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Stories from the dialysis comunity across the globe.



What Sanitas Services Mean to Dar es Salaam Residents - AllAfrica.com PDF Print

It doesn't take a rocket scientist to figure out that the Public Private Partnership (PPP) initiative in Tanzania is booming.

Take a walk around Dar es Salaam and the rest of the country and you are sure to see mushrooming private hospitals, clinics and other forms of health centres. Recently Sanitas, a one stop, state-of-the-art health centre was opened and staff writer Masembe Tambwe explores what this centre will mean to the people of Dar es Salaam and the country at large.

Health sector has proved to be a success in various parts of the country. When one walks around in Dar es Salaam and upcountry, he/she may see a number of hospitals, health centers and dispensaries that have been opened in recent years. Pedro Ramadhani, a dedicated man who used to work as information officer at the Ministry of Health and Social Services died three days after he had revealed some information related to the health sector.

He had revealed that from 1961 to 2011, a total of three zonal hospitals had been opened along with 10 regional hospitals; 86 council designated hospitals owned by religious organisations, 37 district private hospitals, 196 health centers and 2,340 dispensaries. The government using the PPP law is allowed to give subsidies and even medical personnel to private medical establishments so they render services more smoothly to the public.

Mr Ramadhani had said that in recent years, the ministry had seen a mushrooming emergence of diagnostic centers with state of the art technology and other equipment and that the centers were out to assist the government improve medical services as well as increase the number of facilities. One such state of the art facility is Sanitas Medics and Diagnostics Limited whose Chief Executive Officer, Mr Murthy Venkateswaran described it as being the brain child of local and international entrepreneurs who perceived a change in the desires and expectations of Tanzanians for their medical services.

"Sanitas is a modern facility that offers a full suite of outpatient services from consultation, laboratory investigations, surgical solutions, radiology imaging, rehabilitation and physiotherapy, dialysis treatment and a well stocked pharmacy," he said.

Mr Venkateswaran said that the primary goal of the establishment apart from assisting the government and providing quality services to the public was for it to be a one stop center where everything is found under one roof.

He explained that they had spared no effort or expense in creating a spacious modern facility, designed and constructed with patient care in mind. "Ease of access to all services and a central reception reduces the need for patients to be shuffled around. Waiting areas are air conditioned and comfortable with refreshments available. Sanitas' aim is to make world class medical services available to all," he said.

Mr Venkateswaran said with a hint of pride in his voice that in terms of equipment and services, Sanitas is perhaps the first outpatient center that has most of the services one would find in a major hospital. Some of these include five state of the art dialysis units in the latest German technology with their own water purification plant, radiology imaging services (X-ray and Mammogram) that provide a comprehensive range of the latest imaging technology with computer relayed system, and a 3D ultrasound.

There is also a laboratory which is as sophisticated as that of the Muhimbili National Hospital with several pioneering technologies offering the widest range of investigations including hematology, serology, microbiology, immunology, biochemistry, bacteriology and more. Sanitas also houses departments for physiotherapy for gym based rehabilitation and muscle balance, a lifestyle and nutrition consult center, ophthalmology, dentistry, an Ear, Nose and Throat care center, a pediatrics that caters for juvenile diabetes and child obesity among others, a cardiology unit, orthopedic unit and more in the 13 consultation rooms.

"We felt it was important to have as many consultation rooms as possible such that we are able to handle patients swiftly. It is for this reason that we are able to see 500 patients per day," the CEO said. Like many health facilities in the world that have partners, Sanitas has partnered with AMI in Dar es Salaam whereby patients that go to Sanitas and need to be operated upon are taken to AMI for the surgery and hospitalization. The surgeries are done by Sanitas surgeons. This makes Sanitas an OP as well as an IP facility.

It has also partnered with a super specialty hospital based in India with the intention to meeting the government's plans of reducing the number of surgery patients travelling to India by bringing India to Tanzanians. "The number of patients going to India from Tanzania for surgeries has increased significantly to a point where even the Indian institutions are waking up to the potential here. "That and the establishment of Sanitas, which is determined to bring down costs for Tanzanians by bringing the super specialists here have resulted in the frequent visits from specialist surgeons to Dar," he said.

