Rebekah Moehring | Scholars@Duke

Rebekah Moehring
Associate Professor of Medicine

Current Appointments & Affiliations

Associate Professor of Medicine, Medicine, Infectious Diseases, Medicine 2019

Contact Information

Dept of Medcine, Box 102359, Durham, NC 27710
PO Box 102359, DUMC, Durham, NC 27710
rebekah.moehring@duke.edu (919) 684-8111
Duke Antimicrobial Stewardship Outreach Network
Duke Center for Antimicrobial Stewardship and Infection Prevention
Duke Infection Control Outreach Network

Background
Education, Training, & Certifications
- Fellow, Infectious Diseases, Duke University School of Medicine 2009 - 2012
- M.D., Virginia Commonwealth University School of Medicine 2006
Duke Appointment History
- Assistant Professor of Medicine, Medicine, Infectious Diseases, Medicine 2013 - 2019
- Medical Instructor in the Department of Medicine, Medicine, Infectious Diseases, Medicine 2012 - 2013
Leadership & Clinical Positions at Duke
- Medical Director of the Duke Hospital Antimicrobial Stewardship and Evaluation Team (ASET)
Expertise
Subject Headings
Research
Selected Grants
- Defining Measures of Impact for Antimicrobial Stewardship Programs in Community Hospitals awarded by Agency for Healthcare Research and Quality 2015 - 2020
- Improving antibiotic use through implementation and evaluation of Core Elements of Hospital Antibiotic Stewardship Programs (Domain 2) awarded by Centers for Disease Control and Prevention 2016 - 2019
- Model-Driven Surveillance and Intervention Evaluation in Highly Stochastic Healthcare Settings awarded by Washington State University 2017 - 2019
- Predictors of Antimicrobial Exposure for application in the Standardized Antimicrobial Administration Ratio Risk Adjustment Strategy awarded by Centers for Disease Control and Prevention 2018 - 2019
- A Four-arm Prospective, Multicenter Study to Assess the Clinical Efficacy, Effectiveness, and Feasibility of Enhanced Ro awarded by Centers for Disease Control and Prevention 2011 - 2016
- Cohort Study of Patients at Risk for C. diff Infections awarded by Centers for Disease Control and Prevention 2011 - 2012
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Michener, A, Heath, B, Crnich, CJ, Moehring, R, Schmader, K, Mody, L, Branch-Elliman, W, and Jump, RLP. "Infections in Older Adults: A Case-Based Discussion Series Emphasizing Antibiotic Stewardship." Mededportal : the Journal of Teaching and Learning Resources 14 (September 21, 2018): 10754-null. Full Text Open Access Copy
  - Doernberg, SB, Abbo, LM, Burdette, SD, Fishman, NO, Goodman, EL, Kravitz, GR, Leggett, JE, Moehring, RW, Newland, JG, Robinson, PA, Spivak, ES, Tamma, PD, and Chambers, HF. "Essential Resources and Strategies for Antibiotic Stewardship Programs in the Acute Care Setting." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America 67, no. 8 (September 2018): 1168-1174. Full Text
  - Anderson, DJ, Moehring, RW, Weber, DJ, Lewis, SS, Chen, LF, Schwab, JC, Becherer, P, Blocker, M, Triplett, PF, Knelson, LP, Lokhnygina, Y, Rutala, WA, Sexton, DJ, and CDC Prevention Epicenters Program, . "Effectiveness of targeted enhanced terminal room disinfection on hospital-wide acquisition and infection with multidrug-resistant organisms and Clostridium difficile: a secondary analysis of a multicentre cluster randomised controlled trial with crossover design (BETR Disinfection)." The Lancet. Infectious Diseases 18, no. 8 (August 2018): 845-853. Full Text
