Lisa Winston, MD

Professor

Lisa Winston received her MD from Johns Hopkins University School of Medicine in 1994. She completed her residency in Internal Medicine at UCSF and was Chief Resident at San Francisco General Hospital. Dr. Winston then completed fellowships in Infectious Diseases and Clinical Pharmacology at UCSF.

She is the Chief of the Medical Staff and Hospital Epidemiologist at Zuckerberg San Francisco General Hospital and Trauma Center. Her research interests are infection control and prevention and antimicrobial resistant bacterial pathogens.

Education:
• AB, Harvard University, 1990
• MD, Johns Hopkins University School of Medicine, 1994

Training:
• Internal Medicine Residency, University of California, San Francisco, 1994-1997
• Chief Resident, University of California, San Francisco, 1997-1998
• Infectious Diseases Fellowship, University of California, San Francisco, 1998 – 2001
• Clinical Pharmacology Fellowship, University of California, San Francisco, 1999-2001

Certification:
• American Board of Internal Medicine, certified 1997, recertified 2007 and 2017
• American Board of Internal Medicine, subspecialty Infectious Diseases, certified 2000, recertified 2010 and 2020

Memberships & Affiliations:
• Infectious Diseases Society of America, fellow
• Society for Healthcare Epidemiology of America
Education
2017 - Diversity, Equity, and Inclusion Champion Training, University of California, San Francisco
Residency, 1997 - Internal Medicine, University of California, San Francisco
Publications

  1. Guh AY, Li R, Korhonen L, Winston LG, Parker E, Czaja CA, Johnston H, Basiliere E, Meek J, Olson D, Fridkin SK, Wilson LE, Perlmutter R, Holzbauer SM, D'Heilly P, Phipps EC, Flores KG, Dumyati GK, Pierce R, Ocampo VLS, Wilson CD, Watkins JJ, Gerding DN, McDonald LC. Characteristics of Patients With Initial Clostridioides difficile Infection (CDI) That Are Associated With Increased Risk of Multiple CDI Recurrences. 2024. PMID: 38577028


  2. Guh AY, Fridkin S, Goodenough D, Winston LG, Johnston H, Basiliere E, Olson D, Wilson CD, Watkins JJ, Korhonen L, Gerding DN. Potential underreporting of treated patients using a Clostridioides difficile testing algorithm that screens with a nucleic acid amplification test. 2024. PMID: 38268440


  3. Alice Guh, Rongxia Li, Lauren C Korhonen, Lisa Gail Winston, Erin Parker, Christopher A Czaja, Helen Johnston, Elizabeth Basiliere, James Meek, Danyel M Olson, Scott Fridkin, Lucy E Wilson, Rebecca Perlmutter, Stacy Holzbauer, Paige D’Heilly, Erin Phipps, Kristina Flores, Ghinwa Dumyati, Rebecca Pierce, Valerie Ocampo, Christopher Wilson, Jasmine Watkins, Dale Gerding, L Clifford McDonald. 684. Characteristics of Patients with Initial Clostridioides difficile Infection (CDI) That Are Associated With Increased Risk of Multiple CDI Recurrences. 2023. PMID:


  4. Alice Guh, Lisa Gail Winston, Helen Johnston, Elizabeth Basiliere, Danyel M Olson, Scott Fridkin, Dana Goodenough, Christopher Wilson, Jasmine Watkins, Lauren C Korhonen, Dale N Gerding. 1665. Potential underreporting of treated patients using a Clostridioides difficile testing algorithm that screens with a nucleic acid amplification test. 2022. PMID:


  5. Guh AY, Yi SH, Baggs J, Winston L, Parker E, Johnston H, Basiliere E, Olson D, Fridkin SK, Mehta N, Wilson L, Perlmutter R, Holzbauer SM, D'Heilly P, Phipps EC, Flores KG, Dumyati GK, Hatwar T, Pierce R, Ocampo VLS, Wilson CD, Watkins JJ, Korhonen L, Paulick A, Adamczyk M, Gerding DN, Reddy SC. Comparison of the Risk of Recurrent Clostridioides Difficile Infections Among Patients in 2018 Versus 2013. 2022. PMID: 36072699


  6. Appa A, Adamo M, Le S, Davis J, Winston L, Doernberg SB, Chambers H, Martin M, Hills NK, Coffin PO, Jain V. Comparative one-year outcomes of invasive Staphylococcus aureus infections among persons with and without drug use: an observational cohort study. 2021. PMID: 33904900


