Patient Portal

Leonard B. Bacharier, MD

Robert C. Strunk Endowed Chair for Lung and Respiratory Research Professor of Pediatrics
Clinical Director, Division of Allergy, Immunology and Pulmonary Medicine

Specialty Areas

Pediatric Allergy
Pediatric Immunology
Pediatric Asthma

Board Certifications

Allergy & Clinical Immunology
Pediatrics

Hospital Affiliations

St. Louis Children's Hospital

Referral Information

Physician Referral Required

Areas of Clinical Interest

Asthma in children, allergy and lung disease in children, immunology

  • Maps & Directions
  • Education
  • Publication & Research
  • Financial Disclosures

Maps & Directions

Maps & Directions

St. Louis Children’s Hospital

1 Children’s Place
St. Louis, MO 63110

Suite: Suite C
Floor: 2nd Floor
Office Phone: 314-454-2694

St. Louis Children's Specialty Care Center

13001 North Outer Forty
St. Louis, MO 63017

Suite: 2E
Office Phone: 314-454-2694

Education

Education

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

Publication & Research

Publication & Research

Using only a subset of pneumococcal serotypes is reliable for the diagnosis of specific antibody deficiency in children: A proof-of-concept study.
Kitcharoensakkul M, Kau AL, Bacharier LB, Goss CW, Beigelman A
Pediatr Allergy Immunol. 2019 Jan 25; doi: 10.1111/pai.13026.

PMID:
    30681739
    [PubMed - as supplied by publisher]
Related citations


Challenges in assessing the efficacy of systemic corticosteroids for severe wheezing episodes in preschool children.
Guilbert TW, Bacharier LB, Mauger DT, Phipatanakul W, Szefler SJ, Boehmer S, Beigelman A, Fitzpatrick AM, Jackson DJ, Baxi SN, Benson M, Burnham CD, Cabana MD, Castro M, Chmiel JF, Covar R, Daines M, Gaffin JM, Gentile DA, Holguin F, Israel E, Kelly HW, Lazarus SC, Lemanske RF Jr, Ly N, Meade K, Morgan W, Moy J, Olin JT, Peters SP, Pongracic JA, Raissy HH, Ross K, Sheehan WJ, Sorkness C, Teague WG, Thyne S, Martinez FD, National Heart, Lung, and Blood Institute's AsthmaNet.
J Allergy Clin Immunol. 2019 Jan 17; pii: S0091-6749(19)30032-6. doi: 10.1016/j.jaci.2018.10.071.

PMID:
    30660645
    [PubMed - as supplied by publisher]
Related citations


Phenotypes of wheezing and asthma in preschool children.
Kwong CG, Bacharier LB
Curr Opin Allergy Clin Immunol. 2019 Jan 10; doi: 10.1097/ACI.0000000000000516.

PMID:
    30640211
    [PubMed - as supplied by publisher]
Related citations


Racial disparities in asthma-related health care use in the National Heart, Lung, and Blood Institute's Severe Asthma Research Program.
Fitzpatrick AM, Gillespie SE, Mauger DT, Phillips BR, Bleecker ER, Israel E, Meyers DA, Moore WC, Sorkness RL, Wenzel SE, Bacharier LB, Castro M, Denlinger LC, Erzurum SC, Fahy JV, Gaston BM, Jarjour NN, Larkin A, Levy BD, Ly NP, Ortega VE, Peters SP, Phipatanakul W, Ramratnam S, Teague WG
J Allergy Clin Immunol. 2019 Jan 8; pii: S0091-6749(18)31732-9. doi: 10.1016/j.jaci.2018.11.022.

PMID:
    30635198
    [PubMed - as supplied by publisher]
Related citations


Gut microbiota and overweight in 3-year old children.
Karvonen AM, Sordillo JE, Gold DR, Bacharier LB, O'Connor GT, Zeiger RS, Beigelman A, Weiss ST, Litonjua AA
Int J Obes (Lond). 2018 Dec 19; doi: 10.1038/s41366-018-0290-z.

PMID:
    30568265
    [PubMed - as supplied by publisher]
Related citations


The Asthma Controller Step-down Yardstick.
Chipps BE, Bacharier LB, Murphy KR, Lang D, Farrar JR, Rank M, Oppenheimer J, Zeiger RS
Ann Allergy Asthma Immunol. 2018 Dec 12; pii: S1081-1206(18)31504-7. doi: 10.1016/j.anai.2018.12.004.

