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Emily R.M. Sydnor Spivak, MD, MHS

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Languages Spoken: English

Dr. Spivak is an Associate Professor of Medicine in the Division of Infectious Diseases. She established and serves as Co-Director of the Antimicrobial Stewardship Programs at University of Utah Health and the Salt Lake City Veterans Affairs Healthcare System. She completed her residency and fellowship training at the Johns Hopkins University School of Medicine and earned a Masters in Health Sciences in Clinical Investigation at the Johns Hopkins Bloomberg School of Public Health.

Dr. Spivak's research interests focus on understanding patterns and drivers of antimicrobial use, methods to assess appropriateness, and development and evaluation of methods to improve antimicrobial use. She has led clinical research focused on evaluating patient outcomes related to various antibiotic use strategies. She is also involved with national Veterans Affairs efforts to evaluate antimicrobial use, develop tools to improve use and dissemination and evaluation of these resources.

She is a member of the Society of Healthcare Epidemiology (SHEA) where she serves on the Public Policy and Government Affairs Committee and the Antibiotic Stewardship Committee. She is a Fellow of the Infectious Diseases Society of America (IDSA), and serves as Vice Chair of the IDSA Antimicrobial Resistance Committee. She also serves as a member of the Board of Scientific Counselors to the Office of Infectious Diseases at the Centers for Disease Control and Prevention, and is Co-Chair of the Vizient Antimicrobial Stewardship Committee.

Clinical Locations

University Hospital
Infectious Diseases, Area E

801-585-2031

50 N Medical Dr
Salt Lake City, UT  84132
E-10

Map

Specialties

  • Epidemiology/Nosocomial Infections
  • Endocarditis
  • Infectious Diseases

Board Certification and Academic Information

Academic Departments Internal Medicine - Associate Professor (Clinical)
Academic Divisions Infectious Diseases
Board Certification American Board of Internal Medicine (Internal Medicine)
American Board of Internal Medicine (Sub: Infectious Disease)

Dr. Spivak is an Associate Professor of Medicine in the Division of Infectious Diseases. She established and serves as Co-Director of the Antimicrobial Stewardship Programs at University of Utah Health and the Salt Lake City Veterans Affairs Healthcare System. She completed her residency and fellowship training at the Johns Hopkins University School of Medicine and earned a Masters in Health Sciences in Clinical Investigation at the Johns Hopkins Bloomberg School of Public Health.

Dr. Spivak's research interests focus on understanding patterns and drivers of antimicrobial use, methods to assess appropriateness, and development and evaluation of methods to improve antimicrobial use. She has led clinical research focused on evaluating patient outcomes related to various antibiotic use strategies. She is also involved with national Veterans Affairs efforts to evaluate antimicrobial use, develop tools to improve use and dissemination and evaluation of these resources.

She is a member of the Society of Healthcare Epidemiology (SHEA) where she serves on the Public Policy and Government Affairs Committee and the Antibiotic Stewardship Committee. She is a Fellow of the Infectious Diseases Society of America (IDSA), and serves as Vice Chair of the IDSA Antimicrobial Resistance Committee. She also serves as a member of the Board of Scientific Counselors to the Office of Infectious Diseases at the Centers for Disease Control and Prevention, and is Co-Chair of the Vizient Antimicrobial Stewardship Committee.

Academic Locations

Board Certification and Academic Information

Academic Departments Internal Medicine - Associate Professor (Clinical)
Academic Divisions Infectious Diseases
Board Certification American Board of Internal Medicine (Internal Medicine)
American Board of Internal Medicine (Sub: Infectious Disease)

Education History

Graduate Training Johns Hopkins Bloomberg School of Public Health
Clinical Investigation
M.H.S., 2011
Fellowship Johns Hopkins University School of Medicine
Infectious Diseases
Fellow, 2011
Chief Resident Osler Medical Service, Johns Hopkins University School of Medicine
Internal Medicine
Chief Resident, 2009
Residency Johns Hopkins University School of Medicine
Internal Medicine
Resident, 2007
Internship Beth Israel Deaconess Medical Center
Internal Medicine
Intern, 2004
Professional Medical University of Virginia School of Medicine
Medicine
M.D., 2003
Undergraduate The College of William and Mary
Biology
B.S., 1999