  7. Dana Freiser, Merjo Roca, Tony Chung, Tanvi Bhakta, Lisa G. Winston, Gabriel M. Ortiz. The Evolution of a Hospital-Based Covid-19 Vaccination Program for Inpatients. 2022. PMID:


  8. Winston LG, Winkler ML, Kheterpal A, Villalba JA. Case 36-2021: A 22-Year-Old Man with Pain and Erythema of the Left Hand. 2021. PMID: 34818483


  9. Dietz BW, Winston LG, Koehler JE, Margaretten M. Copycat. 2021. PMID: 34731540


  10. Appa A, Adamo M, Le S, Davis J, Winston L, Doernberg SB, Chambers H, Martin M, Hills NK, Coffin P, Jain V. Patient-Directed Discharges Among Persons Who Use Drugs Hospitalized with Invasive S. aureus Infections: Opportunities for Improvement. 2021. PMID: 34508704


  11. Skrobarcek KA, Mu Y, Ahern J, Basiliere E, Beldavs ZG, Brousseau G, Dumyati G, Fridkin S, Holzbauer SM, Johnston H, Kainer MA, Meek J, Ocampo VLS, Parker E, Perlmutter R, Phipps EC, Winston L, Guh A. Association between Socioeconomic Status and Incidence of Community-Associated Clostridioides difficile Infection - United States, 2014-2015. 2021. PMID: 33462596


  12. Whitman JD, Pham P, Bern C, Dekker EM, Haller BL, Jain V, Winston LG. Significant and sustained decrease in non-SARS-CoV-2 respiratory viral infections during COVID-19 public health interventions. 2021. PMID: 34013283


  13. Ayesha Ashley Appa, Meredith Adamo, Stephenie Le, Jennifer Davis, Lisa Gail Winston, Sarah B Doernberg, Henry Chambers, Marlene Martin, Phillip Coffin, Vivek Jain. 39. Comparative One-year Outcomes of Invasive staphylococcus Aureus infections Among Persons with and Without Drug Use in an Urban West Coast Cohort. 2020. PMID:


  14. Vivek Jain, Lillian B Brown, Carina Marquez, Luis Rubio, Natasha Spottiswoode, Bethlehem Churnet, Katherine Brooks, Mengyu Zhou, Timothy Muldoon, Carolyn Hendrickson, Adithya Cattamanchi, Antonio Gomez, Brian Haas, Edwin Charlebois, Annie Luetkemeyer, Annie Luetkemeyer, Monica Gandhi, Diane Havlir, Sumant Ranji, Lisa Gail Winston. 448. Disproportionate Burden of COVID-19 on Latinx Residents among Hospitalized Patients at San Francisco’s Public Health Hospital. 2020. PMID:


  15. Lillian B Brown, Lisa Gail Winston, Barbara Haller, Phong Pham, Beatrice Marcelo, Wendy Cheung, Kara Lynch, Vivek Jain. 496. Higher SARS-CoV-2 RT-PCR Cycle Threshold (Ct) Values Associated with Longer Symptom Duration Among Patients Hospitalized with COVID-19. 2020. PMID:


  16. Alice Guh, Lauren C Korhonen, Lisa Gail Winston, Brittany Martin, Helen Johnston, Geoffrey Brousseau, Elizabeth Basiliere, Danyel M Olson, Scott Fridkin, Lucy E Wilson, Rebecca Perlmutter, Stacy Holzbauer, Maria Bye, Erin C Phipps, Kristina Flores, Ghinwa Dumyati, Deborah Nelson, Trupti Hatwar, Valerie Ocampo, Marion Kainer, Clifford McDonald. 780. How Much Does Prior Hospitalization Contribute to Readmission with Community-onset Clostridioides difficile Infection?. 2020. PMID:


  17. Guh AY, Mu Y, Winston LG, Johnston H, Olson D, Farley MM, Wilson LE, Holzbauer SM, Phipps EC, Dumyati GK, Beldavs ZG, Kainer MA, Karlsson M, Gerding DN, McDonald LC, Emerging Infections Program Clostridioides difficile Infection Working Group. Trends in U.S. Burden of Clostridioides difficile Infection and Outcomes. 2020. PMID: 32242357


