Lisa Winston, MD

Medical Director, Antimicrobial Stewardship at Zuckerburg San Francisco General Hospital
Professor
Medicine
+1 628 206-8703

Lisa Winston received her MD from Johns Hopkins University School of Medicine in 1994. She completed her residency in Internal Medicine at UCSF and was Chief Resident at San Francisco General Hospital. Dr. Winston then completed fellowships in Infectious Diseases and Clinical Pharmacology at UCSF.

She directs the Inpatient Medical Services and is the Hospital Epidemiologist at Zuckerberg San Francisco General Hospital and Trauma Center. Her research interests are infection control and prevention and antimicrobial resistant bacterial pathogens.

Education:
• AB, Harvard University, 1990
• MD, Johns Hopkins University School of Medicine, 1994

Training:
• Internal Medicine Residency, University of California, San Francisco, 1994-1997
• Chief Resident, University of California, San Francisco, 1997-1998
• Infectious Diseases Fellowship, University of California, San Francisco, 1998 – 2001
• Clinical Pharmacology Fellowship, University of California, San Francisco, 1999-2001

Certification:
• American Board of Internal Medicine, certified 1997, recertified 2007 and 2017
• American Board of Internal Medicine, subspecialty Infectious Diseases, certified 2000, recertified 2010

Memberships & Affiliations:
• Infectious Diseases Society of America, fellow
• Society for Healthcare Epidemiology of America

Publications: 

39. Comparative One-year Outcomes of Invasive staphylococcus Aureus infections Among Persons with and Without Drug Use in an Urban West Coast Cohort.

Open forum infectious diseases

Ayesha Ashley Appa, Meredith Adamo, Stephenie Le, Jennifer Davis, Lisa Gail Winston, Sarah B Doernberg, Henry Chambers, Marlene Martin, Phillip Coffin, Vivek Jain

448. Disproportionate Burden of COVID-19 on Latinx Residents among Hospitalized Patients at San Francisco’s Public Health Hospital.

Open forum infectious diseases

Vivek Jain, Lillian B Brown, Carina Marquez, Luis Rubio, Natasha Spottiswoode, Bethlehem Churnet, Katherine Brooks, Mengyu Zhou, Timothy Muldoon, Carolyn Hendrickson, Adithya Cattamanchi, Antonio Gomez, Brian Haas, Edwin Charlebois, Annie Luetkemeyer, Annie Luetkemeyer, Monica Gandhi, Diane Havlir, Sumant Ranji, Lisa Gail Winston

496. Higher SARS-CoV-2 RT-PCR Cycle Threshold (Ct) Values Associated with Longer Symptom Duration Among Patients Hospitalized with COVID-19.

Open forum infectious diseases

Lillian B Brown, Lisa Gail Winston, Barbara Haller, Phong Pham, Beatrice Marcelo, Wendy Cheung, Kara Lynch, Vivek Jain

780. How Much Does Prior Hospitalization Contribute to Readmission with Community-onset Clostridioides difficile Infection?.

Open forum infectious diseases

Alice Guh, Lauren C Korhonen, Lisa Gail Winston, Brittany Martin, Helen Johnston, Geoffrey Brousseau, Elizabeth Basiliere, Danyel M Olson, Scott Fridkin, Lucy E Wilson, Rebecca Perlmutter, Stacy Holzbauer, Maria Bye, Erin C Phipps, Kristina Flores, Ghinwa Dumyati, Deborah Nelson, Trupti Hatwar, Valerie Ocampo, Marion Kainer, Clifford McDonald

Trends in U.S. Burden of Clostridioides difficile Infection and Outcomes.

The New England journal of medicine

Guh AY, Mu Y, Winston LG, Johnston H, Olson D, Farley MM, Wilson LE, Holzbauer SM, Phipps EC, Dumyati GK, Beldavs ZG, Kainer MA, Karlsson M, Gerding DN, McDonald LC

Treatment of Clostridioides difficile Infection and Non-compliance with Treatment Guidelines in Adults in 10 US Geographical Locations, 2013-2015.

