Rachel Wattier, MD, MHS
Associate Professor
Pediatrics
School of Medicine

Rachel Wattier, M.D., M.H.S. is a pediatric infectious diseases and antimicrobial stewardship physician in the Department of Pediatrics, Division of Infectious Diseases and Global Health. She serves as Medical Director of Antimicrobial Stewardship at UCSF Benioff Children’s Hospital San Francisco and conducts research on judicious application of diagnostic tests and antimicrobial therapy.

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

Publications (40)

Top publication keywords:
Influenza VaccinesMycosesCandidiasis, InvasiveFebrile NeutropeniaNeutropeniaRisk AdjustmentGram-Negative Bacterial InfectionsBacteremiaDrug UtilizationFever of Unknown OriginCandidemiaAnti-Bacterial AgentsAnti-Infective AgentsHematopoietic Stem Cell TransplantationAntifungal Agents

• 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…
• The Durability of Antibody Responses of Two Doses of High-Dose Relative to Two Doses of Standard-Dose Inactivated Influenza Vaccine in Pediatric Hematopoietic Cell Transplant Recipients: A Multi-Center Randomized Controlled Trial.
  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2024 Schuster JE, Hamdan L, Dulek DE, Kitko CL, Batarseh E, Haddadin Z, Stewart LS, Stahl A, Potter M, Rahman H, Kalams SA, Bocchini CE, Moulton EA, Coffin SE, Ardura MI, Wattier RL, Maron G, Grimley M, …
• 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, …
• Adjunctive Diagnostic Studies Completed Following Detection of Candidemia in Children: Secondary Analysis of Observed Practice From a Multicenter Cohort Study Conducted by the Pediatric Fungal Network.
  Journal of the Pediatric Infectious Diseases Society 2023 Wattier RL, Bucayu RFT, Boge CLK, Ross RK, Yildirim I, Zaoutis TE, Palazzi DL, Vora SB, Castagnola E, Avilés-Robles M, Danziger-Isakov L, Tribble AC, Sharma TS, Arrieta AC, Maron G, Berman DM, Yin DE,…
• 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

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• 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
• Influenza Vaccine in Pediatric Recipients of Hematopoietic-Cell Transplants.
  The New England journal of medicine 2023 Schuster JE, Hamdan L, Dulek DE, Kitko CL, Batarseh E, Haddadin Z, Stewart LS, Stahl A, Potter M, Rahman H, Kalams SA, Coffin S, Ardura MI, Wattier RL, Maron G, Bocchini CE, Moulton EA, Grimley M, …
• Impact of Organism Reporting from Endotracheal Aspirate Cultures on Antimicrobial Prescribing Practices in Mechanically Ventilated Pediatric Patients.
  Journal of clinical microbiology 2022 Prinzi AM, Wattier RL, Curtis DJ, Ziniel SI, Fitzgerald A, Pearce K, Parker SK
• Multicenter Prospective Study of Biomarkers for Diagnosis of Invasive Candidiasis in Children and Adolescents.
  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2022 Fisher BT, Boge CLK, Xiao R, Shuster S, Chin-Quee D, Allen J, Shaheen S, Hayden R, Suganda S, Zaoutis TE, Chang YC, Yin DE, Huppler AR, Danziger-Isakov L, Muller WJ, Roilides E, Romero J, Sue PK, …
• 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
• From "More is Better" to "Less is More": A Commentary on Antimicrobial Use in Pediatric Oncology.
  Journal of the Pediatric Infectious Diseases Society 2022 Wattier RL, Esbenshade AJ
• Updated Guidance on Use and Prioritization of Monoclonal Antibody Therapy for Treatment of COVID-19 in Adolescents.
  Journal of the Pediatric Infectious Diseases Society 2022 Wolf J, Abzug MJ, Anosike BI, Vora SB, Waghmare A, Sue PK, Olivero RM, Oliveira CR, James SH, Morton TH, Maron GM, Young JL, Orscheln RC, Schwenk HT, Bio LL, Willis ZI, Lloyd EC, Hersh AL, Huskins CW,…
• Indirect Standardization as a Case Mix Adjustment Method to Improve Comparison of Children's Hospitals' Antimicrobial Use.
  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2021 Wattier RL, Thurm CW, Parker SK, Banerjee R, Hersh AL, Pediatric Health Information System Antimicrobial Stewardship Research Group
• Comparative Effectiveness of Echinocandins vs Triazoles or Amphotericin B Formulations as Initial Directed Therapy for Invasive Candidiasis in Children and Adolescents.
  Journal of the Pediatric Infectious Diseases Society 2021 Fisher BT, Zaoutis TE, Xiao R, Wattier RL, Castagnola E, Pana ZD, Fullenkamp A, Boge CLK, Ross RK, Yildirim I, Palazzi DL, Danziger-Isakov L, Vora SB, Arrieta A, Yin DE, Avilés-Robles M, Sharma T, …
• Initial Guidance on Use of Monoclonal Antibody Therapy for Treatment of Coronavirus Disease 2019 in Children and Adolescents.
  Journal of the Pediatric Infectious Diseases Society 2021 Wolf J, Abzug MJ, Wattier RL, Sue PK, Vora SB, Zachariah P, Dulek DE, Waghmare A, Olivero R, Downes KJ, James SH, Pinninti SG, Yarbrough A, Aldrich ML, MacBrayne CE, Soma VL, Grapentine SP, Oliveira …
• Multicenter Interim Guidance on Use of Antivirals for Children With Coronavirus Disease 2019/Severe Acute Respiratory Syndrome Coronavirus 2.
  Journal of the Pediatric Infectious Diseases Society 2021 Chiotos K, Hayes M, Kimberlin DW, Jones SB, James SH, Pinninti SG, Yarbrough A, Abzug MJ, MacBrayne CE, Soma VL, Dulek DE, Vora SB, Waghmare A, Wolf J, Olivero R, Grapentine S, Wattier RL, Bio L, …
• 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
• Multicenter Initial Guidance on Use of Antivirals for Children With Coronavirus Disease 2019/Severe Acute Respiratory Syndrome Coronavirus 2.
  Journal of the Pediatric Infectious Diseases Society 2020 Chiotos K, Hayes M, Kimberlin DW, Jones SB, James SH, Pinninti SG, Yarbrough A, Abzug MJ, MacBrayne CE, Soma VL, Dulek DE, Vora SB, Waghmare A, Wolf J, Olivero R, Grapentine S, Wattier RL, Bio L, …
• Return to School for Pediatric Solid Organ Transplant Recipients in the United States During the Coronavirus Disease 2019 Pandemic: Expert Opinion on Key Considerations and Best Practices.
  Journal of the Pediatric Infectious Diseases Society 2020 Downes KJ, Danziger-Isakov LA, Cousino MK, Green M, Michaels MG, Muller WJ, Orscheln RC, Sharma TS, Statler VA, Wattier RL, Ardura MI
• Clustered cases of acral perniosis: Clinical features, histopathology, and relationship to COVID-19.
  Pediatric dermatology 2020 Cordoro KM, Reynolds SD, Wattier R, McCalmont TH
• 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