Scholars@Duke
Neelima Navuluri

Neelima Navuluri

Assistant Professor of Medicine
Medicine, Pulmonary, Allergy, and Critical Care Medicine
neelima.navuluri@duke.edu
DUMC 102355, Durham, NC 27710
330 Trent Drive, Hanes House, Room 100, Durham, NC 27710

Selected Publications

Proceedings from the Third International Post-Tuberculosis Symposium: expanding the circle.

Journal Article IJTLD Open · December 2025 In light of the recent growth in interest and knowledge of post-TB sequelae, there were high levels of engagement during the 3rd International Post-Tuberculosis Symposium held in Stellenbosch, South Africa. This multi-disciplinary symposium aimed to: 1) Ad ... Full text Link to item Cite

Post-tuberculosis lung disease: a case definition for use in research studies.

Journal Article Lancet Infect Dis · November 10, 2025 Despite growing awareness of the substantial burden of long-term pulmonary impairment among tuberculosis survivors, marked variability in how post-tuberculosis lung disease is defined across research studies limits the comparison of findings and synthesis ... Full text Link to item Cite

“They Just Don't Get Around to It”: Clinician Perspectives on Lung Cancer Screening and Racial Disparities Among Veterans

Journal Article Chest Pulmonary · September 1, 2025 Background: Lung cancer screening (LCS) rates are low across the United States, with substantial disparities in availability and uptake. This trend is also reflected in the Veterans Affairs Healthcare System. We aimed to understand clinician perspectives o ... Full text Cite

Getting long-term oxygen therapy right.

Journal Article Lancet Glob Health · June 2025 Full text Link to item Cite

Post-tuberculosis lung disease: towards prevention, diagnosis, and care.

Journal Article Lancet Respir Med · May 2025 There is a growing body of data describing the high burden of respiratory sequelae seen among tuberculosis survivors, including children, adolescents, and adults. This group of sequelae are known as post-tuberculosis lung disease and include parenchymal da ... Full text Link to item Cite

Prevalence of Critical Illness at a National Referral Hospital in Kenya

Conference American Journal of Respiratory and Critical Care Medicine · May 2025 Full text Cite

Lung Function Evaluation During Pulmonary Tuberculosis Treatment

Conference American Journal of Respiratory and Critical Care Medicine · May 2025 Full text Cite

"If We Manage Early, We Can Get It Right": A Descriptive Study of Healthcare Workers' Experiences Managing Sepsis at a Kenyan Referral Hospital.

Journal Article Cureus · February 2025 Background and objectives Sepsis and septic shock are conditions of high mortality across the globe. Despite the efforts of the Surviving Sepsis Campaign, improvements in outcomes for patients with sepsis and septic shock have been mostly seen in high-inco ... Full text Open Access Link to item Cite

Role of Social Determinants of Health in COVID-19 Recovery: A Qualitative Study.

Journal Article JAMA Netw Open · January 2, 2025 IMPORTANCE: Health systems are increasingly required to conduct health-related social needs screening. However, how social resources negatively and positively affect recovery from acute illnesses, such as COVID-19, is incompletely understood. OBJECTIVE: To ... Full text Link to item Cite

Assessment of comorbidities, risk factors, and post tuberculosis lung disease in National Tuberculosis Guidelines: A scoping review.

Journal Article PLOS Glob Public Health · 2025 Tuberculosis (TB) remains a major public health issue across the world and national TB guidelines are an important resource for diagnosis and treatment. This scoping review aimed to analyze how countries with the highest TB burdens approach the integration ... Full text Link to item Cite

Tuberculosis Is Associated with Chronic Hypoxemia among Kenyan Adults (CHAKA): A Case-Control Study.

Journal Article Ann Am Thorac Soc · August 2024 Rationale: Data on risk factors for chronic hypoxemia in low- and middle-income countries are lacking. Objectives: We aimed to quantify the association between potential risk factors and chronic hypoxemia among adults hospitalized in Kenya. Methods: A hosp ... Full text Link to item Cite

Barriers and Facilitators Impacting Lung Cancer Screening Uptake Among Black Veterans: A Qualitative Study.

Journal Article J Natl Compr Canc Netw · April 18, 2024 BACKGROUND: Racial disparities in lung cancer screening (LCS) are well established. Black Veterans are among those at the highest risk for developing lung cancer but are less likely to complete LCS. We sought to identify barriers and facilitators to LCS up ... Full text Link to item Cite

The Tuberculosis Sentinel Research Network (TB-SRN) of the International epidemiology Databases to Evaluate AIDS (IeDEA): protocol for a prospective cohort study in Africa, Southeast Asia and Latin America.

Journal Article BMJ Open · January 9, 2024 INTRODUCTION: Tuberculosis (TB) is a leading infectious cause of death globally. It is the most common opportunistic infection in people living with HIV, and the most common cause of their morbidity and mortality. Following TB treatment, surviving individu ... Full text Link to item Cite

Role of Built and Social Environments in Post-COVID Recovery: A Qualitative Study of Patients and Caregivers

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2024 Cite

Communication of Microbiology Results at a Referral Hospital in Western Kenya: A Qualitative Study

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2024 Cite

Prevalence and phenotypic trajectories of hypoxaemia among hospitalised adults in Kenya: a single-centre, prospective cohort study.

