicrob Resist Infect Control. 2017 Aug 29;6:87. doi: 10.1186/s13756-017-0245-5. eCollection 2017.


A 33year-old woman with calciphylaxis, diabetic kidney disease and abdominal pain.

Sanchez D, Phan A, Lesho E.

Eur J Intern Med. 2018 Jan;47:e7-e8. doi: 10.1016/j.ejim.2017.04.028. Epub 2017 May 13. No abstract available.


Consumption of Chlorhexidine and Mupirocin Across the Health System of the US Department of Defense (DOD) and the Incidence of the qacA/B and mupA Genes in the DOD Facilities of the National Capital Region.

Morgan M, McGann P, Gierhart S, Chukwuma U, Richesson D, Hinkle M, Lesho E.

Clin Infect Dis. 2017 Jun 15;64(12):1801-1802. doi: 10.1093/cid/cix276. No abstract available.


Analysis of Serial Isolates of mcr-1-Positive Escherichia coli Reveals a Highly Active ISApl1 Transposon.

Snesrud E, Ong AC, Corey B, Kwak YI, Clifford R, Gleeson T, Wood S, Whitman TJ, Lesho EP, Hinkle M, McGann P.

Antimicrob Agents Chemother. 2017 Apr 24;61(5). pii: e00056-17. doi: 10.1128/AAC.00056-17. Print 2017 May.


Whole-Genome Analysis of Bartonella ancashensis, a Novel Pathogen Causing Verruga Peruana, Rural Ancash Region, Peru.

Mullins KE, Hang J, Clifford RJ, Onmus-Leone F, Yang Y, Jiang J, Leguia M, Kasper MR, Maguina C, Lesho EP, Jarman RG, Richards A, Blazes D.

Emerg Infect Dis. 2017 Mar;23(3):430-438. doi: 10.3201/eid2303.161476.


In Vivo Fitness Adaptations of Colistin-Resistant Acinetobacter baumannii Isolates to Oxidative Stress.

Jones CL, Singh SS, Alamneh Y, Casella LG, Ernst RK, Lesho EP, Waterman PE, Zurawski DV.

Antimicrob Agents Chemother. 2017 Feb 23;61(3). pii: e00598-16. doi: 10.1128/AAC.00598-16. Print 2017 Mar.


Erratum for McGann et al., Escherichia coli Harboring mcr-1 and blaCTX-M on a Novel IncF Plasmid: First Report of mcr-1 in the United States.

McGann P, Snesrud E, Maybank R, Corey B, Ong AC, Clifford R, Hinkle M, Whitman T, Lesho E, Schaecher KE.

Antimicrob Agents Chemother. 2016 Jul 22;60(8):5107. doi: 10.1128/AAC.01353-16. Print 2016 Aug. No abstract available.


In vivo efficacy of humanized high dose meropenem and comparators against Pseudomonas aeruginosa isolates producing verona integron-encoded metallo-β-lactamase (VIM).

Ghazi IM, Crandon JL, Lesho EP, McGann P, Nicolau DP.

Heliyon. 2016 Jun 16;2(6):e00121. doi: 10.1016/j.heliyon.2016.e00121. eCollection 2016 Jun.


From the Battlefield to the Bedside: Supporting Warfighter and Civilian Health With the "ART" of Whole Genome Sequencing for Antibiotic Resistance and Outbreak Investigations.

Lesho E, Lin X, Clifford R, Snesrud E, Onmus-Leone F, Appalla L, Ong A, Maybank R, Nielsen L, Kwak Y, Hinkle M, Turco J, Marin JA, Hooks S, Matthews S, Hyland S, Little J, Waterman P, McGann P.

Mil Med. 2016 Jul;181(7):621-4. doi: 10.7205/MILMED-D-15-00197.


Escherichia coli Harboring mcr-1 and blaCTX-M on a Novel IncF Plasmid: First Report of mcr-1 in the United States.

McGann P, Snesrud E, Maybank R, Corey B, Ong AC, Clifford R, Hinkle M, Whitman T, Lesho E, Schaecher KE.

Antimicrob Agents Chemother. 2016 Jun 20;60(7):4420-1. doi: 10.1128/AAC.01103-16. Print 2016 Jul. No abstract available. Erratum in: Antimicrob Agents Chemother. 2016 Aug;60(8):5107.


For Rapid Molecular Detection, Why Not a Whole Genome Approach?

