Clinical Care

UNC Hospitals Infectious Diseases Consult Service

Faculty and fellows are responsible for consultations on medical and surgical patients in this 650 bed facility which serves as a referral center for much of North Carolina. The ID team includes two or three postgraduate residents, three fourth-year medical students, and one or two pharmacy doctoral candidates. The group sees and discusses patients with an infectious diseases faculty member and a pharmacologist six days a week. 70-100 new consults are seen in an average month, and approximately 20-30 patients are actively followed. The range of infections seen is diverse, including classical medical and surgical problems, AIDS and related conditions, and a wide range of infections in compromised hosts. The hospital has a busy heart, lung, liver, kidney and bone marrow transplant service. Mycotic and mycobacterial infections are also commonly encountered.

UNC Hospitals Infectious Diseases Ward

The Infectious Diseases Division supervises an inpatient ward with an average of 10-15 patients, 7-8 with AIDS.

UNC Infectious Diseases Clinic

Outpatient medicine is a critical infectious diseases activity, and the Infectious Diseases Clinic meets five days each week in a large and modern facility in UNC Hospitals. The clinic provides care for nearly 1600 patients with HIV. A variety of outpatient infectious diseases are evaluated by the consult service, and the clinic provides vaccines and advice for travelers. For more information, see the clinic page.

UNC Hospitals Bone Marrow Transplant Unit and Leukemia/Lymphoma Service

The ID Division provides consultation to these units. The BMT Unit is a 12-bed unit with 100 transplants performed each year of which 40 are allograft transplants with many infectious complications. In addition, the Medicine E Service is a 20-bed ward on which there are four patients with acute leukemia being treated at any one time with a large number of infectious complications. The ID Fellow will see all of these patients in conjunction with an ID Faculty member and make recommendations to the Hematology team following the patients.

Durham County Health Department

UNC faculty provides medical services at Durham County Health Department including oversight for immunizations, communicable diseases, emerging infections, tuberculosis (TB) and sexually transmitted disease (STD) programs. The Durham County STD Clinic sees approximately 30 clients per day. Clinical STD and HIV prevention research is also conducted at this site. ID fellows participate in TB and STD electives in Durham.

Robeson County Health Department

UNC faculty supervises the treatment of HIV patients in this county. Approximately 150 patients are currently being followed.

Wake County Health Department

UNC faculty supervises STD and HIV care at this facility. The STD clinic sees more than 50 clients per day. The HIV clinic manages 900 patients, most of whom require ART. STD and HIV research is conducted at this site, with a special emphasis on HIV in women (ACTU sub-unit).

First Health of the Carolinas ID Service

First Health is a 400-bed county hospital where faculty members provide all consultative care. Patients are less complex than those referred to UNC and manifest problems across the spectrum of the curriculum, with emphasis on problems in patients of advanced age, since Pinehurst is a retirement community. A large number of patients undergo joint replacement.

North Carolina Department of Corrections Infectious Diseases Service

UNC ID faculty provides general consultative services and HIV care to a prison population of 1200. Several research projects compliment these clinical activities.