Division Chief, Infectious Disease Medical Director for Antimicrobial Stewardship CHI Hospital Epidemiology Creighton University Medical Center CHI Health Board Certifications: Internal Medicine and Infectious Diseases Areas of Interest: Gender and Health Care equity Fellowship: Creighton University School of Medicine Residency: University of Nebraska Medical Center Medical School: Medical University of the Americas
Research Focus
Health disparity, outcomes in organ transplant, antibiotics stewardship and outcomes, Infectious disease, quality improvement projects for better patient outcomes in clinical setting
The Annals of pharmacotherapy Destache Chris, etal Evaluating Cefepime Dosing Strategies in Pseudomonas aeruginosa Bacteremia: A Retrospective Cohort Analysis, p. 10600280251339770 2025
Urology (Ridgewood, N.J.) Palencia Peter S, etal Demographics, Complications, and Management of Genitourinary Gunshot Wounds: National Trauma Data Bank Analysis 2025
Open forum infectious diseases Pavlovsky Lacey, etal P-386. Assessing Implementation of Evidence-Based Practice Recommendations for Prevention of Surgical Site Infections Through a Statewide Survey of Nebraska Hospitals 12:Suppl 1 2025
Current medical research and opinion Chatterjee Archana, etal The association between influenza vaccine effectiveness and egg-based manufacturing technology: literature review and US expert consensus, p. 1 - 9 2023
Open forum infectious diseases Vivekanandan Renuga, etal 185. Pseudomonas aeruginosa (PA) Bacteremia and Patient Outcome during COVID-19 Pandemic 10:Supplement_2 2023
Diagnostic microbiology and infectious disease Destache Christopher J, etal Assessment of the impact of centralized bioMérieux BACT/ALERT® VIRTUO® blood culture system (VIRTUO) implementation on outcomes in patients with gram-negative bacteremia, p. 116085 2023
International journal of infectious diseases Patel Shiv, etal Discharge disposition and clinical outcomes of patients hospitalized with COVID-19 130, p. 1 - 5 2023
Open forum infectious diseases Cooper Stephen J, etal 956. Improving Understanding and Utilization of the Antibiogram among Medical Residents 9 2022
Antimicrobial Stewardship and Healthcare Epidemiology Cooper Stephen J., etal Improving understanding and utilization of the antibiogram among medical residents 2:1 2022
Pharmacy Destache Christopher J, etal COVID-19 Mortality and Therapeutics in Nebraska and Southwest Iowa during Early Pandemic 10:4, p. 69 - 2022
Swaney R., etal Clinical Outcomes of Patients Hospitalized for COVID-19 Infection Treated with Tocilizumab 2022
Jokomo-Nyakabau R., etal A Rare Presentation of 'the Forgotten Disease': Septic Thrombophlebitis of the Internal Jugular Vein (Lemierre’s Syndrome) Complicated by Empyema and Pyogenic Brain Abscess 2022
Maclean Alyssa K.W., etal Intrapatient transfer of an uncommon carbapenemase in Nebraska 2022
Critical care medicine Creech Zachary, etal 219: DISCHARGE DISPOSITION OF COVID-19 PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT 50:1, p. 94 - 94 2022
Chest Ahmad FARAN, etal SPONTANEOUS CORONARY ARTERY DISSECTION: A RARE SEQUELA OF COVID-19 160:4, p. A94 - A95 2021
Pharmacotherapy Destache Christopher J., etal Bamlanivimab use in mild-to-moderate COVID-19 disease 41:9, p. 743 - 747 2021
International Journal of Infectious Diseases Ahmad Faran, etal Multisystem inflammatory syndrome in adults 108, p. 209 - 211 2021
