Information

Related Research Units

Infectious Diseases Research

Research Overview

Dr. Sharma’s research focuses on metabolic complications related to antiretroviral medications in children and adolescents with HIV infection.  As children who were perinatally-infected with HIV are getting older and remaining healthier since they have been receiving anti-HIV therapy for many years, we are now beginning to see changes in body composition, an increased risk of diabetes, and increasing risk of other cardiovascular complications in these children.  Dr. Sharma’s research entails evaluating the mechanisms by which these abnormalities occur, and whether life-saving antiretroviral medications may also contribute to some of these complications.  In addition, Dr. Sharma conducts research evaluating infectious complications such as viral infections in pediatric transplant recipients.

 

Research Background

Dr. Sharma received her medical degree from the University of Miami Miller School of Medicine. She completed her residency training in pediatrics and fellowship in pediatric infectious diseases and immunology at the University of Miami/Jackson Memorial Medical Center in Miami, Florida.  Dr. Sharma joined the faculty in the Division of Infectious Diseases at Children’s Hospital Boston in 2007.  She currently serves as the Program Director for the pediatric infectious diseases fellowship.

 

Education

Medical School

University of Miami School of Medicine
1999 Miami FL

Residency

Pediatrics University of Miami School of Medicine/Jackson Memorial Medical Center
2002 Miami FL

Residency

Pediatrics University of Miami School of Medicine/Jackson Memorial Medical Center
2003 Miami FL

Fellowship

Pediatric Infectious Diseases and Immunology University of Miami School of Medicine/Jackson Memorial Medical Center
2005 Miami FL

