Dr. Garro is a clinician at the Hasbro Children's Hospital Emergency Department and a researcher affiliated with the Warren Alpert Medical School of Brown University and Rhode Island Hospital. His research expertise includes interventions to improve disease management in children presenting to the emergency department with asthma, and the treatment of pediatric Lyme disease / meningitis.
Nigrovic LE, Neville DN, Levas MN, Bennett JE, Balamuth F, Garro AC
A minority of children with Lyme disease recall a preceding tick bite..
Tick & Tick Borne Infections. 2019; Pedi Lyme Net (In Press)
Gjelsvik A, Rogers ML, Garro A, Sullivan A, Koinis-Mitchell D, McQuaid EL, Smego R, Vivier PM
Neighborhood risk and pediatric asthma hospital use, Rhode Island, 2005 – 2014. .
Preventing Chronic Disease. 2019; (In Press)
Maulden AB, Garro AC, Balamuth F, Levas MN, Bennett JE, Neville DN, Branda JA, Nigrovic LE
Two-tier Lyme disease serology test results vary by specific first-tier test. .
Pediatric Infectious Diseases. 2019; (Published Online) : .
|Thomson J, Sucharew H, Cruz AT, Nigrovic LE, Freedman SB, Garro AC, Balamuth F, Mistry RD, Arms JL, Ishimine PT, Kulik DM, Neuman MI, Shah SS, Pediatric Emergency Medicine Collaborative Research Committee (PEM CRC) HSV Study Group*. Cerebrospinal Fluid Reference Values for Young Infants Undergoing Lumbar Puncture.. PEDIATRICS. 2018;|
|Kuppermann N, Ghetti S, Schunk JE, Stoner MJ, Rewers A, McManemy JK, Myers SR, Nigrovic LE, Garro A, Brown KM, Quayle KS, Trainor JL, Tzimenatos L, Bennett JE, DePiero AD, Kwok MY, Perry III CS, Olsen CS, Casper TC, Dean M, Glaser NS Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. New England Journal of Medicine. 2018; 378 (Pediatric Emergency Care Applied Research Network (PECARN) DKA FLUID Study) : 2275-2287 .|
|Kuppermann N, Ghetti S, Schunk JE, Stoner MJ, Rewers A, McManemy JK, Myers SR, Nigrovic LE, Garro A, Brown KM, Quayle KS, Trainor JL, Tzimenatos L, Bennett JE, DePiero AD, Kwok MY, Perry CS 3rd, Olsen CS, Casper TC, Dean JM, Glaser NS, PECARN DKA FLUID Study Group. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis.. NEJM. 2018; in press (24) : 2275-2287.|
|Cruz AT, Freedman SB, Kulik DM, Okada PJ, Fleming AH, Mistry RD, Thomson JE, Schnadower D, Arms JL, Mahajan P, Garro AC, Pruitt CM, Balamuth F, Uspal NG, Aronson PL, Lyons TW, Thompson AD, Curtis SJ, Ishimine PT, Schmidt SM, Bradin SA, Grether-Jones KL, Miller AS, Louie J, Shah SS, Nigrovic LE, HSV Study Group of the Pediatric Emergency Medicine Collaborative Research Committee. Herpes Simplex Virus Infection in Infants Undergoing Meningitis Evaluation.. PEDIATRICS. 2018; 141 (2)|
|Dart AH, Michelson KA, Aronson PL, Garro AC, Lee TJ, Glerum KM, Nigrovic PA, Kocher MS, Bachur RG, Nigrovic LE Hip Synovial Fluid Cell Counts in Children From a Lyme Disease Endemic Area.. PEDIATRICS. 2018; 141 (5)|
|Garro A, Nigrovic LE Managing Peripheral Facial Palsy.. Annals of Emergency Medicine. 2018; 71 (5) : 618-624.|
|Garro A, Bennett J, Balamuth F, Levas MN, Neville D, Branda JC, Maulden AB, Lantos PM, Nigrovic LE, Pedi Lyme Net. Positive Two-tiered Lyme Disease Serology is Uncommon in Asymptomatic Children Living in Endemic Areas of the U.S.. The Pediatric Infectious Disease Journal. 2018;|
|Abarca NE, Garro AC, Pearlman DN Relationship between breastfeeding and asthma prevalence in young children exposed to adverse childhood experiences.. J Asthma. 2018; : 1-10.|
Balamuth F, Cruz AT, Freedman SB, Ishimine PT, Garro AC, Curtis S, Grether-Jones KL, Miller AS, Uspal NG, Schmidt SM, Shah SS, Nigrovic LE
Test Characteristics of cerebrospinal fluid Gram stain to identify bacterial meningitis in infants less than 60 days old.
