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SJD Barcelona Children's Hospital

Passeig Sant Joan de Déu, 2, 08950 Esplugues de Llobregat

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Infectious Diseases
Consulta de malalties infeccioses - Hospital Sant Joan de Déu Barcelona

We are a leading centre in the diagnosis and comprehensive treatment of infection diseases in the pediatric population.

The Infectious Diseases Department at the SJD Barcelona Children's Hospital was officially created in 2008, and, since then, it has been the answer to the sociosanitary needs of pediatric patients in an ever-changing healthcare landscape – resulting from the arrival of new pathogens or the higher survival rates of increasingly vulnerable patients.

We regularly review and update protocols so we can face situations head on: tackling opportunistic infections; implementing new microbiological techniques; the rise of antibiotic resistance; or navigating the COVID-19 pandemic.

Accreditations

  • We are a CSUR accredited facility in the treatment of imported tropical diseases since 2015.

Leading Infectious Diseases Facility

Our work focuses on the patient and their family.

We are a transversal hospital, meaning we review all of the departments and clinical units at the SJD and create cross-departmental links with the Laboratory, Pharmacy, Anatomical Pathology or Diagnostic imaging. We also boast a specialised outpatient's department covering multiple areas of the field of Infectious Diseases.

In the last few decades, Infectious Diseases has become increasingly relevant. The need for responsible usage of antibiotics and antimicrobials, as well as the growing complexity of the patients we attend at our facility, has led us towards a proactive healthcare model. This model allows us to detect patients at the hospital with active infection or those who are at risk of infection in order to provide early assessment and care.

Our aim is to guarantee equal access to high quality, safe, effective healthcare to people with diseases contracted in countries with endemic infectious diseases. The department monitors epidemic outbreaks across the world, as well as the latest treatments and preventative measures for tropical diseases.

Why the SJD Barcelona Children's Hospital?

Care that is focused on the patient and their family

Every day, we strive towards providing our patients with comprehensive healthcare, working hand-in-hand with other departments and units at the SJD Barcelona Children’s Hospital in order to make decisions regarding the handling of active infections, at-risk patients or those requiring antimicrobial treatment.

At the forefront of knowledge and healthcare

We are constantly adapting and updating our processes due to the increasing relevance of infectious diseases and the rise of antibiotic resistance in the last few decades, as well as the higher complexity of patients we attend at our facility. As such, cooperation with institutions around the world specialising in infectious diseases is vital.

More information

Our figures

1,200

first visits to outpatient clinics.

4,065

follow-up visits in outpatient clinics.

2,382

outpatient treatment administrations.

248

administration of treatments in Day Hospital.

18

active clinical trials.

2023 Data

Specialisms and services

This department aims to encourage the exchange of knowledge and cooperation with other hospital departments and units.

Furthermore, we specialise in the following areas:

Optimising antibiotic usage

The Antimicrobials Optimisation Programme (PROA) promotes the responsible use of antibiotics and other antimicrobials through non-restrictive strategies.

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Functional unit for patients with immunodeficiencies

We offer comprehensive, specialised care for pediatric patients exposed to and infected with HIV, as well as pre-teens and teenagers requiring medication after exposure to the virus.

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Replacement therapy and kidney transplant patient

Patients receiving replacement therapy or who have had a kidney transplant, for example, attend an infectious diseases consultation involving a specialised assessment at the outpatient department, as well as a review of the immunisations they require, their medications and treatments for infections.

Vertically transmitted diseases

We monitor at-risk patients or confirmed cases of vertically transmitted infections (such as HIV, CMV, toxoplasmosis, HSV, VZV, parvovirus, HBV, HCV, HEV, enterovirus, syphilis, rubella, TB, Xagas and Zika) at the outpatient department and at maternity consultations.

Communicable infectious diseases and monitoring of admitted patients

We monitor patients with infections that require assessment by a pediatric infectologist, both on an in- and outpatient basis, in hospital and at outpatient departments, respectively.

Immunisations of vulnerable pediatric patients

We have developed a specialised clinic that offers reimmunisation services to patients susceptible to infection.

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Immunisation nurse consultation

We offer consultations with a specialist immunisation nurse.

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Sexually transmitted infection clinic for adolescents

We offer diagnosis and treatment for these types of infections, and we also provide information to the adolescent that is suitable for their age and their personal situation. We also provide resources depending on where they live.

Caring for patients with osteoarticular infections

Jointly with the Orthopedics and Traumatology Department, we treat pediatric patients with osteoarticular infections that require multidisciplinary management in a single, same-day appointment.

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Infections from endemic regions

We monitor and treat infants arriving from geographical areas with a high prevalence of specific diseases, and offer protection via counselling and immunisation clinics for children who have to travel to countries with endemic diseases.

High-level isolation infections

The department implements strict safety and protection measures for hospital staff and other patients. We are recognised for our work with high-level isolation infections that require a highly prepared team.

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Pediatric Tuberculosis Reference Unit

The unit sees more than 300 children and teenagers every year who, for various reasons, are at risk of a tuberculosis infection. It treats around 25 cases of tuberculosis and 40 cases of latent infection, making it one of the largest units in Europe.

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Consultations for patients with complex wounds

Jointly with a specialist nurse, we monitor patients with suspected or confirmed cases of soft tissue or osteosynthesis-related infections.

