Sandra Springer, M.D.

Assistant Professor of Medicine
Research Interests
Dr. Springer’s primary clinical interest is HIV/AIDS and caring for HIV infected patients at Nathan Smith Clinic at YNHH as well as at York Street Correctional Facility for Women. Her research interests include improving adherence to antiretrovirals and drug treatment for HIV infected opiate addicted men and women. Clinical research includes treating opiate addiction and HIV infection with directly observed methadone and buprenorphine in conjunction with antiretroviral therapy. She has received a 5 year K23 Career Development Award from NIDA to study adherence interventions for HIV-infected opiate dependent released prisoners providing directly observed antiretroviral therapy and buprenorphine treatment.
Education
A.B. Harvard College, Cambridge, MA, 1990
M.D. University of Massachusetts Medical School, Worcester, MA 1998
Residency in Internal Medicine, Yale New Haven Hospital, 1998-2001
Infectious Diseases Fellowship, Yale University School of Medicine, 2001-2003
Recent Publications
- Altice FL, Marinovich A, Khoshnood K, Blankenship KM, Springer SA, Selwyn PA. Correlates of HIV Infection among Incarcerated Women: Implications for Improving Detection of HIV Infection. J Urban Health. 2005 Jun;82(2):312-26. [PMID: 15872190]
- Springer SA & Altice FL. Managing HIV in Correctional Settings. Current HIV/AIDS Repor. 2005 Nov; 2:165-170. [PMID: 16343373]
- Springer SA, Friedland G, Doros, G, Pesanti E, Altice F. Antiretroviral Treatment Regimens Outcomes among HIV-Infected Prisoners. HIV Clinical Trials. 2007 Jul-Aug;8(4):205-212. [PMC2409059]
- Altice FL, Maru D, Bruce RD, Springer SA, Friedland G. Superiority of Directly Administered Antiretroviral Therapy over Self-Administered Therapy among HIV-Infected Drug Users: a Prospective, Randomized Controlled Trial. Clinical Infectious Diseases. 2007 Sep15;45(6): 770-8. [PMC2693907]
- Maru, D, Kozal MJ, Bruce RD, Springer, SA, Altice FL. Directly Administered Antiretroviral Therapy for HIV-Infected Drug Users Does Not have an Impact on Antiretroviral Resistance: Results from a Randomized, Controlled Trial. JAIDS. 2007; Dec 1546(5):555-63. [PMC2684061]
- Maru DS, Bruce RD, Walton M, Mezger JA, Springer SA, Shield D, Altice FL. Initiation, Adherence, and Retention in a Randomized Controlled trial of Directly Administered Antiretroviral Therapy. AIDS Behav. 2008 Mar; 12(2):284-93. [PMC2693908]
- Springer SA & Bruce R. A Pilot Survey of Attitudes and Knowledge of Opiate Substitution Therapy for HIV-infected Prisoners. Journal of Opiate Management. 2008 April;4(2): 81-86. [PMC2476214]
- Maru DS, Bruce RD, Walton M, Springer SA, Altice F. Persistence of Virological Benefits Following Directly Administered Antiretroviral Therapy among Drug Users: Results from a Randomized, Controlled Trial. JAIDS. 2009 Feb 1;50(2):176-81.[ PMC2670996]
- Springer SA, Chen S, Altice FL. Depression and Symptomatic Response Among HIV-Infected Drug Users Enrolled in a Randomized Controlled Trial of Directly Administered Antiretroviral Therapy. AIDS Care. 2009 August; 21;8: 976-983.
- Springer, SA. Improving healthcare for incarcerated women: an editorial. Journal of Women’s Health. Accepted Sept 2009. In PRESS.
- Altice FL & Springer SA. Directly Administered Antiretroviral Therapy for HIV-Infected Patients:
Studying Subjects Not at Risk for Non-Adherence and Using Untested Interventions. Archives of Internal Medicine, 2009. Accepted Sept 2009. In PRESS. IMD09-1686.
- Springer SA. A commentary: A Call to Action: Opioid Substitution Therapy as a Conduit to Routine Care and Primary Prevention of HIV Transmission Among Opioid Dependent Prisoners. ADDICTION. November 2009. IN PRESS.
Non-experimental articles:
- Springer SA & Altice FL. Brief Report of an HIV
Infected Patient with Human Granulocytic Ehrlichiosis Whose Course Was
Complicated By Symptomatic Lactic Acidosis. Clinical Infectious Diseases
2003; 36:162-4.
Chapters of Books
- Springer SA. Fever of Unknown Origin in Field Guide to Internal Medicine. Eds, Smith D, Sullivan L & Haye S. Lippincott, Williams & Wilkins. 2004.
- Springer SA. Human Immunodeficiency Virus in Field Guide to Internal Medicine. Eds, Smith D, Sullivan L & Haye S. Lippincott, Williams & Wilkins. 2004.
- Springer SA. Alcohol & Illicit Drug Withdrawal/Overdose in Field Guide to Internal Medicine. Eds, Smith D, Sullivan L & Haye S. Lippincott, Williams & Wilkins. 2004.
- Altice FL & Springer SA. "Overview of HIV Care and Antiretrovirals." Clinical Practice in Correctional Medicine, 2nd edition. Puisis M. ed. Elsevier Inc. San Diego, CA. 2005.
- Altice FL & Springer SA. “Management of HIV/ AIDS in Correctional Settings.” The AIDS Pandemic: Impact on Science and Society. Mayer K, Pfizer HF. Eds. Elsevier Inc. San Diego, CA. 2005.
- Springer SA & Altice FL. Improving Care for HIV infected Prisoners Released to the Community: An Integrated Health Model in: Public Health is Public Safety: Improving Public Health Through Correctional Health Care. Greifinger RB (Ed) Springer Inc. New York. 2007.