Patient Care

The Division of ​Infectious Diseases & Global Public Health has many related clinical fields operating under UC San Diego Health. Check out their many resources and services below:

FOR PATIENTS OR INQUIRIES
Our infectious disease specialists offer expert consultations and treatment for infections or diseases caused by viruses, bacteria, fungi and parasites.
Most of our services require a referral from another physician, typically a person's primary care provider.

For Clinic Appointments:
Existing Patients:
Phone: 619-543-6146

New Patients:
Phone: 800-926-8273

For Physician Access:
Phone: 1-888-539-8741 EXT: 19383
Fax: 1-888-539-8781

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General Infectious Diseases

Our infectious diseases specialists offer expert consultations for the diagnosis and management of multiple infectious diseases caused by viruses, bacteria, fungi and parasites.
Most of our services require referral from another physician, typically a primary care provider. 
 
The conditions treated in our clinics include:
  • Skin and soft tissue infections
  • Methicillin-resistant Staphylococcus aureus infections
  • Post- surgical infections, including prosthetic joint infections and post-surgical wound infections.
  • Bone and joint infections
  • Intra-abdominal infections
  • Bloodstream infections
  • Cardiac infections, including endocarditis
  • Gastrointestinal infections including Clostridium difficile infections
  • Urinary tract infections, including patients with recurrent infections and those with infections caused by drug-resistant bacteria
  • Sexually-transmitted infections (including herpes, syphilis, gonorrhea, chlamydia)
  • Tuberculosis
  • Travel-related infections such as malaria (seen in our Travel Clinic)
  • Patients with Hepatitis B and C (seen in our Infectious Diseases Hepatology Clinic)
  • Patients receiving outpatient intravenous antibiotic therapy (as part of our OPAT program)
 
Outpatient Parenteral Antibiotic Therapy Program
 
Our infectious disease specialists oversee the Outpatient Parenteral Antibiotic Therapy (OPAT) program at UCSD Medical Center.   The OPAT program is designed to safely monitor patients who are discharged from UCSD medical center on intravenous (IV) antibiotic therapy.   Patients may require intravenous therapy depending on the severity or site of infection, and/or if the infection is caused by a drug-resistant bacteria.
  • Upon discharge from UCSD medical center, OPAT patients are formally enrolled in the OPAT program and are assigned to an infectious diseases physician.
  • Our physicians work with home health agencies, infusion centers, and nursing facilities to obtain weekly monitoring labs on patients, and deal with any adverse events that may occur during therapy.
  • Our OPAT patients see their ID physician in the clinic in follow-up in order to make sure that they are tolerating their intravenous antibiotics and that their infections are improving on therapy.


Hepatitis C

Our center is a national hub for clinical expertise and cutting edge research in the diagnosis and treatment of hepatitis C.  We have been treating patients with hepatitis C since 2014.  Through a multidisciplinary team of physicians, pharmacists, and nurses, we are able to help our patients access the newest hepatitis C medications, which are curative and have minimal side effects.  We offer Fibroscan imaging to all of our patients, which allows us to instantaneously characterize the health of their liver.  In addition, we work closely with Hepatologists in UCSD’s Division of Gastroenterology and Hepatology to co-manage our patients with more advanced liver disease and who need ongoing liver care after their hepatitis C is cured.

Many patients have been exposed to hepatitis C but have never had any symptoms and do not know that they are infected.  The following groups are strongly recommended to be tested for hepatitis C:
  • Persons born between the years of 1945 and 1965
  • Persons who have ever used injection drugs
  • Persons with a history of intranasal illicit drug use
  • Persons on long-term hemodialysis
  • Persons who received tattoos in an unregulated setting
  • Children born to HCV-infected women
  • Recipients of blood transfusions or organ transplantation before July, 1992
  • Persons who were ever incarcerated
  • Persons with HIV infection
  • Persons with unexplained chronic liver disease
If you have not been tested for hepatitis C, talk to your physician about getting tested today.
 
Treating and curing hepatitis C is our passion.  If you have been diagnosed with hepatitis C please contact us for an appointment or ask you physician for a referral.    

