Sara Cosgrove, MD
Infectious Diseases
Highlights
Johns Hopkins Affiliations:
- Johns Hopkins School of Medicine Faculty
About Sara Cosgrove
Professional Titles
- Director, Johns Hopkins Hospital Department of Antimicrobial Stewardship
- Associate Hospital Epidemiologist, Johns Hopkins Hospital
- Director of Research, ID Fellowship Program
Primary Academic Title
Professor of Medicine
Background
Dr. Cosgrove is a Professor of Medicine in the Division of Infectious Disease (ID) at Johns Hopkins University School of Medicine and has a joint appointment in the Department of Epidemiology at the Johns Hopkins Bloomberg School of Public Health. She is the Director of Research for the ID Fellowship Program and PI of the T32 training grant that supports ID fellow training. She serves as the Director of the Department of Antimicrobial Stewardship and an Associate Hospital Epidemiologist at The Johns Hopkins Hospital. Dr. Cosgrove’s research interests include the epidemiology and outcomes of antimicrobial resistance, the development of tools and programs to promote the rational use of antimicrobials, the prevention of hospital-acquired infections, and the epidemiology and management of S. aureus bacteremia. Early in her career, she recognized the critical need to study antimicrobial stewardship strategies and has led a series of outcomes studies over the past 20 years that have defined the practice of antimicrobial stewardship in the United States. Her recent research focuses on strategies for implementation of antimicrobial stewardship activities across all healthcare settings via a large, multi-center project including hospitals, long-term care facilities and ambulatory practices funded by the Agency for Healthcare Research and Quality, and approaches to improve how antibiotics are given via a randomized trial to compare intravenous and oral therapy for Gram negative bacteremia funded by PCORI. She is the PI of the Johns Hopkins Prevention Epicenter, a Centers for Disease Control and Prevention-funded program that integrates antimicrobial stewardship, healthcare epidemiology, human factors engineering, data science, and implementation science to address knowledge gaps and develop strategies to optimize patient safety by preventing transmission of pathogens and improving antibiotic use in diverse healthcare settings and patient populations. She is a past voting member of the Presidential Advisory Council on Combating Antibiotic-Resistant Bacteria. She is a Past President of the Society for Healthcare Epidemiology’s Board of Directors. Dr. Cosgrove received her undergraduate degree from Columbia College, her medical degree from Baylor College of Medicine, and her master of science degree in epidemiology from Harvard School of Public Health. She completed her postgraduate training in internal medicine at The Johns Hopkins Hospital and underwent subsequent training in ID at Beth Israel Deaconess Medical Center.
Centers and Institutes
Contact for Research Inquiries
600 N. Wolfe St
Halsted 827
Baltimore, MD 21287
Phone: (443) 287-4570
Research Interests
Development of tools and programs to promote rational use of antimicrobials, Epidemiology and management of S. aureus bacteremia, Epidemiology and outcomes of antimicrobial resistance, Prevention of hospital-acquired infections
Lab Website
Sara Cosgrove Lab
- The Sara Cosgrove Lab researches how infections with antibiotic-resistant bacteria affect patients. We are interested in the methods needed to make sure patients receive the best possible antibiotic treatment, including the development of tools and programs to promote the rational use of antimicrobials. We also study the epidemiology and management of S. aureus bacteremia.
Selected Publications
Tamma PD, Avdic E, Keenan JF, Zhao Y, Anand G, Cooper J, Dezube R, Hsu S, Cosgrove SE. What is the more effective antibiotic stewardship intervention, pre-prescription authorization or post-prescription review with feedback? Clin Infect Dis. 2017; Mar 1;64(5):537-543
Tamma PD, Avdic E, Li DX, Dzintars K, Cosgrove SE. Adverse events associated with antibiotic use in hospitalized patients. JAMA Internal Medicine. 2017 Sep1;177(9):1308-15
Fabre V, Klein E, Salinas AB, Jones G, Carroll KC, Milstone AM, Amoah J, Hsu YJ, Gadala A, Desai S, Goyal A, Furfaro D, Zimmerman J, Lin S, Cosgrove SE. A diagnostic stewardship intervention to improve blood culture use among adult nonneutropenic inpatients: the DISTRIBUTE study. J Clin Microbiol. 2020; 22;58(10):e01053-20
Tamma PD, Miller MA, Dullabh, Ahn R, Speck K, Gao Y, Scherpf, Cosgrove SE. Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals. JAMA Network Open. 2021:4(2):e210235. doi:10.1001/jamanetworkopen.2021.0235
Thom KA, Tamma PD, Harris AD, Dzintars K, Morgan DJ, Li S, Pineles L, Srinivasan A, Avdic E, Cosgrove SE. Impact of a prescriber-driven antibiotic time-out on antibiotic use in hospitalized patients. Clin Infect Dis. 2019 Apr 24;68(9):1581-1584
Honors
- Susan MacDonald Annual Sponsorship Award, JHU Department of Medicine, 5/31/22
- Expertscape Top Worldwide Expert in Antimicrobial Stewardship, 10/1/21
- Member, American Society of Clinical Investigation, 3/1/20
- SHEA Antibiotic Stewardship Scholarship Award, 10/17/17
- IDSA Oswald Avery Award, 10/15/14
Memberships
- Society for Healthcare Epidemiology of America
- Infectious Diseases Society of America
Locations
- The Johns Hopkins Hospital
- 1800 Orleans Street, Baltimore, MD 21287
- phone: 410-955-5000
- fax: 410-955-5001
Expertise
Education
Beth Israel Deaconess Medical Center
Fellowship, Infectious Diseases, 2001Johns Hopkins University School of Medicine
Residency, Medicine, 1998Baylor College of Medicine
Medical Education, Medicine, MD, 1995Board Certifications
Infectious Disease
American Board of Internal Medicine, 2000Insurance
- Aetna
- CareFirst
- Cigna
- First Health
- Geisinger Health Plan
- HealthSmart/Accel
- Humana
- Johns Hopkins Health Plans
- MultiPlan
- Pennsylvania's Preferred Health Networks (PPHN)
- Point Comfort Underwriters
- Private Healthcare Systems (PHCS)
- UnitedHealthcare
- Veteran Affairs Community Care Network (Optum-VACCN)