  - Hostler, CJ, Moehring, RW, Ashley, ESD, Johnson, M, Davis, A, Lewis, SS, Sexton, DJ, Anderson, DJ, and CDC Prevention Epicenters Program, . "Feasibility and Value of Developing a Regional Antibiogram for Community Hospitals." Infection Control and Hospital Epidemiology 39, no. 6 (June 2018): 718-722. Full Text
  - Moehring, RW, Dodds Ashley, ES, Ren, X, Lokhnygina, Y, Baker, AW, Jones, TM, Lewis, SS, Sexton, DJ, Anderson, DJ, and Centers for Disease Control and Prevention Epicenters Program, . "Denominator Matters in Estimating Antimicrobial Use: A Comparison of Days Present and Patient Days." Infection Control and Hospital Epidemiology 39, no. 5 (May 2018): 612-615. Full Text
  - Turner, NA, Moehring, R, Sarubbi, C, Wrenn, RH, Drew, RH, Cunningham, CK, Fowler, VG, and Anderson, DJ. "Influence of Reported Penicillin Allergy on Mortality in MSSA Bacteremia." Open Forum Infectious Diseases 5, no. 3 (March 2018): ofy042-null. Full Text Open Access Copy
  - Anderson, DJ, Knelson, LP, Moehring, RW, Lewis, SS, Weber, DJ, Chen, LF, Triplett, PF, Blocker, M, Cooney, RM, Schwab, JC, Lokhnygina, Y, Rutala, WA, Sexton, DJ, and CDC Prevention Epicenters Program, . "Implementation Lessons Learned From the Benefits of Enhanced Terminal Room (BETR) Disinfection Study: Process and Perceptions of Enhanced Disinfection with Ultraviolet Disinfection Devices." Infection Control and Hospital Epidemiology 39, no. 2 (February 2018): 157-163. Full Text
  - Knelson, LP, Ramadanovic, GK, Chen, LF, Moehring, RW, Lewis, SS, Rutala, WA, Weber, DJ, Sexton, DJ, Anderson, DJ, and CDC Prevention EpiCenters Program, . "Self-monitoring by Environmental Services May Not Accurately Measure Thoroughness of Hospital Room Cleaning." Infection Control and Hospital Epidemiology 38, no. 11 (November 2017): 1371-1373. Full Text
  - Anderson, DJ, Addison, R, Lokhnygina, Y, Warren, B, Sharma-Kuinkel, B, Rojas, LJ, Rudin, SD, Lewis, SS, Moehring, RW, Weber, DJ, Rutala, WA, Bonomo, RA, Fowler, VG, Sexton, DJ, and CDC Prevention Epicenters Program, . "The Antimicrobial Scrub Contamination and Transmission (ASCOT) Trial: A Three-Arm, Blinded, Randomized Controlled Trial With Crossover Design to Determine the Efficacy of Antimicrobial-Impregnated Scrubs in Preventing Healthcare Provider Contamination." Infection control and hospital epidemiology 38, no. 10 (October 2017): 1147-1154. Full Text
  - Sexton, DJ, and Moehring, RW. "Implementation of Antimicrobial Stewardship Programs in Small Community Hospitals: Recognizing the Barriers and Meeting the Challenge." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America 65, no. 4 (August 2017): 697-698. Full Text
  - Seidelman, J, Dicks, KV, Durkin, MJ, Baker, AW, Moehring, RW, Anderson, DJ, Sexton, DJ, Chen, LF, and Lewis, SS. "Using Clinical Scenarios to Understand Preventability of Clostridium difficile Infections by Inpatient Antibiotic Stewardship Programs." Infection Control and Hospital Epidemiology 38, no. 6 (June 2017): 747-749. Full Text
  - Anderson, DJ, Chen, LF, Weber, DJ, Moehring, RW, Lewis, SS, Triplett, PF, Blocker, M, Becherer, P, Schwab, JC, Knelson, LP, Lokhnygina, Y, Rutala, WA, Kanamori, H, Gergen, MF, Sexton, DJ, and CDC Prevention Epicenters Program, . "Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study." Lancet (London, England) 389, no. 10071 (February 2017): 805-814. Full Text