Pediatric Emergency Care . 2018; (Pediatric Emergency Medicine Collaborative Research Committee (PEM CRC) HSV Study Group) : In Press .
|Balamuth F, Cruz AT, Freedman SB, Ishimine PT, Garro A, Curtis S, Grether-Jones KL, Miller AS, Uspal NG, Schmidt SM, Shah SS, Nigrovic LE, Pediatric Emergency Medicine Collaborative Research Committee (PEMCRC) HSV Study Group. Test Characteristics of Cerebrospinal Fluid Gram Stain to Identify Bacterial Meningitis in Infants Younger Than 60 Days.. Pediatric Emergency Care . 2018;|
|Koster, Michael P., Garro, Aris Unraveling Diagnostic Uncertainty Surrounding Lyme Disease in Children with Neuropsychiatric Illness.. Child and Adolescent Psychiatric Clinics of North America/Child and Adolescent Psychiatric Clinics of North America. 2018; 27 (1) : 27-36.|
Nigrovic LE, Lipsett SC, Molins CR, Wormser GP, Bennett JE, Garro AC, Levas MN, Balamuth F, Lingampalli N, Robinson WH, Branda JA
Wormser GP, Bennett JE, Garro AC, Levas MN, Balamuth F, Lingampalli N, Robinson WH, Branda JA. Higher C6 enzyme immunoassay index values correlate with a diagnosis of Lyme disease in patients with non-cutaneous manifestations. .
Diagnostic Microbiology and Infectious Disease. 2018; (In Press)
|Garro A, Koster M, LaRue M, Hipolito E, Congdon E, Burnett K, Cullen N, Nigrovic LE Would Parents Consent to a Comparative Effectiveness Trial of Oral Doxycycline Versus Intravenous Ceftriaxone for the Treatment of Children with Lyme Meningitis?. The Pediatric Infectious Disease Journal/The Pediatric Infectious Disease Journal. 2018; 37 (5) : e140-e142.|
|Nigrovic, Lise E., Bennett, Jonathan E., Balamuth, Fran, Levas, Michael N., Chenard, Rachel L., Maulden, Alexandra B., Garro, Aris C., None, None Accuracy of Clinician Suspicion of Lyme Disease in the Emergency Department. Pediatrics/PEDIATRICS. 2017; 140 (6) : e20171975.|
|Thomson J, Cruz AT, Nigrovic LE, Freedman SB, Garro AC, Ishimine PT, Kulik DM, Uspal NG, Grether-Jones KL, Miller AS, Schnadower D, Shah SS, Aronson PL, Balamuth F, Pediatric Emergency Medicine Collaborative Research Committee (PEM CRC) HSV Study Group. Concomitant Bacterial Meningitis in Infants With Urinary Tract Infection.. The Pediatric Infectious Disease Journal. 2017; 36 (9) : 908-910.|
|Garro A, Chodobski A, Szmydynger-Chodobska J, Shan R, Bialo SR, Bennett J, Quayle K, Rewers A, Schunk JE, Casper TC, Kuppermann N, Glaser N, Pediatric Emergency Care Applied Research Network (PECARN) Circulating matrix metalloproteinases in children with diabetic ketoacidosis.. Pediatric diabetes. 2016;|
|Wu DJ, Hipolito E, Bilderback A, Okelo SO, Garro A Predicting future emergency department visits and hospitalizations for asthma using the Pediatric Asthma Control and Communication Instrument - Emergency Department version (PACCI-ED).. J Asthma. 2016; 53 (4) : 387-91.|
|Choo E, Ranney M, Wetle T, Morrow K, Mello M, Squires D, Tapé C, Garro A, Zlotnick C Attitudes Toward Computer Interventions for Partner Abuse and Drug Use Among Women in the Emergency Department.. Addictive Disorders & Their Treatment/Addictive Disorders & Their Treatment. 2015; 14 (2) : 95-104.|
|Ranney, Megan L., Meisel, Zachary F., Choo, Esther K., Garro, Aris C., Sasson, Comilla, Morrow Guthrie, Kate Interview-based Qualitative Research in Emergency Care Part II: Data Collection, Analysis and Results Reporting.. Academic Emergency Medicine. 2015; 22 (9) : 1103-1112.|
