Rebekah Moehring | Scholars@Duke

Rebekah Moehring
Assistant Professor of Medicine

Current Appointments & Affiliations

Assistant Professor of Medicine, Medicine, Infectious Diseases, Medicine 2013
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
- 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
  - 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 (March 26, 2018): 1-4. 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. (Published online)" PLoS One 8, no. 10 (2013): e76225-. Full Text Open Access Copy Link to Item
  - 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