Rachel Wattier, MD, MHS

Associate Medical Director, Antimicrobial Stewardship at UCSF Benioff Children's Hospital, San Francisco
Assistant Professor of Clinical Pediatrics
Pediatrics
[email protected]

Rachel Wattier, M.D., M.H.S. is a physician in the Department of Pediatrics, Division of Infectious Diseases and Global Health. She started the Antimicrobial Stewardship Program at Benioff Chidren's Hospital San Francisco and has conducted collaborative research to improve judicious antimicrobial and diagnostic test use in children. Her current research as a scholar in the UCSF-KPNC Urologic Epidemiology K12 program focuses on improving evidence uptake and application in diagnosis of urinary tract infections.

Publications: 

Immunogenicity and Reactogenicity of High-dose or Standard-dose Influenza Vaccine in a Second Consecutive Influenza Season.

The Journal of infectious diseases

Bahakel H, Spieker AJ, Hayek H, Schuster JE, Hamdan L, Dulek DE, Kitko CL, Stopczynski T, Batarseh E, Haddadin Z, Stewart LS, Stahl A, Potter M, Rahman H, Amarin J, Kalams SA, Bocchini CE, Moulton EA, Coffin SE, Ardura MI, Wattier RL, Maron G, Grimley M, Paulsen G, Harrison CJ, Freedman J, Carpenter PA, Englund JA, Munoz FM, Danziger-Isakov L, Halasa N, Pediatric HCT Flu Study

374. Early Discontinuation of Empiric Antibiotics for Febrile Neutropenia in Pediatric Allogeneic Haploidentical Hematopoietic Cell Transplant Recipients.

Open forum infectious diseases

Sandra Castejon Ramirez, Jose Amadeo A Ferrolino, Kim J Allison, Pamela Merritt, Megan Peterson, Amanda Cole, Amber Davis, Ashleigh Gowen, Li Tang, Guangjin Luo, Ronald H Dallas, Rachel L Wattier, Diego R Hijano, Gabriela Maron

Urine Testing in Children with Respiratory or Other Viral Illness Symptoms: a National Analysis of Ambulatory Encounters.

Journal of the Pediatric Infectious Diseases Society

Rachel L Wattier, Daniel J Shapiro, Sunitha V Kaiser, Adam L Hersh

Transition to Enteral Triazole Antifungal Therapy for Pediatric Invasive Candidiasis: Secondary Analysis of a Multicenter Cohort Study Conducted by the Pediatric Fungal Network.

Journal of the Pediatric Infectious Diseases Society

Bucayu RFT, Boge CLK, Yildirim I, Avilés-Robles M, Vora SB, Berman DM, Sharma TS, Sung L, Castagnola E, Palazzi DL, Danziger-Isakov L, Yin DE, Roilides E, Maron G, Tribble AC, Soler-Palacin P, López-Medina E, Romero J, Belani K, Arrieta AC, Carlesse F, Nolt D, Halasa N, Dulek D, Rajan S, Muller WJ, Ardura MI, Pong A, Gonzalez BE, Salvatore CM, Huppler AR, Aftandilian C, Abzug MJ, Chakrabarti A, Green M, Lutsar I, Knackstedt ED, Johnson SK, Steinbach WJ, Fisher BT, Wattier RL

Out-BREAK!: An IDWeek 2023 Escape Room to Break Out of the Educational Mold.

Open forum infectious diseases

Zhong D, Dong SW, Chu VT, Gabriel N, Lusardi K, Searns JB, Wattier RL, Ristagno EH, Bhimraj A, Boguniewicz J, Pottinger P

Diagnostic Stewardship Opportunities for Emergency Department Evaluation of Children with Suspected Urinary Tract Infection.

Antimicrobial Stewardship & Healthcare Epidemiology

Rachel Wattier, Prachi Singh, Israel Green-Hopkins, Adam Hersh, Andrew Auerbach, Sunitha Kaiser

Immunophenotypic predictors of influenza vaccine immunogenicity in pediatric hematopoietic cell transplant recipients.

