David Pugatch, MD, brings his 18 years of experience to Children’s, assuming the role of Medical Director of Infectious Disease. Dr. Pugatch joined the Hospital in November 2008 from Brown University/Hasbro Children’s Hospital, where he served as the Director for the Pediatric Infectious Diseases Fellowship Program. Dr. Pugatch is board certified in infectious diseases and pediatrics by the American Board of Pediatrics. He is widely published and serves in an editorial capacity for several medical journals. He is an author of the chapter on Immunizations for the upcoming sixth edition of the Feigin and Cherry Textbook of Pediatric Infectious Diseases. 
Dr. Pugatch received the American Academy of Pediatrics Special Achievement Award for Distinguished Service in recognition of international health work and was given the Award of Recognition by the Kingdom of Cambodia’s Ministry of Health for efforts that include his work with the William J. Clinton Foundation HIV/AIDS Initiative. Dr. Pugatch has received national and international appointments including the NIH/NIAID Special Emphasis Panel for Comprehensive International Program of Research on AIDS and the NIH, HRSA and NPHRC Working Group on Antiretroviral Therapy and Medical Management of HIV Infected Children.
Dr. Pugatch completed a fellowship in Immunovirology at the University of Massachusetts and earned his medical degree from McGill University in Montreal.
Dr. Pugatch is married with two children. His hobbies include golfing, and his goal is to play all of the golf courses in Fresno with his kids. He also enjoys spending his free time visiting national parks.
Publications
Beard ME, Baker R, Conomos P, Pugatch D, Holtzman E. “Oxidation of oxalate and polyamines by rat peroxisomes.” J Histochem Cytochem. 1985; 33(5):460-4.
PMID: 3921604
Roffler-Tarlov S, Pugatch D, Graybiel AM. “Patterns of cell and fiber vulnerability in the mesostriatal system of the mutant mouse weaver. II. High affinity uptake sites for dopamine.” J Neurosci. 1990; 10(3):734-40.
PMID: 2319300
Pugatch D, Sullivan JL, Pikora CA, Luzuriaga K. “Delayed generation of antibodies mediating human immunodeficiency virus type 1-specific antibody-dependent cellular cytotoxicity in vertically infected infants. WITS Study Group. Women and Infants Transmission Study.” J Infect Dis. 1997; 176(3):643-8.
PMID: 9291310
Pugatch D, Mileno M, Rich JD. “Possible transmission of human immunodeficiency virus type 1 from body piercing.” Clin Infect Dis. 1998; 26(3):767-8.
PMID: 9524865
Rich JD, Dickinson BP, Feller A, Pugatch D, Mylonakis E. “The infectious complications of anabolic-androgenic steroid injection.” Int J Sports Med. 1999; 20(8):563-6.
PMID: 10606223
Pugatch D, Ramratnam M, Strong L, Feller A, Levesque B, Dickinson BP. “Gender Differences in HIV Risk Behaviors among Young Adults and Adolescents Entering a Massachusetts Detoxification Center.” Subst Abus. 2000; 21(2):79-86.
PMID: 12466648
Pugatch DL, Levesque BG, Lally MA, Reinert SE, Filippone WJ, Combs CM, Flanigan TP, Brown LK. “HIV testing among young adults and older adolescents in the setting of acute substance abuse treatment.” J Acquir Immune Defic Syndr. 2001; 27(2):135-42.
PMID: 11404535
Wedekind CA, Pugatch D. “Lipodystrophy syndrome in children infected with human immunodeficiency virus.” Pharmacotherapy. 2001; 21(7):861-6.
PMID: 11444583
Pugatch D, Strong LL, Has P, Patterson D, Combs C, Reinert S, Rich JD, Flanigan T, Brown L. “Heroin use in adolescents and young adults admitted for drug detoxification.” J Subst Abuse. 2001; 13(3):337-46.
PMID: 11693456
Pugatch D, Levesque B, Greene S, Strong L, Flanigan T, Lally M. “HIV testing in the setting of inpatient acute substance abuse treatment.” Am J Drug Alcohol Abuse. 2001; 27(3):491-9.
PMID: 11506264
Lally MA, Alvarez S, Macnevin R, Cenedella C, Dispigno M, Harwell JI, Pugatch D, Flanigan TP. “Acceptability of sexually transmitted infection screening among women in short-term substance abuse treatment.” Sex Transm Dis. 2002; 29(12):752-5.
PMID: 12466715
Senya C, Mehta A, Harwell JI, Pugatch D, Flanigan T, Mayer KH. “Spectrum of opportunistic infections in hospitalized HIV-infected patients in Phnom Penh, Cambodia.” Int J STD AIDS. 2003; 14(6):411-6.
PMID: 12816670
Chhin S, Rozycki G, Pugatch D, Harwell JI. “Aetiology of meningitis in HIV-infected patients in a referral hospital in Phnom Penh, Cambodia.” Int J STD AIDS. 2004; 15(1):48-50.
PMID: 14769172
Crosby RA, DiClemente RJ, Wingood GM, Salazar LF, Rose E, Levine D, Brown L, Lescano C, Pugatch D, Flanigan T, Fernandez I, Schlenger W, Silver BJ. “Associations between sexually transmitted disease diagnosis and subsequent sexual risk and sexually transmitted disease incidence among adolescents.” Sex Transm Dis. 2004; 31(4):205-8.
PMID: 15028932
Combs C, Soares JJ, O'Connell JV, D'Angelo LJ, Pugatch D. “Sexual risk behaviors and polysubstance use in young intranasal heroin users.” Subst Abus. 2004; 25(1):61-2.