Journal of general internal medicine

Novosad SA, Mu Y, Winston LG, Johnston H, Basiliere E, Olson DM, Farley MM, Revis A, Wilson L, Perlmutter R, Holzbauer SM, Whitten T, Phipps EC, Dumyati GK, Beldavs ZG, Ocampo VLS, Davis CM, Kainer M, Gerding DN, Guh AY

Toxin Enzyme Immunoassays Detect Clostridioides difficile Infection With Greater Severity and Higher Recurrence Rates.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Guh AY, Hatfield KM, Winston LG, Martin B, Johnston H, Brousseau G, Farley MM, Wilson L, Perlmutter R, Phipps EC, Dumyati GK, Nelson D, Hatwar T, Kainer MA, Paulick AL, Karlsson M, Gerding DN, McDonald LC

837. Prior Hospitalizations Among Cases of Community-Associated Clostridioides difficile Infection—10 US States, 2014–2015.

Open forum infectious diseases

Kelly M Hatfield, James Baggs, Lisa Gail Winston, Erin Parker, Helen Johnston, Geoff Brousseau, Danyel M Olson, Scott Fridkin, Lucy Wilson, Rebecca Perlmuter, Stacy Holzbauer, Erin C Phipps, Emily B Hancock, Ghinwa Dumyati, Valerie Ocampo, Marion A Kainer, Lauren C Korhonen, John A Jernigan, L Clifford McDonald, Alice Guh

Mind the Base Rate: an Exercise in Clinical Reasoning.

Journal of general internal medicine

Aronowitz PB, Williams DM, Henderson MC, Winston LG

Overcoming the Barrier.

The New England journal of medicine

Geha RM, Dhaliwal G, Winston LG, Kickler TS, Manesh R

482. Association between Socioeconomic Status Factors and Incidence of Community-Associated Clostridium difficile Infection Utilizing Factor Analysis—United States, 2014–2015.

Open forum infectious diseases

Kimberly Skrobarcek, Yi Mu, Jennifer Ahern, Zintars Beldavs, Geoff Brousseau, Ghinwa Dumyati, Monica M Farley, Stacy Holzbauer, Marion A Kainer, James I Meek, Rebecca Perlmutter, Erin C Phipps, Lisa G Winston, Alice Y Guh

490. Comparison of Clostridium difficile Infection Outcomes by Diagnostic Testing Method.

Open forum infectious diseases

Alice Guh, Kelly Hatfield, Lisa G Winston, Brittany Martin, Helen Johnston, Geoff Brousseau, Monica M Farley, Lucy E Wilson, Rebecca Perlmutter, Erin C Phipps, Ghinwa Dumyati, Deborah Nelson, Trupti Hatwar, Marion A Kainer, L Clifford McDonald

492. Long-Term Outcomes of Clostridium difficile Infection Among Medicare Beneficiaries.

Open forum infectious diseases

Kelly M Hatfield, James Baggs, Lisa G Winston, Erin Parker, Brittany Martin, James I Meek, Danyel Olson, Monica M Farley, Andrew Revis, Stacy Holzbauer, Maria Bye, Lucy Wilson, Rebecca Perlmutter, Erin C Phipps, Rebecca Pierce, Valerie L S Ocampo, Marion A Kainer, Miranda Smith, L Clifford McDonald, John A Jernigan, Alice Guh

Association of Rapid Molecular Testing With Duration of Respiratory Isolation for Patients With Possible Tuberculosis in a US Hospital.

JAMA internal medicine

Chaisson LH, Duong D, Cattamanchi A, Roemer M, Handley MA, Schillinger D, Sur M, Pham P, Lin MA, Goldman LE, Quan J, Perez S, Healy M, Higashi J, Winston L, Haller B, Luetkemeyer AF, Davis JL

Trends in incidence of long-term-care facility onset Clostridium difficile infections in 10 US geographic locations during 2011-2015.

American journal of infection control

Guh AY, Mu Y, Baggs J, Winston LG, Bamberg W, Lyons C, Farley MM, Wilson LE, Holzbauer SM, Phipps EC, Beldavs ZG, Kainer MA, Karlsson M, Gerding DN, Dumyati G

Risk Factors for Community-Associated Clostridium difficile Infection in Adults: A Case-Control Study.

Open forum infectious diseases

Guh AY, Adkins SH, Li Q, Bulens SN, Farley MM, Smith Z, Holzbauer SM, Whitten T, Phipps EC, Hancock EB, Dumyati G, Concannon C, Kainer MA, Rue B, Lyons C, Olson DM, Wilson L, Perlmutter R, Winston LG, Parker E, Bamberg W, Beldavs ZG, Ocampo V, Karlsson M, Gerding DN, McDonald LC

Association Between Hospital-Onset Clostridium difficile infection and Admission to a Multi-Bed Room: A Case–control Study.

