Marvin Harper, MD
Senior Associate Physician in Pediatrics, Division of Emergency Medicine
Associate Professor of Pediatrics, Harvard Medical School
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Marvin Harper, MD
Senior Associate Physician in Pediatrics, Division of Emergency Medicine
Associate Professor of Pediatrics, Harvard Medical School
Medical Services
Languages
English
Spanish
Education
Medical School
University of California, San Francisco
1986
San Francisco
CA
Internship
Pediatrics
Boston Children's Hospital
1987
Boston
MA
Residency
Pediatrics
Boston Children's Hospital
1989
Boston
MA
Fellowship
Boston Children's Hospital
1992
Boston
MA
Certifications
American Board of Pediatrics (General)
American Board of Pediatrics (Emergency Medicine)
American Board of Pediatrics (Infectious Diseases)
Publications
The substance-exposed birthing person-infant/child dyad and health information exchange in the United States. View Abstract
Bacteremia in Patients With Fever and Acute Lower Extremity Pain in a Non-Lyme Endemic Region. View Abstract
Bacteremia in Children With Fever and Acute Lower Extremity Pain. View Abstract
Boston Febrile Infant Algorithm 2.0: Improving Care of the Febrile Infant 1-2 Months of Age. View Abstract
Pediatric Emergency Department Sepsis Screening Tool Accuracy During the COVID-19 Pandemic. View Abstract
Tackling Ambulatory Safety Risks Through Patient Engagement: What 10,000 Patients and Families Say About Safety-Related Knowledge, Behaviors, and Attitudes After Reading Visit Notes. View Abstract
Utility of Blood Cultures and Empiric Antibiotics in Febrile Pediatric Hemophilia Patients With Central Venous Access Devices. View Abstract
Outcomes of Patients with Sepsis in a Pediatric Emergency Department after Automated Sepsis Screening. View Abstract
Is lymphangitic streaking associated with different pathogens? View Abstract
Comparison of Manual and Automated Sepsis Screening Tools in a Pediatric Emergency Department. View Abstract
Effect of a Sepsis Screening Algorithm on Care of Children with False-Positive Sepsis Alerts. View Abstract
Presentation, Diagnostic Evaluation, Management, and Rates of Serious Bacterial Infection in Infants With Acute Dacryocystitis Presenting to the Emergency Department. View Abstract
Bacteriology of pediatric breast abscesses beyond the neonatal period. View Abstract
Clinician Perceptions of Timing and Presentation of Drug-Drug Interaction Alerts. View Abstract
Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic. View Abstract
Identifying Patients at Lowest Risk for Streptococcal Pharyngitis: A National Validation Study. View Abstract
Performance of an Automated Screening Algorithm for Early Detection of Pediatric Severe Sepsis. View Abstract
Variability in antimicrobial use in pediatric ventilator-associated events. View Abstract
Predictors of Primary Intracranial Hypertension in Children Using a Newly Suggested Opening Pressure Cutoff of 280 mm H2O. View Abstract
Predictors of a drainable suppurative adenitis among children presenting with cervical adenopathy. View Abstract
An Investigation of Drug-Drug Interaction Alert Overrides at a Pediatric Hospital. View Abstract
Should patients with complex febrile seizure be admitted for further management? View Abstract
Association between Search Behaviors and Disease Prevalence Rates at 18 U.S. Children's Hospitals. View Abstract
Doing More About Health Care Disparities: Moving Past Description to Action. View Abstract
Utility of Lumbar Puncture in Children Presenting With Status Epilepticus. View Abstract
A Pediatric Approach to Ventilator-Associated Events Surveillance. View Abstract
Use of cidofovir in pediatric patients with adenovirus infection. View Abstract
Ventilator-Associated Events in Neonates and Children--A New Paradigm. View Abstract
Drug-Drug Interactions Among Hospitalized Children Receiving Chronic Antiepileptic Drug Therapy. View Abstract
An Introduction to Natural Language Processing: How You Can Get More From Those Electronic Notes You Are Generating. View Abstract
Electronic medication reconciliation and medication errors. View Abstract
Febrile seizures: emergency medicine perspective. View Abstract
Factors associated with meaningful use incentives in children's hospitals. View Abstract
Preserving patient privacy and confidentiality in the era of personal health records. View Abstract
Group A streptococcal bacteremia without a source is associated with less severe disease in children. View Abstract
Impact of the meaningful use incentive program on electronic health record adoption by US children's hospitals. View Abstract