PMID: 15201113
Theng T, Sok P, Pugatch D, Harwell JI, Rufner KM, Chhi Mean V, Mayer KH, Cu-Uvin S. “HIV-1 cord-blood seroprevalence of parturient women in Sihanoukville, Cambodia.” Int J STD AIDS. 2004; 15(6):419-21.
PMID: 15186589
Obaro SK, Pugatch D, Luzuriaga K. “Immunogenicity and efficacy of childhood vaccines in HIV-1-infected children.” Lancet Infect Dis. 2004; 4(8):510-8.
PMID: 15288824
Obaro SK, Losikoff P, Harwell J, Pugatch D. “Failure of serial human immunodeficiency virus type 1 DNA polymerase chain reactions to identify human immunodeficiency virus type 1 clade A/G.” Pediatr Infect Dis J. 2005; 24(2):183-4.
PMID: 15702052
Crosby RA, Diclemente RJ, Wingood GM, Salazar LF, Rose E, Levine D, Brown L, Lescano C, Pugatch D, Flanigan T, Fernandez I, Schlenger W, Silver BJ. “Correlates of condom failure among adolescent males: an exploratory study.” Prev Med. 2005; 41(5-6):873-6.
PMID: 16257047
Houck CD, Lescano CM, Brown LK, Tolou-Shams M, Thompson J, Diclemente R, Fernandez MI, Pugatch D, Schlenger WE, Silver BJ. “"Islands of Risk": subgroups of adolescents at risk for HIV.” J Pediatr Psychol. 2006; 31(6):619-29.
PMID: 16120764
Crosby RA, DiClemente RJ, Wingood GM, Salazar LF, Rose E, Levine D, Brown L, Lescano C, Pugatch D, Flanigan T, Fernandez I, Schlenger W, Silver BJ. “Condom failure among adolescents: implications for STD prevention.” J Adolesc Health. 2005; 36(6):534-6.
PMID: 15901520
Pugatch D, Anderson BJ, O'Connell JV, Elson LC, Stein MD. “HIV and HCV testing for young drug users in Rhode Island.” J Adolesc Health. 2006; 38(3):302-4.
PMID: 16488833
Chhin S, Harwell JI, Bell JD, Rozycki G, Ellman T, Barnett JM, Ward H, Reinert SE, Pugatch D. “Etiology of chronic diarrhea in antiretroviral-naive patients with HIV infection admitted to Norodom Sihanouk Hospital, Phnom Penh, Cambodia.” Clin Infect Dis. 2006; 43(7):925-32.
PMID: 16941378
Brown LK, Tolou-Shams M, Lescano C, Houck C, Zeidman J, Pugatch D, Lourie KJ; Project SHIELD Study Group. “Depressive symptoms as a predictor of sexual risk among African American adolescents and young adults.” J Adolesc Health. 2006; 39(3):444.e1-8.
PMID: 16919811
Lescano CM, Vazquez EA, Brown LK, Litvin EB, Pugatch D; Project SHIELD Study Group. “Condom use with "casual" and "main" partners: what's in a name?” J Adolesc Health. 2006; 39(3):443.e1-7.
PMID: 16919809
Kong BN, Harwell JI, Suos P, Lynen L, Mohiuddin S, Reinert S, Pugatch D. “Opportunistic infections and HIV clinical disease stage among patients presenting for care in Phnom Penh, Cambodia.” Southeast Asian J Trop Med Public Health. 2007; 38(1):62-8.
PMID: 17539248
Myung P, Pugatch D, Brady MF, Many P, Harwell JI, Lurie M, Tucker J. “Directly observed highly active antiretroviral therapy for HIV-infected children in Cambodia.” Am J Public Health. 2007; 97(6):974-7.
PMID: 17463375
Lowenhaupt EA, Matson K, Qureishi B, Saitoh A, Pugatch D. “Psychosis in a 12-year-old HIV-positive girl with an increased serum concentration of efavirenz.” Clin Infect Dis. 2007; 45(10):e128-30.
PMID: 17968817
Tolou-Shams M, Payne N, Houck C, Pugatch D, Beausoleil N, Brown LK; Project SHIELD Study Group. “HIV testing among at-risk adolescents and young adults: a prospective analysis of a community sample.” J Adolesc Health. 2007; 41(6):586-93.
PMID: 18023788
Houck CD, Hadley W, Lescano CM, Pugatch D, Brown LK; Project Shield Study Group. “Suicide attempt and sexual risk behavior: relationship among adolescents.” Arch Suicide Res. 2008; 12(1):39-49.
PMID: 18240033
Merchant RC, Kelly ET, Mayer KH, Becker BM, Duffy SJ, Pugatch DL. “Compliance in Rhode Island emergency departments with American Academy of Pediatrics recommendations for adolescent sexual assaults.” Pediatrics. 2008; 121(6):e1660-7.
PMID: 18519469
Lescano CM, Houck CD, Brown LK, Doherty G, Diclemente RJ, Fernandez MI, Pugatch D, Schlenger WE, Silver BJ, Study Group TP. “Correlates of Heterosexual Anal Intercourse Among At-Risk Adolescents and Young Adults.” Am J Public Health. 2008.
PMID: 19008522
Pugatch D, Rich JD, Flanigan TP. “HIV infection in Rhode Island adolescents.” Med Health R I. 1997; 80(10):331-3.
PMID: 9350118
Pugatch D. “Testing infants for human immunodeficiency virus infection.” Pediatr Infect Dis J. 2002; 21(7):711-2.
PMID: 12237612
Cu-Uvin S, Pugatch D. “Brown's involvement in the health of less developed countries.” Med Health R I. 2007; 90(11):340-1.
PMID: 18092482