Selected Publications - Journal Articles

Journal Article

  1. Fowler VG, Jezek A, Spivak ES, Talkington K (2021). Urgent, Comprehensive Federal Action Needed To Stem Mortality and Medicare Costs Associated With Antimicrobial Resistance. Clin Infect Dis.
  2. Vaughn VM, Hersh AL, Spivak ES (2021). Antibiotic Overuse and Stewardship at Hospital Discharge: The Reducing Overuse of Antibiotics at Discharge (ROAD) Home Framework. Clin Infect Dis.
  3. Madaras-Kelly K, Hostler C, Townsend M, Potter EM, Spivak ES, Hall SK, Goetz MB, Nevers M, Ying J, Haaland B, Rovelsky SA, Pontefract B, Fleming-Dutra K, Hicks LA, Samore MH (2020). Impact of Implementation of the Core Elements of Outpatient Antibiotic Stewardship Within Veterans Health Administration Emergency Departments and Primary Care Clinics on Antibiotic Prescribing and Patient Outcomes. Clin Infect Dis, 73(5), e1126-e1134.
  4. Webb BJ, Buckel W, Vento T, Butler AM, Grisel N, Brown SM, Peltan ID, Spivak ES, Shah M, Sakata T, Wallin A, Stenehjem E, Poulsen G, Bledsoe J (2021). Real-world Effectiveness and Tolerability of Monoclonal Antibody Therapy for Ambulatory Patients With Early COVID-19. Open Forum Infect Dis, 8(7), ofab331.
  5. Gibson EG, Pender M, Angerbauer M, Cook C, Jones B, Spivak AM, Spivak ES, Swaminathan S (2021). Prolonged SARS-CoV-2 Illness in a Patient Receiving Ocrelizumab for Multiple Sclerosis. Open Forum Infect Dis, 8(7), ofab176.
  6. Fox ER, Shah M, Vinik R, Brown S, Buckel W, Webb B, Zarndt J, Evans M, Mesdaghi P, Imlay HN, Spivak ES (2021). Developing statewide remdesivir use criteria. Am J Health Syst Pharm, 78(8), 732-735.
  7. Rhodes NJ, Dairem A, Moore WJ, Shah A, Postelnick MJ, Badowski ME, Michienzi SM, Borkowski JL, Polisetty RS, Fong K, Spivak ES, Beardsley JR, Hale CM, Pallotta AM, Srinivas P, Schulz LT (2021). Multicenter point prevalence evaluation of the utilization and safety of drug therapies for COVID-19 at the onset of the pandemic timeline in the United States. Am J Health Syst Pharm, 78(7), 568-577.
  8. Rhoads JLW, Willson TM, Sutton JD, Spivak ES, Samore MH, Stevens VW (2019). Epidemiology, Disposition, and Treatment of Ambulatory Veterans With Skin and Soft Tissue Infections. Clin Infect Dis, 72(4), 675-681.
  9. Oliver MB, Fong K, Certain L, Spivak ES, Timbrook TT (2021). Validation of a Community-Acquired Pneumonia Score To Improve Empiric Antibiotic Selection at an Academic Medical Center. Antimicrob Agents Chemother, 65(2).
  10. Eudy JL, Pallotta AM, Neuner EA, Brummel GL, Postelnick MJ, Schulz LT, Spivak ES, Wrenn RH (2020). Antimicrobial Stewardship Practice in the Ambulatory Setting From a National Cohort. Open Forum Infect Dis, 7(11), ofaa513.
  11. Ciarkowski CE, Timbrook TT, Kukhareva PV, Edholm KM, Hatton ND, Hopkins CL, Thomas F, Sanford MN, Igumnova E, Benefield RJ, Kawamoto K, Spivak ES (2020). A Pathway for Community-Acquired Pneumonia With Rapid Conversion to Oral Therapy Improves Health Care Value. Open Forum Infect Dis, 7(11), ofaa497.