Critical Care Medicine Rajendraprasad Sanu, etal COVID-19 Therapeutics: What Works? 49:1, p. 93 - 93 2021
Critical Care Medicine Ahmad Faran, etal Influence of Health Disparities on COVID-19 Critical Care Admissions 49:1, p. 101 - 101 2021
3D Printing in Medicine Cote John, etal COVID-19 and a novel initiative to improve safety by 3D printing personal protective equipment parts from computed tomography 6, p. 20 - 2020
Pharmacy Anthone Jennifer, etal Implementation of a Health-System Wide Antimicrobial Stewardship Program in Omaha, NE 7:4, p. 156 - 156 2019
Open forum infectious diseases Gummadi Padma Priya, etal 2691. Comparison of Incidence and Mortality of Kaposi’s Sarcoma Amongst Solid-Organ Transplant Recipients 6:Supplement_2, p. S945 - S946 2019
Open forum infectious diseases Ased Sumaya J, etal 2095. Antimicrobial Stewardship (ASP) in Rural and Critical Access Hospitals (CAHs) Using TeleStewardship® Services 6:Supplement_2, p. S708 - S708 2019
Open forum infectious diseases Destache Christopher J, etal 2394. A Longitudinal Study of the Effect of Renal Failure on Readmission Rates of Patients with Clostridioides difficile 6:Supplement_2, p. S826 - S827 2019
Open forum infectious diseases Boldt Dayla, etal 1069. Implementation and Results of a Health-System Antimicrobial Stewardship (AMS) Program 6:Supplement_2, p. S379 - S379 2019
Diagnostic Microbiology and Infectious Disease Cavalieri Stephen J., etal Effect of antimicrobial stewardship with rapid MALDI-TOF identification and Vitek 2 antimicrobial susceptibility testing on hospitalization outcome 95:2, p. 208 - 211 2019
Echocardiography Urja Prakrity, etal Trends in the use of echocardiography in patients with Staphylococcus aureus bacteremia 36:9, p. 1625 - 1632 2019
BMJ case reports Latif Azka, etal A rare case of Shewanella septicemia 12:9 2019
Gastroenterology (New York, N.Y. 1943) Rahma Ahmed, etal Tu1564 – Predictors of Outcome and Rate of Graft Failure in Patients with Primary Sclerosing Cholangitis Due to Inflammatory Bowel Disease After Receiving Liver Transplant. A Descriptive Study from the United Network of Organ Sharing (UNOS) Database 156:6, p. S-1359 - S-1360 2019
Open forum infectious diseases George Elizabeth, etal 1195. Where You Live Matters: United States Region as a Significant Predictor of Mortality for ESBL Infection Based on a Descriptive Study Using NIS Database 5:suppl_1, p. S361 - S362 2018
Open forum infectious diseases Anthone Jennifer, etal 527. New Robust Antimicrobial Stewardship Program (ASP) Results in Reduction of Clostridium difficile 30-Day Readmission 5:Suppl 1, p. S195 - S195 2018
Open forum infectious diseases Cavalieri Stephen, etal 1808. Matrix-Assisted Laser Desorption/Ionization-Time of Flight (MALDI-TOF) and Vitek 2 Along With Antimicrobial Stewardship (ASP) Result in Faster Antimicrobial Therapy for Infected Patients: The CHI Health Experience 5:Suppl 1, p. S513 - S513 2018
Open forum infectious diseases Wintheiser Grant, etal 1580. Characteristics of Early vs. Late Onset Post-transplant Lymphoproliferative Disorder After Liver Transplant:– A Descriptive Study of the United Network of Organ Sharing (UNOS) Database 5:Suppl 1, p. S493 - S494 2018
Open Forum Infectious Diseases Abbas Anum, etal Health Disparities in HIV and Pregnancy 5:suppl_1, p. S21 - S21 2018