Open forum infectious diseases

Alon Vaisman, Michael Jula, Jessica Wagner, Lisa G Winston

Socioeconomic Status Factors Associated with Increased Incidence of Community-Associated Clostridium difficile Infection.

Open forum infectious diseases

Kimberly Skrobarcek, Yi Mu, Lisa G Winston, Geoff Brousseau, Carol Lyons, Monica Farley, Rebecca Perlmutter, Stacy Holzbauer, Erin C Phipps, Ghinwa Dumyati, Zintars G Beldavs, Marion Kainer, Alice Guh

Treatment of Clostridium difficile Infection in 10 US Geographical Locations, 2013–2014.

Open forum infectious diseases

Shannon Novosad, Lisa G. Winston, Helen Johnston, Elizabeth Badolato, Carol Lyons, Monica Farley, Andrew Revis, Lucy Wilson, Rebecca Perlmutter, Stacy M. Holzbauer, Tory Whitten, Erin C. Phipps, Ghinwa Dumyati, Zintars G. Beldaversus, Valerie L.S. Ocampo, Marion Kainer, Corinne M. Davis, Jamie Barnes, Dale Gerding, Alice Guh

Burden of Nursing Home-Onset Clostridium difficile Infection in the United States: Estimates of Incidence and Patient Outcomes.

Open forum infectious diseases

Hunter JC, Mu Y, Dumyati GK, Farley MM, Winston LG, Johnston HL, Meek JI, Perlmutter R, Holzbauer SM, Beldavs ZG, Phipps EC, Dunn JR, Cohen JA, Avillan J, Stone ND, Gerding DN, McDonald LC, Lessa FC

Risk Factors for Clostridium difficile Infection Recurrence.

Open forum infectious diseases

Sujan C. Reddy, Alice Guh, Fernanda C. Lessa, Yi Mu, Zintars G. Beldavs, Corinne M. Davis, Ghinwa Dumyati, Stacy M. Holzbauer, Helen L. Johnston, Carol Lyons, Erin C. Phipps, Lucy E. Wilson, Lisa G. Winston, Dale N. Gerding, L. Clifford McDonald, Monica M. Farley

Association Between Outpatient Antibiotic Prescribing Practices and Community-Associated Clostridium difficile Infection.

Open forum infectious diseases

Dantes R, Mu Y, Hicks LA, Cohen J, Bamberg W, Beldavs ZG, Dumyati G, Farley MM, Holzbauer S, Meek J, Phipps E, Wilson L, Winston LG, McDonald LC, Lessa FC

Burden of Clostridium difficile infection in the United States.

The New England journal of medicine

Lessa FC, Winston LG, McDonald LC

Novel handwashes are superior to soap and water in removal of Clostridium difficile spores from the hands.

American journal of infection control

Isaacson D, Haller B, Leslie H, Roemer M, Winston L

Burden of Clostridium difficile infection in the United States.

The New England journal of medicine

Lessa FC, Mu Y, Bamberg WM, Beldavs ZG, Dumyati GK, Dunn JR, Farley MM, Holzbauer SM, Meek JI, Phipps EC, Wilson LE, Winston LG, Cohen JA, Limbago BM, Fridkin SK, Gerding DN, McDonald LC

Determinants of Clostridium difficile Infection Incidence Across Diverse United States Geographic Locations.

Open forum infectious diseases

Lessa FC, Mu Y, Winston LG, Dumyati GK, Farley MM, Beldavs ZG, Kast K, Holzbauer SM, Meek JI, Cohen J, McDonald LC, Fridkin SK

NAP1 strain type predicts outcomes from Clostridium difficile infection.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

See I, Mu Y, Cohen J, Beldavs ZG, Winston LG, Dumyati G, Holzbauer S, Dunn J, Farley MM, Lyons C, Johnston H, Phipps E, Perlmutter R, Anderson L, Gerding DN, Lessa FC

Clostridium difficile infection among children across diverse US geographic locations.

Pediatrics

Wendt JM, Cohen JA, Mu Y, Dumyati GK, Dunn JR, Holzbauer SM, Winston LG, Johnston HL, Meek JI, Farley MM, Wilson LE, Phipps EC, Beldavs ZG, Gerding DN, McDonald LC, Gould CV, Lessa FC

524National estimates of incidence, recurrence, hospitalization, and death of nursing home-onset Clostridium difficile infections — United States, 2012.

