Cesar A. Arias, MD, MSc, PhD

Professor of Medicine, Academic Institute
Co-director, Center for Infectious Diseases
Houston Methodist
Weill Cornell Medical College


Biography

Dr. Cesar Arias has over 25 years of experience in the field of antimicrobial resistance. His career has focused on the clinical and molecular aspects of antimicrobial resistance (AMR) with emphasis on gram-positive organisms. He became interested in infectious disease (ID) because of its prominence as a public health problem and also because ID spans all aspects of clinical medicine. After medical school, he attended the University of London where he focused on clinical microbiology and performed research on the molecular biology of capsule genes in S. pneumoniae, developing molecular tools for capsule typing of this important pathogen. He obtained his PhD at Cambridge in 2000, studying the molecular mechanisms of vancomycin resistance in enterococci. During graduate studies, he discovered a new enzyme and elucidated a novel mechanism for synthesis of D-serine in bacteria. After completing residency at UTHealth McGovern Medical School as well as a fellowship in ID (joint program with UT MD Anderson Cancer Center), he expanded studies on staphylococci and enterococci.

He was the recipient of a K99/R00 NIH Pathway to Independence Award and now holds an NIH K24 mid-career investigator award to increase patient-oriented and mentoring activities on antimicrobial resistance. He has also founded two overseas research units (Molecular Genetics and Antimicrobial Resistance Unit and the International Center for Microbial Genomics) focused on AMR at Universidad El Bosque, Bogota, Colombia. His most recent research has concentrated on elucidating the mechanistic basis of resistance to daptomycin with focus on enterococci and to dissect the molecular epidemiology and clinical impact of multidrug-resistant organisms as part of the NIH-funded Antimicrobial Resistance Leadership Group. A major component of the research on MDR organisms is the use of genomics as a major tool to dissect the molecular epidemiology and population structure of MDR bacteria.

Publications

Increased mortality in hospital- compared to community-onset carbapenem-resistant enterobacterales infections
Antibacterial Resistance Leadership Group 2024, , The Journal of antimicrobial chemotherapy. https://doi.org/10.1093/jac/dkae306

Cefiderocol heteroresistance associated with mutations in TonB-dependent receptor genes in Pseudomonas aeruginosa of clinical origin.
Egge, SL, Rizvi, SA, Simar, SR, Alcalde, M, Martinez, JRW, Hanson, BM, Dinh, AQ, Baptista, RP, Tran, TT, Shelburne, SA, Munita, JM, Arias, CA, Hakki, M & Miller, WR 2024, , Antimicrobial Agents and Chemotherapy, pp. e0012724. https://doi.org/10.1101/2024.01.30.578008, https://doi.org/10.1128/aac.00127-24

Cefiderocol heteroresistance associated with mutations in TonB-dependent receptor genes in Pseudomonas aeruginosa of clinical origin.
Egge, SL, Rizvi, SA, Simar, SR, Alcalde, M, Martinez, JRW, Hanson, BM, Dinh, AQ, Baptista, RP, Tran, TT, Shelburne, SA, Munita, JM, Arias, CA, Hakki, M & Miller, WR 2024, , Antimicrobial Agents and Chemotherapy, pp. e0012724. https://doi.org/10.1128/aac.00127-24

Prevalence of the Cefazolin Inoculum Effect (CzIE) in Nasal Colonizing Methicillin-Susceptible Staphylococcus aureus in Patients from Intensive Care Units in Colombia and Use of a Modified Rapid Nitrocefin Test for Detection.
Carvajal, LP, Rincon, S, Gomez-Villegas, SI, Matiz-González, JM, Ordoñez, K, Santamaria, A, Ospina-Navarro, L, Beltran, J, Guevara, F, Mendez, YR, Salcedo, S, Porras, A, Valencia-Moreno, A, Grennia, H, Deyanov, A, Baptista, R, Tam, VH, Panesso, D, Tran, TT, Miller, WR, Arias, CA & Reyes, J 2024, , medRxiv. https://doi.org/10.1101/2024.07.11.24309236

The Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19: Antigen Testing (June 2021)
Hanson, KE, Altayar, O, Caliendo, AM, Arias, CA, Englund, JA, Hayden, MK, Lee, MJ, Loeb, M, Patel, R, Alayli, AE, Sultan, S, Falck-Ytter, Y, Lavergne, V, Mansour, R, Morgan, RL, Murad, MH, Patel, P, Bhimraj, A & Mustafa, RA 2024, , Clinical Infectious Diseases, vol. 78, no. 7, pp. e208-e229. https://doi.org/10.1093/cid/ciab557

Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19: Serologic Testing (September 2020)
Hanson, KE, Caliendo, AM, Arias, CA, Englund, JA, Hayden, MK, Lee, MJ, Loeb, M, Patel, R, Altayar, O, Alayli, AE, Sultan, S, Falck-Ytter, Y, Lavergne, V, Morgan, RL, Murad, MH, Bhimraj, A & Mustafa, RA 2024, , Clinical Infectious Diseases, vol. 78, no. 7, pp. e150-e169. https://doi.org/10.1093/cid/ciaa1343

Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19 (June 2020)
Hanson, KE, Caliendo, AM, Arias, CA, Englund, JA, Lee, MJ, Loeb, M, Patel, R, El Alayli, A, Kalot, MA, Falck-Ytter, Y, Lavergne, V, Morgan, RL, Murad, MH, Sultan, S, Bhimraj, A & Mustafa, RA 2024, , Clinical Infectious Diseases, vol. 78, no. 7, pp. e106-e132. https://doi.org/10.1093/cid/ciaa760

Rapid Guidelines to Address the Changing COVID-19 Pandemic
El Alayli, A, Bhimraj, A, Caliendo, AM, Arias, CA, Morgan, DJ, Alabed, F, Lee, F, El Mikati, IK, Englund, JA, Amarin, JZ, Hanson, KE, Murad, MH, Lee, MJ, Hayden, MK, Kalot, MA, Loeb, M, Altayar, O, Patel, P, Mansour, R, Morgan, RL, Mustafa, RA, Patel, R, Iqneibi, S, Sultan, S, Lavergne, V, Falck-Ytter, Y, Al Taani, O, Humphries, RM, Duggal, A, McGeer, AJ, Anderson, DJ, Lee, GM, Varghese, J, Dhindsa, J, Lynch, JB, Guzman-Cottrill, J, Jain, MK, Davitkov, P, Liang, SY, Cheng, VCC, Shumaker, AH, Gallagher, JC, OHoro, JC, Edwards, KM, Baden, LR, Nakamura, MM, Gandhi, RT, Shafer, RW, Shoham, S & Muller, WJ 2024, , Clinical Infectious Diseases, vol. 78, no. 7, pp. e81-e82. https://doi.org/10.1093/cid/ciae188

The Infectious Diseases Society of America Guidelines on the Diagnosis of COVID-19: Molecular Diagnostic Testing (January 2021)
Hanson, KE, Caliendo, AM, Arias, CA, Hayden, MK, Englund, JA, Lee, MJ, Loeb, M, Patel, R, Alayli, AE, Altayar, O, Patel, P, Falck-Ytter, Y, Lavergne, V, Morgan, RL, Murad, MH, Sultan, S, Bhimraj, A & Mustafa, RA 2024, , Clinical Infectious Diseases, vol. 78, no. 7, pp. e170-e207. https://doi.org/10.1093/cid/ciab048

Persistent Gram-negative Bloodstream Infection Increases the Risk of Recurrent Bloodstream Infection With the Same Species
Ankrah, PK, Bock, A, Ruffin, F, Hanson, BM, Arias, CA, Maskarinec, SA, Parsons, J, Fowler, VG & Thaden, JT 2024, , Clinical Infectious Diseases, vol. 78, no. 6, pp. 1458-1461. https://doi.org/10.1093/cid/ciae068

A rapid host–protein test for differentiating bacterial from viral infection: Apollo diagnostic accuracy study
Bachur, RG, Kaplan, SL, Arias, CA, Ballard, N, Carroll, KC, Cruz, AT, Gordon, R, Halabi, S, Harris, JD, Hulten, KG, Jacob, T, Kellogg, MD, Klein, A, Mishan, PS, Motov, SM, Peck-Palmer, OM, Ryan, LM, Shapira, M, Suits, GS, Wang, HE, Weissman, A & Rothman, RE 2024, , Journal of the American College of Emergency Physicians Open, vol. 5, no. 3, e13167, pp. e13167. https://doi.org/10.1002/emp2.13167

Clinical Features and Genomic Epidemiology of Bloodstream Infections due to Enterococcal Species Other Than Enterococcus faecalis or E. faecium in Patients With Cancer
Axell-House, DB, Ashley, PA, Egge, SL, Tran, TT, Pedroza, C, Zhang, M, Dinh, AQ, Simar, SR, Sahasrabhojane, PV, Miller, WR, Shelburne, SA, Hanson, BM & Arias, CA 2024, , Open Forum Infectious Diseases, vol. 11, no. 6, pp. ofae288. https://doi.org/10.1093/ofid/ofae288

