Alexis M. Elward, M.D., M.P.H.  elward_a@kids.wustl.edu

Professor of Pediatrics, Infectious Diseases
Patient Oriented Research UnitInfectious Diseases

phone: (314) 454-6050

Clinical Interests

Dr. Elward is the Medical Director of Infection Control for Saint Louis Children's Hospital. She also serves on the Centers for Disease Control and Prevention's Hospital Infection Control Practice Advisory Committee (HICPAC) and is the HICPAC liaison to the Advisory Committee on Immunization Practices. Dr. Elward's research interests center around the epidemiology and outcomes of nosocomial infections in children, including hospital-acquired bloodstream infections, ventilator-associated pneumonia and antibiotic resistant organisms.

Education

  • BA, Loyola College1988
  • MD, University of Maryland School of Medicine1994
  • MPH, St. Louis University School of Public Health2006

Training

  • Resident, St. Louis Children's Hospital1994 - 1997
  • Chief Resident, St. Louis Children's Hospital1997 - 1998
  • Fellow, Washington Uniersity School of Medicine1998 - 2001
  • Lean Six Sigma Yellow Belt Certification2006

Licensure and Board Certification

  • MO, Physician and Surgeon 1996
  • American Board of Pediatrics (recertified 2005 and 2012) 1998
  • Pediatric Infectious Diseases Subspecialy Certificaton (recertified 2008) 2001

Honors

  • National Merit Scholarship Finalist1984
  • Valedictorian, Martin Spalding High School, Glen Burnie, MD1984
  • Marion Burke Knott Full Tuition Scholarship, Loyola College, Baltimore, MD1984 - 1988
  • Ayers Philosophy Award1988
  • Pediatric Infectious Diseases Society Fellowship Award1999
  • Saint Louis University School of Public Health Academic Achievement Award2006
  • Quality Award, Neonatal Intensive Care Unit Bloodstream Infection Prevention Team Co-leader, St. Louis Children’s Hospital2007
  • Synergy Award, Association for Professionals in Infection Control, St. Louis Chapter 73 “For Outstanding and Dedicated Service in Preventing Disease.”2007
  • Advisory Committee on Immunization Practices, Centers for Disease Control and Prevention2008
  • Hospital Infection Control Practice Advisory Committee (HICPAC), Centers for Disease Control and Prevention2008
  • Quality Award, Hand Hygiene Team, St. Louis Children’s Hospital2008
  • Charles C. Shephard Science Award nominee, Centers for Disease Control and Prevention2009
  • Society for Healthcare Epidemiology of America, Fellow status2009
  • Top 10 percent Washington University Physicians Patient Satisfaction Survey2013
  • Outstanding Commitment to Teaching Award, SLCH Pediatric Housestaff2014

Recent Publications view all (34)