|Choo EK, Garro AC, Ranney ML, Meisel ZF, Morrow Guthrie K Qualitative Research in Emergency Care Part I: Research Principles and Common Applications.. Academic Emergency Medicine. 2015; 22 (9) : 1096-1102.|
|Canares TL, Tucker C, Garro A Going with the flow: respiratory care in the pediatric emergency department.. Rhode Island medical journal (2013). 2014; 97 (1) : 23-6.|
|Wylie MC, Merritt C, Clark M, Garro AC, Rutman MS Imaging of Pediatric Head Injury in the Emergency Department. Pediatric Emergency Care/Pediatric Emergency Care . 2014; 30 (10) : 680-5.|
|Goldberg EM, Laskowski-Kos U, Wu D, Gutierrez J, Bilderback A, Okelo SO, Garro A The Pediatric Asthma Control and Communication Instrument for the Emergency Department (PACCI-ED) improves physician assessment of asthma morbidity in pediatric emergency department patients.. J Asthma. 2014; 51 (2) : 200-8.|
|Canares TL, Brown L, Slotkin RM, Garro A Treating children at Urgent Care Centers: a qualitative study to determine how providers perceive managing pediatric patients.. Rhode Island medical journal (2013). 2014; 98 (1) : 48-53.|
|Jackson TL, Gjelsvik A, Garro A, Pearlman DN Correlates of smoking during an economic recession among parents of children with asthma.. J Asthma. 2013; 50 (5) : 457-62.|
|Garro AC, Jandasek B, Turcotte-Benedict F, Fleming JT, Rosen R, McQuaid EL Caregiver expectations of clinicians during the asthma diagnostic process in young children: thematic analysis of focus groups.. Journal of Asthma/J Asthma. 2012; 49 (7) : 703-711.|
|Canino G, Garro A, Alvarez MM, Colón-Semidey A, Esteban C, Fritz G, Koinis-Mitchell D, Kopel SJ, Ortega AN, Seifer R, McQuaid EL Factors associated with disparities in emergency department use among Latino children with asthma.. Annals of Allergy, Asthma & Immunology. 2012; 108 (4) : 266-70.|
|McQuaid EL, Garro A, Seifer R, Hammond SK, Borrelli B Integrating asthma education and smoking cessation for parents: financial return on investment.. Pediatric pulmonology. 2012; 47 (10) : 950-5.|
|Pearlman DN, Jackson TL, Gjelsvik A, Viner-Brown S, Garro A The impact of the 2007-2009 US recession on the health of children with asthma: evidence from the national Child Asthma Call-Back Survey.. Medicine and health, Rhode Island. 2012; 95 (12) : 394-6.|
|Garro AC, Asnis L, Merchant RC, McQuaid EL Frequency of prescription of inhaled corticosteroids to children with asthma in U.S. emergency departments.. Academic Emergency Medicine. 2011; 18 (7) : 767-70.|
|Garro AC, Rutman MS, Simonsen K, Jaeger JL, Chapin K, Lockhart G Prevalence of Lyme meningitis in children with aseptic meningitis in a Lyme disease-endemic region.. The Pediatric Infectious Disease Journal. 2011; 30 (11) : 990-2.|
|Garro AC, Fearon D, Koinis-Mitchell D, McQuaid EL Does pre-hospital telephone communication with a clinician result in more appropriate medication administration by parents during childhood asthma exacerbations?. J Asthma. 2009; 46 (9) : 916-20.|
|Garro AC, Fearon D, Koinis-Mitchell D, McQuaid EL Does Pre-hospital Telephone Communication with a Clinician result in more appropriate Medication Administration by Parents during Childhood Asthma Exacerbations?. J Asthma. 2009; 46 (9) : 916-20.|
|Garro AC, Rutman M, Simonsen K, Jaeger JL, Chapin K, Lockhart G Prospective validation of a clinical prediction model for Lyme meningitis in children.. PEDIATRICS/PEDIATRICS. 2009; 123 (5) : e829-e834.|
Garro AC, Klein RB
The Interplay between Pulmonary Function and Quality of Life.
