February 2, 2016

2316zikamosquito640In light of the multiple confirmed cases of recent travelers who returned to the Houston area after contracting Zika in Central America, Texas Children’s leaders encourage employees and staff to arm themselves with facts about Zika virus.

The virus, which has spread rapidly through Central and South America in the last year, is transmitted between humans primarily through mosquito bites. People may not realize they’ve been infected with Zika virus because the majority of people will develop an asymptomatic or mild flu-like infection.

The Zika virus has heightened concern among pregnant women since the virus may increase the risk of microcephaly, a rare neurological birth defect in which babies are born with abnormally small heads.

While there is no vaccine to protect against Zika infection, Dr. Kristy Murray encourages employees, particularly pregnant women, to refrain from travelling to areas where the outbreak is growing. The only way to prevent infection is to avoid getting mosquito bites.

“The only risk factor right now is foreign travel to areas where the virus is epidemic,” said Murray, director of the Laboratory for Viral and Zoonotic Diseases at Texas Children’s. “Currently, we do not have mosquitos locally that can transmit the virus, though we are concerned that an infected traveler could expose our mosquitos, setting up an opportunity for local transmission to begin. For about a week, an infected person has enough virus circulating in his or her blood to infect mosquitos.”

Texas Children’s OB/GYN-in-Chief Dr. Michael Belfort recently convened a task force of physicians and researchers at Texas Children’s and Baylor College of Medicine to develop management and research strategies based on important screening criteria outlined by the Centers for Disease Control (CDC) for pregnant women who may have been exposed to the Zika virus.

Belfort stresses that “women who have traveled to an affected area just before or during their pregnancy should contact their OB-GYN.” As stated in the developed task force guidelines, if pregnant women return from an endemic area and within two weeks develop symptoms, they will be referred to a knowledgeable provider or maternal fetal medicine specialist to test for evidence of Zika virus exposure. Additionally, pregnant women who return from an endemic area, regardless of symptoms, will be referred for ultrasound screening for fetal microcephaly. If fetal microcephaly is detected, an amniocentesis for Zika virus exposure will be offered.

“Our expert group also has recommended testing for chromosomal disorders at the time of amniocentesis for fetal microcephaly,” said Dr. Kjersti Aagaard, vice chair for Research in the Department of Obstetrics and Gynecology at Texas Children’s and Baylor, and a member of the task force. “Since the same mosquito carries Dengue, Chikungunya and Zika, we are advocating for testing of all three viruses once laboratory options become available.”

Below are FAQs about the Zika virus from the CDC and the developed guidelines:

What are the symptoms of Zika?
The most common symptoms of Zika virus disease are fever, rash, joint pain or conjunctivitis (red eyes). Symptoms typically begin two to seven days after being bitten by an infected mosquito.

How is Zika transmitted?
Zika is primarily transmitted through the bite of infected Aedes mosquitos. It can also be transmitted from a pregnant mother to her baby during pregnancy or around the time of birth. We do not know how often Zika is transmitted from mother to baby during pregnancy or around the time of birth, when women are at highest risk, or how the transmission occurs.

Who is at risk of being infected?
Anyone who is living in or traveling to an area where Zika virus is found is at risk for infection, including pregnant women.

What countries have Zika?
Specific areas where Zika virus transmission is ongoing are often difficult to determine and are likely to change over time. Click here for the most updated information.

For more information about the Zika virus and ways you can protect yourself, click here.

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Texas Children’s is set to receive a $1 million grant from the Texas Department of State Health Services (DSHS) to put toward its newly constructed Special Isolation Unit at Texas Children’s Hospital West Campus. The funds, to be delivered during the next five years, will specifically go toward Ebola preparedness activities that bolster employee safety and quality of care.

Texas Children’s began ramping up its Ebola preparedness and decided to build a special isolation unit almost a year ago, shortly after an unprecedented outbreak of the disease resulted in the realization that we must be prepared to handle emerging infections as an institution. As a result, the state and the Centers for Disease Control and Prevention designated Texas Children’s Hospital as one of several pediatric Ebola treatment centers countrywide.

Texas Children’s Special Isolation Unit is the only one of its kind in Texas and the southwest region, and is among the few in the United States designated just for children. Located on the fifth floor of West Campus, the eight-bed unit is fully equipped to care for any infant or child with a serious communicable disease and has all of the measures available to assure safety of the health care team, other patients and their families.

As a condition of the DSHS grant, members of the National Ebola Training and Education Center (NETEC) – created to ensure health care providers and facilities are prepared to safely identify, isolate, transport and treat patients with Ebola and other emerging threats. – recently visited the Special Isolation Unit. During NETEC’s two-day trip, members of the newly formed federal entity toured the Special Isolation Unit and spoke with leaders in detail about the formation of the unit, its capabilities and its potential usages.