  - Moehring, RW, Anderson, DJ, Cochran, RL, Hicks, LA, Srinivasan, A, Dodds Ashley, ES, and Structured Taskforce of Experts Working at Reliable Standards for Stewardship (STEWARDS) Panel, . "Expert Consensus on Metrics to Assess the Impact of Patient-Level Antimicrobial Stewardship Interventions in Acute-Care Settings." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America 64, no. 3 (February 2017): 377-383. Full Text
  - Anderson, DJ, Rojas, LF, Watson, S, Knelson, LP, Pruitt, S, Lewis, SS, Moehring, RW, Sickbert Bennett, EE, Weber, DJ, Chen, LF, Sexton, DJ, and CDC Prevention Epicenters Program, . "Identification of novel risk factors for community-acquired Clostridium difficile infection using spatial statistics and geographic information system analyses." PLoS ONE 12, no. 5 (January 2017): e0176285-. Full Text Open Access Copy
  - Dicks, KV, Lofgren, E, Lewis, SS, Moehring, RW, Sexton, DJ, and Anderson, DJ. "A Multicenter Pragmatic Interrupted Time Series Analysis of Chlorhexidine Gluconate Bathing in Community Hospital Intensive Care Units." Infection control and hospital epidemiology 37, no. 7 (July 2016): 791-797. Full Text
  - Baker, AW, Dicks, KV, Durkin, MJ, Weber, DJ, Lewis, SS, Moehring, RW, Chen, LF, Sexton, DJ, and Anderson, DJ. "Epidemiology of Surgical Site Infection in a Community Hospital Network." Infection control and hospital epidemiology 37, no. 5 (May 2016): 519-526. Full Text
  - Heath, B, Bernhardt, J, Michalski, TJ, Crnich, CJ, Moehring, R, Schmader, KE, Olds, D, Higgins, PA, and Jump, RLP. "Results of a Veterans Affairs employee education program on antimicrobial stewardship for older adults." American Journal of Infection Control 44, no. 3 (March 2016): 349-351. Full Text
  - Garner, B, Lokhnygina, Y, Dodds-Ashley, E, Johnson, M, Drew, RH, Davis, A, Sexton, DJ, Anderson, D, and Moehring, RW. "Harvesting the Low Hanging Fruit: A Benchmarking Tool for Implementation of Intravenous to Oral Antibiotic Switch Programs in 14 Southeastern Community Hospitals." Open Forum Infectious Diseases 2, no. Suppl 1 (December 9, 2015): 150-. Full Text
  - Dicks, KV, Baker, AW, Durkin, MJ, Anderson, DJ, Moehring, RW, Chen, LF, Sexton, DJ, Weber, DJ, and Lewis, SS. "Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures." Infection control and hospital epidemiology 36, no. 12 (December 2015): 1431-1436. Full Text
  - Durkin, MJ, Dicks, KV, Baker, AW, Lewis, SS, Moehring, RW, Chen, LF, Sexton, DJ, and Anderson, DJ. "Seasonal Variation of Common Surgical Site Infections: Does Season Matter?." Infection control and hospital epidemiology 36, no. 9 (September 2015): 1011-1016. Full Text
  - Moehring, RW, Hazen, KC, Hawkins, MR, Drew, RH, Sexton, DJ, and Anderson, DJ. "Challenges in Preparation of Cumulative Antibiogram Reports for Community Hospitals." Journal of Clinical Microbiology 53, no. 9 (September 2015): 2977-2982. Full Text
  - Durkin, MJ, Dicks, KV, Baker, AW, Moehring, RW, Chen, LF, Sexton, DJ, Lewis, SS, and Anderson, DJ. "Postoperative infection in spine surgery: does the month matter?." Journal of Neurosurgery. Spine 23, no. 1 (July 2015): 128-134. Full Text
