Michele H. Mokrzycki

Michele H. Mokrzycki, M.D., M.S.

Area of research

  • Hemodialysis vascular access complications

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Location

  • Montefiore Medical Center 3411 Wayne Avenue 5F Bronx, NY 10467

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Research Profiles

Professional Interests

Dr. Mokrzycki is a graduate of Boston College (B.S., 1983), and the University of Vermont College of Medicine (M.D., 1987) and received a Masters of Science in Clinical Research from the Albert Einstein College of Medicine (M.S. 2000). She completed both an Internal Medicine Residency and Clinical Nephrology Fellowship at the University of Connecticut Health Science Center in Farmington, CT.  Dr Mokrzycki has been on faculty at the Albert Einstein College of Medicine since 1992, where she is a Professor of Medicine in the Division of Nephrology.  She is a full time clinical nephrologist at the Montefiore Medical Center, Moses Campus.

Dr Mokrzycki's research interests have focused primarily on hemodialysis vascular access related complications, specifically, complications associated with tunneled catheter use such as infection/bacteremia/inflammation and dysfunction/thrombosis.  

She is the recipient of a grant from the AETNA Foundation to study the effect of a multidisciplinary team approach to improve outcomes associated with catheter bacteremia in hemodialysis patients.  

Dr Mokrzycki served on the Program Committee Member for the National Kidney Foundation (NKF) for 2 years, and on Faculty for the Therapeutic Apheresis Academy (TAA) for 5 years, which is held annually at the University of Virginia College of Medicine. She has been an invited speaker and/or chaired sessions at the American Society of Nephrology (ASN), National Kidney Foundation (NKF), the Vascular Access Society (VAS), Hemodialysis University (HDU), Annual Dialysis Conference (ADC), the American Society of Diagnostic and Interventional Nephrology (ASDIN), and the VEITH symposium.

Dr Mokrzycki served on the Catheter Endpoints Workgroup of the Kidney Health Initiative (KHI), formed by the American Society of Nephrology,the FDA and other stakeholders in End Stage Kidney Disease Innovation.  Dr Mokrzycki currently serves as the Chair of the Vascular Accesss Outcomes Workgroup, a subgroup of the Nephrologists Transforming Dialysis Safety Initiative (NTDS), which is a collaboration between the American Society of Nephrology and the Centers for Disease Control. 

 

