Infectious Diseases consult services
Our faculty provides over 3,000 consultations each year supporting the numerous medical programs at North Shore University Hospital and Long Island Jewish Medical Center. Our expertise in management of operative infections facilitates successful recovery from complex cardiac, abdominal, thoracic and gynecological surgery. We monitor and control infections in bone marrow transplant and immunocompromised patients undergoing cancer treatment, allowing patients to achieve successful remission from their disease. Additionally, our expertise in the management of systemic vector-borne diseases and other zoonoses is vital to the Long Island community. All of the faculty members in the Division of Infectious Diseases are actively involved in both inpatient and outpatient care. In addition, we provide comprehensive care for patients living with HIV.
The Center for AIDS Research and Treatment (CART) is the largest provider of HIV care in the Long Island region (a suburb of New York City) and serves 2,200 PLWH (people living with HIV/AIDS) over the past two years. CART has been a New York State Department of Health AIDS Institute Designated AIDS Center (DAC) since 1988. CART serves an ethnically and racially diverse urban and suburban population including a sizeable number of immigrant and migrant clients.
CART’s goal is to provide multidisciplinary care. CART has achieved recognition as a Level 3 Patient Centered Medical Home for HIV by the NCQA. Each patient in CART is assigned an HIV expert clinician (either an infectious diseases specialist or a nurse practitioner who is credentialed as an HIV specialist by the American Academy of HIV Medicine), an RN case manager, and a social worker as part of a multidisciplinary care team. Learn more by visiting the CART website here.
Attending physicians in the Division of Infectious Diseases provide comprehensive travel consultation for patients. We provide travelers with important medical information and necessary immunizations for traveling abroad. Our focus is the prevention of bacterial, viral, and parasitic diseases. The physician reviews the patient’s medical history and travel itinerary to tailor a plan specific to each individual's needs. Any necessary vaccinations are administered on site. In addition, travelers are given an individual printout of health advice and information for each country to be visited. Each traveler will receive a brochure with practical advice and recommendations regarding safe food and water consumption, insect repellent, and many other issues that will help make their trip safer and more enjoyable.
Infection prevention activities
The Division's Infection Prevention program provides leadership for the infection control activities of Northwell Health hospitals. All policies and procedures for these hospitals are coordinated through the Division's program. We employ over 20 infection control nurses and have a computerized system to keep track of infections and organisms. We hold regular infection control meetings and conferences. We aggressively follow infections due to methicillin resistant staphylococcus aureus (MRSA), clostridium difficile (C diff), carbapenem resistant enterobacteriacae (CRE), as well as catheter-associated urinary tract infections (CAUTI) and central line associated blood stream infections (CLABSI). Our primary goal is to minimize the acquisition and spread of infections in the hospital setting. There are many research opportunities in infection control and prevention.
Our division runs a comprehensive Antimicrobial Stewardship Program. We utilize a retrospective review and feedback of antimicrobial use to guide clinicians in our institutions. The goal of this program is to educate clinicians regarding appropriate utilization and prevention of overuse of antimicrobials as well as guidance on duration of therapy. The program is involved in the development of guidelines for most common infectious syndromes. Through collaboration with Infection Prevention, this program aims to reduce rates of antimicrobial resistance and C. difficile infection.