Diseases we monitor and/or treat

Severe or complex communicable infections
Hospital-acquired infections
Surgical infections
High-level isolation infections
Multiresistant bacterial infections
Infections in critical patients
Vertically transmitted diseases
Congenital infections
HIV infections
CMV infections
Toxoplasmosis infections
Neonatal herpes simplex virus infection
Syphilis infections
Rubella infections
Chagas Disease
Zika infections
Malaria infections
Dengue infections
Other arboviral infections
Hemorrhagic fevers
Meningitis
Encephalitis
Tuberculosis
Sexually transmitted diseases
Infections in primary and secondary immunodeficient patients
COVID infections
Other imported diseases

Team

Clàudia Fortuny Guasch, jefa del Servicio del Enfermedades Infecciosas del Hospital Sant Joan de Déu Barcelona
Clàudia Fortuny Guasch
Paediatrician
  • Anna Gamell Fulla, Pediatrician.
  • Teresa Cusó Herreros, Nurse.
  • Carmen García Rebollo, Nurse.
  • Anna Maria del Castillo Aldeguer, Team administrator.
  • Marta López Sanz, Secretary of the Pediatrics Unit.

International cooperation

The Infectious Diseases Unit is constantly getting involved in international collaboration projects, including:

  • Twinning with Sierra Leone
    • Nutritional rehabilitation programme in the Port Loko district, focusing on acute malnutrition.
    • Hospital Residency programme in partnership with the Teaching Department.
      • Creation and review of pediatric healthcare protocols.
      • Creation and review of infection control protocols.
      • Supporting mobile clinic activity.
  • Iraq and Guinea Bissau: Consulting for pediatric projects in the Doctors Without Borders programme.
  • Morocco and the Ivory Coast: Training in infant health and respiratory disease with NGO Azimut.
  • ICARIA Project (safety monitoring) by ISGlobal.
  • HITIHE Consortium.
  • Anantapur India: Supporting the Vicente Ferrer Foundation HIV Programme (2007-2023).
  • Greece: pediatric devices in refugee camps on the Aegean Islands. Nutritional study (2015-2016).

Research

The SJD Research Institute (IRSJD) houses the Research Group for Infectious Diseases and the Microbiome, which focuses on the study of the clinical, molecular and epidemiological aspects of the main pediatric infectious diseases, as well as improving diagnosis thereof.

From 2015 to 2023, the Infectious Diseases Department took part in ten different competitive research projects and in over 60 clinical trials. During this period, department staff also published around 160 articles in indexed journals. At present, our team is also working on the following lines of research:

  • SARS-CoV-2 infection.
  • Congenital CMV infection.
  • Syphilis.
  • Pediatric meningitis.
  • Pediatric endocarditis.
  • Bacterial infection in at-risk pediatric patients.
  • Antibiotic resistance.
  • Tuberculosis.
  • Imported diseases and international cooperation.
  • Infection in cancer patients and/or hematopoietic stem cell transplant patients.
  • Osteoarticular infection.
  • CNS infection.
  • Immunological monitoring of CMV in kidney transplant patients.

Teaching

We offer education seminars to medical students at undergraduate and postgraduate level, as well as Pediatrics and Specific Areas residents and other professionals training in pediatric infectious disease.

We have the capacity to train three department rotations simultaneously.

Teaching and training activity includes holding information seminars and sessions, protocol supervision and participating in internal and external conferences and meetings, including scientific conferences.

We would like to place particular emphasis on our Master’s programme:

Master in Infectious Diseases among Children and Adolescents

In partnership with the University of Barcelona, this Master’s programme allows students to get hands-on experience in the Infectious Diseases Department at the SJD Barcelona Children’s Hospital.

  • Dr Ton Noguera is Course Coordinator, while also acting as course lecturer alongside other department staff.
  • This is a practical-focused Master's with an extensive theoretical component, lasting one year and worth 60 ECTS credits.

Yearly PROA workshop for Pediatric Infectious Diseases

The Antimicrobials Optimisation Programmes (PROA) are key tools in promoting responsible antibiotic use. The PROA-SJD group aims to encourage active participation of staff in training (pediatrics, microbiology and pharmacology) so as to foster a PROA-focused approach in daily healthcare provision for our patients.

Common transversal agenda PROA-focused course for a comprehensive approach to infectious disease

This course was introduced in 2024 as a PROA-centred education intervention and was offered to professionals who have a significant impact on antibiotic use.

These staff include those involved in prescribing antibiotic medication, reviewing prescribed drugs, administering medications and treatments, obtaining and transporting biological samples, and identifying microorganisms. As such, we consider the course format as particularly important, as it involved all of these staff members (nurses, pediatricians, gynecologists, porters, pharmacists, surgeons, microbiologists, etc.).

PID Games (Paediatric Infectious Diseases Games)

This new interactive, educational development aims to broaden knowledge and increase awareness of pediatric infectious diseases. The first edition was held in Rome in 2023, and the second in Barcelona, in 2024. PID Games is a three-day course consisting of four modules on various exciting topics (for example, bacteria and antibiotics, viruses and vaccines, emerging infections and those in immunocompromised hosts). Each module includes talks given by experts from around the world, clinical cases, a debate for/against and a questionnaire for participants. The winner of these games obtains free entry to next years’ course, as well as the possibility to get involved as a junior speaker.

Furthermore, all members of the team are professors and lecturers on other Master’s programmes, courses and workshops.