Lesho EP, Clifford RJ.

Clin Infect Dis. 2016 Aug 15;63(4):570-1. doi: 10.1093/cid/ciw332. Epub 2016 May 25. No abstract available.


Correlating Cleaning Thoroughness with Effectiveness and Briefly Intervening to Affect Cleaning Outcomes: How Clean Is Cleaned?

Clifford R, Sparks M, Hosford E, Ong A, Richesson D, Fraser S, Kwak Y, Miller S, Julius M, McGann P, Lesho E.

PLoS One. 2016 May 19;11(5):e0155779. doi: 10.1371/journal.pone.0155779. eCollection 2016.


The Challenges of Implementing Next Generation Sequencing Across a Large Healthcare System, and the Molecular Epidemiology and Antibiotic Susceptibilities of Carbapenemase-Producing Bacteria in the Healthcare System of the U.S. Department of Defense.

Lesho E, Clifford R, Onmus-Leone F, Appalla L, Snesrud E, Kwak Y, Ong A, Maybank R, Waterman P, Rohrbeck P, Julius M, Roth A, Martinez J, Nielsen L, Steele E, McGann P, Hinkle M.

PLoS One. 2016 May 19;11(5):e0155770. doi: 10.1371/journal.pone.0155770. eCollection 2016.


Real time application of whole genome sequencing for outbreak investigation - What is an achievable turnaround time?

McGann P, Bunin JL, Snesrud E, Singh S, Maybank R, Ong AC, Kwak YI, Seronello S, Clifford RJ, Hinkle M, Yamada S, Barnhill J, Lesho E.

Diagn Microbiol Infect Dis. 2016 Jul;85(3):277-282. doi: 10.1016/j.diagmicrobio.2016.04.020. Epub 2016 Apr 30.


Anatomic, Geographic, and Taxon-Specific Relative Risks of Carbapenem Resistance in the Health Care System of the U.S. Department of Defense.

Lesho E, Chukwuma U, Sparks M, Neumann C, Richesson D, Clifford R, Gierhart S, Waterman P, Hinkle M.

J Clin Microbiol. 2016 Jun;54(6):1546-1551. doi: 10.1128/JCM.00359-16. Epub 2016 Mar 30.


How Next-Generation Sequencing Might Not Transform Infectious Disease Practice.

Lesho EP.

Clin Infect Dis. 2016 Apr 15;62(8):1052-3. doi: 10.1093/cid/ciw008. Epub 2016 Feb 6. No abstract available.


Complete Genome Sequence of Bartonella ancashensis Strain 20.00, Isolated from the Blood of a Patient with Verruga Peruana.

Hang J, Mullins KE, Clifford RJ, Onmus-Leone F, Yang Y, Jiang J, Leguia M, Kasper MR, Maguiña C, Lesho EP, Jarman RG, Richards AL, Blazes D.

Genome Announc. 2015 Nov 5;3(6). pii: e01217-15. doi: 10.1128/genomeA.01217-15.


Detecting 16S rRNA Methyltransferases in Enterobacteriaceae by Use of Arbekacin.

McGann P, Chahine S, Okafor D, Ong AC, Maybank R, Kwak YI, Wilson K, Zapor M, Lesho E, Hinkle M.

J Clin Microbiol. 2016 Jan;54(1):208-11. doi: 10.1128/JCM.02642-15. Epub 2015 Nov 4.


Efficacy of humanized high-dose meropenem, cefepime, and levofloxacin against Enterobacteriaceae isolates producing Verona integron-encoded metallo-β-lactamase (VIM) in a murine thigh infection model.

Ghazi IM, Crandon JL, Lesho EP, McGann P, Nicolau DP.

Antimicrob Agents Chemother. 2015 Nov;59(11):7145-7. doi: 10.1128/AAC.00794-15. Epub 2015 Sep 28.


Kitona 2013: A Medical Readiness Training Exercise in the Democratic Republic of the Congo Leading to Lion Rouge.

Hesse E, Okito EA, Mann K, McCullough M, Lesho E.

J Spec Oper Med. 2015 Fall;15(3):54-9.


A novel method of consensus pan-chromosome assembly and large-scale comparative analysis reveal the highly flexible pan-genome of Acinetobacter baumannii.

Chan AP, Sutton G, DePew J, Krishnakumar R, Choi Y, Huang XZ, Beck E, Harkins DM, Kim M, Lesho EP, Nikolich MP, Fouts DE.