Contact information:
UCSD Medical Center
200 West Arbor Dr. #8409
Medical Offices South, Third Floor
San Diego, CA 92103
Phone: 619-543-6248
Fax: 619-543-6500

Hematology-Oncology

The mission of the HOID Program, under the leadership of Dr. Randy Taplitz, is to provide and expand our expertise in clinical and academic aspects of infectious complications in stem cell transplant and hematology-oncology patients at University of California, San Diego.
 
Our key goals are to:
  • Provide outstanding clinical Infectious Diseases expertise to this vulnerable patient population
  • Provide seamless transitions of care from inpatient to outpatient environments in patients with cancer  and infections
  • Continue to develop a robust infrastructure to facilitate clinical trials and translational studies in this patient population, both to provide patients with cutting-edge care and to expand our overall knowledge of infections in cancer
  • Develop standardized algorithms for prevention and treatment of infections in these patients
 
The HOID program has three full-time specialized physicians and three part-time specialized physicians involved in the inpatient care of Hematology-Oncology Infectious Diseases patients; and two physicians who care for these patients in the outpatient clinic at the Moore’s UCSD Cancer Center.
Preventing and treating patients with infections and cancer is our passion.  If you have been diagnosed with an infection in the setting of Cancer, contact us for an appointment or ask you physician for a referral.

Contact Information:    
 
Moore’s UCSD Cancer Center
3855 Health Sciences Center
La Jolla, CA 92093-0960
(858) 822-7973

Solid Organ Transplant

The Solid Organ Transplant Infectious Diseases service is a sub-specialty service in the Division of Infectious Diseases.
 
We work closely with the solid organ transplant teams (heart/ ventricular assist device, lung, liver, kidney, and pancreas) all the way from the transplant evaluation and listing process, inpatient admission at the time of transplant as well as ongoing care on an as needed basis in the post-transplant setting. Our goal is to prevent infections when possible and effectively treat complicated infections when they do arise. Our team is well trained and provides exceptional and compassionate medical care. 

Travel Clinic

The UCSD Travel Clinic provides comprehensive advice related to all medical aspects of travel, before, during and after. State of the art information and advice include illness prevention (food and water precautions, mosquito precautions, precautions for altitude sickness), vaccinations, and drug prophylaxis. Available vaccinations include yellow fever (legally required for entry into many countries), Japanese encephalitis, typhoid, hepatitis A, rabies, meningococcal meningitis, tetanus/diphtheria/pertussis and others. We also provide drug prophylaxis to prevent malaria and diarrheal diseases.
 
Many immunizations require multiple injections and take weeks to reach full effectiveness, so please make your appointment as soon after you make your travel plans.
 
The UCSD Travel Clinic is a Member of the Global TravEpiNet Program. Global TravEpiNet is a national network of travel clinics across the United States, supported by the Centers for Disease Control and Prevention and is aimed at advancing the health of individuals who travel internationally.

VA ID

Faculty-Fellow Expectations

ID Attending Physician and Fellow Expectations for the Inpatient Consult Services at UCSD Medical Center (6.3.19)

