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Erin Brooke Gettler

Assistant Professor of Medicine
Medicine, Infectious Diseases

Selected Publications


A comparison of blood culture diagnostic stewardship across three emergency departments in a healthcare network.

Journal Article Am J Emerg Med · July 2025 BACKGROUND: Blood culture (BCx) diagnostic stewardship is essential for reducing unnecessary treatments, minimizing false-positive results, and improving patient outcomes and hospital resource utilization. The objective of this study was to compare the eff ... Full text Link to item Cite

A change of heart: Limitations of National Healthcare Safety Network (NHSN) and Society of Thoracic Surgeons (STS) surveillance strategies in identifying surgical site infections after heart transplant surgery.

Journal Article Am J Infect Control · July 2025 Surgical site infections (SSI) surveillance after heart transplantation is critical for preventing SSI. We analyzed the accuracy of 3 SSI surveillance systems: National-Healthcare-Safety-Network (NHSN), Society-of-Thoracic-Surgeons (STS), and detailed manu ... Full text Link to item Cite

Respiratory syncytial virus: an under-recognized healthcare-associated infection.

Journal Article Infect Control Hosp Epidemiol · May 16, 2025 OBJECTIVE: Prior reports of healthcare-associated respiratory syncytial virus (RSV) have been limited to cases diagnosed after the third day of hospitalization. The omission of other healthcare settings where RSV transmission may occur underestimates the t ... Full text Link to item Cite

Mixed-methods multicenter assessment of healthcare workers' knowledge, perceptions, and practices related to blood culture utilization in hospitalized adults.

Journal Article Infect Control Hosp Epidemiol · December 20, 2024 OBJECTIVE: To understand healthcare workers' (HCWs) beliefs and practices toward blood culture (BCx) use. DESIGN: Cross-sectional electronic survey and semi-structured interviews. SETTING: Academic hospitals in the United States. PARTICIPANTS: HCWs involve ... Full text Link to item Cite

Consideration of Antifungal Coverage in Treating Infections Related to Delayed Esophageal Perforation from Anterior Cervical Spine Hardware.

Journal Article Infect Dis Rep · October 23, 2024 (1) Background/Objectives: Delayed esophageal perforation following anterior cervical (spine) discectomy and fusion (ACDF) is rare but can lead to serious infectious complications. The treatment usually involves hardware explanation and prolonged intraveno ... Full text Link to item Cite

Comparative epidemiology of hospital-onset bloodstream infections (HOBSIs) and central line-associated bloodstream infections (CLABSIs) across a three-hospital health system.

Journal Article Infect Control Hosp Epidemiol · August 2024 OBJECTIVE: To evaluate the comparative epidemiology of hospital-onset bloodstream infection (HOBSI) and central line-associated bloodstream infection (CLABSI). DESIGN AND SETTING: Retrospective observational study of HOBSI and CLABSI across a three-hospita ... Full text Link to item Cite

Racial disparities in Clostridioides difficile testing in three southeastern US hospitals.

Journal Article Infect Control Hosp Epidemiol · April 2024 OBJECTIVE: To analyze Clostridioides difficile testing in 3 hospitals in central North Carolina to validate previous racial health-disparity findings. METHODS: We completed a retrospective analysis of inpatient C. difficile tests from 2015 to 2021 at 3 uni ... Full text Link to item Cite

Implementation of a diagnostic stewardship intervention to improve blood-culture utilization in 2 surgical ICUs: Time for a blood-culture change.

Journal Article Infect Control Hosp Epidemiol · April 2024 OBJECTIVE: We compared the number of blood-culture events before and after the introduction of a blood-culture algorithm and provider feedback. Secondary objectives were the comparison of blood-culture positivity and negative safety signals before and afte ... Full text Link to item Cite

Identification of carbapenem-resistant organism (CRO) contamination of in-room sinks in intensive care units in a new hospital bed tower.

Journal Article Infect Control Hosp Epidemiol · March 2024 BACKGROUND: The origins and timing of inpatient room sink contamination with carbapenem-resistant organisms (CROs) are poorly understood. METHODS: We performed a prospective observational study to describe the timing, rate, and frequency of CRO contaminati ... Full text Link to item Cite

Disparities in central line-associated bloodstream infection and catheter-associated urinary tract infection rates: An exploratory analysis.

Journal Article Infect Control Hosp Epidemiol · November 2023 This retrospective review of 4-year surveillance data revealed a higher central line-associated bloodstream infection (CLABSI) rate in non-Hispanic Black patients and higher catheter-associated urinary tract infection (CAUTI) rates in Asian and non-Hispani ... Full text Link to item Cite

Traditional definition of healthcare-associated influenza underestimates cases associated with other healthcare exposures in a population-based surveillance system.

Journal Article Infect Control Hosp Epidemiol · November 2023 OBJECTIVE: To provide comprehensive population-level estimates of the burden of healthcare-associated influenza. DESIGN: Retrospective cross-sectional study. SETTING: US Influenza Hospitalization Surveillance Network (FluSurv-NET) during 2012-2013 through ... Full text Link to item Cite

Challenges in the Hospital Water System and Innovations to Prevent Healthcare-Associated Infections

Journal Article Current Treatment Options in Infectious Diseases · February 15, 2023 Full text Cite

Avoidance of Emergency Care in the Southeastern United States During the COVID-19 Pandemic.

Journal Article Open Forum Infect Dis · May 2022 In a low-income cohort in the Southeastern United States, 5% of participants avoided emergency medical care during the coronavirus disease 2019 pandemic, primarily due to fear and visitor restrictions. Younger age, self-perceived lower health status, lack ... Full text Link to item Cite

Association of antibiotics with veteran visit satisfaction and antibiotic expectations for upper respiratory tract infections.

Journal Article Antimicrob Steward Healthc Epidemiol · 2022 BACKGROUND AND OBJECTIVE: Veterans' Affairs (VA) healthcare providers perceive that Veterans expect and base visit satisfaction on receiving antibiotics for upper respiratory tract infections (URIs). No studies have tested this hypothesis. We sought to det ... Full text Link to item Cite

Disruption of medical care among individuals in the southeastern United States during the COVID-19 pandemic.

Journal Article J Public Health Res · September 24, 2021 BACKGROUND: Widespread disruptions of medical care to mitigate COVID-19 spread and reduce burden on healthcare systems may have deleterious public health consequences. DESIGN AND METHODS: To examine factors contributing to healthcare interruptions during t ... Full text Link to item Cite