The CEO said Sanitas has an agreement with the Indian Hospital that every four months their super specialist surgeons would come here and operate upon people right here at AMI rather than them having to send patients to India and incur high costs. "Tanzania's big medical problems are to do with the lack of facilities and expertise to perform complex procedures. In time, we at Sanitas will endeavour to address them," he explained.

The installation of five brand new dialysis machines from Fresenius in Germany and staffing of experienced and qualified dialysis technicians in the first week of last month meant that Sanitas being a one stop health center was complete. Recently they started, in support of parents, guardians and caregivers, offering free Well-Child Clinics on the last Saturday of every month from 9am to 12pm.

Led by Dr Alma, sessions cover early nutrition, parenting skills, baby development, feeding techniques, common ailments, hyperactive behavior, developmental monitoring, developmental milestones, cognitive learning, social and emotional skills, and more. From June they have also started a cervical screening center with the appointment of Grace Lubomba, a Cervical Cancer Program Officer. Grace would also be conducting Reproductive and Child Health programs at Sanitas. Sanitas has also recently owned a branch at Quality Plaza along Nyerere Road and will soon open its doors to Arusha residents.

...

 
Sepsis Outbreak at LA Dialysis Center Prompts Public Health Investigation - Occupational Health and Safety PDF Print

Sepsis Outbreak at LA Dialysis Center Prompts Public Health Investigation

“Dialysis centers must work to reduce the risk of infection for their patients by ensuring proper cleaning and disinfection procedures are being followed throughout the facility," said L’Tanya English, RN, MPH.

Three patients with chronic kidney failure treated at a dialysis center in Los Angeles County contracted a bacterial infection in the blood (sepsis) caused by improper cleaning and disinfection of a reusable medical device called a dialyzer—an artificial kidney.

Described in a poster presented at the 39th Annual Educational Conference and International Meeting of the Association for Professionals in Infection Control and Epidemiology (APIC), the County of Los Angeles Department of Public Health conducted an investigation led by public health nurse L’Tanya English, RN, MPH, who found that the bacteria infecting the three patients were genetically linked. These patients were infected with Stenotrophomonas maltophilia (S. maltophilia), a rare type of gram-negative bacteria.

Two of these patients were also positive for Candida parapsilosis (C. parapsilosis), a fungus that can cause sepsis in immune-compromised patients. One of these patients was positive for C. parapsilosis in the dialyzer only, and one patient was positive for Candida in the blood and in the dialyzer, which was genetically traced back to the same fungus in a faucet in the reprocessing room, where the dialyzers are disinfected and sanitized. The infections were reported to the health department in August 2011.

Two patients developed fevers and were hospitalized. One patient was assessed and treated as an outpatient; all patients later recovered.


The County of Los Angeles Department of Public Health became aware of the situation when a hospital in Southern California reported an outbreak of sepsis tied to one dialysis center. During the course of their investigation, they discovered that all of the cases used the same type of dialyzer with a removable component—an O-ring header. These three patients were the only ones in the facility to use this type of dialyzer. In response to this outbreak, the facility decided to discontinue use of multiuse dialyzers with O-ring headers.

“Hemodialysis technology is life-saving, but carries a high risk of infection, regardless of the type of dialyzer used,” English said. “Dialysis centers must work to reduce the risk of infection for their patients by ensuring proper cleaning and disinfection procedures are being followed throughout the facility. If multiuse dialyzers with removable headers and O-rings are used, processes to ensure proper disinfection must be in place.”

The County of Los Angeles Department of Public Health is working with state and federal partners to conduct outreach to dialysis centers to decrease dialysis-associated infections and will discuss lessons learned from the investigation at the APIC Annual Conference.

“Contaminated O-rings have been previously implicated in dialysis-associated infection outbreaks. This report underscores the need for adequate infection prevention training in dialysis settings, as well as the critical partnership between public health departments and infection preventionists in hospitals and outpatient settings,” said Michelle Farber, RN, CIC, APIC 2012 president. “Collaboration with public health is essential to pinpoint the cause of infection outbreaks and improve infection prevention practices across all healthcare settings.”