PMID:
    30550809
    [PubMed - as supplied by publisher]
Related citations


Impact of parental asthma, prenatal maternal asthma control, and vitamin D status on risk of asthma and recurrent wheeze in 3-year-old children.
Mirzakhani H, Carey VJ, Zeiger R, Bacharier LB, O'Connor GT, Schatz MX, Laranjo N, Weiss ST, Litonjua AA
Clin Exp Allergy. 2018 Nov 21; doi: 10.1111/cea.13320.

PMID:
    30461089
    [PubMed - as supplied by publisher]
Related citations


Phenotypes of Recurrent Wheezing in Preschool Children: Identification by Latent Class Analysis and Utility in Prediction of Future Exacerbation.
Fitzpatrick AM, Bacharier LB, Guilbert TW, Jackson DJ, Szefler SJ, Beigelman A, Cabana MD, Covar R, Holguin F, Lemanske RF Jr, Martinez FD, Morgan W, Phipatanakul W, Pongracic JA, Zeiger RS, Mauger DT, NIH/NHLBI AsthmaNet.
J Allergy Clin Immunol Pract. 2018 Sep 26; pii: S2213-2198(18)30593-2. doi: 10.1016/j.jaip.2018.09.016.

PMID:
    30267890
    [PubMed - as supplied by publisher]
Related citations


Rhinitis in children and adolescents with asthma: Ubiquitous, difficult to control, and associated with asthma outcomes.
Togias A, Gergen PJ, Hu JW, Babineau DC, Wood RA, Cohen RT, Makhija MM, Khurana Hershey GK, Kercsmar CM, Gruchalla RS, Liu AH, Wang E, Kim H, Lamm CI, Bacharier LB, Pillai D, Sigelman SM, Gern JE, Busse WW
J Allergy Clin Immunol. 2018 Sep 11; pii: S0091-6749(18)31282-X. doi: 10.1016/j.jaci.2018.07.041.

PMID:
    30213627
    [PubMed - as supplied by publisher]
Related citations


Diet during Pregnancy and Infancy and the Infant Intestinal Microbiome.
Savage JH, Lee-Sarwar KA, Sordillo JE, Lange NE, Zhou Y, O'Connor GT, Sandel M, Bacharier LB, Zeiger R, Sodergren E, Weinstock GM, Gold DR, Weiss ST, Litonjua AA
J Pediatr. 2018 Dec; 20347-54.e4. doi: 10.1016/j.jpeds.2018.07.066.

PMID:
    30173873
    [PubMed - in process]
Related citations


Dietary and Plasma Polyunsaturated Fatty Acids Are Inversely Associated with Asthma and Atopy in Early Childhood.
Lee-Sarwar K, Kelly RS, Lasky-Su J, Kachroo P, Zeiger RS, O'Connor GT, Sandel MT, Bacharier LB, Beigelman A, Laranjo N, Gold DR, Weiss ST, Litonjua AA
J Allergy Clin Immunol Pract. 2019 Feb; 7(2)529-538.e8. doi: 10.1016/j.jaip.2018.07.039.

PMID:
    30145365
    [PubMed - in process]
Related citations


Longitudinal Phenotypes of Respiratory Health in a High-Risk Urban Birth Cohort.
Bacharier LB, Beigelman A, Calatroni A, Jackson DJ, Gergen PJ, O'Connor GT, Kattan M, Wood RA, Sandel MT, Lynch SV, Fujimura KE, Fadrosh DW, Santee CA, Boushey H, Visness CM, Gern JE, NIAID sponsored Inner-City Asthma Consortium.
Am J Respir Crit Care Med. 2019 Jan 1; 199(1)71-82. doi: 10.1164/rccm.201801-0190OC.

PMID:
    30079758
    [PubMed - in process]
Related citations


Oral corticosteroids in preschool children with severe episodes of virus-associated wheeze: To treat or not to treat?
Beigelman A, Bacharier LB
J Allergy Clin Immunol. 2018 Aug; 142(2)405-406. doi: 10.1016/j.jaci.2018.06.025.

PMID:
    29966610
    [PubMed - in process]
Related citations


Consistently very poorly controlled asthma is associated with greater activity and school impairment in children with severe or difficult-to-treat asthma.
Bacharier LB, Covar RA, Haselkorn T, Iqbal A, Alvarez C, Mink DR, Chen H, Zeiger RS
J Allergy Clin Immunol Pract. 2019 Jan; 7(1)314-316. doi: 10.1016/j.jaip.2018.05.026.

PMID:
    29883753
    [PubMed - in process]
Related citations


Inhaled Glucocorticoids in Asthma.
Jackson DJ, Bacharier LB, Lemanske RF Jr
N Engl J Med. 2018 May 24; 378(21)2051. doi: 10.1056/NEJMc1804801.

