Full Text Journal Articles by
Author Stephen P Furmanek

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Socioeconomic Position and the Incidence, Severity, and Clinical Outcomes of Hospitalized Patients With Community-Acquired Pneumonia.

Timothy L Wiemken, Ruth M Carrico, Stephen P Furmanek, Brian E Guinn, William A Mattingly, Paula Peyrani, Julio A Ramirez,

OBJECTIVES:The influence of socioeconomic disparities on adults with pneumonia is not well understood. The objective of our study was to evaluate the relationship between community-level socioeconomic position, as measured by an area deprivation index, and the incidence, severity, and outcomes among adults with community-acquired pneumonia (CAP). METHODS:This was an ancillary ... Read more >>

Public Health Rep (Public health reports (Washington, D.C. : 1974))
[2020, 135(3):364-371]

Cited: 0 times

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Googling your hand hygiene data: Using Google Forms, Google Sheets, and R to collect and automate analysis of hand hygiene compliance monitoring.

Timothy L Wiemken, Stephen P Furmanek, William A Mattingly, Janet Haas, Julio A Ramirez, Ruth M Carrico,

BACKGROUND:Hand hygiene is one of the most important interventions in the quest to eliminate healthcare-associated infections, and rates in healthcare facilities are markedly low. Since hand hygiene observation and feedback are critical to improve adherence, we created an easy-to-use, platform-independent hand hygiene data collection process and an automated, on-demand reporting ... Read more >>

Am J Infect Control (American journal of infection control)
[2018, 46(6):617-619]

Cited: 0 times

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Antibiotic Timing and Outcomes in Sepsis.

Richard Y Kim, Alex M Ng, Annuradha K Persaud, Stephen P Furmanek, Yash N Kothari, John D Price, Timothy L Wiemken, Mohamed A Saad, Juan J Guardiola, Rodrigo S Cavallazzi,

BACKGROUND:We evaluated the effect of time spent in the emergency department (ED) and process of care on mortality and length of hospital stay in patients with sepsis or septic shock. METHODS:An observational cohort study was conducted on 117 patients who came through the University of Louisville Hospital ED and subsequently ... Read more >>

Am. J. Med. Sci. (The American journal of the medical sciences)
[2018, 355(6):524-529]

Cited: 1 time

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Enteral nutrition as stress ulcer prophylaxis in critically ill patients: A randomized controlled exploratory study.

Karim El-Kersh, Bilal Jalil, Stephen A McClave, Rodrigo Cavallazzi, Juan Guardiola, Karen Guilkey, Annuradha K Persaud, Stephen P Furmanek, Brian E Guinn, Timothy L Wiemken, Bashar Chihada Alhariri, Scott P Kellie, Mohamed Saad,

PURPOSE:We investigated whether early enteral nutrition alone may be sufficient prophylaxis against stress-related gastrointestinal (GI) bleeding in mechanically ventilated patients. MATERIALS AND METHODS:Prospective, double blind, randomized, placebo-controlled, exploratory study that included mechanically ventilated patients in medical ICUs of two academic hospitals. Intravenous pantoprazole and early enteral nutrition were compared to ... Read more >>

J Crit Care (Journal of critical care)
[2018, 43:108-113]

Cited: 8 times

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Adults Hospitalized With Pneumonia in the United States: Incidence, Epidemiology, and Mortality.

Julio A Ramirez, Timothy L Wiemken, Paula Peyrani, Forest W Arnold, Robert Kelley, William A Mattingly, Raul Nakamatsu, Senen Pena, Brian E Guinn, Stephen P Furmanek, Annuradha K Persaud, Anupama Raghuram, Francisco Fernandez, Leslie Beavin, Rahel Bosson, Rafael Fernandez-Botran, Rodrigo Cavallazzi, Jose Bordon, Claudia Valdivieso, Joann Schulte, Ruth M Carrico, ,

Understanding the burden of community-acquired pneumonia (CAP) is critical to allocate resources for prevention, management, and research. The objectives of this study were to define incidence, epidemiology, and mortality of adult patients hospitalized with CAP in the city of Louisville, and to estimate burden of CAP in the US adult ... Read more >>

Clin. Infect. Dis. (Clinical infectious diseases : an official publication of the Infectious Diseases Society of America)
[2017, 65(11):1806-1812]

Cited: 32 times

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The Effects of Kentucky's Comprehensive Opioid Legislation on Patients Presenting with Prescription Opioid or Heroin Abuse to One Urban Emergency Department.