Genome Biol. 2015 Jul 21;16:143. doi: 10.1186/s13059-015-0701-6.


Relationships among cleaning, environmental DNA, and healthcare-associated infections in a new evidence-based design hospital.

Lesho E, Carling P, Hosford E, Ong A, Snesrud E, Sparks M, Onmus-Leone F, Dzialowy N, Fraser S, Kwak Y, Miller S, Chukwuma U, Julius M, McGann P, Clifford R.

Infect Control Hosp Epidemiol. 2015 Oct;36(10):1130-8. doi: 10.1017/ice.2015.151. Epub 2015 Jul 8.


An 11,000-isolate same plate/same day comparison of the 3 most widely used platforms for analyzing multidrug-resistant clinical pathogens.

Nielsen LE, Clifford RJ, Kwak Y, Preston L, Argyros C, Rabinowitz R, Waterman P, Lesho E.

Diagn Microbiol Infect Dis. 2015 Oct;83(2):93-8. doi: 10.1016/j.diagmicrobio.2015.05.018. Epub 2015 Jun 11.


War wound treatment complications due to transfer of an IncN plasmid harboring bla(OXA-181) from Morganella morganii to CTX-M-27-producing sequence type 131 Escherichia coli.

McGann P, Snesrud E, Ong AC, Appalla L, Koren M, Kwak YI, Waterman PE, Lesho EP.

Antimicrob Agents Chemother. 2015;59(6):3556-62. doi: 10.1128/AAC.04442-14. Epub 2015 Apr 13.


Fatal outbreak of an emerging clone of extensively drug-resistant Acinetobacter baumannii with enhanced virulence.

Jones CL, Clancy M, Honnold C, Singh S, Snesrud E, Onmus-Leone F, McGann P, Ong AC, Kwak Y, Waterman P, Zurawski DV, Clifford RJ, Lesho E.

Clin Infect Dis. 2015 Jul 15;61(2):145-54. doi: 10.1093/cid/civ225. Epub 2015 Mar 29.


Correction for Milillo et al., Rapid and simultaneous detection of blaKPC and blaNDM by use of multiplex real-time PCR.

Milillo M, Kwak YI, Snesrud E, Waterman PE, Lesho E, McGann P.

J Clin Microbiol. 2015 Apr;53(4):1460. doi: 10.1128/JCM.00373-15. No abstract available.


Editorial commentary: fighting ebola and advancing knowledge on the front lines in a capital city.

Lesho EP.

Clin Infect Dis. 2015 Jun 15;60(12):1825-7. doi: 10.1093/cid/civ204. Epub 2015 Mar 13. No abstract available.


The state of antimicrobial resistance surveillance in the military health system: a review of improvements made in the last 10 years and remaining surveillance gaps.

Chandrasekera RM, Lesho EP, Chukwuma U, Cummings JF, Waterman PE.

Mil Med. 2015 Feb;180(2):145-50. doi: 10.7205/MILMED-D-14-00297. Review.


US Ebola case: an example of the misuse of antibiotics and a reminder for better stewardship.

Lesho EP.

Mayo Clin Proc. 2015 Jan;90(1):161. doi: 10.1016/j.mayocp.2014.11.001. No abstract available.


Carbapenem-resistant Enterobacteriaceae and the correlation between carbapenem and fluoroquinolone usage and resistance in the US military health system.

Lesho EP, Clifford RJ, Chukwuma U, Kwak YI, Maneval M, Neumann C, Xie S, Nielsen LE, Julius MD, McGann P, Waterman PE.

Diagn Microbiol Infect Dis. 2015 Feb;81(2):119-25. doi: 10.1016/j.diagmicrobio.2014.09.017. Epub 2014 Sep 28.


IS5 element integration, a novel mechanism for rapid in vivo emergence of tigecycline nonsusceptibility in Klebsiella pneumoniae.

Nielsen LE, Snesrud EC, Onmus-Leone F, Kwak YI, Avilés R, Steele ED, Sutter DE, Waterman PE, Lesho EP.

Antimicrob Agents Chemother. 2014 Oct;58(10):6151-6. doi: 10.1128/AAC.03053-14. Epub 2014 Aug 4.


AB5075, a Highly Virulent Isolate of Acinetobacter baumannii, as a Model Strain for the Evaluation of Pathogenesis and Antimicrobial Treatments.