Selected Publications

  1. Mokrzycki MH, Yamase H, Kohn OF.  Renal malacoplakia with papillary necrosis and renal failure. Am J Kidney Dis 19:587-91, 1992.
  2. Mokrzycki MH, Kaplan AA.  Therapeutic Plasma Exchange: Complications and management.  Am J Kidney Dis 23:817-27, 1994.
  3. Mokrzycki MH, Rickles F, Kaplan AA, Kohn OF.  Thrombotic thrombocytopenic purpura in pregnancy: Successful treatment with plasma exchange.  Blood Purif 13:271-82, 1995.
  4. Posner L, Mokrzycki MH. Transient central diabetes insipidus in the setting of underlying chronic nephrogenic diabetes insipidus associated with lithium use.  Am J Nephrol 16:339-43,1996.
  5. Kerr A, Spector J, Mokrzycki MH, Blau S, Simon R.  V asodilator provocation of occult urinar y tract hemorrhage. J Trauma 40:152-4, 1996.
  6. Mokrzycki MH, Kaplan AA.  Protein losses in continuous renal replacement therapies. J Am Soc Nephrol 7:1-5, 1996.
  7. Mokrzycki MH, Patel K, Oo T. Human Immunodeficiency Virus-Associated Nephropathy in the Bronx: Low Prevalence in a Predominantly Hispanic Population. Am J Nephrol 18: 508-512,1998.
  8. Mokrzycki MH, Harris C, May H, Laut J, Palmisano J.  Lactic acidosis associated with stavudine (d4T): Report of 5 cases. Clin Inf Dis 30:198-200, 2000.
  9. Mokrzycki MH, Schroppel B, von Gersdorff G, Rush H, Zdunek M, Feingold R.  Tunneled cuffed catheter associated infections in hemodialysis patients seropositive for the human immunodeficiency virus.  J Am Soc Nephrol 11:2122-2127, 2000.
  10. Barisoni L, Mokrzycki MH, Sablay L, Nagata M, Yamase H, Mundel P.  Podocyte cell cycle regulation and proliferation in collapsing glomerulopathies.  Kidney Int 58:137-143, 2000.
  11. Zdunek MP, Mitra A, Mokrzycki MH.  Plasma exchange for the removal of digoxin-specific antibody fragments in renal failure: Timing is important for maximizing clearance.  Am J Kidney Dis 36:177-183, 2000.
  12. Solomon N, Mokrzycki MH.  Levofloxacin-associated allergic interstitial nephritis.  Clin Nephrol 54:356, 2000.
  13. Mokrzycki MH, Jean-Jerome K, Rush H, Zdunek MP, Rosenberg SO.  A randomized trial of minidose warfarin for the prevention of late malfunction in tunneled, cuffed hemodialysis catheters. Kidney Int 59:1935-1942, 2001.
  14. Swiatecka-Urban A, Mokrzycki MH, Kaskel F, Da Silva F, Denamur E.  Novel WT1 mutation (C388Y) in a female child with Denys-Drash syndrome.   Pediatr Nephrol 16:627-630, 2001.
  15. Mokrzycki MH, Singhal A.  Cost-Effectiveness of Three Strategies of Managing Tunneled-Cuffed Hemodialysis Catheters (TCC) in Clinically Mild or Asymptomatic Bacteremias.  Nephrol Dial Transpl 17(12): 2196-203, 2002.
  16. Negulescu O, Coco M, Croll J, Mokrzycki MH. Large atrial thrombus formation associated with tunneled cuffed hemodialysis catheters. Clin Nephrol 59(1):40-6, 2003.
  17. Orloff M, Iyengar SK, Winkler CA, Goddard KAB, Dart RA, Ahuja TS, Mokrzycki MH, Briggs WA, Korbet SM, Kimmel PM, Simon EE, Trachtman H, Vlahov D, Michel DM, Berns JS, Smith MC, Schelling JR, Sedor JR, Kopp JB.  Variants in the Wilms’ tumor gene are associated with focal segmental glomerulosclerosis in the African American Population.  Physiol Genomics 21:212-221, 2005 
  18. Golestaneh L, Laut J, Rosenberg S, Zhang M, Mokrzycki MH.  Favourable outcomes in episodes of Pseudomonas bacteremia when associated with tunneled cuffed catheters (TCC) in chronic hemodialysis patients.  Nephrol Dial Transplant. May;21(5):1328-33,2006.
  19. Mokrzycki MH, Zhang M, Cohen H, Golestaneh L, Laut JM, Rosenberg SO.  Tunneled Hemodialysis Catheter Bacteremia: Risk factors for bacteremia recurrence, infectious complications and mortality. Nephrol Dial Transplant. 21(4):1024-31,2006.
  20. Mokrzycki MH, Zhang M, Golestaneh L, Laut J, Rosenberg SO.A randomized controlled trial comparing two management models for the treatment of tunneled cuffed catheter (TCC) bacteremia: A collaborative team model versus usual physician-managed care. Am J Kidney Dis 48(4):587-95, 2006.