Blood advances

Amarin JZ, Dulek DE, Simmons J, Hayek H, Chappell JD, Nochowicz CH, Kitko CL, Schuster JE, Muñoz FM, Bocchini CE, Moulton EA, Coffin SE, Freedman JL, Ardura MI, Wattier RL, Maron G, Grimley M, Paulsen G, Danziger-Isakov L, Carpenter PA, Englund JA, Halasa NB, Spieker AJ, Kalams SA

The Durability of Antibody Responses of Two Doses of High-Dose Relative to Two Doses of Standard-Dose Inactivated Influenza Vaccine in Pediatric Hematopoietic Cell Transplant Recipients: A Multi-Center Randomized Controlled Trial.

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

Schuster JE, Hamdan L, Dulek DE, Kitko CL, Batarseh E, Haddadin Z, Stewart LS, Stahl A, Potter M, Rahman H, Kalams SA, Bocchini CE, Moulton EA, Coffin SE, Ardura MI, Wattier RL, Maron G, Grimley M, Paulsen G, Harrison CJ, Freedman JL, Carpenter PA, Englund JA, Munoz FM, Danziger-Isakov L, Spieker AJ, Halasa NB, Pediatric HCT Flu Study

Immunogenicity and Safety of Alternative Influenza Vaccination Strategies in Repeated Seasons in Pediatric Hematopoietic-Cell Transplant Recipients.

Journal of the Pediatric Infectious Diseases Society

Hannah Bahakel, Andrew J Spieker, Anna Stahl, Herdi Rahman, Justin Amarin, Lubna Hamdan, Daniel E Dulek, Carrie L Kitko, Einas Batarseh, Zaid Haddadin, Laura S Stewart, Molly Potter, Spyros A Kalams, Jennifer E Schuster, Susan Coffin, Monica I Ardura, Rachel L Wattier, Gabriela Maron, Claire E Bocchini, Elizabeth A Moulton, Michael Grimley, Grant Paulsen, Christopher J Harrison, Jason Freedman, Paul A Carpenter, Janet A Englund, Flor M Munoz, Lara Danziger-Isakov, Natasha Halasa

Adjunctive Diagnostic Studies Completed Following Detection of Candidemia in Children: Secondary Analysis of Observed Practice from a Multicenter Cohort Study Conducted by the Pediatric Fungal Network.

Journal of the Pediatric Infectious Diseases Society

Wattier RL, Bucayu RFT, Boge CLK, Ross RK, Yildirim I, Zaoutis TE, Palazzi DL, Vora SB, Castagnola E, Avilés-Robles M, Danziger-Isakov L, Tribble AC, Sharma TS, Arrieta AC, Maron G, Berman DM, Yin DE, Sung L, Green M, Roilides E, Belani K, Romero J, Soler-Palacin P, López-Medina E, Nolt D, Bin Hussain IZ, Muller WJ, Hauger SB, Halasa N, Dulek D, Pong A, Gonzalez BE, Abzug MJ, Carlesse F, Huppler AR, Rajan S, Aftandilian C, Ardura MI, Chakrabarti A, Hanisch B, Salvatore CM, Klingspor L, Knackstedt ED, Lutsar I, Santolaya ME, Shuster S, Johnson SK, Steinbach WJ, Fisher BT

Impact of an Inpatient Allergy Guideline on β-Lactam and Alternative Antibiotic Use.

The journal of allergy and clinical immunology. In practice

Otani IM, Tang M, Wang L, Anstey KM, Hilts-Horeczko A, Li F, Le VP, Lee M, Bystritsky R, Mulliken JS, Wattier RL, Blumenthal KG, Doernberg SB

Broad- Versus Narrow-Spectrum Perioperative Antibiotics and Outcomes in Pediatric Congenital Heart Disease Surgery: Analysis of the Vizient Clinical Data Base.

