Recherche

Our role The Hospital Hygiene and Epidemiology Clinic is the operational structure responsible for preventing healthcare-associated infections at Erasme Hospital. It is staffed by doctors and hygiene nurses. Image Image Image Image Our tasks In accordance with legal requirements, the Epidemiology Clinic is mainly responsible for the following tasks: Developing, implementing and monitoring a strategy for standard protective measures aimed at preventing the transmission of infectious germs and monitoring nosocomial infections.Implementing a strategy to combat epidemics.Monitoring hygiene-related aspects of hospital activities, such as building construction and alterations, activities in the Operating Theatre and other medico-technical sectors.Training and informing hospital staff about infection prevention measures.To carry out these various tasks, the Hospital Epidemiology and Hygiene Clinic works closely with the Medical Director, the Director of the Nursing Department and the Hospital Hygiene Committee.Nosocomial infections complicate 5 to 10% of hospital admissions and are one of the most significant causes of serious adverse events occurring in hospital. The consequences are high mortality and morbidity, and prolonged and more costly hospital stays.Preventing them is therefore a strategic priority for all institutions, both in terms of patients and public health authorities.To carry out its preventive missions, the Hospital Epidemiology and Hygiene Clinic works in collaboration with all the hospital's departments. Our core activities Surveillance and prevention programsThe Epidemiology and Hospital Hygiene Clinic of the Erasme Hospital has implemented several epidemiological surveillance programs adapted to our institution. We also participate in national surveillance programs established by the Institute of Public Health.National campaignsErasme Hospital participates in all federal initiatives concerning infection prevention (such as campaigns to promote hand hygiene, and initiatives of the federal hospital hygiene platform).International studiesConcerned about the importance of controlling the consumption of antibiotics in the prevention of bacterial resistance to them, the Erasmus Hospital regularly participates in European research programs focused on nosocomial infections and their prevention.Edition of recommendations and prevention proceduresThe Epidemiology and Hospital Hygiene Clinic at Erasme Hospital publishes information documents or infection prevention procedures. These documents are available on the hospital intranet site or on request from Dr. Byl.Continuing information and trainingThe Hospital Epidemiology and Hygiene Clinic provides you with various training and information tools (available on the intranet site or from Dr Byl).Regional hospital hygiene platform - Brussels/Walloon BrabantThe Hospital Epidemiology and Hygiene Clinic coordinates the activities of the Brussels/Walloon Brabant Regional Hospital Hygiene Platform.To learn about the activities of the Federal Platform and the various regional hygiene platforms, we invite you to visit the website (FPS) Health, Food Chain Safety and Environment.Hygiene trainingThe Free University of Brussels co-organizes a Complementary Master in Hospital Hygiene in collaboration with UCL and ULg. This training is intended to train both doctors and public health nurses.   Our specialists Baudouin Byl, responsible doctorHuguette Strale, nurse coordinator

To ensure you receive the right care and to guarantee your safety, we check systematically your identification data (first name, last name, date of birth) at each stage of your care pathway. Do not be surprised if members of the medical or paramedical team also ask for these at the time of your consultation.   The right treatment for the right patient

What is idiopathic intercranial hypertension? Idiopathic intercranial hypertension (IIH), also known as a pseudotumor cerebri, is a condition characterised by high pressure in the cerebrospinal fluid (CSF) without any identifiable cause revealed by imaging examinations. It is more common in women of childbearing age or who are overweight. SymptomsThe symptoms of IIH include:Severe and persistent headaches, often worse when lying down.Blurred or double vision.Temporary loss of vision.Ringing in the ears (pulsatile tinnitus).Nausea and vomiting.Swelling of the optic nerve   (papillary oedema) visible during an ophthalmological examination. Treatment Imaging examinationsTo identify IIH and exclude other causes a number of imaging examinations are carried out:  Brain MRI: to visualise the brain structures and  exclude anomalies such as tumours or malformationsMagnetic Resonance Angiography (MRA): to evaluate the cerebral veins and rule out a cerebrovascular thrombosis.  A CT scan of the brain: sometimes used in an emergency to rule out other causes of high intracranial pressure.Medical pathwayPatients with IIL need to consult  number of specialists for comprehensive treatment as a matter of urgency to avoid any deterioration of  the visual function: GP: for an initial assessment of symptoms and to direct the patient to the appropriate specialists.  Neurologist: principal specialist in diagnosing and managing IIH.  Ophthalmologist: to evaluate the effects of the IIH on vision and to monitor the papillary oedema.  Neuroradiologist: to interpret the brain imaging examinations.Neurosurgeon or interventional neuroradiologist: if surgery or endovascular intervention is necessary.TreatmentIIH treatment seeks to reduce the intracranial pressure and prevent any loss of vision:  Weight loss: recommended for overweight patients, this is often effective in alleviating symptoms.Medicines:  Acetazolamide: A diuretic that reduces the production of CSF and is a first line treatment with a high level of evidence.  Repeated lumbar punctures: to drain off excess CSF and used in the case of severe symptoms.  Surgery:  Optic nerve decompression: to prevent irreversible loss of vision in the case of severe papillary oedema.  Cerebrospinal shunt: to drain off the CSF if other treatments fail.  Interventional neuroradiology: venous sinus stenting to improve drainage of venous blood and reduce intracranial pressure when these veins narrow.  Multidisciplinary discussion  IIH management requires a multidisciplinary approach that includes meetings between neurologists, ophthalmologists, interventional neuroradiologists, neurosurgeons and other health professionals to discuss complex cases and coordinate treatment  Follow upThe monitoring of IIH patients is crucial and includes:  Regular vision monitoring: by an ophthalmologist to detect any deterioration.  Neurological monitoring: to assess the effectiveness of treatment and make adjustments when necessary.  Regular weight evaluations: plus dietary advice for overweight patients.Regular imaging examinations: to monitor intracranial pressure and the condition of brain structures.The follow up is carried out by a multidisciplinary team to optimise the clinical results and improve the quality of life of patients.  Discover our Interventional NeuroRadiology Department Our specialists Prendre rendez-vous