  12. Luetkens T, Metcalf R, Planelles V, Zheng Y, Larragoite ET, Spivak ES, Spivak AM, Steinbach M, Blaylock RC, Avila SV, Hankey KG, Martins TB, Slev PR, Mannuel HD, Sajadi M, Rapoport AP, Atanackovic D (2020). Successful transfer of anti-SARS-CoV-2 immunity using convalescent plasma in an MM patient with hypogammaglobulinemia and COVID-19. Blood Adv, 4(19), 4864-4868.
  13. Sutton JD, Stevens VW, Chang NN, Khader K, Timbrook TT, Spivak ES (2020). Oral β-Lactam Antibiotics vs Fluoroquinolones or Trimethoprim-Sulfamethoxazole for Definitive Treatment of Enterobacterales Bacteremia From a Urine Source. JAMA Netw Open, 3(10), e2020166.
  14. Timbrook TT, McKay L, Sutton JD, Spivak ES (2020). Disproportionality Analysis of Safety With Nafcillin and Oxacillin With the FDA Adverse Event Reporting System (FAERS). Antimicrob Agents Chemother, 64(3), e01818-19.
  15. Timbrook TT, McKay L, Sutton JD, Spivak ES (2020). Disproportionality Analysis of Safety with Nafcillin and Oxacillin with the FDA Adverse Event Reporting System (FAERS). Antimicrob Agents Chemother, 64(3).
  16. Sutton JD, Carico R, Burk M, Jones MM, Wei X, Neuhauser MM, Goetz MB, Echevarria KLSpivak ES, Cunningham FE Skin and Soft Tissue Infection Medication Use Evaluation Group (2020). Inpatient Management of Uncomplicated Skin and Soft Tissue Infections in 34 Veterans Affairs Medical Centers: A Medication Use Evaluation. . Open Forum Infect Dis, 7(1), ofz554.
  17. Sutton JD, Carico R, Burk M, Jones MM, Wei X, Neuhauser MM, Goetz MB, Echevarria KL, Spivak ES, Cunningham FE, Skin and Soft Tissue Infection Medication Use Evaluation Group (2020). Inpatient Management of Uncomplicated Skin and Soft Tissue Infections in 34 Veterans Affairs Medical Centers: A Medication Use Evaluation. Open Forum Infect Dis, 7(1), ofz554.
  18. Erickson RM, Tritle BJ, Spivak ES, Timbrook TT (2019). Impact of an Antimicrobial Stewardship Bundle for Uncomplicated Gram-Negative Bacteremia. . Open Forum Infect Dis, 6(12).
  19. Erickson RM, Tritle BJ, Spivak ES, Timbrook TT (2019). Impact of an Antimicrobial Stewardship Bundle for Uncomplicated Gram-Negative Bacteremia. Open Forum Infect Dis, 6(12), ofz490.
  20. Ihm C, Sutton JD, Timbrook TT, Spivak ES (2019). Treatment Duration and Associated Outcomes for Skin and Soft Tissue Infections in Patients With Obesity or Heart Failure. Open Forum Infect Dis, 6(6), ofz217.
  21. Ihm C, Sutton JD, Timbrook TT, Spivak ES (2019). Treatment Duration and Associated Outcomes for Skin and Soft Tissue Infections in Patients With Obesity or Heart Failure. Open Forum Infect Dis, 6(6), ofz217.
  22. Spivak ES (2019). Antibiotic Use in Dentistry-What We Know and Do Not Know. JAMA Netw Open, 2(5), e193881.
  23. Benefield RJ, Slechta ES, Gast CM, Spivak ES, Hanson KE, Alexander DP (2018). Comparison of the Drug-Drug Interaction Potential of Daptomycin in Combination with Rifampin in Healthy Adult Volunteers. Antimicrob Agents Chemother, 62(12).
  24. Buss BA, Baures TJ, Yoo M, Hanson KE, Alexander DP, Benefield RJ, Spivak ES (2018). Impact of a Multiplex PCR Assay for Bloodstream Infections With and Without Antimicrobial Stewardship Intervention at a Cancer Hospital. Open Forum Infect Dis, 5(10), ofy258.