Jacobs AC, Thompson MG, Black CC, Kessler JL, Clark LP, McQueary CN, Gancz HY, Corey BW, Moon JK, Si Y, Owen MT, Hallock JD, Kwak YI, Summers A, Li CZ, Rasko DA, Penwell WF, Honnold CL, Wise MC, Waterman PE, Lesho EP, Stewart RL, Actis LA, Palys TJ, Craft DW, Zurawski DV.

MBio. 2014 May 27;5(3):e01076-14. doi: 10.1128/mBio.01076-14.


The antimicrobial resistance monitoring and research (ARMoR) program: the US Department of Defense response to escalating antimicrobial resistance.

Lesho EP, Waterman PE, Chukwuma U, McAuliffe K, Neumann C, Julius MD, Crouch H, Chandrasekera R, English JF, Clifford RJ, Kester KE.

Clin Infect Dis. 2014 Aug 1;59(3):390-7. doi: 10.1093/cid/ciu319. Epub 2014 May 1.


Amplification of aminoglycoside resistance gene aphA1 in Acinetobacter baumannii results in tobramycin therapy failure.

McGann P, Courvalin P, Snesrud E, Clifford RJ, Yoon EJ, Onmus-Leone F, Ong AC, Kwak YI, Grillot-Courvalin C, Lesho E, Waterman PE.

MBio. 2014 Apr 22;5(2):e00915. doi: 10.1128/mBio.00915-14.


Profiling of human acquired immunity against the salivary proteins of Phlebotomus papatasi reveals clusters of differential immunoreactivity.

Geraci NS, Mukbel RM, Kemp MT, Wadsworth MN, Lesho E, Stayback GM, Champion MM, Bernard MA, Abo-Shehada M, Coutinho-Abreu IV, Ramalho-Ortigão M, Hanafi HA, Fawaz EY, El-Hossary SS, Wortmann G, Hoel DF, McDowell MA.

Am J Trop Med Hyg. 2014 May;90(5):923-938. doi: 10.4269/ajtmh.13-0130. Epub 2014 Mar 10.


Collaborative medical engagement and needs assessment in the Democratic Republic of the Congo: a preliminary report from Muanda.

Lesho E, Okito EA, Mann K, McCullough M, Hesse E.

Am J Trop Med Hyg. 2014 Apr;90(4):774-6. doi: 10.4269/ajtmh.13-0528. Epub 2014 Feb 17.


Rapid and simultaneous detection of the chlorhexidine and mupirocin resistance genes qacA/B and mupA in clinical isolates of methicillin-resistant Staphylococcus aureus.

Mc Gann P, Milillo M, Kwak YI, Quintero R, Waterman PE, Lesho E.

Diagn Microbiol Infect Dis. 2013 Nov;77(3):270-2. doi: 10.1016/j.diagmicrobio.2013.06.006. Epub 2013 Sep 10.


Bacterial peritonitis due to Acinetobacter baumannii sequence type 25 with plasmid-borne new delhi metallo-β-lactamase in Honduras.

Waterman PE, McGann P, Snesrud E, Clifford RJ, Kwak YI, Munoz-Urbizo IP, Tabora-Castellanos J, Milillo M, Preston L, Aviles R, Sutter DE, Lesho EP.

Antimicrob Agents Chemother. 2013 Sep;57(9):4584-6. doi: 10.1128/AAC.00275-13. Epub 2013 Jul 1.


Emergence of colistin-resistance in extremely drug-resistant Acinetobacter baumannii containing a novel pmrCAB operon during colistin therapy of wound infections.

Lesho E, Yoon EJ, McGann P, Snesrud E, Kwak Y, Milillo M, Onmus-Leone F, Preston L, St Clair K, Nikolich M, Viscount H, Wortmann G, Zapor M, Grillot-Courvalin C, Courvalin P, Clifford R, Waterman PE.

J Infect Dis. 2013 Oct 1;208(7):1142-51. doi: 10.1093/infdis/jit293. Epub 2013 Jun 28.


Isolation of Leclercia adecarboxylata from an infected war wound in an immune competent patient.

Michael Z, McGann PT, Alao O, Stevenson L, Lesho E, Viscount H.

Mil Med. 2013 Mar;178(3):e390-3. doi: 10.7205/MILMED-D-12-00382.


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