  - Dicks, KV, Baker, AW, Durkin, MJ, Lewis, SS, Moehring, RW, Anderson, DJ, Sexton, DJ, and Chen, LF. "The potential impact of excluding funguria from the surveillance definition of catheter-associated urinary tract infection." Infection control and hospital epidemiology 36, no. 4 (April 2015): 467-469. Full Text
  - Hamilton, KW, Gerber, JS, Moehring, R, Anderson, DJ, Calderwood, MS, Han, JH, Mehta, JM, Pollack, LA, Zaoutis, T, Srinivasan, A, Camins, BC, Schwartz, DN, Lautenbach, E, and Centers for Disease Control and Prevention Epicenters Program, . "Point-of-prescription interventions to improve antimicrobial stewardship." Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America 60, no. 8 (April 2015): 1252-1258. (Review) Full Text
  - Lewis, SS, Dicks, KV, Chen, LF, Bolognesi, MP, Anderson, DJ, Sexton, DJ, and Moehring, RW. "Delay in diagnosis of invasive surgical site infections following knee arthroplasty versus hip arthroplasty." Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America 60, no. 7 (April 2015): 990-996. Full Text
  - Jump, RLP, Heath, B, Crnich, CJ, Moehring, R, Schmader, KE, Olds, D, and Higgins, PA. "Knowledge, beliefs, and confidence regarding infections and antimicrobial stewardship: a survey of Veterans Affairs providers who care for older adults." American journal of infection control 43, no. 3 (March 2015): 298-300. Full Text
  - Durkin, MJ, Baker, AW, Dicks, KV, Lewis, SS, Chen, LF, Anderson, DJ, Sexton, DJ, and Moehring, RW. "A comparison between National Healthcare Safety Network laboratory-identified event reporting versus traditional surveillance for Clostridium difficile infection." Infection control and hospital epidemiology 36, no. 2 (February 2015): 125-131. Full Text
  - Lewis, SS, Walker, VJ, Lee, MS, Chen, L, Moehring, RW, Cox, CE, Sexton, DJ, and Anderson, DJ. "Epidemiology of methicillin-resistant Staphylococcus aureus pneumonia in community hospitals." Infection control and hospital epidemiology 35, no. 12 (December 2014): 1452-1457. Full Text
  - Baker, AW, Durkin, MJ, Dicks, KV, Lewis, SS, Moehring, RW, Chen, LF, Sexton, DJ, and Anderson, DJ. "Methicillin-resistant Staphylococcus aureus bloodstream infection surveillance: National Healthcare Safety Network's laboratory-identified event reporting versus traditional laboratory-confirmed bloodstream infection surveillance." Infection control and hospital epidemiology 35, no. 10 (October 2014): 1286-1289. Full Text
  - Thaden, JT, Lewis, SS, Hazen, KC, Huslage, K, Fowler, VG, Moehring, RW, Chen, LF, Jones, CD, Moore, ZS, Sexton, DJ, and Anderson, DJ. "Rising rates of carbapenem-resistant enterobacteriaceae in community hospitals: a mixed-methods review of epidemiology and microbiology practices in a network of community hospitals in the southeastern United States." Infection Control and Hospital Epidemiology 35, no. 8 (August 2014): 978-983. Full Text
  - Lofgren, ET, Cole, SR, Weber, DJ, Anderson, DJ, and Moehring, RW. "Hospital-acquired Clostridium difficile infections: estimating all-cause mortality and length of stay." Epidemiology (Cambridge, Mass.) 25, no. 4 (July 2014): 570-575. Full Text
  - Dicks, KV, Lewis, SS, Durkin, MJ, Baker, AW, Moehring, RW, Chen, LF, Sexton, DJ, and Anderson, DJ. "Surveying the surveillance: surgical site infections excluded by the January 2013 updated surveillance definitions." Infection control and hospital epidemiology 35, no. 5 (May 2014): 570-573. Full Text
