• To prevent diagnose, treat, control and monitor infections in patients treated at the High Complexity Hospital “President Juan Domingo Peron”.
• To prevent and control infections in health care workers, along with the Occupational Health Service.
• To prevent and control emerging multidrug-resistant bacteria.
• To monitor risk factors related to infections in specific areas.
• To document and analyze risk factors related to infections in Adult and Paediatric Intensive Care Unit and Adult Coronary Care Unit.
• To document and analyze the infections related to Cardiovascular Surgery, Neurosurgery and total hip and knee replacement surgery.
• To implement and evaluate strategies to prevent and control the spread of multi-resistant bacteria.
• To draw up and spread regulations aimed at preventing and controlling infection.
• Impart incidental and planned teaching between healthcare professionals and technical staff.
• To participate in quality assessment of biomedical products related to Infection Control.
• Sterilization, Bacteriology and Occupational Health Service work together.
• To design and implement a programme on rational use of antibiotics in the hospital.
• To design and implement programmes to analyze and control epidemiological situations in and out of hospital which are related to healthcare associated infections.
Validity of the infectious diseases
• Infectious Diseases, whose validity is permanent, has acquired an important place in the field of medicine due to its dynamic and changing aspect. The remarkable development of this specialty in recent decades can be explained by several facts:
• The appearance of infection-based hospital epidemiology in medium and high complexity healthcare institutions and the consequent increased of risks and healthcare costs.
• The cure for HIV/AIDS is still pending; and opportunistic infections increase in immunocompromised individuals (Onco-haematological, transplanted, rheumatological, etc.), who need a specialized care.
• The emergence of new disease entities (Hantavirus, Ebola virus, Zika, Chikunguña, Mayaro, Lyme disease, etc.), changes on the epidemiology of classic diseases and its regional impact (Cholera, yellow fever, malaria, dengue, Chagas disease, etc.).
• The increase of antimicrobial resistance, which creates new challenges in the current treatment of infectious diseases, with permanent changes in the pharmacological arsenal available and the consequent need for trained personnel to handle it.
• The specialized approach of the problems described above provided a new dimension in infectious diseases practice; it also categorized the infectologist as medical staff specialist, especially in multiservice hospitals or multipurpose sanatoriums which are equipped with the most advanced minimally invasive medical technology for diagnosis and treatment of diseases.
Areas of Concern
Infectious disease has stated the following areas of concern:
Care of Patients with infectious diseases (outpatient and inpatient), in response to curative and preventive aspects of them.
Hospital epidemiology for proper control of nosocomial infections through the Infection Control Committee (study of outbreaks and development of surveillance systems).
Regional Pathology and emerging exotic communicable diseases (anthropozoonosis, tropical infectious diseases, traveller’s infections); Expert advice on diagnosis, treatment and prevention.
Clinical microbiology is concerned in collection and primary processing techniques of clinical material for microbiological diagnosis and clinical interpretation of antimicrobial susceptibility testing.
Clinical pharmacology is concerned with the rational prescribing of antibiotics for treatment and prevention of infectious diseases.
Clinical and Pharmacological research: research ethics, institutional antimicrobial policy, sterilization techniques, asepsis and antisepsis, clinical immunology applied to the prescription of vaccines and specific immunotherapy, etc.
• Diagnosis, treatment and follow-up, both outpatient and inpatient:
- CNS infections in immunosuppressed and immunocompetent hosts.
- Heart infections in immunosuppressed and immunocompetent hosts.
- Respiratory infections in immunosuppressed and immunocompetent hosts.
- Enteral and abdominal infections in immunosuppressed and immunocompetent hosts.
- Urinary tract infection in immunosuppressed and immunocompetent hosts.
- Skin and soft tissue infections in immunosuppressed and immunocompetent hosts.
- Osteoarticular infections in immunosuppressed and immunocompetent hosts.
• Diagnosis, treatment, monitoring and prevention of hospital-acquired infections.
• Management of hospital-acquired outbreaks.
• Management of infections by multidrug-resistant organisms.
• Control of the use of antibiotics inside the hospital and at the doctor's surgery.
• Infectious Emergency Care:
- Meningitis. Endocarditis. Febrile neutropenia. Febrile transplant patient. Sepsis
• Indication of vaccines in special guests.
• Indicación de vacunas en huéspedes especiales.
• Diagnosis, treatment and follow-up of emerging and re-emerging diseases.
• Diagnosis, treatment and monitoring of viral pathologies in immunosuppressed and immunocompetent patients.
• Diagnosis, treatment and follow-up of fungal pathologies in immunosuppressed and immunocompetent patients.
• Diagnosis, treatment and monitoring of parasitic pathologies in immunosuppressed and immunocompetent patients.
• Diagnosis, treatment and monitoring of exanthematic diseases.
• Interconsultations of infected patients to other hospitalization centers.