The Yield of Neuroimaging in Children Presenting to the Emergency Department With Acute Ataxia in the Post-Varicella Vaccine Era. View Abstract
Pediatric first time non-febrile seizure with focal manifestations: is emergent imaging indicated? View Abstract
Core drug-drug interaction alerts for inclusion in pediatric electronic health records with computerized prescriber order entry. View Abstract
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. View Abstract
A randomized controlled trial of a vancomycin loading dose in children. View Abstract
Bacteremia risk and outpatient management of febrile patients with sickle cell disease. View Abstract
Change in adoption of electronic health records by US children's hospitals. View Abstract
IT in the ED: past, present, and future. View Abstract
Emergency department management of pediatric patients with cyanotic heart disease and fever. View Abstract
IT in the ED: a new section of Pediatric Emergency Care. View Abstract
Yield of emergent neuroimaging among children presenting with a first complex febrile seizure. View Abstract
Detecting unapproved abbreviations in the electronic medical record. View Abstract
Occurrence of metabolic acidosis in pediatric emergency department patients as a data source for disease surveillance systems. View Abstract
Yield of lumbar puncture among children who present with their first complex febrile seizure. View Abstract
Acute periorbital infections: who needs emergent imaging? View Abstract
Risk of serious bacterial infection in isolated and unsuspected neutropenia. View Abstract
Risk of Serious Bacterial Infection in Isolated
and Unsuspected Neutropenia View Abstract
Acute Periorbital Infections: Who Needs Emergent Imaging? View Abstract
Effect of trainees on length of stay in the pediatric emergency department. View Abstract
Assessing quality indicators for pediatric community-acquired pneumonia. View Abstract
Radiographic pneumonia in young, highly febrile children with leukocytosis before and after universal conjugate pneumococcal vaccination. View Abstract
Utility of lumbar puncture for first simple febrile seizure among children 6 to 18 months of age. View Abstract
A decision rule for predicting bacterial meningitis in children with cerebrospinal fluid pleocytosis when gram stain is negative or unavailable. View Abstract
Test characteristics and interpretation of cerebrospinal fluid gram stain in children. View Abstract
Pneumonia View Abstract
Infection following bites View Abstract
The toddler with fever View Abstract
Antimicrobials and Infectious Diseases View Abstract
Pneumonia in the immunocompromised host View Abstract
Leukocyte counts in urine reflect the risk of concomitant sepsis in bacteriuric infants: a retrospective cohort study. View Abstract
Factors associated with antimicrobial resistance and mortality in pneumococcal bacteremia. View Abstract
Clinical predictors of occult pneumonia in the febrile child. View Abstract
Use of human immunodeficiency virus postexposure prophylaxis in adolescent sexual assault victims. View Abstract
Extreme thrombocytosis predicts Kawasaki disease in infants. View Abstract
An automated electronic case log: using electronic information systems to assess training in emergency medicine. View Abstract
Identifying hospitalized infants who have bronchiolitis and are at high risk for apnea. View Abstract
Corrections for leukocytes and percent of neutrophils do not match observations in blood-contaminated cerebrospinal fluid and have no value over uncorrected cells for diagnosis. View Abstract
Sexually Transmitted Diseases View Abstract
Pneumonia in hospitalized children. View Abstract
Accuracy and test characteristics of ancillary tests of cerebrospinal fluid for predicting acute bacterial meningitis in children with low white blood cell counts in cerebrospinal fluid. View Abstract
Fever View Abstract
A low peripheral blood white blood cell count in infants younger than 90 days increases the odds of acute bacterial meningitis relative to bacteremia. View Abstract
Explanation of mathematical model. View Abstract
Disseminated histoplasmosis in a nonendemic area. View Abstract
Intracerebral abscess in children: historical trends at Children's Hospital Boston. View Abstract
Differentiating acute bacterial meningitis from acute viral meningitis among children with cerebrospinal fluid pleocytosis: a multivariable regression model. View Abstract
Update on the Management of the Febrile Infant View Abstract
Evaluation of a rapid urine antigen assay for the detection of invasive pneumococcal disease in children. View Abstract
Utility of sepsis evaluation in infants 90 days of age or younger with fever and clinical bronchiolitis. View Abstract