  18. Novosad SA, Mu Y, Winston LG, Johnston H, Basiliere E, Olson DM, Farley MM, Revis A, Wilson L, Perlmutter R, Holzbauer SM, Whitten T, Phipps EC, Dumyati GK, Beldavs ZG, Ocampo VLS, Davis CM, Kainer M, Gerding DN, Guh AY. Treatment of Clostridioides difficile Infection and Non-compliance with Treatment Guidelines in Adults in 10 US Geographical Locations, 2013-2015. 2019. PMID: 31768906


  19. Guh AY, Hatfield KM, Winston LG, Martin B, Johnston H, Brousseau G, Farley MM, Wilson L, Perlmutter R, Phipps EC, Dumyati GK, Nelson D, Hatwar T, Kainer MA, Paulick AL, Karlsson M, Gerding DN, McDonald LC. Toxin Enzyme Immunoassays Detect Clostridioides difficile Infection With Greater Severity and Higher Recurrence Rates. 2019. PMID: 30615074


  20. Kelly M Hatfield, James Baggs, Lisa Gail Winston, Erin Parker, Helen Johnston, Geoff Brousseau, Danyel M Olson, Scott Fridkin, Lucy Wilson, Rebecca Perlmuter, Stacy Holzbauer, Erin C Phipps, Emily B Hancock, Ghinwa Dumyati, Valerie Ocampo, Marion A Kainer, Lauren C Korhonen, John A Jernigan, L Clifford McDonald, Alice Guh. 837. Prior Hospitalizations Among Cases of Community-Associated Clostridioides difficile Infection—10 US States, 2014–2015. 2019. PMID:


  21. Aronowitz PB, Williams DM, Henderson MC, Winston LG. Mind the Base Rate: an Exercise in Clinical Reasoning. 2019. PMID: 31270792


  22. Geha RM, Dhaliwal G, Winston LG, Kickler TS, Manesh R. Overcoming the Barrier. 2018. PMID: 30575451


  24. Kimberly Skrobarcek, Yi Mu, Jennifer Ahern, Zintars Beldavs, Geoff Brousseau, Ghinwa Dumyati, Monica M Farley, Stacy Holzbauer, Marion A Kainer, James I Meek, Rebecca Perlmutter, Erin C Phipps, Lisa G Winston, Alice Y Guh. 482. Association between Socioeconomic Status Factors and Incidence of Community-Associated Clostridium difficile Infection Utilizing Factor Analysis—United States, 2014–2015. 2018. PMID:


  25. Alice Guh, Kelly Hatfield, Lisa G Winston, Brittany Martin, Helen Johnston, Geoff Brousseau, Monica M Farley, Lucy E Wilson, Rebecca Perlmutter, Erin C Phipps, Ghinwa Dumyati, Deborah Nelson, Trupti Hatwar, Marion A Kainer, L Clifford McDonald. 490. Comparison of Clostridium difficile Infection Outcomes by Diagnostic Testing Method. 2018. PMID:


  26. Kelly M Hatfield, James Baggs, Lisa G Winston, Erin Parker, Brittany Martin, James I Meek, Danyel Olson, Monica M Farley, Andrew Revis, Stacy Holzbauer, Maria Bye, Lucy Wilson, Rebecca Perlmutter, Erin C Phipps, Rebecca Pierce, Valerie L S Ocampo, Marion A Kainer, Miranda Smith, L Clifford McDonald, John A Jernigan, Alice Guh. 492. Long-Term Outcomes of Clostridium difficile Infection Among Medicare Beneficiaries. 2018. PMID:


  27. Chaisson LH, Duong D, Cattamanchi A, Roemer M, Handley MA, Schillinger D, Sur M, Pham P, Lin MA, Goldman LE, Quan J, Perez S, Healy M, Higashi J, Winston L, Haller B, Luetkemeyer AF, Davis JL. Association of Rapid Molecular Testing With Duration of Respiratory Isolation for Patients With Possible Tuberculosis in a US Hospital. 2018. PMID: 30178007


  29. Guh AY, Mu Y, Baggs J, Winston LG, Bamberg W, Lyons C, Farley MM, Wilson LE, Holzbauer SM, Phipps EC, Beldavs ZG, Kainer MA, Karlsson M, Gerding DN, Dumyati G. Trends in incidence of long-term-care facility onset Clostridium difficile infections in 10 US geographic locations during 2011-2015. 2018. PMID: 29329918


