Infectious Diseases

Infectious diseases are caused by microscopic forms of life such as bacteria, viruses, and fungi.

The National Aspergillosis Centre at MFT provides support for the diagnosis and management of Infectious Diseases.

Examples include: tuberculosis, HIV, hepatitis B and C, chronic and allergic aspergillosis, candidosis and superficial fungal infection and travel related infections. .The team also supports patients who require intravenous antibiotics for the treatment of infections in the community.

Patients are referred to our Infectious Diseases Team by their GP, hospital consultant, specialist nurse, of other health professional. At MFT we offer testing, diagnosis and treatment for infectious diseases and patients may be admitted for a period of monitoring and support with their symptoms while their treatment is underway. Our expert team also provide consultation and support for transplant patients, cystic fibrosis patients, patients with bone and joint infection, patients in intensive care and those on ECMO (extracorporeal membrane oxygenation).

Our clinicians run outpatient clinic follow-up appointments for patients after they are discharged from hospital. For example, management and long-term follow up of viral hepatitis is provided in two weekly clinics. We hold specialty clinics for allergic and chronic aspergillosis. We also offer a candidosis and superficial fungal infection clinic and our team participate in a HIV clinic at MFT’s Withington Community Hospital. Patients with tuberculosis are followed up in clinic after discharge until they have finished their treatment.

Location

The National Aspergillosis Centre clinic is located in the North West Lung Centre at MFT. From the main entrance of Wythenshawe Hospital, turn right onto the Yellow corridor and look out for the overhead sign indicating the North West Lung Centre on your right. The North West Lung Centre outpatient clinic is located on the ground floor of the Centre, off the main corridor near Entrance 3.

The closest parking is in the main visitor car park, located in front of the Acute Block.

Contact Us

We do not operate with choose and book and referrals must be made directly to the centre. Please contact the National Aspergillosis Centre.
Phone: 0161 291 5811
Fax: 0161 291 5806

Conditions and Clinics

  • Monday am: Tuberculosis/ General Infectious Diseases Clinic
  • Wednesday pm: Allergic bronchopulmonary aspergillosis and severe asthma Clinic
  • Wednesday pm: Viral hepatitis Clinic
  • Wednesday pm: Candidosis and superficial fungal infection Clinic
  • Thursday pm: Nurse-led viral hepatitis Clinic
  • Thursday pm: General Infectious Diseases/ Outpatient parenteral antimicrobial therapy Clinic
  • Friday am/pm: Chronic pulmonary aspergillosis Clinic

General Infectious Diseases/ outpatient parenteral antimicrobial therapy (OPAT) clinic

This clinic follows patients with infection-related problems like fever of unknown cause, returned travellers, or patients with infections discharged from hospital. Patients on intravenous antibiotics in the community (under the OPAT service) are also followed in this clinic. These are usually patients needing prolonged antibiotic treatment but are otherwise well enough to be at home. Examples are bone and joint infections or infections following surgical procedures.

Candidosis

Candida is a type of yeast which can cause infections which range in severity from thrush to potentially life-threatening conditions. These more serious diseases are usually confined to people with compromised immune systems, such as cancer, transplant, and AIDS patients.

The blood, brain, eye, kidney, and heart are most often affected but candida also can grow in the lungs, liver, and spleen. Dr Riina Richardson, Consultant Medical Mycologist at the MFT Infectious Diseases Candidosis clinic has a special interest and expertise in treating patients with troublesome Candida infections and complex medical history. She works closely with the MFT Genitourinary Medicine service in addition to the local Infectious Diseases team.

Please contact us for information about referrals: call: 0161 291 5811 or fax: 0161 291 5806.

Useful links

http://www.bashh.org/documents/50/50.pdf 
http://informahealthcare.com/doi/pdf/10.3109/1040841X.2011.585606

Hepatitis B and C

Hepatitis B and C are viruses which infect the liver, passed through exposure to blood of an infected person or by sexual contact. If left undiagnosed and untreated, these conditions can cause serious liver damage including cirrhosis and a risk of developing liver cancer or ‘hepatocellular carcinoma’ (HCC). Some of the ways patients can become infected include sharing needles or equipment used to inject drugs, through infected blood products; or sexual activity, and through a mother passing the condition to her child during pregnancy.

Both conditions are treatable with medication, meaning that infections can be controlled or even cured in many cases.. The viral hepatitis service here at MFT assesses and treats patients with chronic hepatitis B and C, working closely with local drug services, sexual health, gastroenterology, radiology and histology services. A fast track referral process from our Maternity department to the viral hepatitis clinic is also in place for women with chronic hepatitis B who are pregnant, to ensure the mother and unborn child receive any treatment and support necessary.

Hepatitis C is particularly prevalent in Greater Manchester with cases calculated to be in excess of 20,000. Hepatitis C can be cured with treatment in 40 to 80 per cent of cases. The chance of cure is dependent on the stain or genotype of hepatitis C. However new treatments are increasing the chance of cure of hepatitis C. Several new antiviral drugs are becoming available which will increase cure rates. Hepatitis B treatment can reduce the risk of further progression of liver disease, reduce mortality and improve quality of life.

Viral hepatitis assessment and treatment clinics are held every week and we also offer a nurse-led hepatitis C treatment clinic, both at the Heart Centre outpatient department. A nurse-led hepatitis C assessment outreach clinic takes place one a month at the local drug service.

If you require any further information with regard to testing, referrals, and clinics, please call: 0161 291 5811 or fax: 0161 291 5806.

Useful links:

www.britishlivertrust.org.uk 
www.hepctrust.org.uk
Helpline: 0845 223 4424

HIV

Our sexual health service, based at MFT’s Withington Hospital, is a self-referral clinic by appointment for the screening, diagnosing and treatment of sexually transmitted infections including HIV.

Our performance in sexual health services has consistently been above the local and national averages and we aim to see the majority of patients within 48 hours. We provide advice and treatment for Syphilis, Gonorrhoea, Chlamydia, non-specific genital infections, Genital Herpes, Genital Warts, Trichomoniasis, Pediculosis Pubis and Scabies. The service also provides care and management of HIV infection.

Location
1st Floor
Withington Community Hospital
Nell Lane
Manchester
M20 2LR

For details of clinics and appointments, please call: 0161 217 4939.

Tuberculosis

Tuberculosis is a bacterial condition which mainly affects the lungs, usually leading to persistent symptoms including a cough, weight loss, fever and tiredness. The condition is spread through inhaling droplets from the coughs or sneezes of someone with existing tuberculosis.

Pulmonary tuberculosis, affecting the lungs, is the most common form of the disease. In less common cases, extra-pulmonary tuberculosis can develop in areas outside the lungs, such as the lymph nodes (small glands that form part of the immune system), the bones and joints, the digestive system, the bladder and reproductive system, and the nervous system (brain and nerves).

Tuberculosis is a serious condition but it can be cured with proper treatment. At MFT our Infectious Diseases team, based within the National Aspergillosis Centre, have extensive expertise in the diagnosis and treatment of tuberculosis. Following discharge from hospital, patients are followed up in clinic until they have completed their treatment, or longer if needed.

Referrals for suspected TB can be sent by fax to: 0161 291 5806 or call: 0161 291 5811.