Download PEDIATRIC INFECTIOUS DISEASES Pediatric

550 First Avenue (at 31St Street)
New York, NY 10016
Physician Referral:
(888)7-NYU-MED (888-769-8633)
www.nyumc.org
PEDIATRIC INFECTIOUS DISEASES
Pediatric Infectious Diseases Clinic
One major provider of health care services for mothers and
children with HIV infection in Manhattan is the Pediatric Infectious
Diseases (PID) Family Clinic at Bellevue Hospital, which follows
over 300 families, including more than 120 children who are HIVpositive. Initiated in 1982 with the aid of private philanthropy and
now funded in large part by federal support, this program has made
major contributions to the understanding of the transmission of HIV
from mothers to children and has contributed to their improved
care and longevity.
The PID multidisciplinary health care team maintains a close
relationship with patients and follows them closely, providing the
majority of medical and psychosocial care for HIV-infected children
on an outpatient basis. Thus far, the team has proved successful, as
indicated by the average daily census of less than one HIV-infected
child.
ADOLESCENT HIV CLINIC
The Bellevue Adolescent Clinic provides free, confidential HIV
testing, pre- and post-test counseling, complete medical evaluations,
comprehensive medical care, and referral to clinical trials for
HIV positive teens. NYU Langone Medical Center was recently
designated a Reaching for Excellence in Adolescent Care and Health
(REACH) site, an NIH/HRSA-funded project. REACH’s primary goal
is to increase understanding of the natural history of HIV in teens.
DAY HOSPITAL PROGRAM
In addition to the outpatient program, children requiring intravenous
infusions during the course of their illness are seen in the Pediatric
AIDS Day Hospital. Candidates for infusion include patients receiving
intravenous gammaglobulin or those with vomiting, diarrhea and/or
decreased oral intake who would benefit from intravenous hydration.
While these children do not routinely require hospitalization, they
do require 4-6 hour periods of observation with adequate nursing
and physician supervision. The Pediatric AIDS Day Hospital provides
the medical, nursing, psychological, and social support services these
patients require, maintaining an organized and efficient delivery of
care, as well as providing a facility in which innovative treatments can
be developed and implemented. Pediatric patients can also use the
new Day Hospital for non-acute care
outside of regular clinic hours.
Medical services are
provided for the children by
Pediatric Infectious Disease
attendings, post-doctoral
fellows, a pediatrician, with
a dermatologist and a
pedondontist available on
call. Psychologist provide
developmental testing.
Medical care for parents
is provided in the same
clinic by adult infectious
disease specialist and an
obstetrician/gynecologist,
who see parents while
their children are being
seen. In addition to nursing,
staff also include public
health advisors who screen
mothers for risk factors,
counsel, and initiate testing,
as well as provide followup for mothers in prenatal
care, a counselor who
makes home visits, provides
emotional support, and aids
in the follow-up effort; and
a full range of clinical social
work and child life services.