  30. Guh AY, Adkins SH, Li Q, Bulens SN, Farley MM, Smith Z, Holzbauer SM, Whitten T, Phipps EC, Hancock EB, Dumyati G, Concannon C, Kainer MA, Rue B, Lyons C, Olson DM, Wilson L, Perlmutter R, Winston LG, Parker E, Bamberg W, Beldavs ZG, Ocampo V, Karlsson M, Gerding DN, McDonald LC. Risk Factors for Community-Associated Clostridium difficile Infection in Adults: A Case-Control Study. 2017. PMID: 29732377


  32. Kimberly Skrobarcek, Yi Mu, Lisa G Winston, Geoff Brousseau, Carol Lyons, Monica Farley, Rebecca Perlmutter, Stacy Holzbauer, Erin C Phipps, Ghinwa Dumyati, Zintars G Beldavs, Marion Kainer, Alice Guh. Socioeconomic Status Factors Associated with Increased Incidence of Community-Associated Clostridium difficile Infection. 2017. PMID:


  33. Shannon Novosad, Lisa G. Winston, Helen Johnston, Elizabeth Badolato, Carol Lyons, Monica Farley, Andrew Revis, Lucy Wilson, Rebecca Perlmutter, Stacy M. Holzbauer, Tory Whitten, Erin C. Phipps, Ghinwa Dumyati, Zintars G. Beldaversus, Valerie L.S. Ocampo, Marion Kainer, Corinne M. Davis, Jamie Barnes, Dale Gerding, Alice Guh. Treatment of Clostridium difficile Infection in 10 US Geographical Locations, 2013–2014. 2016. PMID:


  34. Hunter JC, Mu Y, Dumyati GK, Farley MM, Winston LG, Johnston HL, Meek JI, Perlmutter R, Holzbauer SM, Beldavs ZG, Phipps EC, Dunn JR, Cohen JA, Avillan J, Stone ND, Gerding DN, McDonald LC, Lessa FC. Burden of Nursing Home-Onset Clostridium difficile Infection in the United States: Estimates of Incidence and Patient Outcomes. 2016. PMID: 26798767


  35. Sujan C. Reddy, Alice Guh, Fernanda C. Lessa, Yi Mu, Zintars G. Beldavs, Corinne M. Davis, Ghinwa Dumyati, Stacy M. Holzbauer, Helen L. Johnston, Carol Lyons, Erin C. Phipps, Lucy E. Wilson, Lisa G. Winston, Dale N. Gerding, L. Clifford McDonald, Monica M. Farley. Risk Factors for Clostridium difficile Infection Recurrence. 2015. PMID:


  36. Dantes R, Mu Y, Hicks LA, Cohen J, Bamberg W, Beldavs ZG, Dumyati G, Farley MM, Holzbauer S, Meek J, Phipps E, Wilson L, Winston LG, McDonald LC, Lessa FC. Association Between Outpatient Antibiotic Prescribing Practices and Community-Associated Clostridium difficile Infection. 2015. PMID: 26509182


  37. Lessa FC, Winston LG, McDonald LC, Emerging Infections Program C. difficile Surveillance Team. Burden of Clostridium difficile infection in the United States. 2015. PMID: 26061850


  38. Isaacson D, Haller B, Leslie H, Roemer M, Winston L. Novel handwashes are superior to soap and water in removal of Clostridium difficile spores from the hands. Volume 43 of Issue 5. 2015. PMID: 25952050


  39. Lessa FC, Mu Y, Bamberg WM, Beldavs ZG, Dumyati GK, Dunn JR, Farley MM, Holzbauer SM, Meek JI, Phipps EC, Wilson LE, Winston LG, Cohen JA, Limbago BM, Fridkin SK, Gerding DN, McDonald LC. Burden of Clostridium difficile infection in the United States. 2015. PMID: 25714160


  41. Lessa FC, Mu Y, Winston LG, Dumyati GK, Farley MM, Beldavs ZG, Kast K, Holzbauer SM, Meek JI, Cohen J, McDonald LC, Fridkin SK. Determinants of Clostridium difficile Infection Incidence Across Diverse United States Geographic Locations. 2014. PMID: 25734120


  42. See I, Mu Y, Cohen J, Beldavs ZG, Winston LG, Dumyati G, Holzbauer S, Dunn J, Farley MM, Lyons C, Johnston H, Phipps E, Perlmutter R, Anderson L, Gerding DN, Lessa FC. NAP1 strain type predicts outcomes from Clostridium difficile infection. 2014. PMID: 24604900