Attending Physician Expectations

  • Examine and write/cosign notes daily on new and follow up consults; notes should be completed within 24 hours of the patient encounter.
  • Bill for all patients seen daily within 24 hours. 
  • When the number of new consults exceeds 5 and the total inpatient service census exceeds 17, it is expected that the workload for the new consults and/or follow up patients and notes will be divided between the fellow and attending physician to share responsibilities for seeing patients and writing notes. This will mean seeing and writing notes on some patients without fellow involvement.
  • When attending on General ID at Jacobs or Hillcrest and the list gets over 18-20 patients feel free to call in assistance; when over 20-25 (or > 8-10 new a day) PLEASE call for assistance. The number range has to do with complexity of patients (generally a bit more complex at Jacobs), whether there is a fellow or not.  For SOT or HemeOnc ID, consider calling in assistance at > 18-20 and/or >6-7 new patients a day.  Calling for assistance can include checking with attendings from other services at your site to see if some consults can be redistributed OR, for the time being, calling in a "back-up" attending.  These are attendings who have offered to help out by seeing 2-5 patients for a few days when the census is extraordinarily high as outlined above.
  • The attending physician is expected to handle ER consults, curbside questions, and outpatient consult questions (to ensure the fellow is not involved or spends time/energy on these). Of note, ER consults for patients not being admitted to an inpatient service should generally be referred to outpatient ID clinics; curbside consults should be discouraged; and outpatient consult questions should be referred to the appropriate outpatient ID attending.
  • Assist the fellow regarding questions for antibiotic approval as needed.
  • Be available for urgent questions and support for the fellow 24/7.
  • Provide teaching and reading resources for the fellow.
  • Assume all roles of the fellow on his/her day off.
  • Round in person in the hospital and see patients on both weekend days.
  • On fellow clinic days, it is the expectation that the fellow leaves clinic no later than 12 noon. Priority for patients to be assigned to the fellow in clinic is for follow up patients that the fellow has seen in house; if no follow up patients are scheduled, then new patients can be assigned.
  • On fellow clinic days, the inpatient consult attending should expect to be available for new urgent consults, urgent issues of follow up, and is encouraged to start rounding on follow up patients while the fellow is in clinic.  The attending should also hold the pager or have the pages forwarded to his/her phone while the fellow is in clinic so that the fellow is not interrupted by pages during clinic.
  • If the fellow is assigned to clinic during the same time slot when the inpatient attending has clinic (i.e. on Monday mornings with Drs. Bharti and Ritter at Hillcrest and on Friday mornings with Drs. Taplitz, Law, and Abeles in La Jolla) the fellow should check with the inpatient attending to confirm that he/she can be excused from clinic.
  • Fellow work hour infringement (no more than 80 hours a week and no less than10 hours out of the hospital between work days) is not acceptable; it is an expectation of the fellowship that in general, fellows will be excused from formal inpatient rounding responsibilities by no later than 7 pm daily to allow sufficient time to contact consulting services to convey recommendations and to complete consult and progress notes. 
Fellow Expectations
  • As stated in the ID Fellowship Handbook, fellows are expected to complete inpatient chart reviews, interviews, follow up visits and examine patients prior to formal attending rounds daily unless other workflow plans are made after discussion with the attending. This requires that fellows arrive for work in sufficient time each morning to complete these tasks.
  • Complete notes in a timely fashion after rounds daily (preferably by 9pm).
  • See and write notes on ~5 new consults per day (total of ~17 patients/day) with consideration given for patient complexity (e.g. these thresholds may be lower if the patients are extremely complex with a prolonged hospitalization, etc).
  • See and write notes on ~15 follow up patients per day (total of ~17 patients/day) with consideration given for patient complexity (e.g. these thresholds may be lower if the patients are extremely complex with a prolonged hospitalization, etc).
  • Discuss with the attending physician how to divide patients between fellow and attending when the total census is greater than 17
  • Communicate recommendations to primary teams (preferably by phone or in person).
  • Approve restricted antibiotics when appropriate.
  • Defer ER consults, curbsides, and outpatient consult questions to the attending physician.
  • Attend micro rounds, Tuesday morning didactics, and Thursday ID rounds on time and stay for the entire session.
  • Attend morning clinics as assigned. Some or all of the inpatient follow ups should be chart checked or seen prior to clinic, and acute issues signed out to the attending physician. If patients need to be seen (new or old), the consult attending should be notified.  Arrive to clinic at 7:50 in order to be ready to see patients at 8.  See patients and write notes on clinic patients within a timely manner (preferably before 9pm). The expectation is that the fellow leaves clinic no later than 12 noon. The priority for patients to be assigned to the fellow in clinic is for follow up patients that the fellow has seen in house; if no follow up patients are scheduled, then new patients can be assigned.  If the fellow is assigned to clinic during the same time slot when the inpatient attending has clinic (i.e. on Monday mornings with Drs. Bharti and Ritter at Hillcrest and on Friday mornings with Drs. Taplitz, Law, and Abeles in La Jolla) the fellow should check with the inpatient attending to confirm that he/she can be excused from clinic.
  • It is an expectation of the fellowship that in general, fellows will be excused from formal inpatient rounding responsibilities by no later than 7 pm daily to allow sufficient time to contact consulting services to convey recommendations and to complete consult and progress notes. If work hour infringement (no more than 80 hours a week, with 10 hours out of the hospital daily) is incipient, either discuss with attending or contact Drs. Taplitz, Benson, or Wooten, or their representatives.