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John P Haran MD, PhD

TitleProfessor
InstitutionUMass Chan Medical School
DepartmentEmergency Medicine
AddressUMass Chan Medical School
55 Lake Avenue North
Worcester MA 01655
Phone508-421-1401
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    Other Positions
    InstitutionT.H. Chan School of Medicine
    DepartmentEmergency Medicine
    DivisionResearch

    InstitutionT.H. Chan School of Medicine
    DepartmentMicrobiology

    InstitutionMorningside Graduate School of Biomedical Sciences
    DepartmentImmunology and Microbiology Program

    InstitutionMorningside Graduate School of Biomedical Sciences
    DepartmentMD/PhD Program

    InstitutionMorningside Graduate School of Biomedical Sciences
    DepartmentNeuroscience


    Collapse Biography 
    Collapse education and training
    Rensselaer Polytechnic Institute, Troy, NY, United StatesBSBiochemistry & Biophysics
    UMass Chan Medical School, Worcester, MA, United StatesPHDBiomedical Sciences
    University of Massachusetts Medical School, Worcester, MA, United StatesMD
    University of Massachusetts Medical School, Worcester, MA, United StatesPhDBiomedical Sciences

    Collapse Overview 
    Collapse overview

    Education:

    BS: Rensselaer Polytechnic Institute                                                                    
    MD: University of Massachusetts Medical School                                                
    Residency Training: Alpert Medical School of Brown University                                
    PhD: University of Massachusetts Medical School Millennium PhD Program

    Appointments:

    Associate Professor of Emergency Medicine                                                   
    Associate Professor in the Department of Microbiology & Physiological Systems 
    Associate Clinical Director of the Center for Microbiome Research

    Research Overview:

    Please see Dr. Haran's Research Group Website for more details: https://www.umassmed.edu/haranresearchgroup/

    Dr. Haran is an NIH funded investigator whose research background is anchored with a focus on investigations into the link between gut microbiome composition and older adult health outcomes. Specifically, his research interests span 2 domains that include the “microbiota-gut-brain” axis and drug resistant pathogens.

    Within the microbiota-gut-brain axis, Dr. Haran’s current NIH funding focuses on how dysbiosis in the intestinal microbiome of elders with Alzheimer’s disease associates with immune system dysregulation and cognitive impairment. He is currently enrolling and following older adults, collecting longitudinal cognitive, immune system functioning, and microbiome data. Through funding from the Alzheimer’s Association and the National Institute on Aging, we have built a large cohort of community-dwelling and nursing home older adults with and without Alzheimer’s disease that we are following for cognitive changes. We run a research clinic here at UMass Chan Medical School for older adults with cognitive issues and are leveraging data from these patients to design and test novel microbiome therapies to improve cognition and prevent Alzheimer’s disease progression.

    Under the microbiota-gut-brain axis domain, Dr. Haran also runs investigations into the relationship between pro-inflammatory type oral microbiome composition and the risk of developing long-COVID. Finally, leveraging patients he treats in the ED from minor accidents, Dr. Haran studies the relationship between the gut microbiome composition and development of post-traumatic neurological disorders.

    Dr. Haran’s focus on drug resistant pathogens includes: 1) stemming the spread of Clostridium difficile infection and colonization among nursing home residents and hospitalized elders; 2) preventing the transmission of multi-drug resistant organisms within the hospital setting; and 3) implementing novel treatment guidelines to reduce unnecessary antibiotic usage.

    Dr. Haran’s current research is supported by internal grant funding through UMMS and NIA which focuses on the complex interplay between medication use and Clostridium difficile (C. difficile) colonization/infection in both community-dwelling elders and those residing in nursing homes. We have built a large research network of nursing home facilities within central Massachusetts where we collect longitudinal samples and monitor for colonization with C. difficile and other drug resistant organisms. This investigates both: 1) the nursing home microbiome and its association with these organisms; and 2) clinical and nutritional factors that influence the microbiome. The ultimate goal of this work is to identify microbiome changes that occur as an elder transitions to nursing home care which leads to a bacterial carrier state. This will lay the foundation for targeted interventions to prevent the spread of C. difficile and other drug resistant organisms in the elderly nursing home community.Additionally, as a member of the hospital Antimicrobial Stewardship Taskforce, Dr. Haran has worked with other committee members to implement novel antimicrobial treatment algorithms to reduce the unnecessary use of antibiotics within the Emergency Department and the hospital wards. Our current project had dramatically reduced Vancomycin use as a treatment for non-purulent skin infections and helped the hospital to align with the IDSA treatment guidelines for skin and soft tissue infections.

    Finally in response to the COVID-19 pandemic, Dr. Haran has been working with the CDC in several surveillance projects that aim to understand the risk healthcare workers have to contracting COVID-19 from the workplace and the benefits of vaccination in preventing the spread of COVID-19.


    Collapse Rotation Projects

    Rotation projects are available related to microbiota-gut brain axis and antibiotic usage and the sequelae of antibiotic use in hospitalized patients which include Clostridium difficile and multi-drug resistant organism infection and colonization.



    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
    Newest   |   Oldest   |   Most Cited   |   Most Discussed   |   Timeline   |   Field Summary   |   Plain Text
    PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Haran JP, Bucci V, Dutta P, Ward D, McCormick B. The nursing home elder microbiome stability and associations with age, frailty, nutrition and physical location. J Med Microbiol. 2018 Jan; 67(1):40-51. PMID: 29134939.
      Citations: 42     Fields:    Translation:HumansCells
    2. Haran JP, Bradley E, Howe E, Wu X, Tjia J. Medication Exposure and Risk of Recurrent Clostridium difficile Infection in Community-Dwelling Older People and Nursing Home Residents. J Am Geriatr Soc. 2018 02; 66(2):333-338. PMID: 29120481.
      Citations: 3     Fields:    Translation:HumansCells
    3. Haran JP, Wu G, Bucci V, Fischer A, Keang L, Boyer EW, Hibberd PL. Antibiotic-associated diarrhoea in emergency department observation unit patients. Epidemiol Infect. 2016 07; 144(10):2176-83. PMID: 27324463.
      Citations: 2     Fields:    Translation:HumansCells
    4. Haran JP, Hayward G, Skinner S, Merritt C, Hoaglin DC, Hibberd PL, Lu S, Boyer EW. Factors influencing the development of antibiotic associated diarrhea in ED patients discharged home: risk of administering IV antibiotics. Am J Emerg Med. 2014 Oct; 32(10):1195-9. PMID: 25149599.
      Citations: 10     Fields:    Translation:Humans
    5. Haran JP, Pezzella L. A case of neck pain: The presentation of Chairi 1 malformations in children. J Emerg Trauma Shock. 2014 Jan; 7(1):32-4. PMID: 24550627.
      Citations:    
    6. Merritt C, Haran JP, Mintzer J, Stricker J, Merchant RC. All purulence is local - epidemiology and management of skin and soft tissue infections in three urban emergency departments. BMC Emerg Med. 2013 Dec 20; 13:26. PMID: 24359038.
      Citations: 10     Fields:    Translation:HumansCells
    7. Moise L, Tassone R, Latimer H, Terry F, Levitz L, Haran JP, Ross TM, Boyle CM, Martin WD, De Groot AS. Immunization with cross-conserved H1N1 influenza CD4+ T-cell epitopes lowers viral burden in HLA DR3 transgenic mice. Hum Vaccin Immunother. 2013 Oct; 9(10):2060-8. PMID: 24045788.
      Citations: 16     Fields:    Translation:AnimalsCells
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