  21. McKenzie LM, Hendrickson, SL, Briggs WA, Dart RA, Korbet SM, Mokrzycki MH, Kimmel PL, Ahuja TS, Berns JS, Simon EE, Smith MC, Trachtman H, Michel DM, Schelling JR, Cho M, Zhou YC, Binns-Roemer E, Kirk GD, Kopp JB, Winkler CA.  NPHS2 variation in sporadic focal segmental glomerulosclerosis. J Am Soc Nephrol 18(11): 2987-95, 2007
  22. Mokrzycki MH.  Use of prophylactic topical or intraluminal antibiotics for hemodialysis catheters. Nat Clin Pract Nephrol 4(9):478-9, 2008.
  23. Kopp JB, Smith MW, Nelson GW, Johnson RC, Freedman BI, Bowden DW, Oleksyk T, McKenzie LM, Kajiyama H, Ahuja TS, Berns JS, Briggs W, Cho ME, Dart RA, Kimmel PL, Korbet SM, Michel DM, Mokrzycki MH, Schelling JR, Simon E, Trachtman H, Vlahov D, Winkler CA. MYH9 is a major-effect risk gene for focal segmental glomerulosclerosis. Nat Genet. 40 (10):1175-84, 2008.
  24. Sachdeva M, Bitzer M, Mokrzycki MH. Vascular access type and changes in inflammatory markers in incident dialysis patients: a pilot study.  J Vascular Access 10(3):174-179, 2009.
  25. Golestaneh L, Gofran A, Mokrzycki MH, Chen JL.  Removal of vancomycin in sustained low-efficiency dialysis (SLED): a need for better surveillance and dosing.  Clin Neph 72 (4):286-291.
  26. Okafor C, Ward DM, Mokrzycki MH, Weinstein R, Clark P, Balogun RA.  Introduciton and overview of therapeutic apheresis.  J Clin Apheresis, 2010.
  27. Lok CE, Mokrzycki MH.  Advances in Hemodialysis Catheter-related Infection.  U.S. Nephrol, 2010.
  28. Mokrzycki MH, Lok CE. Traditional and nontraditional strategies to optimize catheter function: Go with more flow. Kidney Int, 2010.
  29. Lok CE, Mokrzycki MH.  Update 2010: Catheter-related Infection in Hemodialysis Patients. Kidney Int. 2010.
  30. Lok CE, Mokrzycki MH.  Prevention and management of catheter-related infection in hemodialysis patients.  Kidney Int. 2010;79(6):587-98.
  31. Mokrzycki MH, Balogun RA.  Therapeutic Apheresis: a review of complications and recommendations for prevention and management.  J Clin Apher 2011:26(5):243-8.
  32. Lee T, Mokrzycki MH, Moist L, Maya I, Vazquez M, Lok CE; North American Vascular Access Consortium. Standardized definitions for hemodialysis vascular access. Semin Dial 2011;24(5):515-24.
  33. Kopp JB, Nelson GW, Sampath K, Johnson RC, Genovese G, An P, Friedman D, Briggs W, Dart R, Korbet S, Mokrzycki MH, Kimmel PL, Limous S, Ahuja TS, Berns JS, Fryc J, Simon EE, Smith MC, Trachtman H, Michel DM, Schelling JR, Vlahov D, Pollack M, Winkler CA.  APOL1 genetic variants in focal segmental glomerulosclerosis and HIV-Associated nephropathy. J Am Soc Nephrol 2011;22(11):2129-37.
  34. Sachdeva M, Hung A, Kovalchuk O, Bitzer M, Mokrzycki MH. The initial vascular access type contributes to inflammation in incident hemodialysis patients. Int J Nephrol Volume 2012; (2012) Article ID: 917465.
  35. Lee T, Lok C, Vazquez M, Moist L, Maya I, Mokrzycki M.  Minimizing hemodialysis catheter dysfunction: An ounce of prevention.  Int J Nephrol; Volume 2012 (2012), Article ID: 170857.
  36. Golestaneh L, Mokrzycki MH. Vascular Access in Therapeutic Apheresis: Update 2013.  J Clin Apheresis. 2013: 28(1):64-72.
  37. Nica A, Lok CE, Harris J, Lee TC, Mokrzycki MH, Maya ID, Vazquez MA, Xi W, Moist LM; From the North American Vascular Access Consortium (NAVAC). Understanding Surgical Preference and Practice in Hemodialysis Vascular Access creation. Semin Dial. 2013:26(4):520-526.
  38. Bhatt DL, Kandzari DE, O’Neill WW, D’Agostino R, Flack JM, Katzen BT, Leon MB, Liu M, Mauri L, Negoita M, Cohen SA, Oparil S, Rocha-Singh K, Townsend RR, Bakris GL. A controlled trial of renal denervation for resistant hypertension. N. Engl. J. Med. 2014;370 (15):1393-1401.