Differential in vitro susceptibility to ampicillin/ceftriaxone combination therapy among Enterococcus faecalis infective endocarditis clinical isolates
Westbrook, KJ, Chilambi, GS, Stellfox, ME, Nordstrom, HR, Li, Y, Iovleva, A, Shah, NH, Jones, CE, Kline, EG, Squires, KM, Miller, WR, Tran, TT, Arias, CA, Doi, Y, Shields, RK & Tyne, DV 2024, , Journal of Antimicrobial Chemotherapy, vol. 79, no. 4, pp. 801-809. https://doi.org/10.1093/jac/dkae032

Infectious Diseases Training in the 21st Century: A Glass Half Full or Half Empty?
Arias, CA & Pirofski, LA 2024, , Journal of Infectious Diseases, vol. 229, no. 3, pp. 621-624. https://doi.org/10.1093/infdis/jiad569

Single-center Outcomes After Liver Transplantation With SARS-CoV-2–Positive Donors: An Argument for Increased Utilization
Connor, AA, Adelman, MW, Mobley, CM, Moaddab, M, Erhardt, AJ, Hsu, DE, Brombosz, EW, Sanghvi, M, Lee Cheah, Y, Simon, CJ, Hobeika, MJ, Saharia, AS, Victor, DW, Kodali, S, Basra, T, Graviss, EA, Nguyen, DT, Elsaiey, A, Moore, LW, Nigo, M, Drews, AL, Grimes, KA, Arias, CA, Li, XC, Gaber, AO & Ghobrial, RM 2024, , Transplantation Direct, vol. 10, no. 4, pp. E1590. https://doi.org/10.1097/TXD.0000000000001590

In vitro activity of sulbactam-durlobactam against colistin-resistant and/or cefiderocol-non-susceptible, carbapenem-resistant Acinetobacter baumannii collected in U.S. hospitals
Iovleva, A, McElheny, CL, Fowler, EL, Cober, E, Herc, ES, Arias, CA, Hill, C, Baum, K, Fowler, VG, Chambers, HF, Greenwood-Quaintance, KE, Patel, R, van Duin, D, Bonomo, RA & Doi, Y 2024, , Antimicrobial Agents and Chemotherapy, vol. 68, no. 3. https://doi.org/10.1128/aac.01258-23

Teaching and Safety-Net Hospital Penalization in the Hospital-Acquired Condition Reduction Program
Serpa, JA, Gemeinhardt, G, Arias, CA, Morgan, RO, Russell, H, Miao, H & Ganduglia Cazaban, CM 2024, , JAMA Network Open, vol. 7, no. 2, pp. E2356196. https://doi.org/10.1001/jamanetworkopen.2023.56196

"Evaluating the Benefits and Limits of Multiple Displacement Amplification with Whole-Genome Oxford Nanopore Sequencing"
Dadzie, FA, Beaudry, MS, Deyanov, A, Slanis, H, Duong, MQ, Turner, R, Khan, A, Arias, CA, Kissinger, JC, Glenn, TC & de Paula Baptista, R 2024, , bioRxiv. https://doi.org/10.1101/2024.02.09.579537

LiaX is a surrogate marker for cell envelope stress and daptomycin non-susceptibility in Enterococcus faecium
Axell-House, DB, Simar, SR, Panesso, D, Rincon, S, Miller, WR, Khan, A, Pemberton, OA, Valdez, L, Nguyen, AH, Hood, KS, Rydell, K, DeTranaltes, AM, Jones, MN, Atterstrom, R, Reyes, J, Sahasrabhojane, PV, Suleyman, G, Zervos, M, Shelburne, S, Singh, KV, Shamoo, Y, Hanson, BM, Tran, TT & Arias, CA 2024, , Antimicrobial Agents and Chemotherapy, vol. 68, no. 3. https://doi.org/10.1128/aac.01069-23

In-patient evolution of a high-persister Escherichia coli strain with reduced in vivo antibiotic susceptibility
Parsons, JB, Sidders, AE, Velez, AZ, Hanson, BM, Angeles-Solano, M, Ruffin, F, Rowe, SE, Arias, CA, Fowler, VG, Thaden, JT & Conlon, BP 2024, , Proceedings of the National Academy of Sciences of the United States of America, vol. 121, no. 3, e2314514121, pp. e2314514121. https://doi.org/10.1073/pnas.2314514121