Journal of the Pediatric Infectious Diseases Society

Cooch PB, Kim MO, Swami N, Tamma PD, Tabbutt S, Steurer MA, Wattier RL

Influenza Vaccine in Pediatric Recipients of Hematopoietic-Cell Transplants.

The New England journal of medicine

Schuster JE, Hamdan L, Dulek DE, Kitko CL, Batarseh E, Haddadin Z, Stewart LS, Stahl A, Potter M, Rahman H, Kalams SA, Coffin S, Ardura MI, Wattier RL, Maron G, Bocchini CE, Moulton EA, Grimley M, Paulsen G, Harrison CJ, Freedman J, Carpenter PA, Englund JA, Munoz FM, Danziger-Isakov L, Spieker AJ, Halasa N, Pediatric HCT Flu Study Group

Impact of Organism Reporting from Endotracheal Aspirate Cultures on Antimicrobial Prescribing Practices in Mechanically Ventilated Pediatric Patients.

Journal of clinical microbiology

Prinzi AM, Wattier RL, Curtis DJ, Ziniel SI, Fitzgerald A, Pearce K, Parker SK

Multicenter Prospective Study of Biomarkers for Diagnosis of Invasive Candidiasis in Children and Adolescents.

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

Fisher BT, Boge CLK, Xiao R, Shuster S, Chin-Quee D, Allen J, Shaheen S, Hayden R, Suganda S, Zaoutis TE, Chang YC, Yin DE, Huppler AR, Danziger-Isakov L, Muller WJ, Roilides E, Romero J, Sue PK, Berman D, Wattier RL, Halasa N, Pong A, Maron G, Soler-Palacin P, Hutto SC, Gonzalez BE, Salvatore CM, Rajan S, Green M, Doby Knackstedt E, Hauger SB, Steinbach WJ

Serotonin Syndrome in an Infant Associated With Linezolid and Opioid Use.

The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG

Essakow J, Jin L, Marupudi N, Wattier R, McQuillen P, Franzon D

From "More is Better" to "Less is More": A Commentary on Antimicrobial Use in Pediatric Oncology.

Journal of the Pediatric Infectious Diseases Society

Wattier RL, Esbenshade AJ

Updated Guidance on Use and Prioritization of Monoclonal Antibody Therapy for Treatment of COVID-19 in Adolescents.

Journal of the Pediatric Infectious Diseases Society

Wolf J, Abzug MJ, Anosike BI, Vora SB, Waghmare A, Sue PK, Olivero RM, Oliveira CR, James SH, Morton TH, Maron GM, Young JL, Orscheln RC, Schwenk HT, Bio LL, Willis ZI, Lloyd EC, Hersh AL, Huskins CW, Soma VL, Ratner AJ, Hayes M, Downes K, Chiotos K, Grapentine SP, Wattier RL, Lamb GS, Zachariah P, Nakamura MM

Indirect Standardization as a Case Mix Adjustment Method to Improve Comparison of Children's Hospitals' Antimicrobial Use.

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

Wattier RL, Thurm CW, Parker SK, Banerjee R, Hersh AL

Comparative Effectiveness of Echinocandins vs Triazoles or Amphotericin B Formulations as Initial Directed Therapy for Invasive Candidiasis in Children and Adolescents.

Journal of the Pediatric Infectious Diseases Society

Fisher BT, Zaoutis TE, Xiao R, Wattier RL, Castagnola E, Pana ZD, Fullenkamp A, Boge CLK, Ross RK, Yildirim I, Palazzi DL, Danziger-Isakov L, Vora SB, Arrieta A, Yin DE, Avilés-Robles M, Sharma T, Tribble AC, Maron G, Berman D, Green M, Sung L, Romero J, Hauger SB, Roilides E, Belani K, Nolt D, Soler-Palacin P, López-Medina E, Muller WJ, Halasa N, Dulek D, Hussain IZB, Pong A, Hoffman J, Rajan S, Gonzalez BE, Hanisch B, Aftandilian C, Carlesse F, Abzug MJ, Huppler AR, Salvatore CM, Ardura MI, Chakrabarti A, Santolaya ME, Localio AR, Steinbach WJ

Initial Guidance on Use of Monoclonal Antibody Therapy for Treatment of COVID-19 in Children and Adolescents.