Open forum infectious diseases

Jennifer C. Hunter, Yi Mu, Ghinwa K. Dumyati, Monica M. Farley, Lisa G. Winston, Helen L. Johnston, James I. Meek, Lucy E. Wilson, M Stacy, Zintars G. Beldavs, Erin C. Phipps, John R. Dunn, Jessica a. Cohen, Nimalie D. Stone, L. Clifford Mcdonald, Fernanda C. Lessa

Effect of nucleic acid amplification testing on population-based incidence rates of Clostridium difficile infection.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Gould CV, Edwards JR, Cohen J, Bamberg WM, Clark LA, Farley MM, Johnston H, Nadle J, Winston L, Gerding DN, McDonald LC, Lessa FC

Epidemiology of community-associated Clostridium difficile infection, 2009 through 2011.

JAMA internal medicine

Chitnis AS, Holzbauer SM, Belflower RM, Winston LG, Bamberg WM, Lyons C, Farley MM, Dumyati GK, Wilson LE, Beldavs ZG, Dunn JR, Gould LH, MacCannell DR, Gerding DN, McDonald LC, Lessa FC

Does doxycycline protect against development of Clostridium difficile infection?

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Doernberg SB, Winston LG, Deck DH, Chambers HF

Predictors of pneumonia severity in HIV-infected adults admitted to an Urban public hospital.

AIDS patient care and STDs

Chew KW, Yen IH, Li JZ, Winston LG

Coming home with MRSA.

Archives of internal medicine

Winston L, Chambers H

Antimicrobial Resistance in Staphylococci: Mechanisms of Resistance and Clinical Implications.

Antimicrobial Drug Resistance

Lisa G. Winston, Henry F. Chambers

CHAPTER 81 ENDOCARDITIS.

Pharmacology and Therapeutics

Lisa G. Winston, Daniel Deck, Ann F. Bolger

Infective endocarditis in an urban medical center: association of individual drugs with valvular involvement.

The Journal of infection

Jain V, Yang MH, Kovacicova-Lezcano G, Juhle LS, Bolger AF, Winston LG

Efficacy of short-course antibiotic regimens for community-acquired pneumonia: a meta-analysis.

The American journal of medicine

Li JZ, Winston LG, Moore DH, Bent S

Phase II, randomized, double-blind, multicenter study comparing the safety and pharmacokinetics of tefibazumab to placebo for treatment of Staphylococcus aureus bacteremia.

Antimicrobial agents and chemotherapy

Weems JJ, Steinberg JP, Filler S, Baddley JW, Corey GR, Sampathkumar P, Winston L, John JF, Kubin CJ, Talwani R, Moore T, Patti JM, Hetherington S, Texter M, Wenzel E, Kelley VA, Fowler VG

Impact of a formulary switch from ticarcillin-clavulanate to piperacillin-tazobactam on colonization with vancomycin-resistant enterococci.

American journal of infection control

Winston LG, Charlebois ED, Pang S, Bangsberg DR, Perdreau-Remington F, Chambers HF

Clinical, epidemiologic, and molecular evaluation of a clonal outbreak of methicillin-resistant Staphylococcus aureus infection.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Young LS, Perdreau-Remington F, Winston LG

API 20 strep identification system may incorrectly speciate enterococci with low level resistance to vancomycin.

Diagnostic microbiology and infectious disease

Winston LG, Pang S, Haller BL, Wong M, Chambers HF, Perdreau-Remington F

Mupirocin prophylaxis misses by a nose.

Annals of internal medicine

Chambers HF, Winston LG

Once-daily dosing of aminoglycosides: how much monitoring is truly required?

The American journal of medicine

Winston L, Benowitz N

Epidemiology of vancomycin-resistant Enterococcus faecium under a selective isolation policy at an urban county hospital.

American journal of infection control

Winston LG, Bangsberg DR, Chambers HF, Felt SC, Rosen JI, Charlebois ED, Wong M, Steele L, Gerberding JL, Perdreau-Remington F

Penicillin-nonsusceptible Streptococcus pneumoniae at San Francisco General Hospital.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Winston LG, Perlman JL, Rose DA, Gerberding JL

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