American Journal of Gastroenterology Jhand Aravdeep S., etal Impact of Timing of Paracentesis on Readmission Rates in Patients with Spontaneous Bacterial Peritonitis: Analysis of National Readmission 113:Supplement, p. S549 - S549 2018
Chest Munir AHMED, etal HIV WITH DISSEMINATED TULAREMIA: A RARE PRESENTATION 154:4, p. 204 - 205A 2018
Cureus Nguyen Michelle, etal Postpartum Invasive Group A Streptococcus Infection: Case Report and Mini-review 2018
Gastroenterology Buddam Avanija, etal Tu1378 - Incidence of Pancreatitis and Graft Failure Resulting from Pancreatitis after Pancreas Transplantation: A Descriptive Study using UNOS Database 154:6, p. S - 948 2018
Cureus Rainwater Ellecia, etal Maxillary Teeth Abscesses Result in Atypical Liver Abscesses, p. 2353 - 2353 2018
Critical care medicine Munir Ahmed, etal 676: ATYPICAL PRESENTATION OF Q FEVER PRESENTING AS SEPTIC SHOCK AND RESPIRATORY FAILURE 46:1, p. 324 - 324 2018
Pharmaceutical Research Prathipati Pavan Kumar, etal Pharmacokinetic and Tissue Distribution Profile of Long Acting Tenofovir Alafenamide and Elvitegravir Loaded Nanoparticles in Humanized Mice Model 34:12, p. 2749 - 2755 2017
Curēus (Palo Alto, CA) Onaiwu Cherry O, etal Rare Multidrug-Resistant Pulmonary Nocardiosis in AIDS 9:11, p. e1839 2017
Open forum infectious diseases Shipley Scott, etal Evaluation of the Management of ESBL Producing Enterobacteriaceae Infections: CHI health Omaha 4:suppl_1, p. S151 - S151 2017
Chest Gupta Vritti, etal Health Disparaties Affecting Mortality After Lung Transplant: A Retrospective Analysis Using UNOS Database 152:4, p. A1109 - A1109 2017
Infection Control and Hospital Epidemiology Ased S., etal Evaluation of Staphylococcus Aureus Bacteremia: Academic and Community-Based Management within the Same Health System 38:6, p. 740 - 742 2017
Burns Al Ashry H. S., etal Response to Letter to the Editor regarding 'Incidence of Ventilator Associated Pneumonia in Burn Patients with Inhalation Injury Treated with High Frequency Percussive Ventilation Versus Volume Control Ventilation: A Systematic Review' 43:3, p. 689 - 690 2017
Journal of Spine & Neurosurgery M Velagapudi, etal Otogenic Temporal Lobe Abscess: A Mini-review 06:02, p. 2325 - 9701 2017
Journal of the American College of Cardiology Urja Prakrity, etal TRENDS AND USE OF ECHOCARDIOGRAPHY IN PATIENTS WITH STAPHYLOCOCCUS AUREUS BACTEREMIA: AN ANALYSIS USING THE NATIONWIDE INPATIENT SAMPLE (NIS) DATA 69:11, p. 1641 - 2017
Circulation Cardiovascular quality and outcomes Urja Prakrity, etal Abstract 120: A Retrospective Study on Heart-lung Transplantation Patient Utilizing United Network for Organ Sharing Database to Identify the Effect of CMV Donor Recipient Serostatus, Age, Sex, or Anti-thymocyte Immunoglobulin Therapy on Mortality 10:suppl_3 2017
Journal of clinical oncology Krishnan Mridula, etal Incidence of colorectal carcinoma following liver transplantation: A retrospective analysis using the United Network for Organ Sharing (UNOS) database 35:4_suppl, p. 542 - 542 2017
Open forum infectious diseases Anthone Jennifer, etal Impact of Pharmacist-Led Education on Prescribing Habits for Acute Treatment of Suspected Sexually Transmitted Infections (STIs) in an Academic Medical Center Emergency Department (ED) 3:suppl_1 2016
Open forum infectious diseases Ased Sumaya, etal A Comparison of Staphylococcus aureus Bacteremia (SAB) Diagnosis and Management: Differences Between Academic and Community Hospital Settings 3:suppl_1 2016
Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Wethington Anna, etal Bovine pericardium duraplasty 6, p. 18 - 19 2016
Burns Al Ashry H. S., etal Incidence of Ventilator Associated Pneumonia in Burn Patients with Inhalation Injury Treated with High Frequency Percussive Ventilation Versus Volume Control Ventilation: A Systematic Review 42:6, p. 1193 - 1200 2016
Antimicrobial Agents and Chemotherapy Destache Christopher J., etal Topical Tenofovir Disoproxil Fumarate Nanoparticles Prevent HIV-1 Vaginal Transmission in a Humanized Mouse Model 60:6, p. 3633 - 3639 2016
Heart (British Cardiac Society) Anantha Narayanan M., etal Early versus late surgical intervention or medical management for infective endocarditis: a systematic review and meta-analysis 2016, p. (8 pages) - 2016
American journal of respiratory and critical care medicine Dhami J, etal D49 LUNG INFECTION CASE REPORTS II: INFECTIONS OTHER THAN FUNGAL INFECTIONS: Multidrug-Resistant Pseudomonas And Continuous Renal Replacement Therapy: A Case Report And Review Of Literature 193, p. 1 2016
Case reports in infectious diseases Bhatty Osman, etal A Rare Manifestation of Tuberculosis Presenting in the United States. 2016, p. 8216040 - 8216040 2016
The Journal of the American Osteopathic Association Foral Pamela A., etal Education and Communication in an Interprofessional Antimicrobial Stewardship Program 116:9, p. 588 - 593 2016
Open forum infectious diseases Foral Pamela, etal 428Incorporating Interprofessional Practice Education and Motivational Interviewing Techniques in Antimicrobial Stewardship Programs at Two Academic Medical Centers 2:suppl_1, p. S166 - S166 2015
Chest Huss Gina, etal ANCA Positivity and a Red Herring 148:4, p. 282A - 282A 2015
Chest Mansour George, etal COPD Exacerbation, Does Procalcitonin Help? A Meta-analysis 148:4, p. 754 - 754B 2015
BMJ Case Reports Vallabhajosyula S., etal Fatal Pneumocystis jirovecii pneumonia in a HIV-negative adult 2015, p. - 2015
Case Reports in Infectious Diseases Anantha Narayanan M., etal Fatal Case of Probable Invasive Aspergillosis after Five Years of Heart Transplant: A Case Report and Review of the Literature 2015, p. (4 pages) - 2015
BMJ Case Reports Veerappan Kandasamy V., etal Multidrug-resistant Nocardia pseudobrasiliensis presenting as multiple muscle abscesses 2015 2015
BMJ Case Reports Vallabhajosyula Saraschandra, etal Mycotic pseudoaneurysm by vancomycin-intermediate Staphylococcus aureus: a rare cause of persistent bacteraemia 2015, p. - 2015
Journal of the American Pharmacists Association Au Trang H, etal Hepatitis C Therapy: Looking Toward Interferon-Sparing Regimens 55:2, p. 209 - 209 2015
Journal of the American Pharmacists Association Au Trang H., etal Hepatitis C therapy 55:2, p. e72 - e86 2015
American journal of respiratory and critical care medicine Narayanan M, etal B41 DON'T LET ME DOWN: ADVANCES IN THORACIC SURGERY: Evidence Of Lower Mortality In Early Surgical Intervention For Infective Endocarditis: A Meta-Analysis 191, p. 1 2015
Journal of clinical and experimental hematopathology : JCEH Goyal Gaurav, etal Multicentric Castleman Disease with Monoclonal Incomplete IgH Restriction 55:2, p. 103 - 108 2015
Open forum infectious diseases Anthone Jennifer, etal 227Evaluation of Antimicrobial Stewardship in an Academic Medical Center Emergency Department (ED) 1:suppl_1, p. S99 - S99 2014