Hemodialysis is a life-saving procedure that uses an artificial kidney, or dialyzer, to remove waste from the blood when the kidneys no longer work. It is most often the treatment for end-stage renal disease. Following cardiovascular disease, infection is the second highest cause of death for hemodialysis patients


...

 
Leeds fundraisers buy six new kidney machines - Yorkshire Evening Post PDF Print


Published on Friday 8 June 2012 05:30

Care for kidney patients in Leeds has taken a “massive step forward” thanks to new dialysis equipment.

Fundraisers have collected £12,000 to help pay for an additional six machines which calculate fluid levels.

That means all three dialysis centres in Leeds, as well four in surrounding towns, now have the specialist equipment.

Paul Taylor, from the St James’s Hospital Kidney Patients’ Association, said: “From a patient’s perspective, these machines are a massive step forward in treating the management of fluid during dialysis.”

Cash towards the £4,000 machines was raised by the family of Bridie Connell.

Mrs Connell, from Meanwood, Leeds, has had two kidney transplants – one from an anonymous live donor.

Her son James and his friend Philip Rushfirth climbed Mont Blanc, raising £2,500.

Support also came from Freemasons at the Lodge of the Morning Star in Leeds, where Mrs Connell’s husband Bill is a member.

A 1960s night raised £4,500, while the Leeds Masonic Charities gave £500 and the West Riding Masonic Charities donated £4,500.

Bob Naylor, from the Lodge of the Morning Star, said after seeing the machines at St James’s: “I am now aware of the need for this amazing equipment.”

With additional funding from Leeds hospitals, each unit now has the body composition monitor, which calculates what a patient would weigh if their kidneys worked properly – crucial during dialysis.

Clinical scientist Lizzi Lindley said: “The monitor takes the guesswork out of assessing the fluid status of patients on dialysis, helping then to stay closer to normal and minimising the adverse effects of fluid overload and dehydration.”

Mr Taylor said: “One of the hardest things that patients face, apart from diet, is a regime of only being able to have around a litre a day which, when including hidden fluid in fruit and vegetables as well as things such as gravy, is extremely hard.”

He added: “Symptoms of losing too much fluid whilst on dialysis are sudden cramping, disabling headaches, sweating and a drop in blood pressure, all of which are intense and distressing.”


...

 
Kidney specialists purchase Martinsville practice - Roanoke Times PDF Print

Southwest Virginia's largest practice of kidney specialists has acquired a Martinsville medical practice.

Valley Nephrology Associates of Roanoke bought Piedmont Medical and Renal Associates, according to a news release.

Financial details were not provided, and a call seeking additional information from Valley Nephrology was not immediately returned.

Dr. James McKay sold the Piedmont practice because he plans to retire in the fall, according to the news release.

Valley Nephrology operates a dozen locations throughout Southwest Virginia, and owns the Roanoke Vascular Access Center and Fairlawn Surgery Center.

...

 
What Sanitas services mean to Dar es Salaam residents - Daily News PDF Print

What Sanitas services mean to Dar es Salaam residents

IT doesn’t take a rocket scientist to figure out that the Public Private Partnership (PPP) initiative in Tanzania is booming.

 

Take a walk around Dar es Salaam and the rest of the country and you are sure to see mushrooming private hospitals, clinics and other forms of health centres. Recently Sanitas, a one stop, state-of-the-art health centre was opened and staff writer MASEMBE TAMBWE explores what this centre will mean to the people of Dar es Salaam and the country at large.

HEALTH sector has proved to be a success in various parts of the country. When one walks around in Dar es Salaam and upcountry, he/she may see a number of hospitals, health centers and dispensaries that have been opened in recent years. Pedro Ramadhani, a dedicated man who used to work as information officer at the Ministry of Health and Social Services died three days after he had revealed some information related to the health sector.

He had revealed that from 1961 to 2011, a total of three zonal hospitals had been opened along with 10 regional hospitals; 86 council designated hospitals owned by religious organisations, 37 district private hospitals, 196 health centers and 2,340 dispensaries. The government using the PPP law is allowed to give subsidies and even medical personnel to private medical establishments so they render services more smoothly to the public.