Journal Article BMJ Open · September 18, 2023 OBJECTIVE: Global medical oxygen security is limited by knowledge gaps in hypoxaemia burden and oxygen access in low-income and middle-income countries. We examined the prevalence and phenotypic trajectories of hypoxaemia among hospitalised adults in Kenya ... Full text Open Access Link to item Cite

Racial Disparities in Lung Cancer Screening Among Veterans, 2013 to 2021.

Journal Article JAMA Netw Open · June 1, 2023 IMPORTANCE: Racial disparities in lung cancer screening (LCS) are often ascribed to barriers such as cost, insurance status, access to care, and transportation. Because these barriers are minimized within the Veterans Affairs system, there is a question of ... Full text Link to item Cite

Interventions to improve lung cancer screening among racially and ethnically minoritized groups: A scoping review.

Journal Article Lung Cancer · February 2023 Lung cancer screening (LCS) decreases lung cancer related mortality among high-risk people who smoke cigarettes and has been endorsed by the US Preventive Services Task Force (USPSTF) since 2013. However, adoption of LCS has been limited, and disparities i ... Full text Link to item Cite

Distressed Work: Chronic Imperatives and Distress in Covid-19 Critical Care.

Journal Article Hastings Cent Rep · January 2023 This ethnographic study introduces the term "distressed work" to describe the emergence of chronic frictions between moral imperatives for health care workers to keep working and the dramatic increase in distress during the Covid-19 pandemic. Interviews an ... Full text Open Access Link to item Cite

Asthma, Airflow Obstruction, and Eosinophilic Airway Inflammation Prevalence in Western Kenya: A Population-Based Cross-Sectional Study.

Journal Article Int J Public Health · 2023 Objectives: Determine the prevalence of airway disease (e.g., asthma, airflow obstruction, and eosinophilic airway inflammation) in Kenya, as well as related correlates of airway disease and health-related quality of life. Methods: A three-stage, cluster-r ... Full text Open Access Link to item Cite

Prior Tuberculosis and Female Sex Are Major Risk Factors for Chronic Hypoxemia in Kenyan Adults

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2023 Cite

The pandemic is not the great equalizer: front-line labor and rationing in COVID-19 critical care.

Journal Article Public Health Action · December 21, 2022 BACKGROUND: Framed as "the great-equalizer," the COVID-19 pandemic has intensified pressure to adapt critical care labor and resulted in rationing by healthcare workers across the world. OBJECTIVE: To critically investigate how hospital intensive care unit ... Full text Open Access Link to item Cite

Racial Disparities in Pulmonary and Quality of Life Outcomes Among COVID-19 Survivors in the Southeast

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2022 Cite

Effect of Obesity on Long Term Outcomes After COVID-19 Infection

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2022 Cite

A Daily, Respiratory Therapist Assessment of Readiness to Liberate From Venovenous Extracorporeal Membrane Oxygenation in Patients With Acute Respiratory Distress Syndrome.

Journal Article Crit Care Explor · December 2021 UNLABELLED: We assessed the effect of implementing a protocol-directed strategy to determine when patients can be liberated from venovenous extracorporeal membrane oxygenation on extracorporeal membrane oxygenation duration, time to initiation of first swe ... Full text Link to item Cite

Oxygen delivery systems for adults in Sub-Saharan Africa: A scoping review.

Journal Article J Glob Health · May 8, 2021 BACKGROUND: Respiratory diseases are the leading cause of death and disability worldwide. Oxygen is an essential medicine used to treat hypoxemia from respiratory diseases. However, the availability and utilization of oxygen delivery systems for adults in ... Full text Open Access Link to item Cite

Where Have All the Heroes Gone?

Journal Article Med Anthropol · April 2021 Full text Open Access Link to item Cite

Abstract 16597: Outcomes of a Randomized Controlled Trial of Integrated Cardiac Rehabilitation Among Heart Failure Patients in Kenya

Conference Circulation · November 17, 2020 Background: Cardiac rehabilitation (CR) is an evidence based, cost effective treatment for heart failure (HF). Globally, access to CR is limited, especially in low- and middle-income countries. An int ... Full text Cite

Intrapulmonary Activated Factor VII for Hemoptysis Complicating Pulmonary Thromboendarterectomy.

Journal Article Ann Thorac Surg · April 2020 Massive hemoptysis represents a life-threatening disorder that has numerous different causes. The development of recombinant factor concentrates has allowed for novel treatments in this emergency setting. This report describes a patient with chronic thromb ... Full text Link to item Cite

Evaluation of Hypoxemia Among Patients Admitted to a Tertiary Referral Hospital in Western Kenya

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2020 Cite

Evaluating The Efficiency Of Icu Rounds At A Tertiary Academic Medical Center

Conference AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · 2016 Cite

A qualitative study of family healthy lifestyle behaviors of Mexican-American and Mexican immigrant fathers and mothers.

Journal Article J Acad Nutr Diet · April 2014 This study qualitatively examines contrasting parental decision-making styles about family food choices and physical activities as well as willingness to change behaviors among Mexican-American and Mexican immigrant mothers and fathers of school-aged child ... Full text Link to item Cite

Study on the relationship between backpack use and back and neck pain among adolescents.

Journal Article Nurs Health Sci · December 2006 A descriptive correlation study was conducted in Hobbs, New Mexico, USA, to find the relationship between backpack use and back and neck pain among adolescent boys and girls. A higher percentage of girls than boys rated their pain as being moderate to extr ... Full text Link to item Cite