Mandana Naderi
- Assistant Professor of Practice
- Clinical Instructor, Pharmacy Practice-Science
- (602) 827-2441
- UA Coll of Med-Phx-Student Bld, Rm. 3274
- Tucson, AZ 85724
- mnaderi@arizona.edu
Biography
Mandana Naderi, PharmD, BCIDP is an instructor with the Department of Pharmacy Practice and Science and serves as the Antimicrobial Stewardship Expert with the Arizona Department of Health Services. She completed a specialized pharmacy residency in infectious diseases at Banner University Medical Center- Tucson through the University of Arizona College of Pharmacy. She currently collaborates with the Arizona Department of Health Services to promote antimicrobial stewardship across a variety of health care settings within the state of Arizona.
Degrees
- Pharm.D. Pharmacy
- Washington State University College of Pharmacy, Spokane, Washington, United States
- B.S. Public Health
- University of Washington, Seattle, Washington, United States
Work Experience
- Arizona Department of Health Services (2020 - Ongoing)
Licensure & Certification
- Board Certified Infectious Diseases Pharmacist, Board of Pharmacy Specialties (2019)
Interests
Teaching
- Antimicrobial resistance- Antimicrobial stewardship- Critical care- Public health
Research
- Infectious Diseases- Public Health- Antibiotic Prescribing- Antimicrobial Stewardship- Rural/Population Health
Courses
2023-24 Courses
-
Advanced Patient Care
PHPR 811 (Spring 2024) -
Infectious Diseases
PHPR 824 (Spring 2024) -
Pharmacokinetics
PHPR 818 (Fall 2023) -
Pharmacotherapeutics IV
PHPR 860D (Fall 2023) -
Quality and Safety
PHPR 863A (Fall 2023)
2022-23 Courses
-
Advanced Patient Care
PHPR 811 (Spring 2023) -
Independent Study
PHPR 899 (Spring 2023) -
Infectious Diseases
PHPR 824 (Spring 2023) -
Clinical Pathophysiology II
PCOL 838B (Fall 2022) -
Pharmacokinetics
PHPR 818 (Fall 2022) -
Pharmacotherapeutics IV
PHPR 860D (Fall 2022) -
Quality and Safety
PHPR 863A (Fall 2022)
2021-22 Courses
-
Infectious Diseases
PHPR 824 (Spring 2022) -
Pharmacokinetics
PHPR 818 (Fall 2021) -
Pharmacotherapeutics IV
PHPR 860D (Fall 2021) -
Quality and Safety
PHPR 863A (Fall 2021)
2020-21 Courses
-
Clinical Pathophysiology II
PCOL 838B (Spring 2021) -
Infectious Diseases
PHPR 824 (Spring 2021) -
Pharmacotherapeutics IV
PHPR 860D (Fall 2020) -
Quality and Safety
PHPR 863A (Fall 2020)
Scholarly Contributions
Journals/Publications
- Lynch, J. B., Pottinger, P., Naderi, M., Bryson-Cahn, C., Kassamali, Z., Jain, R., Chan, J. D., Castillo, A. Y., & Bulger, P. (2021). 133. A Review of Antimicrobial Formularies at Rural Hospitals: Stewardship Opportunities Abound. Open Forum Infectious Diseases. doi:10.1093/ofid/ofab466.335More infoAbstract Background Management of a hospital’s antimicrobial formulary is an important aspect of antimicrobial stewardship and cost containment strategies. Ensuring that essential medications for clinical care are available and excluding therapeutic duplicates and unnecessary antimicrobials is time and resource intensive. Comparisons of antimicrobial formularies across multiple rural hospitals have not been evaluated in the literature. We hypothesized that a comprehensive formulary evaluation would reveal important opportunities for antimicrobial stewardship efforts and could help smaller hospitals optimize available medications. Methods The University of Washington Tele-Antimicrobial Stewardship Program (UW-TASP) is comprised of 68 hospitals of varying sizes, most of which are rural and critical access, in Washington, Oregon, Arizona, Idaho, and Utah. We surveyed UW-TASP participating hospitals and other networked rural hospitals in multiple Western states using REDCap, a HIPAA-compliant, electronic data management program. Respondents reported which antimicrobials are on their hospital formulary as well as basic information about hospital size and inpatient units. Data were reviewed by a panel of infectious diseases trained physicians and pharmacists at UW-TASP. Results Surveys from 49 hospitals were received; two were excluded from the data analysis (Table 1) – one submission was incomplete, and one was a large inpatient psychiatric hospital. Select antimicrobials and proportion of hospitals carrying these agents is