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Overview

We provide care to patients with proven or suspected infections.

These infections may be bacterial, viral, fungal or parasitic in origin, and may be acquired locally from the community, during travel, through occupational exposure or from contact with healthcare settings.

List of Services

​To optimise care for our patients, TTSH’s Antimicrobial Stewardship Programme looks at:

  • Institutional guidelines for appropriate use of antibiotics
  • Computer-based surveillance of antibiotic usage, resistance, and incidence of multi-drug-resistant organisms; and
  • Computerised decision support system in guiding appropriate antibiotic prescribing

​The Blood Culture Service recommends appropriate antibiotic, dose, frequency, route, duration, further investigation and referral, thereby aims to:

  • Optimise empiric antibiotic therapy for bacteraemia in the first 24 hours
  • Optimise culture-guided definitive antibiotic therapy for bacteraemia in the first 48 hours using the most appropriate narrow-spectrum effective antibiotic
  • Guide appropriate initial investigation and management of bacteraemia and fungaemia, including recommendation for referral to Infectious Diseases

​IMI engages all stakeholders in ICU for consensus and guideline driven management of patients with difficult ID issues, and to optimise antimicrobial therapy.

The IMI team adopts a dedicated, multi-disciplinary approach, to engage, empower and support the attending team of ICU. IMI:

  • provides advisory service on antibiotic usage,
  • provides 2-way discussion on the management of the patient
  • engage the junior doctors so that they would understand the rationale behind the management
  • inputs on consensus, evidence-based medicine

​The Dept of ID provides travel medicine services in the Travellers' Health and Vaccination Clinic (THVC), which enhances the health of travellers by:

  • Striving for continued excellence in travel medicine consultations and care
  • Providing excellence in service
  • Promoting knowledge in travel medicine in healthcare & professional communities
  • Increasing public awareness on the need for travel medicine
  • Encouraging research to further knowledge in the field of travel medicine

​The Dept of ID provides Outpatient Parenteral Antibiotic Therapy (OPAT) service at the OPAT clinic, which offers patients cost-effective outpatient parenteral antibiotic treatment without the need to be hospitalised. This reduces patients’ risk of nosocomial complications and inpatient hospital length of stay.


​Pre-Discharged Vaccination Programme (PVD) is a collaborative project between TTSH Pharmacy & Department of ID to improve vaccination uptake for TTSH inpatients who need vaccination against influenza and Streptococcus pneumonia.
















List of Conditions & Treatments

2019/01/21

List of Related Clinics

Clinic 4A
Contact information
Fax
68894342
6889 4334 (Resp Func Lab)
Location
Clinic 4A,
TTSH Medical Centre
Operating hours
Monday to Friday: 8:00 am to 5:30 pm
Saturday: 8:00 am to 12:30 pm
Sunday and Public Holiday: Closed
Clinic 4B
Contact information
Fax
6732 7520
Location
Clinic 4B, Level 4,
TTSH Medical Centre
Operating hours
Monday to Friday: 8.00 am to 5.30pm
Saturday: 8:00 am to 12:30 pm
Sunday and Public Holiday: Closed
Clinic J
Contact information
Fax
6357 7910
Location

Level 1, National Centre for Infectious Diseases,
16 Jalan Tan Tock Seng
Singapore 308442

Operating hours
Monday to Friday: 8.00 am to 4.30 pm
Saturday: 8.30 am to 11.30 am
Sunday & Public Holiday: Closed
Outpatient Parenteral Antibiotic Therapy (OPAT) Clinic
Contact information
Fax
6357 8284
Location
OPAT Clinic, Basement 2
Operating hours
Monday to Friday: 8.00 am to 5.30pm
Weekend and Public Holiday: 8:00 am to 12:30 pm

The TTSH Outpatient Parenteral Antibiotic Therapy (OPAT) is a support service that provides intravenous antibiotic treatment to eligible patients in an outpatient clinic or in their own home. OPAT clinic offers patients the opportunity to complete their antibiotic treatment safely and conveniently without overnight stay in hospital.

Advantages of OPAT are:

  • Allows early discharge from hospital
  • Avoids the inconvenience, complications and expense of prolonged hospitalization
  • Highly trained nurses to administer IV antibiotics
  • Minimal waiting times
  • Comfortable treatment rooms equipped with reclining chairs and TV
  • Patient education and training for appropriate therapies
  • Daily opening hours including weekends and holidays

Outpatient parenteral antibiotic is effective in the treatment of infections involving various organ systems such as:

  • skin and soft tissue (e.g. cellulitis)
  • cardiovascular (e.g. infective endocarditis)
  • bloodstream
  • bone and joint (e.g. osteomyelitis and septic arthritis)
  • central nervous system
  • intra-abdominal abscesses
  • pulmonary (e.g. lung abscess)
  • genitourinary tract

As part of the Infectious Diseases Department, infectious disease physicians and nurses staff the OPAT clinic. Weekly follow-ups are arranged by the OPAT team to ensure that the best possible medical care is provided during your course of treatment. Our highly trained nurses are also to provide wound care service to OPAT patients.

OPAT clinic can administer parenteral antibiotics under different settings depending on the type of antibiotics and patient convenience:

  1. outpatient clinic at TTSH
  2. administration by trained caregivers
  3. home visits by nurses

You or your doctor may contact the OPAT clinic to check on availability of our services. The team will promptly set an appointment with you to assess your eligibility for OPAT.

2019/10/10

List of Specialists

2019/09/23
2019/09/23
Last Updated on