  39. Mokrzycki MH, Lok CE. Optimizing central venous catheter primary prevention trials in hemodialysis patients. Am. J.Kidney Dis. 2015;66(6):939-941.
  40. Gipson DS, Troost JP, Lafayette RA, Hladunewich MA, Trachtman H, Gadegbeku CA, Sedor JR, Holzman LB, Moxey-Mims MM, Perumal K, Kaskel FJ, Nelson P, Tuttle KR, Bagnasco SM, Hogan MC, Dell KM, Appel GB, Lieske JC, Ilori TO, Sethna CB, Fervenza FC, Hogan SL, Nachman PH, Rosenberg AZ, Greenbaum LA, Meyers KE, Hewitt SM, Choi MJ, Kopp JB, Zhdanova , Hodgin JB, Johnstone DB, Adler SG, Avila-Casado C, Neu AM, Hingorani SR, Lemley KV, Nast CC, Brady TM, Barisoni-Thomas L, Fornoni A, Jennette JC, Cattran DC, Palmer MB, Gibson KL, Reich HN, Mokrzycki MH, Sambandam KK, Zilleruelo GE, Licht C, Sampson MG, Song P, Mariani LH, Kretzler M. Complete remission in the nephrotic syndrome study network. Clin J Am Soc Nephrol. 2016;11 (1):81-89.
  41. Johns, TS, Mokrzycki MH. Optimal approach for the diagnosis of hemodialysis catheter-related bacteremia. Clin J Am Soc Nephrol 2016; 11.
  42. Liang E, Rodriguez M, Mueller M, Abramowitz MK, Mokrzycki  MH. Outcomes Associated with a Heparin-Free Hemodialysis Protocol and Review of the Literature. J. Clin. Nephrol. Renal Care. 2016, 2(1): 10-16.
  43. Allon M, Brouwer-Maier DJ, Abreo K, Baskin KM, Bregel K, Chand D,  Easom A, Mermel L, Mokrzycki MH, Patel PR, Roy-Chaudhury P, Shenoy S, Valentini RP, Wasse H.  Moving Points in Nephrology: Recommended Clinical Trial Endpoints for Hemodialysis Catheters. Clin J Am Soc Nephrol. 2017
  44.  Golestaneh L, Mokrzycki MH. Prevention of Hemodialysis Catheters Infections: Ointments, Dressings, Locks and Catheter Hub Devices. Hemodial Int. Nov 2018
  45. Der E, Suryawanshi H, Morozov P, Kustagi M, Goilav B, Ranabathou S, Izmirly P, Clancy R, Belmont HM, Koenigsberg M, Mokrzycki M, Rominieki H, Graham JA, Rocca JP, Bornkamp N, Jordan N, Schulte E, Wu M, Pullman J, Slowikowski K, Raychaudhuri S, Guthridge J, James J, Buyon J, Tuschl T, Putterman C; Accelerating Medicines Partnership Rheumatoid Arthritis and Systemic Lupus Erythematosus (AMP RA/SLE) Consortium. Tubular cell and keratinocyte single-cell transcriptomics applied to lupus nephritis reveal type I IFN and fibrosis relevant pathways. Nat Immunol. 2019 Jul;20(7):915-927
  46. Fisher M, Golestaneh L, Allon M,  Abreo K, Mokrzycki MH. Preventing Central Vein Catheter Associated Bloodstream Infections in Hemodialysis: Review of Current Evidence-Based Strategies and Novel Therapies. Clin J Am Soc Nephrol 2020;15:132-151
  47. Vachharajani T , Wong L, Niyyar VD, Abreo KD, Mokrzycki MH, for the Vascular Access Workgroup of the Nephrologists Transforming Dialysis Safety Initiative of the American Society of Nephrology. Buttonhole cannulation of arteriovenous fistulas in the United States. Kidney360. 2020
  48. Mokrzycki MH and Coco M. Management of hemodialysis patients with suspected or confirmed COVID-19 infection: perspective of two nephrologists in the United States. Kidney360. 2020:1(4);273-278.
  49.  Golestaneh L, Neugarten J, Fisher M, Billett HH, Reyes Gil M, Johns T, Yunes M, Mokrzycki MH, Coco M, Norris KC, Perez HR, Scott S, Kim RS, Bellin E. The Association of Race and COVID-19 Mortality. Lancet’s EClinicalMedicine Aug 2020
  50.  Fisher M, Yunes M, Mokrzycki MH, Golestaneh L, Alahiri E, Coco M. “Chronic Hemodialysis Patients Hospitalized with COVID-19 – Short-term Outcomes in Bronx, New York”. Kidney360 June 20201.     
  51. Mokrzycki MH, Leigh KA, Kliger AS, Niyyar VD, Bren Asp V, Golestaneh L, Taylor Q, Novosad SA. Implementation of an Electronic Catheter Checklist in Outpatient Hemodialysis Facilities: Results of a Pilot Quality Improvement Project. Kidney360  April 2021, 2(4) 684-694

     

Book Chapter

1.     Fisher M, Mokrzycki MH. Infectious complications in vascular access. Handbook of Dialysis. Nissenson: Handbook of Dialysis Therapy, 6e. Elsevir (In press, 2021)