Children’s Chest and Allergy Clinic, University of Pretoria and Steve Biko Academic Hospital (Pretoria, South Africa)
Children’s Chest and Allergy Clinic, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa
The Children’s Chest and Allergy Clinic was initiated in September 2005 when the current director, Professor Robin J Green, joined the university. Immediately the clinic set standards for patient care and advocacy, development of research directions and training programmes began. At that time South Africa had recently initiated a Diploma in Allergology through the College of Medicine of South Africa and Professor Green was one of the early awardees of this degree. The clinic has seen significant advances in patient care (and patient numbers), staffing numbers, publication outputs, collaborations with associated departments in the hospital, and most importantly the number of trainees who have passed the Diploma in Allergology and gone on to develop allergy clinics throughout South Africa to promote the better practice of Allergology in the country.
Today the clinic has a reputation for excellence in the practice of allergology and associated disciplines in the city and throughout the country. A number of African centres utilise an association with this centre.Over the last 4 years the clinic has joined forces with 3 Clinical immunologists to broaden the profile of the clinic to promote clinical care, advocacy and research and teaching in the domain of Primary Immunodeficiencies. This service is the only service offered in the north of South Africa and has been a major programme for the population as well as creating a new profile of academic achievements.
The clinic runs a two day per week Allergy service, a full time in-patient service and a monthly PID clinic. The clinics and ward base service have the support of a full time pulmonary technologist, dietician, physiotherapist and psychologist. The clinic is staffed by 8 full and part-time specialists and has facilities available for modern diagnostic processes. The clinic has a 6 bed ward available for admission of patients with acute severe allergic conditions and for admission of patients who require wet wraps for atopic dermatitis and food challenge testing. In addition patients are admitted as ‘day patients’ for immunoglobulin replacement therapy.
The clinic has the following associated services:
The NHLS (National Health Laboratory Service) provides basic allergy and immunology testing services for allergy and primary immunodeficiency. Ampath private laboratory provides both basic and advanced laboratory services for the diagnosis of allergy and primary immunodeficiency. There is collaboration between the NHLS and Ampath to provide a route of access to advanced tests for public sector patients.
The clinic participates in international allergy awareness weeks, local allergy training days and is a signatory to the National Asthma Education Programme. The clinic is represented on the Executive of both the Allergy Society of South Africa and Allergy Foundation of South Africa by Professor A van Niekerk (Chairman of ALLSA).
Teaching and learning
The clinic actively teaches candidates to the Diploma in Allergology (40 successful candidates over 14 years). The clinic actively teaches candidates to the Certificate in Paediatric Pulmonology (17 successful candidates over 14 years). The clinic teaches under-graduate medical students in both clinical allergology as well as a 1 week allergy ‘Block’ in the third year of the MBChB programme.
Prof Robin J Green
MBBCh(Rand), DCH(SA), FCP(SA)(Paeds), DTM&H, MMed(Paed), FCCP, PhD(Med,Wits), Dip Allerg(SA), FAAAAI, FRCP, DSc
Director: Center of Excellence
Chairperson School of Medicine
Director Paediatric Services,
Faculty of Health Sciences
University of Pretoria
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