  - Moehring, RW, Lewis, SS, Isaacs, PJ, Schell, WA, Thomann, WR, Althaus, MM, Hazen, KC, Dicks, KV, Lipuma, JJ, Chen, LF, and Sexton, DJ. "Outbreak of bacteremia due to Burkholderia contaminans linked to intravenous fentanyl from an institutional compounding pharmacy." Jama Internal Medicine 174, no. 4 (April 2014): 606-612. Full Text
  - Anderson, DJ, Moehring, RW, Sloane, R, Schmader, KE, Weber, DJ, Fowler, VG, Smathers, E, and Sexton, DJ. "Bloodstream infections in community hospitals in the 21st century: a multicenter cohort study." Plos One 9, no. 3 (January 2014): e91713-null. Full Text Open Access Copy
  - Lofgren, ET, Cole, SR, Weber, DJ, Anderson, DJ, and Moehring, RW. "Hospital-acquired clostridium difficile infections: Estimating all-cause mortality and length of stay." Epidemiology 25, no. 4 (January 1, 2014): 570-575. Full Text
  - Lofgren, ET, Moehring, RW, Anderson, DJ, Weber, DJ, and Fefferman, NH. "A mathematical model to evaluate the routine use of fecal microbiota transplantation to prevent incident and recurrent clostridium difficile infection." Infection Control and Hospital Epidemiology 35, no. 1 (January 1, 2014): 18-27. Full Text
  - Lewis, SS, Moehring, RW, Chen, LF, Sexton, DJ, and Anderson, DJ. "Assessing the relative burden of hospital-acquired infections in a network of community hospitals." Infection Control and Hospital Epidemiology 34, no. 11 (November 2013): 1229-1230. Full Text
  - Moehring, RW, Lofgren, ET, and Anderson, DJ. "Impact of change to molecular testing for Clostridium difficile infection on healthcare facility-associated incidence rates." Infect Control Hosp Epidemiol 34, no. 10 (October 2013): 1055-1061. Full Text Link to Item
  - Lewis, SS, Knelson, LP, Moehring, RW, Chen, LF, Sexton, DJ, and Anderson, DJ. "Comparison of non-intensive care unit (ICU) versus ICU rates of catheter-associated urinary tract infection in community hospitals." Infect Control Hosp Epidemiol 34, no. 7 (July 2013): 744-747. Full Text Link to Item
  - Lofgren, E, Moehring, R, Weber, D, and Fefferman, N. "EXAMINING THE ROLE OF HAND CONTAMINATION AND ASYMPTOMATIC COLONIZATION IN THE TRANSMISSION OF HEALTHCARE-ASSOCIATED INFECTIONS." AMERICAN JOURNAL OF EPIDEMIOLOGY 177 (June 15, 2013): S132-S132. Link to Item
  - Moehring, RW, Staheli, R, Miller, BA, Chen, LF, Sexton, DJ, and Anderson, DJ. "Central line-associated infections as defined by the Centers for Medicare and Medicaid Services' Hospital-acquired condition versus standard infection control surveillance: why hospital compare seems conflicted." Infection Control and Hospital Epidemiology 34, no. 3 (March 2013): 238-244. Full Text
  - Chen, LF, Carriker, C, Staheli, R, Isaacs, P, Elliott, B, Miller, BA, Anderson, DJ, Moehring, RW, Vereen, S, Bringhurst, J, Rhodes, L, Strittholt, N, and Sexton, DJ. "Observing and improving hand hygiene compliance: implementation and refinement of an electronic-assisted direct-observer hand hygiene audit program." Infection Control and Hospital Epidemiology 34, no. 2 (February 2013): 207-210. Full Text
  - Lewis, SS, Moehring, RW, Anderson, DJ, Sexton, DJ, and Chen, LF. "Increasing rates of methicillin-resistant Staphylococcus aureus in academic hospitals: a result of active surveillance?." Infect Control Hosp Epidemiol 34, no. 1 (January 2013): 105-106. (Letter) Full Text Link to Item