Journal of the Pediatric Infectious Diseases Society

Wolf J, Abzug MJ, Wattier RL, Sue PK, Vora SB, Zachariah P, Dulek DE, Waghmare A, Olivero R, Downes KJ, James SH, Pinninti SG, Yarbrough A, Aldrich ML, MacBrayne CE, Soma VL, Grapentine SP, Oliveira CR, Hayes M, Kimberlin DW, Jones SB, Bio LL, Morton TH, Hankins JS, Mar?n-Alfaro GM, Timberlake K, Young JL, Orscheln RC, Schwenk HT, Goldman DL, Groves HE, Huskins WC, Rajapakse NS, Lamb GS, Tribble AC, Lloyd EE, Hersh AL, Thorell EA, Ratner AJ, Chiotos K, Nakamura MM

Multicenter interim guidance on use of antivirals for children with COVID-19/SARS-CoV-2.

Journal of the Pediatric Infectious Diseases Society

Chiotos K, Hayes M, Kimberlin DW, Jones SB, James SH, Pinninti SG, Yarbrough A, Abzug MJ, MacBrayne CE, Soma VL, Dulek DE, Vora SB, Waghmare A, Wolf J, Olivero R, Grapentine S, Wattier RL, Bio L, Cross SJ, Dillman NO, Downes KJ, Oliveira CR, Timberlake K, Young J, Orscheln RC, Tamma PD, Schwenk HT, Zachariah P, Aldrich ML, Goldman DL, Groves HE, Rajapakse NS, Lamb GS, Tribble AC, Hersh AL, Thorell EA, Denison MR, Ratner AJ, Newland JG, Nakamura MM

1348. Indirect Standardization to Improve Comparison of Children’s Hospitals’ Antimicrobial Use.

Open forum infectious diseases

Rachel Wattier, Cary Thurm, Ritu Banerjee, Ritu Banerjee, Adam Hersh

Hospital-level Antibiotic Use and Complexity of Care Among Neonates.

Journal of the Pediatric Infectious Diseases Society

Singh P, Steurer MA, Cantey JB, Wattier RL

Multicenter initial guidance on use of antivirals for children with COVID-19/SARS-CoV-2.

Journal of the Pediatric Infectious Diseases Society

Chiotos K, Hayes M, Kimberlin DW, Jones SB, James SH, Pinninti SG, Yarbrough A, Abzug MJ, MacBrayne CE, Soma VL, Dulek DE, Vora SB, Waghmare A, Wolf J, Olivero R, Grapentine S, Wattier RL, Bio L, Cross SJ, Dillman NO, Downes KJ, Timberlake K, Young J, Orscheln RC, Tamma PD, Schwenk HT, Zachariah P, Aldrich M, Goldman DL, Groves HE, Lamb GS, Tribble AC, Hersh AL, Thorell EA, Denison MR, Ratner AJ, Newland JG, Nakamura MM

Return to School for Pediatric Solid Organ Transplant Recipients in the United States During the COVID-19 Pandemic: Expert Opinion on Key Considerations and Best Practices.

Journal of the Pediatric Infectious Diseases Society

Downes KJ, Danziger-Isakov LA, Cousino MK, Green M, Michaels MG, Muller WJ, Orscheln RC, Sharma TS, Statler VA, Wattier RL, Ardura MI

Clustered Cases of Acral Perniosis: Clinical Features, Histopathology and Relationship to COVID-19.

Pediatric dermatology

Cordoro KM, Reynolds SD, Wattier R, McCalmont TH

2759. Immunogenicity of Inactivated Influenza Vaccines Given Early vs. Late After Pediatric Allogeneic Hematopoietic Cell Transplantation.