  43. Wendt JM, Cohen JA, Mu Y, Dumyati GK, Dunn JR, Holzbauer SM, Winston LG, Johnston HL, Meek JI, Farley MM, Wilson LE, Phipps EC, Beldavs ZG, Gerding DN, McDonald LC, Gould CV, Lessa FC. Clostridium difficile infection among children across diverse US geographic locations. 2014. PMID: 24590748


  44. Jennifer C. Hunter, Yi Mu, Ghinwa K. Dumyati, Monica M. Farley, Lisa G. Winston, Helen L. Johnston, James I. Meek, Lucy E. Wilson, M Stacy, Zintars G. Beldavs, Erin C. Phipps, John R. Dunn, Jessica a. Cohen, Nimalie D. Stone, L. Clifford Mcdonald, Fernanda C. Lessa. 524National estimates of incidence, recurrence, hospitalization, and death of nursing home-onset Clostridium difficile infections — United States, 2012. 2014. PMID:


  45. Gould CV, Edwards JR, Cohen J, Bamberg WM, Clark LA, Farley MM, Johnston H, Nadle J, Winston L, Gerding DN, McDonald LC, Lessa FC, Clostridium difficile Infection Surveillance Investigators, Centers for Disease Control and Preventi. Effect of nucleic acid amplification testing on population-based incidence rates of Clostridium difficile infection. 2013. PMID: 23899677


  46. Chitnis AS, Holzbauer SM, Belflower RM, Winston LG, Bamberg WM, Lyons C, Farley MM, Dumyati GK, Wilson LE, Beldavs ZG, Dunn JR, Gould LH, MacCannell DR, Gerding DN, McDonald LC, Lessa FC. Epidemiology of community-associated Clostridium difficile infection, 2009 through 2011. 2013. PMID: 23780507


  48. Doernberg SB, Winston LG, Deck DH, Chambers HF. Does doxycycline protect against development of Clostridium difficile infection? 2012. PMID: 22563022


  51. Winston L, Chambers H. Coming home with MRSA. 2009. PMID: 19667300


  53. Lisa G. Winston, Daniel Deck, Ann F. Bolger. CHAPTER 81 ENDOCARDITIS. 2009. PMID:


  54. Jain V, Yang MH, Kovacicova-Lezcano G, Juhle LS, Bolger AF, Winston LG. Infective endocarditis in an urban medical center: association of individual drugs with valvular involvement. 2008. PMID: 18597851


  57. Winston LG, Roemer M, Goodman C, Haller B. False-positive culture results from patient tissue specimens due to contamination of RPMI medium with Cryptococcus albidus. Volume 45 of Issue 5. 2007. PMID: 17314221


  59. Weems JJ, Steinberg JP, Filler S, Baddley JW, Corey GR, Sampathkumar P, Winston L, John JF, Kubin CJ, Talwani R, Moore T, Patti JM, Hetherington S, Texter M, Wenzel E, Kelley VA, Fowler VG. Phase II, randomized, double-blind, multicenter study comparing the safety and pharmacokinetics of tefibazumab to placebo for treatment of Staphylococcus aureus bacteremia. 2006. PMID: 16870768


  62. Winston LG, Charlebois ED, Pang S, Bangsberg DR, Perdreau-Remington F, Chambers HF. Impact of a formulary switch from ticarcillin-clavulanate to piperacillin-tazobactam on colonization with vancomycin-resistant enterococci. 2004. PMID: 15573053


  65. Winston LG, Pang S, Haller BL, Wong M, Chambers HF, Perdreau-Remington F. API 20 strep identification system may incorrectly speciate enterococci with low level resistance to vancomycin. Volume 48 of Issue 4. 2004. PMID: 15062923


  66. Chambers HF, Winston LG. Mupirocin prophylaxis misses by a nose. 2004. PMID: 15023716


  68. Winston LG, Bangsberg DR, Chambers HF, Felt SC, Rosen JI, Charlebois ED, Wong M, Steele L, Gerberding JL, Perdreau-Remington F. Epidemiology of vancomycin-resistant Enterococcus faecium under a selective isolation policy at an urban county hospital. 2002. PMID: 12410216


  69. Winston LG, Perlman JL, Rose DA, Gerberding JL. Penicillin-nonsusceptible Streptococcus pneumoniae at San Francisco General Hospital. 1999. PMID: 10530451