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Pediatrics

Leonard B. Bacharier, MD

Current Position
Professor, Pediatrics
Clinical Director, Division of Allergy, Immunology and Pulmonary Medicine


Specialty Areas
Pediatric Allergy
Pediatric Immunology
Pediatric Asthma
Cystic Fibrosis

Additional Features & Interviews with Dr. Bacharier:

Ask the Expert - Ladue News:  Exercise for Children with Asthma

Your Health Update: Don't Let Exercise-Induced Asthma Stop the Game

Your Health Update: Responding to Food Allergies

Patients Seen At
Barnes Jewish West County Hospital
Medical Building 3
1020 North Mason Road, Suite 110
St. Louis, MO  63141
314-454-2694
Fax:   314-454-2219
View Driving Directions

St Louis Children's Hospital
One Children's Place, , Suite C, 2nd Floor
St. Louis, MO  63110
314-454-2694
View Driving Directions

Mailing Address
Washington University School of Medicine
660 S. Euclid Avenue, Campus Box 8116
St. Louis, MO  63110

Areas of Clinical Interest
Asthma in children, allergy and lung disease in children, immunology

Areas of Research Interest
Dr. Bacharier's research focuses on childhood asthma. Specifically, he is co-principal investigator for the NHBLI’s AsthmaNet, a multi-centered network examining novel therapeutic approaches to asthma in children and adults. He is an investigator in the Childhood Asthma Research and Education (CARE) Network, an NHLBI-funded multi-centered network examining novel therapeutic strategies in children with asthma. He is a co-investigator in the Childhood Asthma Management Program, a multi-centered prospective trial examining the effects of early treatment of asthma on lung growth. He also serves as Co-Principal Investigator of a study examining the role of early infection with Respiratory Syncytial Virus upon the subsequent development of asthma.

Board Certification
Allergy & Clinical Immunology -- Certified
Pediatrics -- Certified

Patients must be referred by a physician.

Medical Education
B.S.: Biophysics, The Johns Hopkins University, Baltimore, Maryland
Fellowship: Pediatric Allergy and Immunology, Children's Hospital, Boston, Massachusetts
Medical Degree: Washington University School of Medicine, St. Louis, Missouri, 1992
Residency: Pediatrics, St. Louis Children's Hospital, St. Louis, Missouri, 1995
Hospital Affiliations
Barnes-Jewish West County Hospital
Missouri Baptist Medical Center
St. Louis Children's Hospital

Honors and Awards
Listed in Best Doctors in America, 2005-2013 (Best Doctors, Inc.)

Editorial Responsibilities

Editorial
Editorial Board, The Journal of Allergy and Clinical Immunology – 2010-present
Section Editor, Current Opinions in Allergy and Clinical Immunology, Pediatric Allergy and Asthma, 2006-present
Faculty Member, Faculty of 1000 Medicine – 2010-present
Guest Editor, Immunology and Allergy Clinics of North America, Issue on Asthma Triggers, 2004-present (Published February 2005; Volume 25, Number 1)

Reviewer
Reviewer Board, The Journal of Allergy and Clinical Immunology, 2006-2010
Reviewer, Pediatric Asthma, Allergy and Immunology, 2010-present
Reviewer, Pediatric Pulmonology, 2010-present
Reviewer, British Medical Journal, 2009-present
Reviewer, The Journal of Allergy, 2009-present
Reviewer, The New England Journal of Medicine, 2008-present
Reviewer, Thorax, 2008-present
Reviewer, Canadian Medical Association Journal, 2008-present
Reviewer, Psychosomatic Medicine, 2008-present
Reviewer, Archives of Pediatrics and Adolescent Medicine, 2007-present
Reviewer, Annals of Emergency Medicine, 2007-present
Reviewer, Respiratory Medicine, 2005-present
Reviewer, American Journal of Respiratory and Critical Care Medicine, 2005-present
Reviewer, Journal of the American Medical Association, 2005-present
Reviewer, Journal of Clinical Outcomes Management, 2005-present
Reviewer, Pediatrics, 2004-present
Reviewer, Journal of Pediatrics, 2004-present
Reviewer, Archives of Diseases in Childhood, 2004-present
Reviewer, Allergy and Asthma Proceedings, 2003-present
Reviewer, Annals of Allergy Asthma and Immunology, 2002-present
Reviewer, The Journal of Allergy and Clinical Immunology, 2000-present

Selected or Recent Journal Articles
Beigelman A, King TS, Mauger D, Zeiger RS, Strunk RC, Kelly HW, Martinez FD, Lemanske RF Jr, Rivera-Spoljaric K, Jackson DJ, Guilbert T, Covar R, Bacharier LB; Childhood Asthma Research and Education Network of the National Heart, Lung, and Blood Institute. Do oral corticosteroids reduce the severity of acute lower respiratory tract illnesses in preschool children with recurrent wheezing? J Allergy Clin Immunol. 2013 Jun;131(6):1518-1525.e14.

Beigelman A, Bacharier LB. The role of early life viral bronchiolitis in the inception of asthma. Curr Opin Allergy Clin Immunol. 2013 Apr;13(2):211-6.

