My career goals are to continue as an investigator in patient-oriented research (POR) and to provide mentoring for beginning investigators. My research focuses on the transmission dynamics of multidrug-resistant organisms (MDRO) among hospitalized patients, residents of long term care facilities, and the chronic hemodialysis population. My research has identified key and novel aspects of MDRO transmission and has quantified the most effective prevention strategies aimed at reducing their spread. Methodologies of my POR include large cohort and randomized controlled trials, genotyping of MDRO strains and mathematical modeling. Over the past years, I have built a successful independent research program and have secured National Institute of Health (NIH), Centers for Disease Control and Prevention, and National Science Foundation funding. I have also mentored numerous fellows and junior faculty, who under my mentorship, have obtained their own funding, published in leading journals and have gone on to become independent investigators and obtain academic faculty positions. Since my research crosses several disciplines, I have mentored trainees in a variety of subspecialties, including infectious diseases nephrology, geriatrics and mathematics. This is an optimal time in my career for a K24 award as I have an active research program that focuses on the development and implementation of antimicrobial stewardship programs in long term care facilities and out-patient dialysis units. This research will allow me to provide ample opportunities for trainees to perform research. I have also recently expanded my research area to the analyses of the microbiome and the identification of specific microbial signatures that increase the risk of MDRO acquisition, and have recently submitted an R01 with Dr. Martin Blaser (co-principal investigator), who is dedicated to providing his senior mentorship in this new area of my research. The K24 will allow me the time required to dedicate myself to learning this new field, and the ongoing growth of my research agenda. Lastly, this K24 will also allow me to have protected time to dedicate to the mentoring of trainees, a key component to successful mentoring.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24AI119158-02
Application #
9235244
Study Section
Microbiology and Infectious Diseases B Subcommittee (MID)
Program Officer
Brown, Liliana L
Project Start
2016-03-15
Project End
2021-02-28
Budget Start
2017-03-01
Budget End
2018-02-28
Support Year
2
Fiscal Year
2017
Total Cost
$177,221
Indirect Cost
$12,535
Name
Rhode Island Hospital
Department
Type
Independent Hospitals
DUNS #
075710996
City
Providence
State
RI
Country
United States
Zip Code
02903
D'Agata, Erika M C; Tran, Diana; Bautista, Josef et al. (2018) Clinical and Economic Benefits of Antimicrobial Stewardship Programs in Hemodialysis Facilities: A Decision Analytic Model. Clin J Am Soc Nephrol 13:1389-1397
D'Agata, Erika M C (2018) Addressing the Problem of Multidrug-Resistant Organisms in Dialysis. Clin J Am Soc Nephrol 13:666-668
Snyder, Graham M; McCoy, Christopher; D'Agata, Erika M C (2017) Quantifying Antimicrobial Exposure: Hazards in Populations With End-Stage Renal Disease. Infect Control Hosp Epidemiol 38:360-363
Araos, Rafael; Montgomery, Veronica; Ugalde, Juan A et al. (2017) Microbial Disruption Indices to Detect Colonization With Multidrug-Resistant Organisms. Infect Control Hosp Epidemiol 38:1312-1318
Cunha, Cheston B; D'Agata, Erika M C (2016) Implementing an antimicrobial stewardship program in out-patient dialysis units. Curr Opin Nephrol Hypertens 25:551-555
Araos, Rafael; Tai, Albert K; Snyder, Graham M et al. (2016) Predominance of Lactobacillus spp. Among Patients Who Do Not Acquire Multidrug-Resistant Organisms. Clin Infect Dis 63:937-943
Snyder, Graham M; Patel, Priti R; Kallen, Alexander J et al. (2016) Factors associated with the receipt of antimicrobials among chronic hemodialysis patients. Am J Infect Control 44:1269-1274
Shaffer, Michele L; D'Agata, Erika M C; Habtemariam, Daniel et al. (2016) Examining the relationship between multidrug-resistant organism acquisition and exposure to antimicrobials in long-term care populations: a review. Ann Epidemiol 26:810-815