Open forum infectious diseases

Jennifer E Schuster, Jennifer E Schuster, Andrew Speaker, Lubna Hamdan, Einas Batarseh, Laura S Stewart, Daniel Dulek, Carrie L Kitko, Flor M Munoz, Flor M Munoz, Claire Bocchini, Lara Danziger-Isakov, Michael Grimley, Rakesh Goyal, Susan E Coffin, Jason L Freedman, Janet A Englund, Paul A Carpenter, Monica I Ardura, Jeffrey Auletta, Rachel Wattier, Kenny Truong, Gabriela Maron, Kim J Allison, Natasha B Halasa

Allograft of Primary Cutaneous Mucormycosis in a Preterm Neonate: A Case Report.

Wounds : a compendium of clinical research and practice

Benjamin T, Wattier R, Dominic W

293 Antifungal Agents.

Principles and Practice of Pediatric Infectious Diseases

Rachel L. Wattier, William J. Steinbach

Reducing Second Gram-Negative Antibiotic Therapy on Pediatric Oncology and Hematopoietic Stem Cell Transplantation Services.

Infection control and hospital epidemiology

Wattier RL, Levy ER, Sabnis AJ, Dvorak CC, Auerbach AD

Multisite external validation of a risk prediction model for the diagnosis of blood stream infections in febrile pediatric oncology patients without severe neutropenia.

Cancer

Esbenshade AJ, Zhao Z, Aftandilian C, Saab R, Wattier RL, Beauchemin M, Miller TP, Wilkes JJ, Kelly MJ, Fernbach A, Jeng M, Schwartz CL, Dvorak CC, Shyr Y, Moons KGM, Sulis ML, Friedman DL

Pediatric Invasive Aspergillosis.

Journal of fungi (Basel, Switzerland)

Wattier RL, Ramirez-Avila L

Pediatric invasive aspergillosis

Journal of Fungi

Wattier RL, Ramirez-Avila L

Serotherapy-Related Fevers, Blood Stream Infections (BSI), and Antibiotic Use in Pediatric Allogeneic Hematopoietic Cell Transplant (HCT) Recipients.

Biology of Blood and Marrow Transplantation

Biljana Horn, Sara O'Kane, Rachel Wattier, Justin T. Wahlstrom, Alexis Melton, Morton J. Cowan, Christopher C. Dvorak

Repeat blood cultures in children with persistent fever and neutropenia: Diagnostic and clinical implications.

Pediatric blood & cancer

Wattier RL, Dvorak CC, Auerbach AD, Weintrub PS

A Prospective, International Cohort Study of Invasive Mold Infections in Children.

Journal of the Pediatric Infectious Diseases Society

Wattier RL, Dvorak CC, Hoffman JA, Brozovich AA, Bin-Hussain I, Groll AH, Castagnola E, Knapp KM, Zaoutis TE, Gustafsson B, Sung L, Berman D, Halasa NB, Abzug MJ, Velegraki A, Sharma TS, Fisher BT, Steinbach WJ

Role of human polyomaviruses in respiratory tract disease in young children.

Emerging infectious diseases

Wattier RL, Vázquez M, Weibel C, Shapiro ED, Ferguson D, Landry ML, Kahn JS

Functionality of Borrelia burgdorferi LuxS: the Lyme disease spirochete produces and responds to the pheromone autoinducer-2 and lacks a complete activated-methyl cycle.

International journal of medical microbiology : IJMM

von Lackum K, Babb K, Riley SP, Wattier RL, Bykowski T, Stevenson B

Synthesis of autoinducer 2 by the lyme disease spirochete, Borrelia burgdorferi.

Journal of bacteriology

Babb K, von Lackum K, Wattier RL, Riley SP, Stevenson B

Quorum sensing by the Lyme disease spirochete.

Microbes and infection

Stevenson B, von Lackum K, Wattier RL, McAlister JD, Miller JC, Babb K