Graduate School

MPH Harvard School of Public Health
2014 Boston MA

Publications

  1. Transition to Enteral Triazole Antifungal Therapy for Pediatric Invasive Candidiasis: Secondary Analysis of a Multicenter Cohort Study Conducted by the Pediatric Fungal Network. J Pediatric Infect Dis Soc. 2024 Dec 30; 13(12):633-638. View Abstract
  2. Coccidioidomycosis Transmission Through Solid Organ Transplantation (2013-2022): A Report of the Organ Procurement and Transplantation Network ad hoc Disease Transmission Advisory Committee. Transpl Infect Dis. 2024 Nov 27; e14406. View Abstract
  3. Infectious Morbidity and All-cause Mortality of Infants HIV-exposed Uninfected Compared to Infants HIV-unexposed Uninfected in Botswana. Pediatr Infect Dis J. 2024 Oct 31. View Abstract
  4. Multicenter Analysis of Valganciclovir Prophylaxis in Pediatric Solid Organ Transplant Recipients. Open Forum Infect Dis. 2024 Jul; 11(7):ofae353. View Abstract
  5. Hepatitis B transmission/reactivation associated with Hepatitis B core antibody and Hepatitis C nucleic acid testing positive organs: A report from the Organ Procurement and Transplantation Network Disease Transmission Advisory Committee. Transpl Infect Dis. 2024 Nov; 26 Suppl 1:e14305. View Abstract
  6. Approach to multidrug resistant infections in pediatric transplant recipients. Front Pediatr. 2023; 11:1270564. View Abstract
  7. Safety and Immunogenicity of Live Viral Vaccines in a Multicenter Cohort of Pediatric Transplant Recipients. JAMA Netw Open. 2023 10 02; 6(10):e2337602. View Abstract
  8. 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. J Pediatric Infect Dis Soc. 2023 Sep 27; 12(9):487-495. View Abstract
  9. Body surface area compared to body weight dosing of valganciclovir is associated with increased toxicity in pediatric solid organ transplantation recipients. Am J Transplant. 2023 12; 23(12):1961-1971. View Abstract
  10. Monoclonal Antibody Use for Coronavirus Disease 2019 in Pediatric Patients: A Multicenter Retrospective Study. J Pediatric Infect Dis Soc. 2023 Apr 18; 12(3):152-155. View Abstract
  11. Experience with live attenuated varicella vaccination in pediatric heart transplant recipients: Considering a new path forward. J Heart Lung Transplant. 2022 08; 41(8):1027-1028. View Abstract
  12. Epidemiology and outcomes of invasive aspergillosis among pediatric immunocompromised patients: A 12-year single-center experience. Med Mycol. 2022 Mar 12; 60(4). View Abstract
  13. Comorbidities Associated with Hospitalization and Progression Among Adolescents with Symptomatic Coronavirus Disease 2019. J Pediatr. 2022 06; 245:102-110.e2. View Abstract
  14. Return to School and COVID-19 Vaccination for Pediatric Solid Organ Transplant Recipients in the United States: Expert Opinion for 2021-2022. J Pediatric Infect Dis Soc. 2022 Feb 23; 11(2):43-54. View Abstract
  15. Comparative Effectiveness of Echinocandins vs Triazoles or Amphotericin B Formulations as Initial Directed Therapy for Invasive Candidiasis in Children and Adolescents. J Pediatric Infect Dis Soc. 2021 Aug 10. View Abstract
  16. H3.3-K27M drives neural stem cell-specific gliomagenesis in a human iPSC-derived model. Cancer Cell. 2021 03 08; 39(3):407-422.e13. View Abstract
  17. 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. J Pediatric Infect Dis Soc. 2020 Nov 10; 9(5):551-563. View Abstract
  18. Expanding the Differential in a Global Pandemic. Pediatr Infect Dis J. 2020 10; 39(10):e334-e335. View Abstract
  19. Limiting Vancomycin Exposure in Pediatric Oncology Patients With Febrile Neutropenia May Be Associated With Decreased Vancomycin-Resistant Enterococcus Incidence. J Pediatric Infect Dis Soc. 2020 Sep 17; 9(4):428-436. View Abstract
  20. Mitochondrial Dysfunction and Insulin Resistance in Pubertal Youth Living with Perinatally Acquired HIV. AIDS Res Hum Retroviruses. 2020 09; 36(9):703-711. View Abstract
  21. Assessment of the Clinical Utility of Plasma Metagenomic Next-Generation Sequencing in a Pediatric Hospital Population. J Clin Microbiol. 2020 06 24; 58(7). View Abstract
  22. Progressive multifocal leukoencephalopathy presenting with acute sensorineural hearing loss in an intestinal transplant recipient. Transpl Infect Dis. 2020 Aug; 22(4):e13304. View Abstract
  23. A Primary Care-Based Quality Improvement Initiative to Increase Identification of Pediatric International Travelers. Am J Trop Med Hyg. 2020 05; 102(5):1016-1021. View Abstract
  24. Nonmetastatic Medulloblastoma of Early Childhood: Results From the Prospective Clinical Trial HIT-2000 and An Extended Validation Cohort. J Clin Oncol. 2020 06 20; 38(18):2028-2040. View Abstract
  25. Advances in vaccinating immunocompromised children. Curr Opin Pediatr. 2020 02; 32(1):145-150. View Abstract
  26. Germline GPR161 Mutations Predispose to Pediatric Medulloblastoma. J Clin Oncol. 2020 01 01; 38(1):43-50. View Abstract
  27. Impact of standardized protocols for cytomegalovirus disease prevention in pediatric solid organ transplant recipients. Pediatr Transplant. 2019 11; 23(7):e13568. View Abstract