Our role Medical imaging is a set of techniques that make it possible to visualise the anatomy and detect and/or characterise pathological lesions and/or monitor lesions during treatment or following surgery.    Image Image Radiologists are also increasingly specialising in therapeutic and surgical acts under radiological control. Pr Niloufar Sadeghi Meibodi Head of the Diagnostic Medical Imaging Department at the Erasmus Hospital Our specialities The Diagnostic Medical Imaging Department is organised within 5 specialised clinics that correspond to different parts of the human body:   The Neuroradiology and Head and Neck Imaging Department has recognised expertise in the diagnosis and monitoring of  brain tumours, neurological diseases such as epilepsy and multiple sclerosis, and neurovascular diseases of the stroke variety as well as imaging in the ENT field.  The Osteoarticular Imaging Clinic treats traumas (in athletes and high level athletes in particular) and rheumatic pathologies.   The Abdominal Imaging Clinic treats the vast field of pathologies affecting the organs of the abdominal cavity: liver, pancreas, spleen, intestines, kidneys and urinary ducts.  The Thoracic Imaging Clinic treats pathologies of the lungs, mediastinum and heart.   The Women’s Imaging Clinic screens for and monitors breast cancers and also carries out imaging of the female pelvis.   The department has a number of high tech devices :  4 MRI scanners including 2 of 3 Tesla scanners,  4 CT scanners,  6 ultrasound machines, 4 standard radiology tables and 1 digestive radiology table, 4 mobile radiology machines, 1 mammography unit and 2 ultrasounds dedicated to breast imaging.    Our team Image Our specialist doctors Image Focus The Diagnostic Medical Imaging Department at the Erasmus Hospital has recognised expertise in a number of fields and diseases and in neuro-oncology in particular. Before operating on a brain tumour, using an MRI 3 Tesla for example, so-called functional imaging and tractography (visual representation of nerve tracts) make it possible to map and thereby avoid the functional zones (motor, language, et.) during   neurosurgery.   Image Research The Diagnostic Medical Imaging Department at the Erasmus Hospital participates in many clinic studies. It cooperates, among others, with the Neurosciences Department,  the  Neurosurgery, Rheumatology and Orthopaedic Departments and the Abdominal and Thoracic Medico-Surgical Departments.  Publications BOLD fMRI and DTI fiber tracking for preoperative mapping of eloquent cerebral regions in brain tumor patients: impact on surgical approach and outcome. Authors : Lolli VE, Coolen T, Sadeghi N, Voordecker P, Lefranc F.Journal : eurol Sci. 2023 Aug;44(8):2903-2914. doi: 10.1007/s10072-023-06667-2. Epub 2023 Mar 14.PMID: 36914833  Can quantified diffusion-weighted imaging predict histopathological features of liver tumors? Authors : Metens TJournal : Eur Radiol. 2023 Jun 30. doi: 10.1007/s00330-023-09791-x. Online ahead of print.PMID: 37391623 No abstract available.  Detection of cerebral hypoperfusion with a dynamic hyperoxia test using brain oxygenation pressure monitoring Authors : Gargadennec T, Ferraro G, Chapusette R, Chapalain X, Bogossian E, Van Wettere M, Peluso L, Creteur J, Huet O, Sadeghi N, Taccone FJournal : S.Crit Care. 2022 Feb 7;26(1):35. doi: 10.1186/s13054-022-03918-0.PMID: 35130953  Endoscopic internal drainage of complex bilomas and biliary leaks by transmural or transpapillary/transfistulary access Authors : Lorenzo D, Bromberg L, Arvanitakis M, Delhaye M, Fernandez Y Viesca M, Blero D, Pezzullo M, Racapé J, Lucidi V, Le Moine O, Devière J, Lemmers AJournal : Gastrointest Endosc. 2022 Jan;95(1):131-139.e6. doi: 10.1016/j.gie.2021.07.016. Epub 2021 Jul 24.PMID: 34310921