  1. Bacterial Infections in Neonates Following Mupirocin-Based MRSA Decolonization: A Multicenter Cohort Study. Infect Control Hosp Epidemiol. 2017;1-7. PMID:28578731 
  2. Antibiotic Prophylaxis Is Associated with Subsequent Resistant Infections in Children with an Initial Extended-Spectrum-Cephalosporin-Resistant Enterobacteriaceae Infection. Antimicrob Agents Chemother. 2017;61(5). PMCID:PMC5404513  PMID:28289030 
  3. Reducing peripherally inserted central catheters in the neonatal intensive care unit. J Perinatol. 2017;37(4):409-413. PMID:28079867 
  4. The Molecular and Clinical Epidemiology of Extended-Spectrum Cephalosporin- and Carbapenem-Resistant Enterobacteriaceae at 4 US Pediatric Hospitals. J Pediatric Infect Dis Soc. 2017. PMID:28339623 
  5. Emergence of community-associated methicillin-resistant Staphylococcus aureus strains in the neonatal intensive care unit: an infection prevention and patient safety challenge. Clin Microbiol Infect. 2016;22(7):645.e1-8. PMCID:PMC4987169  PMID:27126609 
  6. Previous Antibiotic Exposure Increases Risk of Infection with Extended-Spectrum-β-Lactamase- and AmpC-Producing Escherichia coli and Klebsiella pneumoniae in Pediatric Patients. Antimicrob Agents Chemother. 2016;60(7):4237-43. PMCID:PMC4914666  PMID:27139486 
  7. Metagenomic Approach for Identification of the Pathogens Associated with Diarrhea in Stool Specimens. J Clin Microbiol. 2016;54(2):368-75. PMCID:PMC4733167  PMID:26637379 
  8. Risk Factors for Craniotomy or Spinal Fusion Surgical Site Infection. Pediatr Infect Dis J. 2015;34(12):1323-8. PMID:26353030 
  9. Successful use of temocillin as salvage therapy for cervical osteomyelitis secondary to multi-drug resistant Burkholderia cepacia J Pediar Infect Dis Soc. 2014;3(1):77-80. 
  10. Daily chlorhexidine bathing to reduce bacteraemia in critically ill children: a multicentre, cluster-randomised, crossover trial. Lancet. 2013;381(9872):1099-106. doi:10.1016/S0140-6736(12)61687-0  PMID:23363666 
  11. Oseltamivir dosing in premature infants. J Infect Dis. 2012;206(6):847-50. doi:10.1093/infdis/jis471  PMCID:PMC3572879  PMID:22807525 
  12. Guideline for the prevention and control of norovirus gastroenteritis outbreaks in healthcare settings. Infect Control Hosp Epidemiol. 2011;32(10):939-69. doi:10.1086/662025  PMID:21931246 
  13. Risk factors and outcomes of surgical site infection in children. J Am Coll Surg. 2011;212(6):1033-1038.e1. doi:10.1016/j.jamcollsurg.2011.01.065  PMID:21398150 
  14. Opportunities for antibiotic reduction in mechanically ventilated children. Pediatr Crit Care Med. 2011;12(3):282-5. doi:10.1097/PCC.0b013e3181f39f0e  PMID:20921920 
  15. Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control. 2011;39(4 Suppl 1):S1-34. doi:10.1016/j.ajic.2011.01.003  PMID:21511081 
  16. Improving surveillance for pediatric Clostridium difficile infection: derivation and validation of an accurate case-finding tool. Pediatr Infect Dis J. 2011;30(3):e38-40. doi:10.1097/INF.0b013e3182027c22  PMID:21079527 
  17. Identification and eradication of methicillin-resistant Staphylococcus aureus colonization in the neonatal intensive care unit: results of a national survey. Infect Control Hosp Epidemiol. 2010;31(7):766-8. doi:10.1086/653615  PMCID:PMC2881181  PMID:20470034 
  18. Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol. 2010;31(4):319-26. doi:10.1086/651091  PMID:20156062 
  19. Methicillin-sensitive and methicillin-resistant Staphylococcus aureus: preventing surgical site infections following plastic surgery. Aesthet Surg J. 2009;29(3):232-44. doi:10.1016/j.asj.2009.01.010  PMID:19608074 
  20. Outbreak of adverse reactions associated with contaminated heparin. N Engl J Med. 2008;359(25):2674-84. doi:10.1056/NEJMoa0806450  PMID:19052120 
  21. Prevalence of and risk factors for community-acquired methicillin-resistant and methicillin-sensitive staphylococcus aureus colonization in children seen in a practice-based research network. Pediatrics. 2008;121(6):1090-8. doi:10.1542/peds.2007-2104  PMID:18519477 
  22. Acute Allergic-Type Reactions Among Patients Undergoing Hemodialysis—Multiple States 2007-2008 MMWR. 2008;57. 
  23. Ventilator-associated pneumonia in neonatal and pediatric intensive care unit patients. Clin Microbiol Rev. 2007;20(3):409-25, table of contents. doi:10.1128/CMR.00041-06  PMCID:PMC1932752  PMID:17630332 
  24. Effect of nosocomial infections due to antibiotic-resistant organisms on length of stay and mortality in the pediatric intensive care unit. Infect Control Hosp Epidemiol. 2007;28(3):299-306. doi:10.1086/512628  PMID:17326020 
  25. Attributable cost of catheter-associated bloodstream infections among intensive care patients in a nonteaching hospital. Crit Care Med. 2006;34(8):2084-9. doi:10.1097/01.CCM.0000227648.15804.2D  PMID:16763511 
  26. Outbreak of Salmonella javiana infection at a children's hospital. Infect Control Hosp Epidemiol. 2006;27(6):586-92. doi:10.1086/504935  PMID:16755478 
  27. Risk factors for nosocomial primary bloodstream infection in pediatric intensive care unit patients: a 2-year prospective cohort study. Infect Control Hosp Epidemiol. 2006;27(6):553-60. doi:10.1086/505096  PMID:16755473 
  28. Attributable cost of nosocomial primary bloodstream infection in pediatric intensive care unit patients. Pediatrics. 2005;115(4):868-72. doi:10.1542/peds.2004-0256  PMID:15805357 
  29. Survey of knowledge, beliefs, and practices of neonatal intensive care unit healthcare workers regarding nosocomial infections, central venous catheter care, and hand hygiene. Infect Control Hosp Epidemiol. 2004;25(9):747-52. doi:10.1086/502471  PMID:15484799 
  30. Pediatric ventilator-associated pneumonia. Pediatr Infect Dis J. 2003;22(5):445-6. doi:10.1097/01.inf.0000069000.67615.bd  PMID:12792388 
  31. Rate, risk factors, and outcomes of nosocomial primary bloodstream infection in pediatric intensive care unit patients. Pediatrics. 2002;110(3):481-5. PMID:12205248 
  32. Ventilator-associated pneumonia in pediatric intensive care unit patients: risk factors and outcomes. Pediatrics. 2002;109(5):758-64. PMID:11986433 
  33. Steps to Prevent Nosocomial Infections in Children Infections in Medicine. 2002;19:414-419. 
  34. Nosocomial primary bloodstream infections in intensive care unit patients in a nonteaching community medical center: a 21-month prospective study. Clin Infect Dis. 2001;33(8):1329-35. doi:10.1086/322483  PMID:11550117 
Last updated: 07/21/2017
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