Infectious Disease Service

The Infectious Disease service at San Leandro Hospital provides consultations for inpatients at San Leandro Hospital.  Patients are only seen by referral from a physician.

The Infectious Disease service comprises board-certified physicians with a wide range of experience in community-acquired infections, nosocomial (hospital-acquired) infections, HIV infection and its complications, as well as those infections that afflict travelers and emigrants.  Expertise also extends to diagnosing conditions that can mimic infections, such as venous thromboses.  This service is provided 365 days a year, including weekends and holidays.

The Infectious Disease service works closely with the San Leandro Hospital Infection Control program and with the Antimicrobial Stewardship program. The Infection Control Department is an essential component of the hospital's health care delivery system.

Goals

The goal of infection control is to protect and promote patient safety through prevention and assurance of quality health care delivery. Protocols are designed to prevent vascular catheter infections, pneumonias that afflict patients on ventilators, urinary tract infections for those with bladder catheters, and diarrhea or colitis due to Clostridium difficile.  Protocols are in place to detect antimicrobial resistant organisms (sometimes known as MDRO or superbugs) to allow appropriate precautions to prevent spread among patients and staff.

Infection control measures can be as simple as hand washing and as sophisticated as high-level disinfection of surgical instruments. Implementing these measures can prevent transmission of disease in the hospital and the community.

Due to San Leandro’s location on the Pacific Rim, tuberculosis warrants special emphasis on diagnosis to ensure appropriate treatment and to prevent needless transmission to other patients and staff.

Compliance

The Infection Control program is responsible for ensuring compliance with regulatory requirements promulgated by several agencies, including state of California and Alameda County Public Health departments and the Joint Commission.

Infection prevention and control demands a basic understanding of the epidemiology of diseases and risk factors that increase patient susceptibility to infection, and with practices, procedures, and treatments that can result in infections. The Infection Control staff is “Certified in Infection Control” and hospital epidemiology and provides training to the hospital staff.

The Antimicrobial Stewardship program has been developed to ensure appropriate treatment of infections, in particular before a precise diagnosis has been established, and to use the most appropriate antibiotics for the most appropriate length of time once a diagnosis has been established.  The major goal is to prevent fostering superbugs (MDRO’s) or complications of unwarranted antibiotic therapy.  A multidisciplinary committee constructs protocols for appropriate treatment and monitors compliance.