Disease Management and Health Outcomes. 2008; 16 : 297-303.
|Bond GR, Garro AC, Gilbert DL Dyskinesias associated with atomoxetine in combination with other psychoactive drugs.. Clinical Toxicology. 2007; 45 (2) : 182-5.|
Trial of Oral Doxycycline for the Treatment of Childhood Lyme Meningitis
R34 AI134558 (Garro) 12/1/17 – 11/30/18
NIH / NIAID $261,693
This study will determine if two weeks of oral doxycycline is comparable with two weeks of intravenous
ceftriaxone for treating children with meningitis due to Lyme disease. Success of this study would improve
the quality of care for these children by providing an equally effective oral treatment that does not have the
adverse side effects or increased cost of treatment with intravenous antibiotics.
A Computer-Based ED Intervention to Improve Pediatric Asthma Medicine Adherence
R21 HD082621 (Garro) 7/1/15 – 6/30/18
NIH / NICHD $148,500
Asthma is a common pediatric illness and adherence with controller medication use is often low. A novel
computer-based intervention to improve adherence with asthma medications in a setting where children
often have low medication adherence is likely to have a large impact on improving asthma management.
Childhood Asthma Research Innovation Program
Hassenfeld (McQuaid) 2/1/16 – 9/30/22
Brown University $364,545
Asthma is common pediatric illness and the Hassenfeld Institute supports two studies. The first study will
enroll a birth cohort of children at higher risk of asthma to study the epigenetics that determines asthma
development. The second study assesses an intervention of targeted educational and in-home
interventions for children that vary on asthma control categories.
Greater Providence Service Coordination, Comprehensive Integrated Asthma Care System
CIACS (McQuaid) 10/1/15 – 9/30/18
RI Dept of Health $90,090
This program provides home and school-based asthma education with tiered levels of service based on a
child's asthma control for children living in Rhode Island.
Peer-Administered Asthma Self-Management Intervention in Urban Middle Schools
R01 MD012225 (Koinis-Mitchell / Canino) 9/1/17 - 8/31/22
NIH / NIMHD $630,553
This project involves a unique collaboration between two institutions with strong track records of
developing successful programs to address asthma outcomes for disadvantaged populations. The goal of
this project is to refine and test a novel sleep hygiene intervention to improve sleep quality among Latino,
middle school-aged (6th-8th graders) children.
Rhode Island Asthma Integrated Response Program (RI-AIR)
U01 HL138677 (McQuaid / Koinis-Mitchell) 7/1/17-6/30/23 1.2 calendar months
NIH / NHLBI $550,728
The goal of this U01 cooperative agreement application is to establish a coordinated screening and
response system, which will enable the delivery of home and school-based asthma management
interventions to address pediatric asthma disparities.
Novel diagnostic approaches to pediatric Lyme disease
GLA Award (Nigrovic) 01/01/18-12/31/18
Global Lyme Alliance Foundation $100,000/year
A pediatric multi-center Lyme disease research network with bio sample collection
The goal of this project is to provide partial infrastructure support for the enrollment of children presenting
to the emergency department for evaluation of possible Lyme disease.
Peer-Administered Asthma Self-Management Intervention in Urban Middle Schools.
NIMHD R01 (PIs: Koinis-Mitchell, Canino). 2017-2022
This project involves a unique collaboration between two institutions with strong track records of developing successful programs to address asthma outcomes for disadvantaged populations. The goal of this project is to refine and test a novel sleep hygiene intervention to improve sleep quality among Latino, middle school-aged (6th-8th graders) children.