PMID:
    29791825
    [PubMed - indexed for MEDLINE]
Related citations


Intestinal microbial-derived sphingolipids are inversely associated with childhood food allergy.
Lee-Sarwar K, Kelly RS, Lasky-Su J, Moody DB, Mola AR, Cheng TY, Comstock LE, Zeiger RS, O'Connor GT, Sandel MT, Bacharier LB, Beigelman A, Laranjo N, Gold DR, Bunyavanich S, Savage JH, Weiss ST, Brennan PJ, Litonjua AA
J Allergy Clin Immunol. 2018 Jul; 142(1)335-338.e9. doi: 10.1016/j.jaci.2018.04.016.

PMID:
    29729303
    [PubMed - in process]
Related citations


The pediatric asthma yardstick: Practical recommendations for a sustained step-up in asthma therapy for children with inadequately controlled asthma.
Chipps BE, Bacharier LB, Farrar JR, Jackson DJ, Murphy KR, Phipatanakul W, Szefler SJ, Teague WG, Zeiger RS
Ann Allergy Asthma Immunol. 2018 Jun; 120(6)559-579.e11. doi: 10.1016/j.anai.2018.04.002.

PMID:
    29653238
    [PubMed - in process]
Related citations


Effects of endogenous sex hormones on lung function and symptom control in adolescents with asthma.
DeBoer MD, Phillips BR, Mauger DT, Zein J, Erzurum SC, Fitzpatrick AM, Gaston BM, Myers R, Ross KR, Chmiel J, Lee MJ, Fahy JV, Peters M, Ly NP, Wenzel SE, Fajt ML, Holguin F, Moore WC, Peters SP, Meyers D, Bleecker ER, Castro M, Coverstone AM, Bacharier LB, Jarjour NN, Sorkness RL, Ramratnam S, Irani AM, Israel E, Levy B, Phipatanakul W, Gaffin JM, Gerald Teague W
BMC Pulm Med. 2018 Apr 10; 18(1)58. doi: 10.1186/s12890-018-0612-x.

PMID:
    29631584
    [PubMed - in process]
Related citations


Caregiver and pediatric provider perspectives on symptom-based inhaled corticosteroid therapy in asthma.
Dy T, Lewis EM, Murugan V, Gehlert S, Taylor J, Garbutt J, Bacharier LB, Castro M, Sumino K
Respir Med. 2018 Apr; 137201-205. doi: 10.1016/j.rmed.2018.03.001.

PMID:
    29605205
    [PubMed - indexed for MEDLINE]
Related citations


Allergen-induced activation of natural killer cells represents an early-life immune response in the development of allergic asthma.
Altman MC, Whalen E, Togias A, O'Connor GT, Bacharier LB, Bloomberg GR, Kattan M, Wood RA, Presnell S, LeBeau P, Jaffee K, Visness CM, Busse WW, Gern JE
J Allergy Clin Immunol. 2018 Dec; 142(6)1856-1866. doi: 10.1016/j.jaci.2018.02.019.

PMID:
    29518416
    [PubMed - in process]
Related citations

Financial Disclosures

Financial Disclosures

Disclosure of Financial Interests with Industry

Washington University and its physicians and health professionals are committed to ensuring integrity and objectivity in medical decision-making. Some of our physicians and health professionals work collaboratively with pharmaceutical, medical device or other medical care related companies to develop innovative ideas and products that can improve health care delivery and clinical outcomes for patients. In some instances, our physicians and health professionals have an ownership or potential ownership interest in a commercial company; and/or are paid by a commercial company to provide advice on product design or to speak about the use of medications, devices, equipment or procedures. These payments may include: a) compensation for consulting and speaking engagements, b) equity, and/or c) royalties for products invented by our faculty. Any payments to Washington University physicians or health professionals must be based on tangible services and may not exceed fair market value for their work. In addition to disclosure on this website, physicians and health professionals earning more than $10,000 per year must disclose their corporate financial relationship in writing to patients when prescribing or using that company's products.

This physician reported the following financial interests during calendar year 2017:

Company Name: DBV-Paraxel

Royalties:

Equity: No

Consulting/Advisory Board: $20,000 - $39,999

Speaker Fees:

Reporting Date: May 01, 2018


Company Name: Novartis

Royalties:

Equity: No

Consulting/Advisory Board:

Speaker Fees: $10,000 - $19,999

Reporting Date: May 01, 2018

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.