  - Moehring, RW, Sloane, R, Chen, LF, Smathers, EC, Schmader, KE, Fowler, VG, Weber, DJ, Sexton, DJ, and Anderson, DJ. "Delays in appropriate antibiotic therapy for gram-negative bloodstream infections: a multicenter, community hospital study." Plos One 8, no. 10 (January 2013): e76225-null. Full Text Open Access Copy
  - Moehring, RW, and Anderson, DJ. "Antimicrobial stewardship as part of the infection prevention effort." Curr Infect Dis Rep 14, no. 6 (December 2012): 592-600. Full Text Link to Item
  - Moehring, RW, and Anderson, DJ. "Prosthetic joint infection: Case study and review of diagnosis and management." Infectious Diseases in Clinical Practice 20, no. 5 (September 1, 2012): 301-304. (Review) Full Text
  - Sexton, DJ, Chen, LF, Moehring, R, Thacker, PA, and Anderson, DJ. "Casablanca redux: we are shocked that public reporting of rates of central line-associated bloodstream infections are inaccurate." Infection Control and Hospital Epidemiology 33, no. 9 (September 2012): 932-935. Full Text
  - Dicks, KV, Staheli, R, Anderson, DJ, Miller, BA, Jones, WS, Harrison, JK, Sexton, DJ, Moehring, RW, and Chen, LF. ""What the eyes don't see, the heart doesn't grieve over": epidemiology and risk factors for bloodstream infections following cardiac catheterization." Infect Control Hosp Epidemiol 33, no. 8 (August 2012): 837-841. Full Text Link to Item
  - Moehring, RW, Sexton, DJ, and Anderson, DJ. "Conclusion of Avery et al-Validation of findings but concern about rationale." Infection Control and Hospital Epidemiology 33, no. 8 (2012): 856-857. Full Text
  - Moehring, RW, and Anderson, DJ. ""But my patients are different!": risk adjustment in 2012 and beyond." Infect Control Hosp Epidemiol 32, no. 10 (October 2011): 987-989. Full Text Link to Item
  - Boggan, JC, Baker, AW, Lewis, SS, Dicks, KV, Durkin, MJ, Moehring, RW, Chen, LF, Knelson, LP, Hegland, DD, and Anderson, DJ. "An Automated Surveillance Strategy to Identify Infectious Complications Following Cardiac Implantable Electronic Device Procedures(Published online)." Open Forum Infectious Diseases : ofv128-ofv128. Full Text Open Access Copy
- Conference Papers
  - Branch-Elliman, W, Snyderman, D, Wilson, B, Carter, R, Heath, B, Mody, L, Moehring, R, Crnich, C, Schmader, K, and Jump, R. "Preliminary Outcomes from an Educational Intervention to Promote Antimicrobial Stewardship and Improve the Care of Older Adults with Infections." April 2015. Link to Item
  - Lofgren, ET, Moehring, R, and Anderson, D. "CLINICAL OUTCOMES OF A COHORT OF HOSPITAL PATIENTS WITH HEALTHCARE-ASSOCIATED CLOSTRIDIUM DIFFICILE INFECTION." June 15, 2012. Link to Item
  - Boggan, JC, Navar Boggan, AM, Knelson, L, Moehring, RW, Chen, LF, and Anderson, DJ. "Infectious complications following electrophysiology (EP) procedures: Defining rates to explore automated surveillance possibilities." Infectious Diseases Society of America. San Francisco, CA. October 2, 2013 - October 6, 2013.

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Education, Training, & Certifications

Duke Appointment History

Leadership & Clinical Positions at Duke

Subject Headings

Selected Grants

Selected Publications

Academic Articles

Conference Papers