  25. Buss BA, Baures TJ, Yoo M, Hanson KE, Alexander DP, Benefield RJ, Spivak ES (2018). Impact of a Multiplex PCR Assay for Bloodstream Infections With and Without Antimicrobial Stewardship Intervention at a Cancer Hospital. Open Forum Infect Dis, 5(10), ofy258.
  26. Doernberg SB, Abbo LM, Burdette SD, Fishman NO, Goodman EL, Kravitz GR, Leggett JE, Moehring RW, Newland JG, Robinson PA, Spivak ES, Tamma PD, Chambers HF (2017). Essential Resources and Strategies for Antibiotic Stewardship Programs in the Acute Care Setting. Clin Infect Dis, 67(8), 1168-1174.
  27. Doernberg SB, Abbo LM, Burdette SD, Fishman NO, Goodman EL, Kravitz GR, Leggett JE, Moehring RW, Newland JG, Robinson PA, Spivak ES, Tamma PD, Chambers HF (2018). Essential Resources and Strategies for Antibiotic Stewardship Programs in the Acute Care Setting. Clin Infect Dis, 67(8), 1168-1174.
  28. Benefield RJ, Slechta ES, Gast CM, Spivak ES, Hanson KE, Alexander DP (2018). Comparison of the drug-drug interaction potential of daptomycin in combination with rifampin in healthy adult volunteers. Antimicrob Agents Chemother, Epub ahead.
  29. Timbrook TT, Spivak ES, Hanson KE (2018). Current and Future Opportunities for Rapid Diagnostics in Antimicrobial Stewardship. Med Clin North Am, 102(5), 899-911.
  30. Spivak ES, Neuhauser MM, Zhang R, Goetz MB, Cunningham FE (2018). Reply to Johnson. Clin Infect Dis, 66(11), 1817.
  31. Sutton JD, Sayood S, Spivak ES (2018). Top Questions in Uncomplicated, Non-Staphylococcus aureus Bacteremia. Open Forum Infect Dis, 5(5), ofy087.
  32. Lindgren KE, Pelt CE, Anderson MB, Peters CL, Spivak ES, Gililland JM (2018). Corrigendum to 'A Chlorhexidine Solution Reduces Aerobic Organism Growth in Operative Splash Basins in a Randomized Controlled Trial' [Journal of Arthroplasty (2018) 211-215]. J Arthroplasty, 33(4), 1305.
  33. Spivak ES, Hanson KE (2018). Candida auris: an Emerging Fungal Pathogen. J Clin Microbiol, 56(2).
  34. Lindgren KE, Pelt CE, Anderson MB, Peters CL, Spivak ES, Gililland JM (2017). A Chlorhexidine Solution Reduces Aerobic Organism Growth in Operative Splash Basins in a Randomized Controlled Trial. J Arthroplasty, 33(1), 211-215.
  35. Spivak ES, Burk M, Zhang R, Jones MM, Neuhauser MM, Goetz MB, Cunningham FE, Management of Urinary Tract Infections Medication Use Evaluation Group, Management of Urinary Tract Infections Medication Use Evaluation Group (2017). Management of Bacteriuria in Veterans Affairs Hospitals. Clin Infect Dis, 65(6), 910-917.
  36. Spivak ES, Burk M, Zhang R, Jones MM, Neuhauser MM, Goetz MB, Cunningham FE (2017). Management of Bacteriuria in Veterans Affairs Hospitals. Clin Infect Dis, 65(6), 910-917.
  37. Goates C, Tsuha S, Working S, Carey J, Spivak ES (2017). Seronegative West Nile Virus Infection in a Patient Treated with Rituximab for Rheumatoid Arthritis. Am J Med, 130(6), e257-e258.
  38. Gruninger RJ, Johnson RA, Das SK, Nelson EJ, Spivak ES, Contreras JR, Faruque AS, Leung DT (2017). Socioeconomic Determinants of Ciprofloxacin-resistant Shigella Infections in Bangladeshi Children. Pathog Immun, 2(1), 89-101.
