Andreia FreitasRecently, the Center for Septic Surgery of Charité - University Medicine Berlin hosted an observer, Andréia Diane Freitas, from Brazil.

Here her feedback:

 

"During the three weeks that I performed the observership in the Septic Surgery unit of Charite Hospital, I was in touch with a different situation: an Interdisciplinary team. During the patient visits, infectious diseases physicians, orthopedic surgeons, orthopedic residents discuss and talk to the patients together. It was a great privilege to know a team so integrated and so concerned with the patients.

The septic surgery unit has a peculiar patient profile: prosthetic joint infection (PJI). I have learned how to diagnose and treat different presentations of this disease, I was taught about the appropriate antibiotic, and also learned about the several surgical treatments that can be performed.
Among these three weeks, I watched some surgeries with the orthopedic team, I learned how to collect culture properly from surgical site and I could participate in some procedures. In the laboratory, I was in touch with microcallorimetry, sonication and PCR. With these methods, prosthethic joint infection has an accurate diagnosis, it also allows to confirm the infection and to identify bacterial resistance a few hours after a surgical procedure. I had the opportunity to follow some experiments involving biofilm and antibiotics in vitro.

During my stay, I had also the opportunity to participate in the workshop that happens every three months, and met microbiologists, orthopedic surgeons and pharmacists from many countries interested about PJI, and I could also improve my knowledge in this subject.
After this observership, I am able to identify PJI, to rank the clinical case as a high or low grade infection, to think about biofilm in prosthesis, to indicate different surgical procedures according to clinical case, I was taught new methods to identify bacterial and fungal infections and I learned about antibiotics that could act against biofilm and the appropriate time for its use.

I am grateful for all the knowledge, patience, kindness that I received during those weeks. I intend to form an Interdisciplinary team so integrated and respectful as Prof Dr Andrej Trampuz raised in Charite Hospital. All members were committed to the treatment and very concerned about the patients. This observership represented a new dimension for the PJI treatment for me."

 

Andréia Diane Freitas, Federal University Santa Catarina, Brazil

 

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