“We were glad to have subject matter expertise tour our facility and provide knowledge and insight that will help us improve patient and staff satisfaction,” said Special Isolation Unit Medical Director Dr. Gordon Schutze. “They were very complimentary of the unit and told us we were fortunate to have leadership that is very supportive of doing what is best for their employees and patients.”

Once received, a portion of the DSHS grant will be used to compensate Texas Children’s for the Ebola preparedness activities undertaken since July 2014. Unit and West Campus leaders are working together to identify the best use of the remaining funds and how they can be invested to better health care professional safety and quality of care.

January 5, 2016

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Bench and Bedside is a digest of the previous month’s stories about the clinical and academic activities of our physicians and scientists. We welcome your submissions and feedback.

December 1

Texas Children’s Fetal Center celebrates 400 miracles at patient reunion

Hundreds of families from around the country traveled to Houston to attend Texas Children’s Fetal Center family reunion. Since its inaugural event in 2007, the reunion provided an opportunity for physicians and staff to reunite with patient families who received life-saving medical and surgical care at our fetal center.

December 1

Texas Children’s awards pediatric pilot grants to 10 promising researchers

Ten promising researchers received the 2015 Pediatric Pilot Awards Research grants worth up to $50,000. The grants will provide initial start-up funding for research projects that have the ultimate goal of enhancing patient outcomes.

December 8

Dr. Mary Brandt elected to ACS Medical Student Education Committee

Dr. Mary Brandt, pediatric surgeon and director of the Adolescent Bariatric Surgery Program and the Anorectal Malformation Clinic at Texas Children’s, has been elected to the Medical Student Education Committee of the American College of Surgeons, which addresses the educational needs in surgery for medical students during all four years of medical school.

December 15

Texas Children’s Special Isolation Unit earns award from Texas Department of Health Services

Texas Children’s Special Isolation Unit, the only pediatric-focused unit of its kind in Texas and the Southwest, was recently awarded the Texas Department of Health Services 2015 Texas Preparedness Leadership Award. The annual award recognizes exceptionally meritorious achievements in local, regional or state Public Health Emergency Preparedness and Healthcare Systems Preparedness Programs.

December 15

Texas Children’s Main Campus Urgent Care opens

1516MCUrgentCare300Texas Children’s recently opened a 4,100-square-foot urgent care clinic on the second floor of the Abercrombie Building, creating a system-wide solution to effectively manage the Emergency Center’s (EC) low acuity patient population. The clinic has a dedicated staff of physicians, advanced practice providers, nurses and clinical support staff. The new urgent care has already helped lighten the load of the EC, seeing about 30 patients a day, or 25 percent of the EC’s daily patient volume. Wait times for patients with low-acuity illnesses also have decreased significantly.

December 15

Texas Children’s oncologists contribute to leading textbook in field

1516PoplackBook300Dr. David Poplack, director of Texas Children’s Cancer and Hematology Centers, and numerous members of his medical staff helped write the recently published, 7th edition of Principles and Practice in Pediatric Oncology. This leading textbook provides the most comprehensive resource on the biology and genetics of childhood cancers.

 

December 15

Spotlight on Adult Congenital Heart Disease Program

1516achd300About 40,000 babies are born each year with a congenital heart disease, the most common birth defect. These children grow up with their conditions and are part of a growing population of adults with congenital heart disease. Texas Children’s Adult Congenital Heart Disease Program allows patients to continue their care at their childhood medical home as adults.

 

December 22

Heart Center experts present at Pediatric Cardiac Intensive Care Society 11th International Meeting

1516PCICS300Intensivists, cardiologists, cardiovascular surgeons, nurses, and outcomes and quality experts from Texas Children’s Heart Center and Baylor College of Medicine served as presenters and moderators during the Pediatric Cardiac Intensive Care Society (PCICS) 11th International Meeting held December 9 through 11 in Houston.

 

December 22

Surgical Research Day 2016 to feature new poster session

Plans are underway for the sixth annual Edmond T. Gonzales, Jr., Surgical Research Day which will be held on May 6, 2016. At this session, poster authors will have an opportunity to present their research to reviewers as scoring takes place.

December 22

L. E. Simmons Chair in Orthopedics awarded to Dr. John Dormans

Chief of Orthopedics Dr. John Dormans was recently awarded the L.E. Simmons Chair in Orthopedics. Provided by the Houston Endowment in recognition of Simmons, who served as chairman of Texas Children’s Board of Trustees from 2003-2004, the purpose of this chair is to support orthopedic research, education, clinic program development and advocacy at Texas Children’s.

November 24, 2015

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Supporters of Texas Children’s efforts to treat children with highly contagious infectious diseases gathered last week to applaud the opening of the organization’s Special Isolation Unit at Texas Children’s Hospital West Campus.

