Rachel Wattier, MD, MHS
Associate Professor
Pediatrics
School of Medicine
Rachel Wattier, M.D., M.H.S., is a pediatric infectious diseases physician whose research and quality improvement work focuses on judicious diagnostic testing and antimicrobial use in children.
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Her NIH-funded research aims to make care more evidence-based and family-centered for children evaluated for possible urinary tract infection (UTI), drawing on epidemiologic analyses of public and electronic health record data as well as qualitative research with families and clinicians. She also collaborates on studies of other common and rare infections, and founded the Antimicrobial Stewardship Program at UCSF Benioff Children’s Hospital San Francisco.
Education & Training
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- Fellowship Clinical Pharmacology University of California, San Francisco 06/2015
- Fellowship Pediatric Infectious Diseases University of California, San Francisco 06/2015
- Certificate Program Advanced Training in Clinical Research University of California, San Francisco 05/2015
- Residency Pediatrics University of California, San Francisco 06/2012
- M.D., M.H.S. School of Medicine Yale University 05/2009
- B.S. Biology, Agricultural Biotechnology University of Kentucky 05/2004
Grants and Projects
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Publications (35)
Top publication keywords:
Virus DiseasesMycosesCandidiasis, InvasiveFebrile NeutropeniaNeutropeniaGram-Negative Bacterial InfectionsBacteremiaDrug UtilizationHeart Defects, CongenitalFever of Unknown OriginAnti-Bacterial AgentsAmbulatory CareUrinalysisHospitalsAntifungal Agents
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Early Discontinuation of Empiric Antibiotics in Pediatric Haploidentical Hematopoietic Cell Transplant Recipients with Febrile Neutropenia.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2026 Castejon-Ramirez S, Hijano DR, Wattier RL, Ferrolino J, Peterson M, Merritt P, Davis A, Cole A, Alison KJ, Gowen A, Dallas R, Tang L, Li J, Triplett B, Maron G -
Urine Testing in Children with Viral Symptoms: A Nationwide Analysis of Ambulatory Visits, 2014-2019.
The Journal of pediatrics 2025 Wattier RL, Shapiro DJ, Copp HL, Kaiser SV, Hersh AL -
Immunogenicity and Reactogenicity of High- or Standard-Dose Influenza Vaccine in a Second Consecutive Influenza Season.
The Journal of infectious diseases 2025 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,… -
374. Early Discontinuation of Empiric Antibiotics for Febrile Neutropenia in Pediatric Allogeneic Haploidentical Hematopoietic Cell Transplant Recipients.
Open Forum Infectious Diseases 2025 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, … -
223 Mucormycosis and Entomophthoramycosis.
Feigin and Cherry's Textbook of Pediatric Infectious Diseases 2025 Rachel L. Wattier, William J. Steinbach
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Urine Testing in Children with Respiratory or Other Viral Illness Symptoms: a National Analysis of Ambulatory Encounters.
Journal of the Pediatric Infectious Diseases Society 2024 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 2024 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-… -
Out-BREAK!: An IDWeek 2023 Escape Room to Break Out of the Educational Mold.
Open forum infectious diseases 2024 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 2024 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 2024 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… -
Immunogenicity and Safety of Alternative Influenza Vaccination Strategies in Repeated Seasons in Pediatric Hematopoietic-Cell Transplant Recipients.
Journal of the Pediatric Infectious Diseases Society 2023 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, … -
Impact of an Inpatient Allergy Guideline on β-Lactam and Alternative Antibiotic Use.
The journal of allergy and clinical immunology. In practice 2023 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 2023 Cooch PB, Kim MO, Swami N, Tamma PD, Tabbutt S, Steurer MA, Wattier RL -
Serotonin Syndrome in an Infant Associated With Linezolid and Opioid Use.
The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG 2022 Essakow J, Jin L, Marupudi N, Wattier R, McQuillen P, Franzon D -
25 Mucormycosis, fusariosis, scedosporiasis, and other invasive mold diseases.
2021 Rachel L. Wattier, William J. Steinbach -
1348. Indirect Standardization to Improve Comparison of Children’s Hospitals’ Antimicrobial Use.
Open Forum Infectious Diseases 2020 Rachel Wattier, Cary Thurm, Ritu Banerjee, Ritu Banerjee, Adam Hersh -
1361. Variation in Perioperative Antibiotic Use for Children Undergoing Congenital Heart Disease Surgery in U.S. Academically Affiliated Centers.
Open Forum Infectious Diseases 2020 Peter B Cooch, Rachel Wattier, Martina Steurer-Muller -
Hospital-level Antibiotic Use and Complexity of Care Among Neonates.
Journal of the Pediatric Infectious Diseases Society 2020 Singh P, Steurer MA, Cantey JB, Wattier RL -
2759. Immunogenicity of Inactivated Influenza Vaccines Given Early vs. Late After Pediatric Allogeneic Hematopoietic Cell Transplantation.
Open Forum Infectious Diseases 2019 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… -
Allograft of Primary Cutaneous Mucormycosis in a Preterm Neonate: A Case Report.
Wounds : a compendium of clinical research and practice 2019 Benjamin T, Wattier R, Dominic W -
258. Variation in Antibiotic Use Among Neonates Hospitalized in United States Academically Affiliated Centers.
Open Forum Infectious Diseases 2018 Prachi Singh, Rachel Wattier -
293 Antifungal Agents.
Principles and Practice of Pediatric Infectious Diseases 2018 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 2017 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 2017 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) 2016 Wattier RL, Ramirez-Avila L -
Pediatric invasive aspergillosis
Journal of Fungi 2016 Wattier RL, Ramirez-Avila L -
Risk of serious bloodstream infections is low in pediatric hematopoietic stem cell transplant (HSCT) recipients with fevers due to antithymocyte globulins and alemtuzumab.
Bone marrow transplantation 2016 Horn B, O'Kane S, Wattier RL, Wahlstrom JT, Melton A, Cowan MJ, Dvorak CC -
Serotherapy-Related Fevers, Blood Stream Infections (BSI), and Antibiotic Use in Pediatric Allogeneic Hematopoietic Cell Transplant (HCT) Recipients.
Biology of Blood and Marrow Transplantation 2016 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 2015 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 2014 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, … -
Induction of IL-6 and CCL5 (RANTES) in human respiratory epithelial (A549) cells by clinical isolates of respiratory syncytial virus is strain specific.
Virology journal 2012 Levitz R, Wattier R, Phillips P, Solomon A, Lawler J, Lazar I, Weibel C, Kahn JS -
Role of human polyomaviruses in respiratory tract disease in young children.
Emerging infectious diseases 2008 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 2006 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 2005 Babb K, von Lackum K, Wattier RL, Riley SP, Stevenson B -
Quorum sensing by the Lyme disease spirochete.
Microbes and infection 2003 Stevenson B, von Lackum K, Wattier RL, McAlister JD, Miller JC, Babb K