BMJ Case Reports Vallabhajosyula Saraschandra, etal False-positive tuberculous meningitis due to laboratory contamination: importance of a holistic clinical evaluation 2014, p. 10.1136/bcr - 2014 2014
Digestive Diseases and Sciences Martinez Marco Olivera, etal Hepatorenal syndrome 57:1, p. 210 - 214 2012
Pediatric Infectious Disease Journal Florescu Diana F., etal Risk factors and outcomes of staphylococcus aureus infections after small bowel and multivisceral transplantation 31:1, p. 25 - 29 2012
Presentations
Project Gram, Improving the Understanding and Utilization of Antibiograms in an Academic Medical Center in the Midwest. Cooper, Stephen M.D., M.P.H., Destache, Christopher Pharm. D., Vivekanandan, Renuga MD. May 2022 Creighton School of Medicine Quality symposium. Winner of the best abstract award. 2022
Advancing Inclusion at Creighton University School of Medicine (CUSOM). Renuga Vivekanandan MD, Robert Dunlay MD, Joann Porter MD, Maureen Tierney MD, Poonam Sharma MD, Randy Pritza MD, Chris Destache PharmD, Nicole Thomas MHA, Laurie Baedke MHA, Katie McKillip MD, Claudia Chambers MD, Tom Svolos MD, Ronn Johnson PhD. April 2022. ELAM Meeting in Philadelphia. 2022
Ahmad F, Mendoza N, Vivekanandan R, Velagapudi M.ID week 2020 case: A headache that persists may have a fungus that exists.ID week 2020 presented at Fellow workshop 2020
A longitudinal Study of the Effect of Renal Failure on Readmission Rates of Patients with Clostridioides difficile. CJ Destache, B Detweiler and R Vivekanandan. Oct 2019, IDSA Meeting 2019
Antibiotics Stewardship (ASP) in Rural and Critical access hospitals using teleStewardship services. Oct 2019. IDSA Meeting. S Ased, J Horne, R Vivekanandan and C Destache. 2019
Implementation and Results of a Health-System Antimicrobial Stewardship Program. Oct 2019 IDSA Meeting. J Anthone, D Boldt, B Alexander, C Carroll, S Ased, D Schmidt, R Vivekanandan and C Destache. 2019
Comparison of incidence and mortality of Kaposis Sarcoma Amongst Solid-Organ Transplant Recipients. Oct 2019 IDSA Meeting. P Gummadi, S Aurit, C Destache, R Walters, E George, R Vivekanandan and M Velagapudi. 2019
Munir, A., Rakhra, A., Landeen, C., Velagapudi, M., Vivekanandan, R., Plambeck, R. HIV with disseminated tularemia: A Rare Presentation. CHEST 2018. San Antonio, TX. 2018
George, E., Aurit, S., Destache, C., Vivekanandan, R. Where You Live Matters: Regional differences in mortality from ESBL Pathogen Infections. IDSA, San Francisco, CA. 2018
Vivekanandan,R and Baedke, L. Omaha Make Happen Event - Greater Omaha Chambers. Innovation: From Jargon to Execution. Sept 20, 2018 2018
Vivekanandan, R. Practical Gastroenterology for the primary care conference. Clostridium difficile. August 25, 2018 2018
Vivekanandan, R, Alexandra, Bryan. Is Antibiotics Stewardship the Answer to Clostridium difficile? June 8th, 2018. CHI Health - St. Francis Hospital. Grand Island, NE. CME Event 2018
Vivekanandan, R, Horne, John. Is Antibiotics Stewardship the Answer to Clostridium difficile? June 1, 2018. Nebraska Antibiotics Stewardship Summit. Omaha, NE 2018
An unusual Case of Typhlitis in a Post-Partum Female. A.S. Jhand, A. Ahmad, K. Keeley, R. Norris, and R. Vivekanandan. ATS Journal May 2018. Abstract/Presentation 2018
Vivekanandan, R, Key Note Speaker. Introduction to Antimicrobial Stewardship Program. 29th Annual Sigma Theta Tau Research Day on May 3, 2018. Omaha, NE 2018
