The Children’s Hospital of Eastern Ontario (CHEO) has a very busy inpatient and outpatient service, seeing approximately 700 inpatient consultations and over 2,000 outpatient consultations in infectious diseases per year.
The range of clinical experience varies from patients with common acute community acquired infections such as pneumonia through complicated immunocompromised patients with HIV, primary immune deficiencies and oncologic diagnoses.
In addition to the general medical wards, infectious disease consultations are done in two, level-three neonatal intensive care units, the pediatric intensive care unit and on the surgical inpatient ward. The latter includes a variety of consultations on urology, neurosurgery, orthopedic, cardiac and general surgery patients. CHEO has an active day surgery program and medical day unit.
Exposure to tuberculosis (TB) and other mycobacterial infections occurs predominately through the TB clinic. A pediatric HIV clinic cares for all infected and exposed children in the region. Outpatient antibiotic therapy patients are seen in a dedicated clinic as are patients with suspected or diagnosed primary immunodeficiencies.
The tropical medicine component of the infectious diseases consultative service is broader than one might expect in many Canadian centres because of the high rate of travel due to diplomats in the city and civil servants returning to and coming from less developed countries. There is also a substantial immigrant and refugee population with an increased rate of tuberculosis and other infectious diseases more common in developing countries.
CHEO is the only hospital in the region that admits children. We are also the tertiary referral center for the Baffin Region of Nunavut. This means that not only common but also rare infectious disease problems are seen.
The Ottawa Hospital - Civic Campus, houses the University of Ottawa Heart Institute. This allows the trainee to have exposure to a wide range of general adult infectious disease consultations. As well, the trainee has significant exposure to cardiac infectious diseases such as endocarditis and post-operative complications including sternal osteomyelitis, wound infections and intravascular device infections.
The Ottawa Hospital - General Campus is the regional centre for the adult HIV program and oncology services. It also has the bone marrow transplantation program which provides opportunity for exposure to a wide range of adult infectious disease consultations.