With the continuous improvement of hygienic conditions and medical technologies, interventional and traumatic diagnosis and treatment techniques are widely used. And the extensive application of tumor radiotherapy and chemotherapy, antibiotics, glucocorticoid and immunosuppressant, together with the growing rate of aging population and the remarkable change of disease spectrum, has brought tremendous change to the source, route and susceptible population of infectious diseases.
Many digestive tract related infections have fallen sharply or even down to zero in cases such as cholera, typhoid, dysentery, hepatitis A. So have the infections that have been vaccinated against, like variola, diphtheria, JE, measles. On the other hand, some non-communicable infective diseases are becoming harder to treat clinically, especially those infections caused by pathogens that are resistant to routine antibiotics, such as methicillin resistant staphylococcus aureus (MRSA), vancomycin-resistant enterococcus (VRE), third-general cephalosporin resistant colibacillus, carbapenem resistant enterobacteriaceae, multi-drug resistant Pseudomonas aeruginosa, pan-drug resistant acinetobacter baumannii, and conditional pathogenic fungi such as aspergillus, candida, mucor and etc. The above infectious diseases have presented great challenge to the internal medicine department for clinical diagnosis and treatment. They not only increase the medical expense, but also pose great threat to the patients’ health and life. According to the 2012 World Health Organization report, three of the top 10 causes of death are infectious diseases, including lower respiratory tract infection, AIDS and diarrhea.
To adapt to the changes in infectious disease spectrum, this department was established in 2004 to undertake the job of antibiotic consultation for clinical patients and to offer outpatient service. In August, 2015, independent infectious disease wards were set up to meet the increasing inpatient need for non-communicable infectious patients. 30 beds were offered at the first stage. Led by the academic leader Pro. Hu Bijie, the department consists of 7 doctors, including 4 doctorally-prepared physicians, 3 physicians with master’s degree and 2 with senior professional titles. This department mainly deals with various infection caused by bacteria and fungi, suspected infection and patients with fever of unknown origin; at the same time, this department offers special-needs expert clinic, specialist clinic and general outpatient services. It also undertakes the tasks of clinical diagnosis and treatment for all the infections in the hospital, and consultation for antibiotics prescription. This department will closely follow the latest international development in the field. It will always focus on patients, promote accurate treatment and push for multi-discipline cooperation in order to provide the best diagnosis and treatment practice for patients with refractory infection, drug-resistant bacterial infections and deep-tissue fungal infections.
Diagnosis and treatment mainly cover:
Respiratory tract infection: pneumonia of all origins, pulmonary abscess, pneumomycosis, infectious pleural effusion, bronchiectasis infection, acute on chronic obstructive pulmonary disease, bronchitis, tonsillitis, otitis media etc.
Bloodstream infections and infectious endocarditis.
Digestive system infection: infectious diarrhea, biliary tract infection, peritonitis, liver abscess etc.
Urogenital system infections: urethritis, cystitis, pyelonephritis, pelvic inflammation etc.
Central nervous system infection: meningitis, intracranial abscess etc.
Skin and soft tissue infections, bone and joint infections, surgical site infections.
Deep-tissue fungal infections, drug-resistance bacterial infections, nontuberculosis mycobacteria (NTM) infection, tuberculosis (negative sputum culture), parasitic infections.
Organ transplantation and immunocompromised host infection, implantable medical device related infections, nosocomial infections, infections of unknown origina.
Fever with causes to be determined.