Beigelman A, Strunk RC, Garbutt JM, Schechtman KB, Jaenicke MW, Stein JS, Bacharier LB. Clinical and laboratory factors associated with negative oral food challenges. Allergy Asthma Proc. 2012 Nov-Dec;33(6):467-73.

Papadopoulos NG, Arakawa H, Carlsen KH, Custovic A, Gern J, Lemanske R, Le Souef P, Mäkelä M, Roberts G, Wong G, Zar H, Akdis CA, Bacharier LB, Baraldi E, van Bever HP, de Blic J, Boner A, Burks W, Casale TB, Castro-Rodriguez JA, Chen YZ, El-Gamal YM, Everard ML, Frischer T, Geller M, Gereda J, Goh DY, Guilbert TW, Hedlin G, Heymann PW, Hong SJ, Hossny EM, Huang JL, Jackson DJ, de Jongste JC, Kalayci O, Aït-Khaled N, Kling S, Kuna P, Lau S, Ledford DK, Lee SI, Liu AH, Lockey RF, Lødrup-Carlsen K, Lötvall J, Morikawa A, Nieto A, Paramesh H, Pawankar R, Pohunek P, Pongracic J, Price D, Robertson C, Rosario N, Rossenwasser LJ, Sly PD, Stein R, Stick S, Szefler S, Taussig LM, Valovirta E, Vichyanond P, Wallace D, Weinberg E, Wennergren G, Wildhaber J, Zeiger RS.
International consensus on (ICON) pediatric asthma. Allergy. 2012 Aug;67(8):976-97.

Bacharier LB, Guilbert TW. Diagnosis and management of early asthma in preschool-aged children. J Allergy Clin Immunol. 2012 Aug;130(2):287-96; quiz 297-8.

Bacharier LB, Cohen R, Schweiger T, Yin-Declue H, Christie C, Zheng J, Schechtman KB, Strunk RC, Castro M. Determinants of asthma after severe respiratory syncytial virus bronchiolitis. J Allergy Clin Immunol. 2012 Jul;130(1):91-100.e3.

Fitzpatrick AM, Baena-Cagnani CE, Bacharier LB. Severe asthma in childhood: recent advances in phenotyping and pathogenesis. Curr Opin Allergy Clin Immunol. 2012 Apr;12(2):193-201.

Bacharier LB. Step-down therapy in asthma: a focus on treatment options for patients receiving inhaled corticosteroids and long-acting beta-agonist combination therapy. Allergy Asthma Proc. 2012 Jan-Feb;33(1):13-8.

Zeiger RS, Mauger D, Bacharier LB, Guilbert TW, Martinez FD, Lemanske RF Jr, Strunk RC, Covar R, Szefler SJ, Boehmer S, Jackson DJ, Sorkness CA, Gern JE, Kelly HW, Friedman NJ, Mellon MH, Schatz M, Morgan WJ, Chinchilli VM, Raissy HH, Bade E, Malka-Rais J, Beigelman A, Taussig LM; CARE Network of the National Heart, Lung, and Blood Institute. Daily or intermittent budesonide in preschool children with recurrent wheezing. N Engl J Med. 2011 Nov 24;365(21):1990-2001.

Rivera-Spoljaric K, Jaenicke M, Sridhar S, Krauss MJ, Garbutt JM, Bacharier LB, Strunk RC. Caregivers report a wide variety of early signs and symptoms of impending asthma exacerbations that are not different between preschool and school-aged children. J Allergy Clin Immunol. 2011 Nov;128(5):1109-11.e1-5.

Horner CC, Mauger D, Strunk RC, Graber NJ, Lemanske RF Jr, Sorkness CA, Szefler SJ, Zeiger RS, Taussig LM, Bacharier LB; Childhood Asthma Research and Education Network of the National Heart, Lung, and Blood Institute. Most nocturnal asthma symptoms occur outside of exacerbations and associate with morbidity. J Allergy Clin Immunol. 2011 Nov;128(5):977-82.e1-2.

Guilbert TW, Mauger DT, Allen DB, Zeiger RS, Lemanske RF Jr, Szefler SJ, Strunk RC, Bacharier LB, Covar R, Sorkness CA, Taussig LM, Martinez FD; Childhood Asthma Research and Education Network of the National Heart, Lung, and Blood Institute. Growth of preschool children at high risk for asthma 2 years after discontinuation of fluticasone. J Allergy Clin Immunol. 2011 Nov;128(5):956-63.e1-7.

Bacharier LB. Evaluation of the child with recurrent wheezing. J Allergy Clin Immunol. 2011 Sep;128(3):690.e1-5.

Chipps BE, Bacharier LB, Harder JM. Phenotypic expressions of childhood wheezing and asthma: implications for therapy. J Pediatr. 2011 Jun;158(6):878-884.e1.

Guilbert TW, Bacharier LB. Controversies in the treatment of the acutely wheezing infant. Am J Respir Crit Care Med. 2011 May 15;183(10):1284-5.

For more articles and abstracts, take this off-site link to the National Library of Medicine Pub Med page for Dr. Leonard Bacharier.

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