More than 70 people from across the organization and the state attended the unit’s ribbon cutting and open house, during which they got a close-up look at the state-of-the-art facility and heard from people who were critical to the unit’s creation.

“This is an exciting day, a landmark day, in the history of Texas Children’s,” said Physician-in-Chief Dr. Mark W. Kline. “This unit is a real resource for the city of Houston, the state of Texas, for the region, the nation and the world.”

Texas Children’s began working on the unit almost a year ago, shortly after an unprecedented Ebola outbreak that resulted in the realization that we must be prepared to handle emerging infections as an institution. As a result, the state and the Centers for Disease Control and Prevention designated Texas Children’s Hospital as one of several pediatric Ebola treatment centers countrywide.

Texas Children’s special isolation unit is the only one of its kind in Texas and the southwest region, and is among the few in the United States designated just for children. Located on the fifth floor of West Campus, the eight-bed unit is fully equipped to care for any infant or child with a serious communicable disease and has all of the measures available to assure safety of the health care team, other patients and their families.

Children coming to the special isolation unit will receive top notch care from a team of highly-trained nurses and doctors, led by the unit’s medical director, Dr. Gordon Schutze, associate medical director’s Dr. Judith Campbell and Dr. Amy Arrington, and nursing leader, Sondra Morris.

“I am honored to say that when problems threaten our community and our children, Texas Children’s always leads strong,” said West Campus President Chanda Cashen Chacón. “We do not shy away from those who need us the most.”

More than 70 people gathered for the official ribbon cutting held last week for special isolation unit at Texas Children’s Hospital West Campus.

November 10, 2015

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Flu season is here with the Centers for Disease Control and Prevention (CDC) reporting cases being seen sporadically across the United States, including Texas. To protect yourself and others against the serious, potentially deadly, infection, the CDC and the Executive Director of Texas Children’s Center for Vaccine Awareness and Research Dr. Carol J. Baker urges everyone – especially health care workers – to get vaccinated.

“We owe it to ourselves and we owe it to our patients to get vaccinated against the flu,” Baker said. “As long as the season is going on, and you are not protected, you can get influenza.”

For those who are still debating on whether to get the free flu shot offered to all Texas Children’s employees, Baker, a pediatric infectious disease specialist well known for her work in both immunization research and education, addresses some of the top concerns about the vaccine and the flu in the video below.

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As of Friday, November 6, 63 percent of Texas Children’s employees had gotten a flu shot, according to statistics provided by Jill Fragoso, director of Employee Health and Wellness. Last year, Texas Children’s achieved a 90 percent vaccination rate. We want to reach or exceed that rate this year. As a reminder, employees should be in compliance by Tuesday, December 1. Leaders can run reports for their area(s) via the Health and Wellness portal. Individuals who would like to view and/or print their immunization records can click here for instructions on how to access that portal.

How to get vaccinated
Free flu shots are being offered to all Texas Children’s employees, Baylor College of Medicine employees working in Texas Children’s facilities, Texas Children’s medical staff and volunteers at various events across the organization and at the Employee Health Clinic. Click here to view the dates and locations for your vaccination. If you are unable to make one of these dates, please make an appointment at the Employee Health clinic, located on the fifth floor of the Abercrombie Building near the yellow elevators, after October 1. If you have questions, please call Employee Health at Ext. 4-2150. West Campus Employee Health is located on the campus’ second floor and can be reached at Ext. 7-1365.

Visitation restrictions
Based on the increasing incidence of respiratory illness, Texas Children’s Hospital has instituted new visitation restrictions for the inpatient units and critical care areas. To read more about these restrictions please click here.

October 13, 2015

101415SIU640Pastel paint, shiny floors and spacious rooms equipped with the latest scientific and technological approaches to biocontainment are just a few of the features of the soon-to-be-finished Special Isolation Unit at Texas Children’s Hospital West Campus. The 8-bed unit designed for children with highly contagious infectious diseases is part of an 18-bed expansion of the hospital’s Acute Care Unit, which will open in mid-October.

“We are very excited about this state-of-the-art facility opening and serving our community’s most fragile patients,” said West Campus President Chanda Cashen Chacón. “The unit allows Texas Children’s to effectively and safely provide the best possible care to a patient who has a highly communicable disease while ensuring the health and safety of our team and other patients and families throughout the hospital.”

The decision to build a special isolation unit came last year after an unprecedented Ebola outbreak, resulting in the realization that we must be prepared to handle emerging infections as an institution. As a result, the state and the Centers for Disease Control and Prevention designated Texas Children’s Hospital as one of several pediatric Ebola treatment centers countrywide.

Texas Children’s Special Isolation Unit is the only one of its kind in Texas and the southwest region, and is among the few in the United States designated just for children. Located on the fifth floor of West Campus, the unit will be fully equipped to care for any infant or child with a serious communicable disease, with all of the measures available to assure safety of the health care team, other patients and their families.

