Patient Care
Lucile Salter Packard Children’s Hospital at Stanford (Hospital 1) and Stanford University Hospital (Hospital 2) are physically contiguous. The vast majority of patient care occurs at Lucile Salter Packard Children’s Hospital at Stanford. However, some of the pediatric infectious diseases support services are based at Stanford University Hospital.
The Pediatric Intensive Care Unit is located at Lucile Salter Packard Children’s Hospital at Stanford. Stanford University Hospital has an adult Intensive Care Unit. The Neonatal Intensive Care Unit is located at Lucile Salter Packard Children’s Hospital at Stanford. The Maternity Ward, Well Baby Nursery, and Intermediate Intensive Care Nursery are all located at Stanford University Hospital. The pediatric infectious diseases service is occasionally asked to provide consultations at Stanford University Hospital, primarily in the Intermediate Intensive Care Nursery.
Clinical Centers
The Microbiology and Immunology Program at Lucile Salter Packard Children’s Hospital at Stanford (LPCH) is organized into the Integrated Infectious Disease Program which includes oversight of LPCH and Stanford University Hospital (SUH). The laboratories have all been consolidated to the SUH site. This program is a working group organized to develop projects designed to improve quality of patient care in areas involving the microbiology/virology laboratory, antibiotic use and infection control. Dr. Ellen Jo Baron is Director of Clinical Microbiology and Virology Laboratories for both SUH and LPCH. Dr. Sharon Geaghan is Associate Director of Laboratories for Pediatric Services and is responsible for LPCH laboratory services. Members of the program include faculty from the division of pediatric infectious disease, an infectious disease pharmacist, an infection control nurse and the directors from the microbiology and virology laboratories. The committee meets monthly. Past and ongoing projects and responsibilities of the committee include:
- Development of a pediatric antibiogram (published yearly)
- Development of an antibiotic order form and daily review of antibiotic orders
- Development of recommendations for antibiotic and liposomal amphotericin b use
- Review of antimicrobial drugs listed in the Lucile Salter Packard Children’s Hospital at Stanford Housestaff Manual
- Review of infection control policies
- Recommendations for antibiotics included on formulary
- Oversight of integration of pediatric microbiology services with Stanford laboratories
- Special projects: Utility of vancomycin levels (published), Utility of viral culture for respiratory viruses (published), adverse effects of liposomal amphotericin b compared to conventional amphotericin b (abstract presented).
The pediatric infectious diseases residents make daily rounds in the clinical laboratories when they are on the clinical service. This includes weekends and occasionally evenings. Specifically, the subspecialty residents must round in the microbiology laboratory at least three times weekly (MWF) and in the virology laboratory 1 day a week. They are encouraged to actively participate in the integrated program. Subspecialty resident responsibilities include daily review of positive culture results and review of antibiotic order forms. They are responsible for notifying physicians if a change in antimicrobial is recommended based on culture results. Subspecialty residents also have the opportunity if they desire to conduct a clinical research project under the supervision of one of the members of the program (e.g. a clinical laboratory or pharmacy based project). The Stanford laboratories provide a core one month rotation for the subspecialty residents in the adult and pediatric infectious diseases programs which include laboratory aspects of the diagnosis of bacterial, viral, fungal and parasitic diseases. The laboratories are on the first floor of the Stanford University Hospital, a 10 minute walk from the pediatric wards in the Packard Children’s Hospital at Stanford.
