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Infection Management (IM)

Other Infectious Diseases:

The St. Jude Global Infection Management Program (IM) works to improve outcomes for children with cancer and other catastrophic diseases by advancing evidence-informed approaches to infection management across diverse global settings.

 

Infections are a leading cause of illness and death among children with cancer, accounting for one in five deaths in children with cancer worldwide. Even when successfully treated, infections can interrupt treatment, reduce quality of life, and place additional burdens on families and healthcare systems. The St. Jude Global Infection Management Program is dedicated to improving outcomes in children with cancer and other catastrophic disease by addressing priority problems in infectious diseases.

Through collaboration with partners across 70 countries and 180 sites, the program advances research, quality improvement, guideline development, and education initiatives that strengthen infection management. We amplify local expertise and foster global collaboration to support sustainable improvements in care for children around the world.

The program’s focus areas include:

  • Research: Generating knowledge to better understand infections and improve outcomes for children with cancer and other catastrophic diseases.
  • Quality Improvement: Helping healthcare teams globally to use data and shared learning to strengthen infection management practices.
  • Guideline Development: Creating collaborative, context-specific and evidence-based guidance that supports quality care across resource-limited settings.
  • Education and Training: Providing learning opportunities and resources that build skills and knowledge among healthcare professionals globally.
  • Global Collaboration: Connecting collaborators around the world to share local and global expertise and drive long-lasting improvements in care for children.

Program Initiatives

Research and Quality Improvement

Collaborative research and shared learning are essential to define best practice in rare populations. The program’s current areas of focus include fever management, antimicrobial stewardship, sepsis and infection-related outcomes.

  • Fever Registry (FEVEREG): A global clinical registry that supports data-informed approaches to fever management and infection-related outcomes.
  • Sepsis Prevalence and Antimicrobial Use in Children with CancEr (SPACCE) – A Global Multicenter Point Prevalence Study in Pediatric Intensive Care: A prospective, observational, multisite study examining the burden of sepsis, patterns of antimicrobial use and associated clinical outcomes in pediatric oncology global intensive care settings.
  • Pediatric Infectious Disease, Clinical Microbiology, and Antimicrobial Stewardship Collaborative (PIMMS): A quality improvement/quality assurance initiative for healthcare teams to strengthen antimicrobial stewardship and optimize the use of antibiotics.

Guideline Development and Implementation

Evidence-based clinical guidelines are most effective when they are co-developed, adapted and implemented to reflect local needs and contexts. The program partners with healthcare teams to support the development, adaptation and implementation of evidence-based clinical guidelines across St. Jude Global regions.

  • Febrile Neutropenia Guideline Development and Implementation: The program co-designs approaches to support adaptation, implementation and uptake of evidence-informed febrile neutropenia guidelines across St. Jude Global regions.

Education and Training

Practical learning opportunities equip healthcare professionals with the knowledge and skills to strengthen infection management practices and support guideline development and implementation. Through accessible educational resources and training, the program promotes evidence-informed practice and continuous learning across diverse settings.

  • Guideline Development Training Modules: Available through the Cure4Kids platform, these modules provide foundational training in clinical guideline development and implementation.
  • PIMMS Antimicrobial Stewardship Educational Repository: A series of five learning modules designed to improve provider knowledge and capacity in antimicrobial stewardship and infection management for immunocompromised children globally.

Our Team

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    Sheena Mukkada, MD, MPH

    Assistant Member, St. Jude Faculty

    Sheena Mukkada, MD, MPH

    Assistant Member, St. Jude Faculty

    Research Interests

    • Infection diagnosis and management in immunocompromised children in resource limited settings

    Contact Information

    Sheena Mukkada, MD, MPH

    Global Pediatric Medicine

    MS 721, Room S3024

    St. Jude Children's Research Hospital

    262 Danny Thomas Place

    Memphis, TN 38105-3678

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    Zema Mirza, MPH

    Program Manager, Global Infection Management

    Zema Mirza, MPH

    Program Manager, Global Infection Management

    Affiliations

    Short Biography

    Zema is a global health professional with over a decade of experience managing large health programs across Sub-Saharan Africa and Asia with portfolios exceeding $120 million. Zema has a deep commitment to health equity, gender and culturally responsive programming, striving to integrate these approaches to expand access to care.

    She brings skills in project management, stakeholder engagement and health policy. Prior to joining St. Jude's, Zema worked in USAID's Global Health Bureau as a Program Advisor collaborating with government leaders, international partners, local NGOs, and community stakeholders to advance primary health and health system outcomes. She values work that blends strategy with empathy, humility, and genuine collaboration.

    Zema has a Masters in Public Health from the University of Maryland and a Bachelor of Arts in International Relations from the College of William & Mary.

    Zema is inspired by St. Jude’s mission and appreciates the rigor and humility that GPM brings to advancing health equity by improving quality of care and increasing survival rates for children with cancer globally.

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    Vivian Moreno Berrio

    Program Specialist, Global Infectious Diseases Program

    Vivian Moreno Berrio

    Program Specialist, Global Infectious Diseases Program

    Short Biography

    Vivian Moreno Berrio, MS, coordinates and supports the implementation of global infection management initiatives within the Department of Global Pediatric Medicine at St. Jude Children’s Research Hospital. Working across multidisciplinary teams and international partners, she helps connect people, processes, and priorities to advance programs spanning education, quality improvement, research, and capacity strengthening. Her work focuses on translating strategy into coordinated action while keeping complex global initiatives organized, aligned, and moving forward.

    Vivian enjoys helping teams collaborate effectively and move shared goals from planning to implementation. At the heart of her work is a belief that meaningful global health initiatives are built through strong partnerships, thoughtful coordination, and a shared commitment to improving care for children around the world.

    Contact Information

    Vivian Moreno Berrio

    Global Pediatric Medicine

    St. Jude Children's Research Hospital

    262 Danny Thomas Place

    Memphis, TN 38105-3678

Contact

To learn more about the St. Jude Global Infection Management Program, please contact  globalinfectionmgmt@stjude.org.