Kiran A Faryar, Clifford L Freeman, Annuradha K Persaud, Stephen P Furmanek, Brian E Guinn, William A Mattingly, Timothy L Wiemken, Kimberley A Buckner, Martin R Huecker,

Prescription opioid abuse has increased to epidemic proportions in the United States. Kentucky, along with other states, passed comprehensive legislation to monitor and curb opioid prescribing.This paper characterizes patients who presented to the emergency department (ED) after abusing prescription opioids and heroin prior to and after the passage of House ... Read more >>

J Emerg Med (The Journal of emergency medicine)
[2017, 53(6):805-814]

Cited: 2 times

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Methods for computational disease surveillance in infection prevention and control: Statistical process control versus Twitter's anomaly and breakout detection algorithms.

Timothy L Wiemken, Stephen P Furmanek, William A Mattingly, Marc-Oliver Wright, Annuradha K Persaud, Brian E Guinn, Ruth M Carrico, Forest W Arnold, Julio A Ramirez,

BACKGROUND:Although not all health care-associated infections (HAIs) are preventable, reducing HAIs through targeted intervention is key to a successful infection prevention program. To identify areas in need of targeted intervention, robust statistical methods must be used when analyzing surveillance data. The objective of this study was to compare and contrast ... Read more >>

Am J Infect Control (American journal of infection control)
[2018, 46(2):124-132]

Cited: 0 times

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Using cluster analysis of cytokines to identify patterns of inflammation in hospitalized patients with community-acquired pneumonia: a pilot study.

Timothy L Wiemken, Robert R Kelley, Rafael Fernandez-Botran, William A Mattingly, Forest W Arnold, Stephen P Furmanek, Marcos I Restrepo, James D Chalmers, Paula Peyrani, Rodrigo Cavallazzi, Jose Bordon, Stefano Aliberti, Julio A Ramirez,

Patients with severe community-acquired pneumonia (CAP) are believed to have an exaggerated inflammatory response to bacterial infection. Therapies aiming to modulate the inflammatory response have been largely unsuccessful, perhaps reflecting that CAP is a heterogeneous disorder that cannot be modulated by a single anti-inflammatory approach. We hypothesize that the host ... Read more >>

Univ Louisville J Respir Infect (The University of Louisville journal of respiratory infections)
[2017, 1(1):3-11]

Cited: 1 time

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Process control charts in infection prevention: Make it simple to make it happen.

Timothy L Wiemken, Stephen P Furmanek, Ruth M Carrico, William A Mattingly, Annuradha K Persaud, Brian E Guinn, Robert R Kelley, Julio A Ramirez,

Quality improvement is central to Infection Prevention and Control (IPC) programs. Challenges may occur when applying quality improvement methodologies like process control charts, often due to the limited exposure of typical IPs. Because of this, our team created an open-source database with a process control chart generator for IPC programs. ... Read more >>

Am J Infect Control (American journal of infection control)
[2017, 45(3):216-221]

Cited: 0 times

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Disinfectant sprays versus wipes: Applications in behavioral health.

Timothy L Wiemken, Whitney Powell, Ruth M Carrico, William A Mattingly, Robert R Kelley, Stephen P Furmanek, Debra Johnson, Julio A Ramirez,

We evaluated the utility and usability of a spray and a wipe-based cleaner/disinfectant in a behavioral health setting where health care providers institute cleaning and disinfection procedures. The spray-based version resulted in significantly lower adenosine triphosphate readings after use compared with the wipe version. Staff surveys indicated that users preferred ... Read more >>

Am J Infect Control (American journal of infection control)
[2016, 44(12):1698-1699]

Cited: 0 times

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