Transcript ISHLT Infectious Disease Council - The International Society for

ISHLT Infectious
Disease Council
Chair Martha L Mooney, MD, FACP (US)
Vice Chair- Lara Danziger-Isakov (US)
2012 – 2013 Chair:Frauke Mattner (Germany)
Past Chair-Margaret Hannan (Ireland)
Workforce leaders
Education: Fernanda Silveira (USA)
Standards & Guidelines: Amparo Sole (Spain)
Registry/Databases: Paolo Grossi (Italy)/Shahid
Husain(Canada)
Accomplished
Definitions of
Infectious
Diseases in
Cardiothoracic
Transplantation-
Definitions of
Infectious
Diseases in
VADS
DEFINITIONS
ISHLT Monograph 5:
Diagnosis And
Management Of
Infectious Diseases In
Cardiothoracic
Transplantation And
Mechanical
Circulatory Support.
REFERENCE /RESOURCE
Yet to Do
• Update Infectious Disease section of the Guidelines
on JHLT.org and Monograph 6 to correlate with ISHLT
ID Monograph 5
• TO Identify educational and practice gaps in ID VAD
management: Endorse questionnaire development
for ID concerns in VAD-to include surgical
management issues( ShimoneKruse/Francisco
Arabia)-ID council hopes to partner with mcs council
in supporting this.
ISHLT Infectious Disease
Definitions
Plan Of Action
Cardiothoracic
Transplantation
Infections
Exploratory Phase for
Validation/ Utilization
Definitions
prospectively
MCS Infections
** ID Council Needs
Boards Help
• Create Working Group
• Obtain endorsements
from other TX
Societies**
• Educational Modules**
• Database exploration**
• Create Working Group
• Obtain endorsements
from other TX Societies
**
• Educational Modules**
• Database exploration**
New Sub Workforce of Education Committee
ISHLT ID Council Workforce for Infectious
Disease Definitions
in
Cardiothoracic Transplantation and Mechanical
Circulatory Support
Martha
Mooney
VAD/ MCS:
Margaret
Hannan
CT TX: Shahid
Husain
Viral
Bacterial
Fungal
TBD-Info
gathering
Timeline for ID Definition
Prospective validation studies
• 1 year: Exploratory phase/ educational
module development/initiate process of
endorsement by other transplant and VAD
related societies- with assist from ISHLT
Board/ develop acceptable adaptation of
Registry
• Request for “seed”money for conference calls,
development of educational modules, etc- will
return to Board with a “business plan” for
specifics and ongoing plan
For 2012 Symposia Suggestions for program committee
1Nosocomial infections –
– Devise preventive and management strategies
2 Improved Diagnostics: New Viral testing, Specific
Markers
3. Basic Science: Biofilm- and war against
(?Co-session with Basic Sciences/MCS)
•More discussion via email between ID members
and CC to be arrange(May)
•Then, symposia development for timely
submission to Lara and Erik (program
committee)
2013 Program symposia
Identify educational and clinical gaps in patient
care with respect to ID and management for
VAD: questionarie- with dr shimon kusne/
francisco arabia—ishlt members
Critical info to be gained by questionaire to
achieve these goals and gear educational
symposia
ID Council Goal
• Continue to Increase Transplant ID
membership/ attendance / involvement
internationally
ISHLT ID Council Goal…
• “…is not to be remembered for success, but for
“Value added”…(Twain or Einstein…)
• -the ID council is profoundly appreciative of the ISHLT
in supporting the creation of the Monograph that
needed to be written, and the "definitions” articlesthat now need to be validated/ implemented to
Begin the accurate Science of studying infectious
diseases in these cohorts
• To improve the care of the Transplant and MCS
patient.
• We are all on the same team and appreciate your
attention to our details…
Development of Databases and
Registries
• Evaluate modalities for accurate data
collection and analysis using ID definitions
• 2 ID council representatives working in 2
directions- one to explore the possibilities of
utilization of the ISHLT registry( met with
Marshall Hetrz) and another to explore
independent small databases (less optimal,
but possibly “do-able”)