Identifying febrile young infants with bacteremia: is the peripheral white blood cell count an accurate screen? View Abstract
Prolonged partial thromboplastin times in children with fever and petechiae without bacteremia or sepsis. View Abstract
Antibiotic Therapy for Otitis Media In Children (ATOMIC)—Patient Risk Stratification and Evidence-Based Selection of Antimicrobial Therapy View Abstract
A clinical practice guideline for treatment of septic arthritis in children: efficacy in improving process of care and effect on outcome of septic arthritis of the hip. View Abstract
Utility of the peripheral blood white blood cell count for identifying sick young infants who need lumbar puncture. View Abstract
The role of emergent neuroimaging in children with new-onset afebrile seizures. View Abstract
Pneumonia in the immunocompromised host View Abstract
Complications of acute pneumonia View Abstract
Persistent and recurrent pneumonia View Abstract
Rapid antigen assay for the diagnosis of pneumococcal bacteremia in children: a preliminary study. View Abstract
Infectious diseases. View Abstract
Human Immunodeficiency Virus Infection View Abstract
Management of febrile children in the age of the conjugate pneumococcal vaccine: a cost-effectiveness analysis. View Abstract
Time to positivity of blood cultures for children with Streptococcus pneumoniae bacteremia. View Abstract
Predictive model for serious bacterial infections among infants younger than 3 months of age. View Abstract
Financial and clinical impact of false-positive blood culture results. View Abstract
Fever View Abstract
Lack of reduction in hospitalizations and emergency department visits for varicella in the first 2 years post-vaccine licensure. View Abstract
Fever interval before diagnosis, prior antibiotic treatment, and clinical outcome for young children with bacterial meningitis. View Abstract
Reliability of the urinalysis for predicting urinary tract infections in young febrile children. View Abstract
Pneumococcal bacteremia View Abstract
Lyme disease View Abstract
Information System applications in the Emergency Department View Abstract
Time to detection of positive cultures in 28- to 90-day-old febrile infants. View Abstract
Predictors of bacteremia in febrile children 3 to 36 months of age. View Abstract
The pediatric forum: white blood cell count likelihood ratios for bacteremia in febrile young children View Abstract
Reevaluation of outpatients with Streptococcus pneumoniae bacteremia. View Abstract
Human Immunodeficiency Virus Infection View Abstract
Non-typhi Salmonella bacteremia in children. View Abstract
Bacteremia-associated pneumococcal pneumonia and the benefit of initial parenteral antimicrobial therapy. View Abstract
Nasopharyngeal colonization with pathogens causing otitis media: how does this information help us? View Abstract
Bacteraemia in young children with high fever: still no easy answers. View Abstract
Low risk of bacteremia in febrile children with recognizable viral syndromes. View Abstract
Occult pneumonias: empiric chest radiographs in febrile children with leukocytosis. View Abstract
Clinical implications of penicillin and ceftriaxone resistance among children with pneumococcal bacteremia. View Abstract
Occult bacteremia with group B streptococci in an outpatient setting. View Abstract
Risk of bacteremia for febrile young children in the post-Haemophilus influenzae type b era. View Abstract
Parenteral vs oral antibiotics in the prevention of serious bacterial infections in children with Streptococcus pneumoniae occult bacteremia: a meta-analysis. View Abstract
Do oral antibiotics prevent meningitis and serious bacterial infections in children with Streptococcus pneumoniae occult bacteremia? A meta-analysis. View Abstract
Antibiotics and Infectious Disorders View Abstract
Invasive pneumococcal infections in human immunodeficiency virus-infected children. View Abstract
Effect of antibiotic therapy on the outcome of outpatients with unsuspected bacteremia. View Abstract
Group A beta-hemolytic streptococcal bacteremia: historical overview, changing incidence, and recent association with varicella. View Abstract
Osteomyelitis and septic arthritis in children: appropriate use of imaging to guide treatment. View Abstract
Pediatric infectious disease emergencies. View Abstract
Care of bereaved parents. A study of patient satisfaction. View Abstract
Case report: streptococcal toxic shock syndrome presenting as septic thrombophlebitis in a child with varicella. View Abstract
HIV-infected children in the pediatric emergency department. View Abstract
Occult bacteremia in the 3-month-old to 3-year-old age group. View Abstract