  39. Guan J, Spivak ES, Wilkerson C, Park MS (2016). Subdural Empyema in the Setting of Multimodal Intracranial Monitoring. World Neurosurg, 97, 749.e1-749.e6.
  40. Gruninger RJ, Johnson RA, Das SK, Nelson EJ, Spivak ES, Contreras JR, Faruque ASG, Leung DT (2017). Socioeconomic Determinants of Cipro-floxacin-Resistant Shigella Infections in Bangladeshi Children. Pathog Immun, 2(1), 89-101.
  41. Spivak ES, Cosgrove SE, Srinivasan A (2016). Measuring Appropriate Antimicrobial Use: Attempts at Opening the Black Box. Clin Infect Dis, 63(12), 1639-1644.
  42. Yarbrough PM, Kukhareva PV, Spivak ES, Hopkins C, Kawamoto K (2015). Evidence-based care pathway for cellulitis improves process, clinical, and cost outcomes. J Hosp Med, 10(12), 780-6.
  43. Yarbrough PM, Kukhareva PV, Spivak ES, Hopkins C, Kawamoto K (2015). Evidence-based care pathway for cellulitis improves process, clinical, and cost outcomes. J Hosp Med, 10(12), 780-6.
  44. Spivak ES, Kendall B, Orlando P, Perez C, De Amorim M, Samore M, Pavia AT, Hersh AL (2015). Evaluation of Outpatient Parenteral Antimicrobial Therapy at a Veterans Affairs Hospital. Infect Control Hosp Epidemiol, 36(9), 1103-5.
  45. Spivak ES, Kendall B, Orlando P, Perez C, De Amorim M, Samore M, Pavia AT, Hersh AL (2015). Evaluation of Outpatient Parenteral Antimicrobial Therapy at a Veterans Affairs Hospital. Infect Control Hosp Epidemiol, 36(9), 1103-5.
  46. Lynch L, Spivak ES (2015). The pregnant healthcare worker: fact and fiction. Curr Opin Infect Dis, 28(4), 362-8.
  47. Spivak ES, Kendall B, Orlando P, Perez C, De Amorim M, Samore M, Pavia AT, Hersh AL (2015 May). Evaluation of Outpatient Parenteral Antimicrobial Therapy at a Veterans Affairs Hospital. Infect Control Hosp Epidemiol, 26, 1-3.
  48. Dufresne SF, Marr KA, Sydnor E, Staab JF, Karp JE, Lu K, Zhang SX, Lavalle C, Perl TM, Neofytos D (2014 Jun). Epidemiology of Candida kefyr in patients with hematologic malignancies. J Clin Microbiol, 52(6), 1830-7.
  49. Sydnor ER, Bova G, Gimburg A, Cosgrove SE, Perl TM, Maragakis LL (2012). Electronic Eye Faucets: Legionella spp. Contamination in Healthcare Settings. Infect Control Hosp Epidemiol, 33(3), 235-40.
  50. Emily RM Sydnor MD, MHS, Amy Greer PhD, Alicia P Budd MPH, Miriana Pehar RN, Supriya Munshaw PhD, Dionissios Neofytos MD, Trish M Perl MD, MSc, Alexandra Valsamakis MD, PhD (2012). An outbreak of human parainfluenza virus 3 infection in an outpatient hematopoietic stem cell transplantation clinic. Am J Infect Control, 40(7), 601-5.
  51. Sydnor ER, Lenhart A, Trollinger B, Avdic E, Maragakis LL, Carroll KC, Cosgrove SE (2011). Antimicrobial Prescribing Practices in Response to Different Clostridium difficile Diagnostic Methodologies. Infect Control Hosp Epidemiol, 32(11), 1133-6.
  52. Tamma PD, Turnbull AE, Milstone AM, Lehmann CU, Sydnor ER, Cosgrove SE (2011). Ventilator-associated tracheitis in children: does antibiotic duration matter? Clin Infect Dis, 52(11), 1324-31.
  53. Manabe YC, Campbell JD, Sydnor E, Moore RD (2007). Immune reconstitution inflammatory syndrome: risk factors and treatment implications. J Acquir Immune Defic Syndr, 46(4), 456-62.