Buddam A, Walter R, Kassim, T, Mukherjee S and Vivekanandan R. Incidence of Pancreatitis and Graft Failure Resulting from Pancreatitis after Pancreas Transplantation: A Descriptive Study using UNOS Database. Grastroenterology. May 2018. Abstract/Presentation 2018
Vivekanandan, R, Horne, John and Jennifer Anthone. Antibiotics Stewardship Panel. Infectious Diseases Spring Symposium 2018. Omaha, NE 2018
Vivekanandan, R, Boldt, Dayla. Sepsis in Pregnancy. March 8, 2018. St. CHI Health-St. Francis Hospital CME Event. Grand Island, NE 2018
Munir, Ahmed; Jhand, Aravdeep; Gupta, Vritti; Krishnan, Mridula; Yadav, Niraj; Klug, Michael; Grant, Leah; Lambrecht, Jason; Horne, John; Thibodeau, Joseph, Vivekanandan, Renuga. Atypical Presentation of Q fever presenting as Septic Shock and Respiratory Failure. Critical Care Medicine. January 2018 - Abstract/Presentation 2018
Marsh S, Ratnaraj F, Norris R, Gass J, Vivekanandan R. Nocardia Mastoiditis in an Immunocompromised Patient with Recurrent Otitis Media. Abstract/Poster Presentation. ACP Regional 2016. National ACP Conference San Francisco, CA. Nov. 1-4, 2017 2017
Hermes M, Bollom A, Boldt D and and Vivekanandan, R. Brucellosis in the Beff? Abstract/Presentation American College of Physician Conference. Nebraska Oct 27-28, 2017. 2017
Rieth T, Aurit S, Walters R and Vivekanandan, R. The Effects of Health Disparities on the Outcomes of Small Intestine Transplants: Database Review from UNOS. Abstract/Presentation, American College of Physician Conference. Nebraska Abrstract/Presentation Oct 27-28, 2017. 2017
Kor B, Ermann D, Loranger A, Bhavsar S and Vivekanandan R. An Unexpected Infection: A Case of Neurobrucellosis. Abstract/Presntation. American College of Physician Conference. Nebraska Oct 27-28, 2017. 2017
Rahma A, Shaw K, Fine A, Kozlowski I, Krishnan M, and Vivekanandan R. Acute Kidney Injury from Tribulus Terrestris (TT) Supplement in a 52-year-old Male. Abstract/Presentation. American College of Physician Conference. Nebraska Oct 27-28, 2017. 2017
Lai A, Haddad T, Grant L, Wittenburg G, Breen M, Windish S, Selim M, Vivekanandan R and Townley T. Measured versus calculated Long QT in a patient with Loperamide Overdose. Abstract/Presentation. American College of Physician Conference. Nebraska. Oct 27-28, 2017 2017
Vivekanandan, R, Destache, C and Dayla Boldt. Guidelines and Applications to Sepsis Management. CHI Health, St Francis Hospital 2017
Evaluation of Management of ESBL Producing Enterobacteriaceae Infections: CHI Health Omaha. Scott Shipley, Stephen Cavalieri, Renuga Vivekananda and Christopher Destache. IDWeek2017. San Diego. 2017
Gupta V, Narayanan M, Walters R and Vivekanandan, R. Health Disparities Affecting Mortality After Lung Transplant: A Retrospective Analysis Using UNOS Database. Chest. October 2017. Abstract/Presentation. 2017
Vivekanandan, R, and Horne J. Antibiotic Stewardship. Kentucky Hardin Memorial. 2017
Vivekanandan, R, Gorgy G, Horne J and Anthone J. Fired up and not Burned out: Provider Burnout. Nebraska Pharmacy Association. 2017
Master Clinician Award Creighton University School of Medicine
Leadership Excellence Award CHI Health Board of Directors Meeting
40 Under 40 Winner Midlands Business Journal Publications
Best Doctors in America
James F. Sullivan Award Given by the medical resident in recognition for the excellence and dedication to house staff education Creighton University Department of Medicine