Discipline of Infectious Diseases

About the Discipline

The Department of Infectious Diseases came into being in the early 1990’s under the leadership of Professor Vinod Gathiram. The impetus for the creation of the department was the need for academic leadership to address the emerging HIV/AIDS epidemic. Professor Vinod Gathiram’s untimely death was a major blow to the development of the specialty at University of KwaZulu Natal. The then head of the Department of Medicine, Professor Umesh Lalloo, managed the Department of Infectious Diseases until the post of Chief Specialist was filled in 2004. Currently, the unit consists of 2 full-time Consultants, one honorary lecturer, one medical officer and a Registrar in rotation from the General Medicine pool. All clinical services are currently undertaken at King Edward VIII Hospital.

The Department of Infectious Diseases is committed to providing leadership and excellence in clinical care of the indigent while providing a high standard of undergraduate and postgraduate teaching and training. In addition, the department is actively working at developing a locally relevant and internationally recognized research agenda. To meet the above mandate in the face of limited capacity, the Department has fostered close links and collaborations with institutes of academic excellence both locally and internationally. The ID Department has close ties with the Department of Infectious Diseases at Harvard University and John Hopkins University, Department of Internal Medicine at the University of Cincinnati in the US, the HIV Unit at Kings College London in the UK and more recently an Australian research group based in Perth and Melbourne.

Monday

Infectious Diseases Specialist Clinic at King Edward VIII Hospital 09h00

Tuesday

•Hope conference every 2nd Tuesday of the month. 14h00  to 15h00
•Consultant Ward rounds and King Edward VIII hospital on Tuesdays 09h30
•Fourth year teaching 11h00 to 12h00

Wednesday:

•I.D. Seminar / Journal @ 08H00 TO 09H00
•Medicine Grand Round @ 12H15 to 13h15

Thursdays

•I.D. Academic ward round at KEH
•Combined I.D. and Microbiology Journal club at  IALCH every Thursdays from 14h00 to 16h00.

Fridays

•Problem round meeting with Microbiology team on Fridays at 08h00 to 09h00.
•institutions.
•Medicine Problem round at 13h15 to 14h15
 

The unit is involved in both undergraduate and post graduate teaching as well as continuing medical education. The unit often hosts medical officers, foreign doctors/medical students from CAPRISA at ward rounds and clinics.

Undergraduate

2nd, 3rd and 4th year students are taught using large group resource sessions. 3rd, 4th and final year students are given bedside tutorials in both ID and general medical topics. Teaching ward rounds on general medicine and ID are held at King Edward hospital on intake days.

Postgraduate

The Department participates fully in the educational activities of the Division of Medicine. Topics in infectious Diseases are covered in the journal clubs and basic sciences meeting held in the Department of General Medicine.

 International Collaboration

Close collaborations have been formed with:
Partners AIDS Research Centre at the Massachusetts General Hospital: Division of Infectious Diseases in the form of participation in HOPE conferences and arranging workshops and training in the management of HIV/AIDS in South Africa. Department of HIV and Genitourinary Medicine at Kings College London in the form of a study on Immune Reconstitution Inflammatory Syndrome.

Monday

Infectious Diseases Specialist Clinic at King Edward VIII Hospital 09h00

Tuesday

Hope conference every 2nd Tuesday of the month. 14h00  to 15h00
Consultant Ward rounds and King Edward VIII hospital on Tuesdays 09h30
Fourth year teaching 11h00 to 12h00

Wednesday:

I.D. Seminar / Journal @ 08H00 TO 09H00

Medicine Grand Round @ 12H15 to 13h15

Thursdays

I.D. Academic ward round at KEH

Combined I.D. and Microbiology Journal club at  IALCH every Thursdays from 14h00 to 16h00.

Fridays

Problem round meeting with Microbiology team on Fridays at 08h00 to 09h00.

institutions.
Medicine Problem round at 13h15 to 14h15

• An international multicentre prospective observational study of the immunopathogenesis of immune

     restoration Disease in severely immunodeficient HIV patients commencing antiretroviral therapy

     (MIRSAT).“ The focus at the Durban site is identify patients with cryptococcal meningitis who deteriorate

      following antiretroviral treatment with a view studying various immunological parameters which is

      expected to contribute to the understanding of the immunopathogenesis of this syndrome. This study will

      form the basis for a PhD for a student from Monash University, Australia who is being hosted in the

      Department of Infectious Diseases.

• Diagnosis of smear negative HIV associated pulmonary tuberculosis: Comparison of swallowed sputum

    sample obtained by enteric capsular device with induced sputum.

• Clinical and mycological predictors of cryptococcosis-associated immune reconstitution inflammatory syndrome. (Cryptococcal)
•Circulating inflammatory biomarkers can predict and characterize tuberculosis-associated immune

     reconstitution inflammatory syndrome (IRIS).

•Operationalizing early antiretroviral therapy in HIV-infected in-patients with opportunistic infections including tuberculosis

The Infectious Disease Department works closely with the Department of General Medicine at King Edward VIII Hospital and subspecialty departments at Inkosi Albert Luthuli Central Hospital. The Department is involved with the care of inpatients and outpatients with infectious disease issues such as HIV/AIDS and associated opportunistic infections, tuberculosis in all its forms, including drug-resistant tuberculosis, antiretroviral and antituberculous-drug-related toxicity, malaria, typhoid, infective endocarditis, nosocomial sepsis, etc. The Department also runs an Infectious Diseases Specialist clinic on Monday mornings where patients with complicated infectious diseases related issues are assessed and managed. Close links are maintained with the Antiretroviral Rollout Clinic at King Edward VIII Hospital (Philani Clinic). In collaboration with the Philani Clinic the Department has implemented a system that facilitates the commencement of antiretroviral treatment for inpatients that are debilitated. The Department provides telephonic assistance to rural, district and regional level hospitals in the Eastern Seaboard of KwaZulu Natal taking question and queries concerning HIV /AIDS and tuberculosis. Patients with complex clinical problems are often taken over for management by the Infectious Diseases Unit.

Staff

Contact Details

Name Position Contact Number
Prof M.Y.S Moosa Head and associate Professor 031 264368 / 9
Mrs Faith Coetzee Administrator 031 260 4368