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admitted with fever of unknown origin and have drug resistant bacteria, enabling rapid follow
chronic diseases. Some examples of diseases up at the wards and delivery of advice to
seen during my observership were confirmed health care personnel. There is special focus
and suspected cryptococcal meningitis, Still’s on ventilator associated pneumonia (VAP),
disease, hemophagocytic lymphohistiocytosis, surgical site infection (SSI), catheter associated
psoriatic arthritis, hyperthyroidism, tuberculosis, urinary tract infection (CAUTI), and central-line
and lymphoma. An interesting observation was associated bloodstream infection (CLABSI).
that several immunocompetent patients with Infection control personnel also follow up sharp
chronic illnesses had high EBV DNA viral load, injuries. Unannounced and covert assessments
and chronic active EBV infection may be more of compliance of hand hygiene are regularly
common in China than in Europe. performed. Notifiable of infectious diseases
Most patients in the Department of Infectious are reported directly to the Chinese Centre for
diseases were cared for in 3-bed rooms, and there Disease Control and Prevention using an all-
were no private rooms with adjoining bathrooms electronic platform.
and toilets. This situation represents a challenge During SARS, the setting up of fever clinics at
in the care of patients with communicable disease hospitals was an important measure to prevent
as cross-infection between patients may be hard nosocomial infection and outbreaks in Chinese
to avoid. Patients with suspected pulmonary hospitals. Even today, the fever clinic is in
tuberculosis or other air-borne infections are not operation at the PUMCH. All patients in the
routinely admitted to the department. Only the Emergency Room are screened for fever, and
intensive care units have single rooms, several will be sent to the adjoining fever clinic in case
with negative pressure. of elevated body temperature. Similarly, patients
with diarrhea or vomiting
are sent to the acute
gastrointestinal clinic.
China has made
impressive economic
progress in the last
decades which has also
benefited health care. State
of the art microbiological
methods are now available
at PUMCH and other
high-ranking hospitals
the country, and great
improvements in infection
prevention and control
have been made. China is
Den gamle delen av PUMCH no doubt in a much better
My last day was spent with personnel at the situation to face infectious disease outbreaks
infection control unit. The hospital information of public health concern than during SARS in
system (HIS) is able to automatically identify 2003, but antibiotic resistance represents a major
patients with suspected hospital-acquired challenge.
infections based on routine data such as Finally, I would like to thank the staff at PUMCH
administration of antibiotics, fever and white for their warm welcome and hospitality.
blood cell counts. The HIS also provides
information about patients infected with multi- ---***---