shown in Table 2. Several antimicrobials are on the formulary at all hospitals, regardless of size. In some critical access hospitals (< 25 beds), empiric first-line bacterial meningitis and viral encephalitis coverage (Table 3) was lacking. Six hospitals (12.7%) lacked ampicillin for Listeria coverage and only one had a suitable alternative agent (meropenem). Seven hospitals (14.9%) lacked intravenous acyclovir, although three had oral valacyclovir. Formulary inclusion of agents for multi-drug resistant organisms was rare. Conclusion In critical access hospitals in the Western USA, lack of essential empiric antimicrobials may be more of a concern than inclusion of agents with unnecessarily broad spectra. Disclosures Chloe Bryson-Cahn, MD, Alaska Airlines (Other Financial or Material Support, Co-Medical Director, position is through the University of Washington)
- Pottinger, P., Naderi, M., Lynch, J. B., Kassamali, Z., Jain, R., Chu, C., Chan, J. D., Castillo, A. Y., Bulger, P., Budak, J., & Bryson-cahn, C. (2021). 860. HIV Post-exposure Prophylaxis Availability at Small and Critical Access Hospitals in the Western Region. Open Forum Infectious Diseases, 8(Supplement_1), S521-S522. doi:10.1093/ofid/ofab466.1055More infoAbstract Background Post-exposure prophylaxis (PEP) is essential to minimize the risk of human immunodeficiency virus (HIV) acquisition following an occupational or nonoccupational exposure to potentially infectious body fluids. PEP is most effective when initiated as soon as possible after HIV exposure. Patients in rural areas may rely on small (< 50 beds) and critical access (< 25 beds) hospitals for access to PEP – especially after-hours and on holidays, when outpatient pharmacies are typically closed. However, PEP medications are costly to maintain on a hospital formulary due to unpredictable use and expiration. We hypothesized that PEP availability may be variable and limited at such hospitals. Methods The University of Washington Tele-Antimicrobial Stewardship Program (UW-TASP) is comprised of 68 hospitals in Washington, Oregon, Arizona, Idaho, and Utah, most of which are rural and critical access. In August 2020, we surveyed UW-TASP participating hospitals and a convenience sample of other networked rural hospitals in Western states using REDCap, a HIPAA-compliant, electronic data management program. Respondents reported all antimicrobials on their hospital formulary and their hospital size. Data were reviewed by physicians and pharmacists trained in infectious diseases. Preferred PEP regimens, defined by the CDC, for adults and adolescents ≥ 13 years, included combination tenofovir disoproxil fumarate-emtricitabine (TDF/FTC) and either raltegravir (RAL) or dolutegravir (DTG). Results Responses from 49 hospitals were received. Six were excluded – one was incomplete and five were excluded due to hospital size ( > 50 beds) (Table 1). The majority of hospitals (40/43, 93.0%) were critical access. Half of the hospitals’ formularies (22/43, 51.2%) contained a preferred PEP regimen. One hospital reported a non-preferred regimen. Most hospitals with a preferred PEP regimen on formulary (18/22, 86.3%) offered TDF/FTC + RAL, and the remainder (4/22, 18.2%) offered TDF/FTC + DTG. Conclusion Many small and critical access hospital formularies do not include antiretroviral agents needed for HIV PEP. Improving urgent access to these critical medications in rural communities is an opportunity for HIV prevention. Disclosures Jehan Budak, MD, Nothing to disclose Chloe Bryson-Cahn, MD, Alaska Airlines (Other Financial or Material Support, Co-Medical Director, position is through the University of Washington)
- Naderi, M., Welker, K., Pourshams-Manzouri, T., Huang, V., & Buros, A. (2020). 227. Evaluation of Empiric Vancomycin Utilization at 72 Hours Post Admission: is De-escalation of Vancomycin Appropriate?. Open Forum Infectious Diseases, 7(Supplement_1), S114-S115. doi:10.1093/ofid/ofaa439.271
Poster Presentations
- Hall-Lipsy, E. A., Naderi, M., Benares, S., Braga, S., & Taylor, E. (2022, May). Arizona Critical Access Hospitals Antimicrobial Stewardship Needs Assessment. 45th Annual Rural Health Conference. Albuquerque, NM: National Rural Health Association.