Each of the patient rooms, for example, has an antechamber, where doctors and nurses will put on personal protective gear. After treating a child inside the room, they will leave through a separate door and enter a third room, where they will take off the gear. Nurses will observe the entire time through large glass windows.

The unit also will have its own biosafety Level 3 laboratory, which allows for safe, on-site rapid identification of both usual and unusual pathogens. There’s also a separate medical waste room, where carts of used clothing and equipment can be wheeled inside 6-foot autoclaves.

Some of the unit’s additional features include:

  • Negative pressure rooms and isolated air handling
  • High-protocol workflows designed around a “clean-to-dirty” workflow
  • Observation windows into patient rooms to limit staff exposure
  • Specialized technology and communication devices to communicate as a team
  • Staff locker room where caretakers will show before leaving the unit after each shift
  • Child life play room for patient siblings and young visitors

In addition to a state-of-the-art facility, children coming to the Special Isolation Unit will receive top notch care from a team of highly-trained nurses and doctors. At least six members of the team, called the Special Response Team, will be assigned to each child, and one of them will act as a family liaison.

Children being treated in the unit will be able to use tablet computers to talk with their families via video chat, and will be able to see them through the large windows. To make the unit’s patients feel as comfortable as possible, a special doll is being developed that will wear a mini-version of the personal protective equipment the doctors and nurses wear.

The goal there, said Special Isolation Unit Assistant Director Dr. Judith Campbell, is to soothe even the youngest children, and help them understand: “Yes, we’re dressed up a little differently, but their little doll has similar attire on.”

The specialized unit will be led by Dr. Gordon Schutze, who will serve as medical director, as well as Campbell and Dr. Amy Arrington, who will be the unit’s associate medical directors. Sondra Morris will lead the team’s nursing staff. The unit will be run by a Special Response Team comprised of physicians, nurses, medical technologists and environmental service technicians who have been trained in infection control, hospital epidemiology and management of infectious diseases in the critical care setting.

“The team has completed up to 24 hours of specialized training to date to be ready to care for these patients safely,” Arrington said. “Additional training will be ongoing.”

When the Special Isolation Unit isn’t activated, it will be used as a new acute care unit for West Campus. Morris will lead the area when the Special Isolation Unit isn’t being used.

For more information about the Special Isolation Unit and the infectious diseases that might be treated there read this blog written by Campbell.

The finishing touches are being put on Texas Children’s Special Isolation Unit, an 8-bed unit designed for children with highly contagious infectious diseases. View the unit that is scheduled to open in mid-October.

Thousands of Texas Children’s employees have armed themselves against the upcoming flu season by taking advantage of the free flu vaccines that are being offered by Employee Health. It’s not too late for you to do the same.

Free flu shots are still being offered to all Texas Children’s employees, Baylor College of Medicine employees working in Texas Children’s facilities, Texas Children’s medical staff and volunteers at various events across the organization and at the Employee Health Clinic.

Staff Nurse Sarah Vining got her flu shot the second day it was being offered on The Auxiliary Bridge and said she gets the annual vaccine to protect herself, her family and the patients she serves against a potentially fatal infection.

“It’s important for our families and our patients, as well as our own families at home, to stay healthy and make sure that we’re in our best condition to take care of our patients,” Vining said. “So, get your flu shot!”

What’s in the shot?

The shot that is being offered to employees this year protects against four of the main flu viruses that research suggests will be the most common during the upcoming season.

Those viruses are:

  • Influenza A (H1N1)
  • Influenza A (H3N2)
  • Influenza B (Phuket)
  • Influenza B (Brisbane)

It takes about two weeks after vaccination for antibodies to develop in the body and provide protection against the flu. That’s why the Centers for Disease Control and Prevention recommends people get vaccinated soon after the vaccine becomes available. However, as long as flu viruses are circulating in a community, it’s not too late to get vaccinated.

“Getting the flu shot is important,” said Staff Nurse Vincent Orion prior to getting his annual vaccine on The Auxiliary Bridge. “It’s protects everybody.”

How to get vaccinated

Click here to view the dates and locations for your vaccination. If you are unable to make one of these dates, please make an appointment at the Employee Health clinic, located on the fifth floor of the Abercrombie Building near the yellow elevators, after October 1. If you have questions, please call Employee Health at Ext. 4-2150. West Campus Employee Health is located on the campus’ second floor and can be reached at Ext. 7-1365.

Visitation restrictions

Based on the increasing incidence of respiratory illness, effective at 6 a.m. Thursday, October 15 Texas Children’s Hospital is instituting new visitation restrictions for the inpatient units and critical care areas. To read more about these restrictions please click here.