  28. YAP1 subgroup supratentorial ependymoma requires TEAD and nuclear factor I-mediated transcriptional programmes for tumorigenesis. Nat Commun. 2019 09 02; 10(1):3914. View Abstract
  29. Resolving medulloblastoma cellular architecture by single-cell genomics. Nature. 2019 08; 572(7767):74-79. View Abstract
  30. Human T-cell lymphotrophic virus in solid-organ transplant recipients: Guidelines from the American society of transplantation infectious diseases community of practice. Clin Transplant. 2019 09; 33(9):e13575. View Abstract
  31. Second-generation molecular subgrouping of medulloblastoma: an international meta-analysis of Group 3 and Group 4 subtypes. Acta Neuropathol. 2019 08; 138(2):309-326. View Abstract
  32. Pediatric post-transplant hepatic kaposi sarcoma due to donor-derived human herpesvirus 8. Pediatr Transplant. 2019 05; 23(3):e13384. View Abstract
  33. Clinical Vignettes: Donor-Derived Infections. J Pediatric Infect Dis Soc. 2018 Dec 26; 7(suppl_2):S67-S71. View Abstract
  34. Clinical Vignettes: Donor-Derived Infections. J Pediatric Infect Dis Soc. 2018 Dec 26; 7(suppl_2):S67-S71. View Abstract
  35. Clinical Vignettes: Donor-Derived Infections. J Pediatric Infect Dis Soc. 2018 Dec 26; 7(suppl_2):S67-S71. View Abstract
  36. Clinical Vignettes: Donor-Derived Infections. J Pediatric Infect Dis Soc. 2018 Dec 26; 7(suppl_2):S67-S71. View Abstract
  37. Clinical Vignettes: Donor-Derived Infections. J Pediatric Infect Dis Soc. 2018 Dec 26; 7(suppl_2):S67-S71. View Abstract
  38. A 5-Year Prospective Multicenter Evaluation of Influenza Infection in Transplant Recipients. Clin Infect Dis. 2018 10 15; 67(9):1322-1329. View Abstract
  39. Longitudinal Changes in Body Composition by Dual-energy Radiograph Absorptiometry Among Perinatally HIV-infected and HIV-uninfected Youth: Increased Risk of Adiposity Among HIV-infected Female Youth. Pediatr Infect Dis J. 2018 10; 37(10):1002-1007. View Abstract
  40. Aberrant ERBB4-SRC Signaling as a Hallmark of Group 4 Medulloblastoma Revealed by Integrative Phosphoproteomic Profiling. Cancer Cell. 2018 09 10; 34(3):379-395.e7. View Abstract
  41. Heterogeneity within the PF-EPN-B ependymoma subgroup. Acta Neuropathol. 2018 08; 136(2):227-237. View Abstract
  42. Risk-adapted therapy for young children with medulloblastoma (SJYC07): therapeutic and molecular outcomes from a multicentre, phase 2 trial. Lancet Oncol. 2018 06; 19(6):768-784. View Abstract
  43. Changes in insulin sensitivity over time and associated factors in HIV-infected adolescents. AIDS. 2018 03 13; 32(5):613-622. View Abstract
  44. Epithelioid glioblastomas stratify into established diagnostic subsets upon integrated molecular analysis. Brain Pathol. 2018 09; 28(5):656-662. View Abstract
  45. DNA-methylation profiling discloses significant advantages over NanoString method for molecular classification of medulloblastoma. Acta Neuropathol. 2017 Dec; 134(6):965-967. View Abstract
  46. H3-/IDH-wild type pediatric glioblastoma is comprised of molecularly and prognostically distinct subtypes with associated oncogenic drivers. Acta Neuropathol. 2017 Sep; 134(3):507-516. View Abstract
  47. A Prospective, International Cohort Study of Invasive Mold Infections in Children. J Pediatric Infect Dis Soc. 2015 Dec; 4(4):313-22. View Abstract
  48. Yield of fungal surveillance cultures in pediatric hematopoietic stem cell transplant patients: a retrospective analysis and survey of current practice. Clin Infect Dis. 2014 Feb; 58(3):365-71. View Abstract
  49. Short communication: The relationship between mitochondrial dysfunction and insulin resistance in HIV-infected children receiving antiretroviral therapy. AIDS Res Hum Retroviruses. 2013 Sep; 29(9):1211-7. View Abstract
  50. Attitudes toward transitioning in youth with perinatally acquired HIV and their family caregivers. J Assoc Nurses AIDS Care. 2014 Mar-Apr; 25(2):168-75. View Abstract
  51. Vancomycin Use for Pediatric Clostridium difficile Infection Is Increasing and Associated with Specific Patient Characteristics. Antimicrob Agents Chemother. 2013 Sep; 57(9):4307-4313. View Abstract
  52. Allograft-Transmitted Histoplasma capsulatum Infection in a Solid Organ Transplant Recipient. J Pediatric Infect Dis Soc. 2013 Sep; 2(3):270-3. View Abstract
  53. Effect of titrated parenteral nutrition on body composition after allogeneic hematopoietic stem cell transplantation in children: a double-blind, randomized, multicenter trial. Am J Clin Nutr. 2012 Feb; 95(2):342-51. View Abstract
  54. CD8+ T-cell interleukin-7 receptor alpha expression as a potential indicator of disease status in HIV-infected children. PLoS One. 2008; 3(12):e3986. View Abstract
  55. Changes in macronutrient intake among HIV-infected children between 1995 and 2004. Am J Clin Nutr. 2008 Aug; 88(2):384-91. View Abstract
  56. Accelerated cardiovascular disease and myocardial infarction risk in patients with the human immunodeficiency virus. J Cardiometab Syndr. 2008; 3(2):93-7. View Abstract
  57. Cardiometabolic disease in human immunodeficiency virus-infected children. J Cardiometab Syndr. 2008; 3(2):98-105. View Abstract

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