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Infectious Disease Implementation Research

The Infectious Disease Implementation Research Team is a multi-disciplinary group researching the best way to implement infectious disease prevention and treatment strategies to improve the wellbeing of children and teenagers.

The Infectious Disease Implementation Research team is developing and implementing better ways to observe and evaluate the effectiveness of public health programs, including optimising treatment for both acute and complex diseases and  exploring new strategies through disease modelling and analytics - providing real-world results that are immediately applicable.

The team uses a range of methods to conduct their research, including pragmatic and adaptive clinical trials, observational comparative effectiveness studies and data linkage studies, causal network and transmission modelling and learning health systems research.

Focusing on common and serious childhood infections such as gastroenteritis, serious bacterial infections and cystic fibrosis exacerbations, the Implementation Research team are looking at new and innovative clinical trial methods and analytic approaches for evaluating treatments. This includes examining their effectiveness by embedding research in the clinical settings they are intended to be used, and working on projects to gauge efficacy of new and existing preventions and treatments in a way that has never been done before in Australia.

Collaborating widely, the team works with clinicians, policy makers, epidemiologists, statisticians and importantly, community members, to help ensure their research is efficient, sustainable and responsive to clinical, community and policy needs. The team also work in close collaboration with other research groups around Australia, including the University of Sydney’s Health and Clinical Analytics Team, particularly to support many studies that are underway at sites outside of Western Australia.

Team Highlights

In 2019, the Implementation Reseatch team were successful in securing major funding for:

  • Randomised controlled trial of mixed whole-cell/acellular pertussis vaccination versus acellular-only vaccination of infants (GNT1158722, NHMRC project grant, 2019-2023, $3.9million)
  • Adaptive Trial of Messaging to Improve Vaccine Coverage (AuTOMATIC), (Ramaciotti Health investment grant, 2020-22, $280,000)
  • Collaborative project 'Better health through better trials: a national network to develop and implement innovative clinical trials methodology'. (GNT1171422, NHMRC Centres of Research Excellence, 2019-2024, $2.4million)

The Implementation Research team shared its ideas and results to several audiences across a range of mediums, including:

  • providing educational seminars to students, researchers and clinical trialists throughout Australia
  • launching the Adaptive Health Intelligence website to optimise further collaborative opportunities
  • holding consumer workshops for individuals living with cystic fibrosis and hepatitis C.

Team leader

Professor Tom Snelling
Professor Tom Snelling

BMBS DTMH GDipClinEpid PhD FRACP

Head, Infectious Disease Implementation Research

Team members (15)

Danielle Darragh

Danielle Darragh

Program Manager, Infectious Disease Implementation Research

Julie Marsh

Julie Marsh

Biostatistical Lead

Michael Dymock

Michael Dymock

Biostatistician, PhD Student

Nelly Newall

Nelly Newall

Clinical Trial Co-ordinator

Jessica Ramsay

Jessica Ramsay

Clinical Research Coordinator – Casual

Reena D’Souza

Reena D’Souza

Project Manager

Kylie Rogers

Kylie Rogers

Data Manager

Mitch Messer

Mitch Messer

Consumer Advisor

Charlie McLeod

Charlie McLeod

Clinical Research Officer

Evelyn Tay

Evelyn Tay

Biostatistician

Ariel Mace

Ariel Mace

PhD Student

Carly McCallum

Carly McCallum

Clinical Research Manager

Ada Parry

Ada Parry

Cultural Advisor

Edward Pan

Edward Pan

Statistical Programmer

George Salama

George Salama

Clinical Trial Coordinator

Infectious Disease Implementation Research

Resources

Reports and Findings

Reports and Findings

FeBRILe3: Risk-Stratification and Diagnosis of Serious Bacterial Infections in Febrile Infants Less Than 3 Months Old

Evidence-based recommendations exist for early discharge (before 48 h) of young infants with fever without source (FWS) at low risk of serious bacterial infections (SBIs). However, concerns regarding the applicability of international data to local contexts may hinder implementation. We aimed to describe the local epidemiology of FWS and evaluate a newly implemented risk-stratification guideline to support practice change.

Establishing the lowest penicillin concentration to prevent pharyngitis due to Streptococcus pyogenes using a human challenge model (CHIPS)

The in-vivo plasma concentration of penicillin needed to prevent Streptococcus pyogenes pharyngitis, recurrent acute rheumatic fever, and progressive rheumatic heart disease is not known. We used a human challenge model to assess the minimum penicillin concentration required to prevent streptococcal pharyngitis.

Short term safety profile of respiratory syncytial virus vaccine in adults aged ≥ 60 years in Australia

Australia's active vaccine safety surveillance system AusVaxSafety monitors a number of vaccines, including Arexvy, by reporting on solicited adverse events following immunisation (AEFI) through an online survey sent to vaccinees 3 days post-vaccination as previously described.3 Here we report on survey responses from adults aged ≥60 years receiving Arexvy at primary healthcare practices or pharmacies, who responded to the survey by day 7 post-vaccination.

Impact of Meningococcal ACWY Vaccination Program during 2017-18 Epidemic, Western Australia, Australia

The rising incidence of invasive meningococcal disease (IMD) caused by Neisseria meningitidis serogroup W in Western Australia, Australia, presents challenges for prevention. We assessed the effects of a quadrivalent meningococcal vaccination program using 2012-2020 IMD notification data.

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