Infectious Disease Clinic - Specialty Clinic Referral Guidelines

Specializing in diagnosing (identifying) and effectively treating infections and infectious diseases to include HIV/AIDS disease

List of Services Provided:

• Diagnose and treats all infectious diseases (HIV, Viral Hepatitis)
• Preparation and travel

Requirements for Infectious Disease Clinic:

Patients served: All DEERS eligible DoD Beneficiaries, with priority to Active Duty, VA as space allows, Adult patients only. Patients
will also be prioritized based on urgency of the clinical condition:

• A referral from the Primary Care Provider
• If Air Evac Patient, a completed Patient Movement Record, including patient information and PCP information
• Hepatitis B referrals
• The patient should have a confirmed diagnosis of HBV infection with a (+) HBsAg serology.
• The patient should also have pending or completed labs: Hepatic Function Panel, AFP, HBsAb, HBeAg, HBeAb, HBV pcr, HAV total AB, and HCV Ab. A screening RUQ—US should be done if referring institution has the appropriate diagnostic ultrasound services.
• Referring physician should place a consult in the PATH system and/or directly contact the Infectious Disease physician on call to review the case and start coordinating the clinical and logistical appropriate evaluation of the patient. If the patient is transferring permanently to Oahu, we can assume treatment and clinical management responsibilities. Otherwise, this will have to be done at the referring institution and/or back in the US Mainland.

  • Hepatitis C Referrals

    • The patient should have an established diagnosis of HCV infection with a (+) HCV Ab serology with either RIBA or HCV viral load confirmation. The patient should have pending or completed labs: Hepatic Function Panel, AFP, HBsAg, HAV total AB, HCV pcr assay, and HCV genotyping. A screening RUQ—US should be done if referring institution has the appropriate diagnostic ultrasound capabilities.
    • Referring physician should place a consult in the PATH system and/or directly contact the Infectious Disease physician on call to review the case and start coordinating the clinical and logistically appropriate evaluation of the patient which may or may not include a liver biopsy.
    • If the patient is transferring permanently to Oahu for at least 18 months, we can assume treatment and clinical management responsibilities. Otherwise, this will have to be done at the referring institution and/or back in the US Mainland at another medical center. We are unable to provide primary HCV treatment support to remote locations.

  • HIV Referrals

    • If the patient is transferring permanently to Oahu, we can assume treatment and clinical management responsibilities. Otherwise, this will have to be done at the referring institution and/or back in the US Mainland at another medical center. We are unable to provide primary HIV management and treatment support to remote locations.
    • The referring physician should place a consult in the PATH system and/or directly contact the Infectious Disease physician on call to review the case and start coordinating the clinical and logistically appropriate staging evaluation of the patient.
    • The patient should have an established diagnosis of HIV infection with a (+) HIV Ab serology with Western Blot confirmation. The Community/Public Health or Preventive Medicine services should report case to the Appropriate Military Public Health agencies and if patient is active duty, formal notification should have already been completed.