Review

  1. Timbrook TT, Spivak ES, Hanson KE (2018). Current and Future Opportunities for Rapid Diagnostics in Antimicrobial Stewardship. [Review]. Med Clin North Am, 102(5), 899-911.
  2. Sutton JD, Sayood S, Spivak ES (2018). Top Questions in Uncomplicated, Non-Staphylococcus aureus Bacteremia. [Review]. Open Forum Infect Dis, 5(5), ofy087.
  3. Spivak ES, Hanson KE (2018). Candida auris: an Emerging Fungal Pathogen. [Review]. J Clin Microbiol, 56(2), e01588-17.
  4. Spivak ES, Cosgrove SE, Srinivasan A (Sep 2016). Measuring Appropriate Antimicrobial Use: Attempts at Opening the Black Box. [Review]. Clin Infect Dis, 63(12), 1639-1644.
  5. Lynch L, Spivak ES (2015 Aug). The pregnant healthcare worker: fact and fiction. [Review]. Curr Opin Infect Dis, 28(4), 362-8.
  6. Sydnor E, Perl TM (2014 Aug 27). Healthcare providers as sources of vaccine-preventable diseases. [Review]. Vaccine, 32(38), 4814-4822.
  7. Sydnor ER, Perl TM (2011). Hospital epidemiology and infection control in acute-care settings. [Review]. Clin Microbiol Rev, 24(1), 141-73.
  8. Spivak AM, Sydnor ER, Blankson JN, Gallant JE (2010). Seronegative HIV-1 infection: a review of the literature. [Review]. AIDS, 24(10), 1407-14.

Case Report

  1. Goates C, Tsuha S, Working S, Carey J, Spivak ES (2017). Seronegative West Nile Virus Infection in a Patient Treated with Rituximab for Rheumatoid Arthritis. Am J Med, 130(6), e257-e258.

Editorial

  1. Spivak ES (2019). Antibiotic Use in Dentistry-What We Know and Do Not Know. 2(5), e193881.

Letter

  1. Advani SD, Schwartz IS, Spivak ES, Sutton JD (2020). Re: 'Antibiotic Treatment for 6 Days Versus 12 Days in Patients With Severe Cellulitis' by Cranendonk Et Al [Letter to the editor]. Clin Microbiol Infect, 26(5), 654-655.
  2. Advani SD, Schwartz IS, Spivak ES, Sutton JD (2019). Re: 'Antibiotic treatment for 6 days versus 12 days in patients with severe cellulitis' by Cranendonk et al. [Letter to the editor]. Clin Microbiol Infect, 26(5), 654-655.
  3. Fabre V, Spivak ES, Keller SC (2020). Viewing the Community-acquired Pneumonia Guidelines Through an Antibiotic Stewardship Lens [Letter to the editor]. Am J Respir Crit Care Med, 201(6), 745-746.
  4. Fabre V, Spivak ES, Keller SC (2019). Viewing the Community-acquired Pneumonia Guidelines through an Antibiotic Stewardship Lens. [Letter to the editor]. Am J Respir Crit Care Med, 201(6), 745-746.
  5. Tritle BJ, Timbrook TT, Fisher MA, Spivak ES (2020). Penicillin as a Potential Agent for Dual β-Lactam Therapy for Enterococcal Endocarditis [Letter to the editor]. Clin Infect Dis, 70(6), 1263-1264.
  6. Tritle BJ, Timbrook TT, Fisher MA, Spivak ES (2019). Penicillin as a Potential Agent for Dual β-Lactam Therapy for Enterococcal Endocarditis. [Letter to the editor]. Clin Infect Dis, 70(6), 1263-1264.
  7. Babbel D, Sutton J, Rose R, Yarbrough P, Spivak ES (2018). Application of the DRIP Score at a Veterans Affairs Hospital. [Letter to the editor]. Antimicrob Agents Chemother, 62(3).
  8. Babbel D, Sutton J, Rose R, Yarbrough P, Spivak ES (2018). Application of the DRIP Score at a Veterans Affairs Hospital [Letter to the editor]. Antimicrob Agents Chemother, 62(3), e02277-17.
  9. Spivak ES, Cosgrove SE, Srinivasan A (2017). Reply to Schouten et al. [Letter to the editor]. Clin Infect Dis, 64(9), 1296.

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