The Metabolic Unit is a pioneer in the study

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4 years ago

HIGH BLOOD PRESSURE, DIABETES AND LIPIDS

The Metabolic Unit is a pioneer in the study and early diagnosis of different factors of cardiovascular health. For this, it has different evaluation plans that include a series of studies that can be carried out in a single morning, sequentially, thus avoiding transfers, waiting and wasting time and speeding up diagnosis times. From a medical point of view, it allows all evaluations to be carried out under the same general conditions (hydration, mood, etc.).

The evaluations are aimed at patients with a family history of cardiovascular disease or who already have a risk factor for this type of disease or its presence is suspected, in order to indicate in time the necessary treatments that prevent or attenuate the progression of the disease. disease towards more serious states.

Between 60 and 80% of adults with cardiovascular disease have metabolic syndrome, a sum of risk factors such as high blood pressure, metabolic disorders of carbohydrates (glucose) and hyperlipidemia or high levels of cholesterol or triglycerides. The study and comprehensive management of these factors is extremely beneficial for these patients.

All evaluations are performed by the Hospital Day Service.

 PROFESSIONAL STAFF

The professionals of the service are specialists in arterial hypertension, diabetes and lipids and several of them received training in the United States, Italy, Spain and France. The team works in an interdisciplinary way with nephrologists, cardiologists, pharmacologists, bioengineers, as well as technicians and nurses with experience in the area.

EPIDEMIOLOGY
AND INFECTOLOGY

High complexity medicine requires multiple measures to prevent infections and vast experience in solving clinical infectious problems. Therefore, the Favaloro Foundation has a service dedicated to the assistance, prevention and control of infections.

 STAFF OF SPECIALISTS

The Epidemiology and Clinical Infectology team is made up of infectious disease doctors and specialized nurses, who visit the different areas of our institution on a daily basis. The group has extensive experience, especially in the infectological management of patients: transplanted patients, with cardiovascular disease, as well as patients with other types of infections.

The activities carried out by this Division include: the implementation of the Infection Prevention and Control Program and assistance activities.

 INFECTION PREVENTION AND CONTROL PROGRAM

General activities

  • Epidemiological surveillance by components: global, surgical and critical areas (NHSN system used by the Centers for Disease Control and Prevention —CDC, for its acronym in English—, United States

  • Daily epidemiological surveillance tour through the different areas of the institution

  • Periodic epidemiological survey of the various areas of the University Hospital with auditing of practices and procedures regarding prevention and control of infections

  • Tabulation of the incidence of infections according to components and types of infection (NHSN system used by the CDC, United States)

  • Quarterly tabulation of the incidence of surgical site infections according to surgeon with analysis of the data obtained

  • Implementation of infection control measures as needed

  • Annual tabulation of antibiotic resistance in conjunction with the Microbiology service

  • Control of the rational use of antibiotics

  • Tabulation of antibiotic consumption at the University Hospital in defined doses / day

  • Analysis of the infectious aspects of the building renovation projects and indication of the infectious measures that should be implemented and / or considered for their realization. Consensus with those responsible for the different areas regarding infection prevention and control measures

 PATIENT-RELATED ACTIVITIES

  • Implementation of measures for the early detection of colonization by resistant and / or transmissible microorganisms

  • Indication of isolation precautions based on clinical suspicion and / or microbiological findings

  • Education of patients on infection prevention measures after discharge: vaccination schedules, home care, management of long-term vascular access, antimicrobial prophylaxis, etc.

 PERSONNEL-RELATED ACTIVITIES

  • Annual flu vaccination of healthcare workers

  • Indication of the vaccination schedules that staff should receive according to the task they perform

  • Continuing education: incidental and scheduled for staff on issues inherent to infection prevention and control

  • Advice on prophylaxis measures that must be implemented after the exposure of personnel to: accidents with elements that contain materials and / or biological fluids as well as exposure to documented cases of transmissible pathologies with notification to Occupational Medicine

 STANDARDIZATION

  • Preparation, updating and permanent dissemination of institutional recommendations for infection prevention and control in order to optimize the safety of practices and procedures for both patients and staff

  • Preparation, dissemination, implementation and coordination of institutional contingency plans for epidemiological eventualities in the community such as influenza, dengue, yellow fever

 TEACHING

  • Training of fellow and / or rotating physicians in the infectious management of transplanted patients, with cardiovascular pathology as well as in that of other types of infections.

  • Active participation in the scientific activities carried out by the Scientific Societies of: Infectology (SADI) and Transplantation (SAT)

 ASSISTANCE ACTIVITIES

  • Care of hospitalized patients with infectious diseases

  • Infectological evaluation of potential transplant recipients

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