Mr Ramadhani had said that in recent years, the ministry had seen a mushrooming emergence of diagnostic centers with state of the art technology and other equipment and that the centers were out to assist the government improve medical services as well as increase the number of facilities. One such state of the art facility is Sanitas Medics and Diagnostics Limited whose Chief Executive Officer, Mr Murthy Venkateswaran described it as being the brain child of local and international entrepreneurs who perceived a change in the desires and expectations of Tanzanians for their medical services.

“Sanitas is a modern facility that offers a full suite of outpatient services from consultation, laboratory investigations, surgical solutions, radiology imaging, rehabilitation and physiotherapy, dialysis treatment and a well stocked pharmacy,” he said.
Mr Venkateswaran said that the primary goal of the establishment apart from assisting the government and providing quality services to the public was for it to be a one stop center where everything is found under one roof.

He explained that they had spared no effort or expense in creating a spacious modern facility, designed and constructed with patient care in mind. “Ease of access to all services and a central reception reduces the need for patients to be shuffled around. Waiting areas are air conditioned and comfortable with refreshments available. Sanitas’ aim is to make world class medical services available to all,” he said.

Mr Venkateswaran said with a hint of pride in his voice that in terms of equipment and services, Sanitas is perhaps the first outpatient center that has most of the services one would find in a major hospital. Some of these include five state of the art dialysis units in the latest German technology with their own water purification plant, radiology imaging services (X-ray and Mammogram) that provide a comprehensive range of the latest imaging technology with computer relayed system, and a 3D ultrasound.

There is also a laboratory which is as sophisticated as that of the Muhimbili National Hospital with several pioneering technologies offering the widest range of investigations including hematology, serology, microbiology, immunology, biochemistry, bacteriology and more. Sanitas also houses departments for physiotherapy for gym based rehabilitation and muscle balance, a lifestyle and nutrition consult center, ophthalmology, dentistry, an Ear, Nose and Throat care center, a pediatrics that caters for juvenile diabetes and child obesity among others, a cardiology unit, orthopedic unit and more in the 13 consultation rooms.

“We felt it was important to have as many consultation rooms as possible such that we are able to handle patients swiftly. It is for this reason that we are able to see 500 patients per day,” the CEO said. Like many health facilities in the world that have partners, Sanitas has partnered with AMI in Dar es Salaam whereby patients that go to Sanitas and need to be operated upon are taken to AMI for the surgery and hospitalization. The surgeries are done by Sanitas surgeons. This makes Sanitas an OP as well as an IP facility.

It has also partnered with a super specialty hospital based in India with the intention to meeting the government’s plans of reducing the number of surgery patients travelling to India by bringing India to Tanzanians. “The number of patients going to India from Tanzania for surgeries has increased significantly to a point where even the Indian institutions are waking up to the potential here. “That and the establishment of Sanitas, which is determined to bring down costs for Tanzanians by bringing the super specialists here have resulted in the frequent visits from specialist surgeons to Dar,” he said.

The CEO said Sanitas has an agreement with the Indian Hospital that every four months their super specialist surgeons would come here and operate upon people right here at AMI rather than them having to send patients to India and incur high costs. “Tanzania’s big medical problems are to do with the lack of facilities and expertise to perform complex procedures. In time, we at Sanitas will endeavour to address them,” he explained.

The installation of five brand new dialysis machines from Fresenius in Germany and staffing of experienced and qualified dialysis technicians in the first week of last month meant that Sanitas being a one stop health center was complete. Recently they started, in support of parents, guardians and caregivers, offering free Well-Child Clinics on the last Saturday of every month from 9am to 12pm.

Led by Dr Alma, sessions cover early nutrition, parenting skills, baby development, feeding techniques, common ailments, hyperactive behavior, developmental monitoring, developmental milestones, cognitive learning, social and emotional skills, and more. From June they have also started a cervical screening center with the appointment of Grace Lubomba, a Cervical Cancer Program Officer. Grace would also be conducting Reproductive and Child Health programs at Sanitas. Sanitas has also recently owned a branch at Quality Plaza along Nyerere Road and will soon open its doors to Arusha residents.

...

 
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