Metabolic Biosignatures of Lyme Disease in Human Urine.
Department of Defense office of the Congressionally Directed Medical Researcher Programs TB170146 (PIs: Belisle, Garro, Nigrovic). 2018-2021,
This project studies metabolic biosignatures of Lyme disease in urine from children and adults to develop a rapid test for diagnosis.
Novel diagnostics for children with Lyme disease.
Global Lyme Alliance (PI: Nigrovic), $90,000 FY 2018 - 2022,
This grant supports the Pedi Lyme Net, a consortium of pediatric tertiary care hospitals that enroll children in diagnostic and clinical studies related to pediatric Lyme disease.
Trial of Oral Doxycycline for the Treatment of Childhood Lyme Meningitis
1R34AI134558-01 (PI: Garro), $261,693 2018-19,
This grant supports the planning phase of a multi-center clinical trial to evaluate oral doxycycline versus intravenous ceftriaxone for the treatment of Lyme meningitis in children.
Disparities in Sleep, Asthma, and the Sleep Context in Urban Children
R01HL142058-01A1 (PIs: Koinis-Mitchell / Carskadon)
$592,183 per year (04/01/19 – 03/31/24);
The aims of the study are to examine ethnic differences in sleep patterns; to examine ethnic differences in the cooccurrence of sleep status and asthma status and to identify sleep-related asthma and cultural-related risk and resource factors of children’s sleep context that moderate associations between sleep and asthma outcomes.
Garro AC, Chun T. Trauma Emergencies, Book Chapter in Practical Guide to the Care of the Pediatric Patient. Alario A - author, Elsevier - 2007
Garro AC, Linakis J. Umbilical Vessel Catheterization Book Chapter in Textbook of Pediatric Emergency Procedures, King & Henritig - editors, Lippincott Williams & Wilkins – 2007
Garro AC. Lyme Disease. First Consult online reference. Updated February 2012.
Garro AC. “Management of asthma exacerbations in the home: Analysis of current guidelines, barriers to implementation and potential solutions”. Thesis May 2007; Submitted in partial fulfillment of the requirements for the degree of Master of Public Health in the division of Biology and Medicine at Brown University
|1997||BA||University of Virginia|
1998 Microbes and Defense Society, Vanderbilt's honor society for excellence in immunology, microbiology and virology
2004 Pediatric Resident Teaching Award, Cincinnati Children's Hospital Medical Center, June 2004
2011 Dean's Excellence in Teaching Award, The Warren Alpert Medical School of Brown University, June 2011
2013 National Institutes of Health Loan Repayment Program Award to support American Lung Association grant
2014 Outstanding Physician Award, University Emergency Medicine Foundation
2015 National Institutes of Health Loan Repayment Program Award to support NIH (NICHD) grant (renewed x 2)
2018 Top New Peer Reviewer - Annals of Emergency Medicine
|Jandasek, Barbara||Clinical Assistant Professor of Psychiatry and Human Behavior|
|McQuaid, Elizabeth||Professor of Psychiatry and Human Behavior, Professor of Pediatrics|
2006 - Present: Rhode Island Public Health Association
2008 - Present: Society for Academic Emergency Medicine, Section of Pediatrics
2008 - Present: Academic Pediatric Association
2008 - Present: Rhode Island Medical Society
2010 - Present: Project HARP (Home Asthma Response Plan) steering committee member. This collaboraton between the Centers for Disease Control, Rhode Island Department of Health, and Hasbro Children's Hospital uses home-based interventions to improve disease management after children visit the emergency department for an asthma exacerbation.
2011 - Present: The Pediatric Emergency Care Applied Research Network site investigator for the Fluid Therapy and Cerebral Injury in Pediatric Diabetic Ketoacidosis.
2015 - Present: Co-founder of Pedi Lyme Net, a consortium of pediatric hospitals studying novel diagnostics and treatment for children with Lyme disease
2017 - Present: Medical Supervisor for the Community Asthma Programs of Rhode Island
|Board Certified in Pediatric Emergency Medicine||Abp||2009-Present|