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St Augustine Hospital

Situated on the Berea in the coastal city of Durban, the 464-bed facility is one of the flagships of the Netcare hospitals across South Africa, and offers world-class healthcare services enabled by the latest technology, a team of highly experienced medical professional and a commitment to render exceptional service to all stakeholders.

Hospital management

Hospital General Manager
Heinrich Venter 031 268 5000
Address & contact details
107 JB Marks Road, Berea, Durban, 4001
PO Box 30105, Mayville, Durban, 4058
GPS: -29.85547,30.991356
View street map
Tel: 031 268 5000
Fax: 031 201 4598

Specialised facilities

Bariatric Centre
Durban Bariatric Surgery
Drs Du Toit, Funnell & Partners
www.durbanbariatricsurgery.co.za
031 201 3070
031 201 3516
dutfun@gmail.com

Hyperbaric oxygen therapy
Hyperbaric Medicine Centre
031 268 5255

Renal dialysis unit
031 268 5470

Transplant unit
Renal transplants
031 268 5225

Medical Disciplines – St Augustine Hospital

Anaesthesiology
Bariatric surgery
Cardiology
Cardiothoracic surgery
Dentistry
Dermatology
Ear, nose and throat surgery (Otorhinolaryngology)
Gastroenterology
General practice
General surgery
Gynaecology
Internal medicine
Maternal and foetal medicine
Maxillo-facial and oral surgery
Nephrology
Neurology
Neurosurgery
Ophthalmology
Orthopaedic surgery
Paediatric cardiology
Paediatric neurology
Paediatrics
Periodontics
Plastic and reconstructive surgery
Prosthodontics
Psychiatry
Pulmonology
Radiation oncology
Reproductive medicine
Rheumatology
Urology
Vascular surgery

Wards – visiting hours & restrictions

Cardio ICU
Cardio Thoracic Ward
Day Ward
Maternity Ward
Medical ICU
Medical ICU 2
Medical Ward 1
Medical Ward 2
Neonatal ICU
Neuro Ward
Paediatric Ward
Surgical ICU
Surgical ICU 2
Surgical Ward 1
Surgical Ward 2
Surgical Ward 2
Surgical Ward 3
Surgical Ward 4
Surgical Ward 5

Facilities, services & specialised clinics

Antenatal classes
Audiology
Biokinetics
Dietetics
Maternity unit
Mother and baby wellness clinic
Pain clinic
Pathology
Pharmacy (in-hospital service)
Pharmacy (retail)
Physiotherapy Physiotherapy
Radiology Radiology (diagnostic)
Radiology (interventional)
Sleep laboratory Social services (counselling)
Speech therapy
Wound clinic

News – St Augustine Hospital

Specialised rehabilitation a critical aspect in the recovery of injured and sick patients

Enabling rehabilitation patients to live life to the fullest
Thursday, December 3 2020

It is so often mistakenly presumed that little can be done for people who have suffered severe trauma to their body or brain as a result of accidents, or medical conditions such as a stroke. Specialised rehabilitation can assist patients greatly in their recovery while optimising functioning and independence.

This is according to Wendy Beato, KwaZulu-Natal Regional Operations Manager of Medicross sub-acute and rehabilitation facilities, who was speaking on International Day of Persons with Disabilities on 3 December. “With the necessary support structures, many individuals are in fact able to overcome tremendous challenges to not only cope with their condition but to live their fullest possible life – often far beyond perceived limitations.”

Beato, who is responsible for Highway Sub-acute and Rehabilitation Hospital in Hillcrest near Durban and Wembley House sub-acute facility in Pietermaritzburg, says Medicross’s research indicates that 50% of recovery outcome is determined by the environment in which patients are rehabilitated.

“This was why Medicross developed Highway Sub-acute and Rehabilitation Hospital three years ago in collaboration with Link Hills Medical Centre., It was the first purpose-built facility in the KZN region combining rehabilitation and sub-acute services. The facility is designed to provide individually tailored services to patients in need of intensive therapy so that they can progress to home-based care or independent living with greater confidence, a healthier state of mind and improved wellness,” says Beato.

“Our services meet a growing need for appropriate care for patients who may no longer need acute specialised healthcare but who require multi-disciplinary, restorative or rehabilitative care until they are well enough to return home. The hospital is also perfectly aligned to the care coordination programmes of major medical schemes. It is our goal that our patients achieve their highest possible level of functioning and independence after having suffered serious injury or illness,” she explains.

57-year-old Mrs Rene van Wyk of Queensburgh in Durban, who has had ongoing problems with her bone structure due to dwarfism and has had three back operations previously, recently spent three weeks at the hospital undergoing rehabilitation after a severe fall which required surgery to fuse the bones in her right leg.

“I was scared that I would have to have my leg amputated and had to learn how to walk again after the operation and fall. I am delighted that today I am mobile and fully independent again, although I have to use crutches to assist me to walk. I think that this is largely due to the wonderful care I received at Highway Sub-Acute and Rehabilitation Hospital and the support they have given me even beyond my stay there,” relates Mrs Van Wyk.

“The facility is excellent and I would recommend the facility anytime. Not only did the physiotherapists put everything into their work but the entire team including nurses, night staff, catering and cleaning staff treated me wonderfully and created an atmosphere for healing.”

Highway Sub-Acute and Rehabilitation Hospital is situated in the heart of the fast-growing suburb of Hillcrest and is approximately 20 minutes’ drive away from Durban, 15 minutes from Pinetown and 40 minutes from Pietermaritzburg.

Medical practitioners throughout KwaZulu-Natal refer patients to the 30-bed facility, which has the capacity to care for 30 patients at a time. Highway Sub-acute and Rehabilitation Hospital provides 24-hour medical and nursing care as well as appropriate therapy for individuals who are recovering from illness or orthopaedic, heart or brain surgery, amputations, multiple trauma, stroke and other neurological conditions including Parkinson’s disease, uncontrolled diabetes, frail care, cancer and AIDS care.

Where required, the experienced and empathetic team also offer wound care, renal dialysis, pain management and palliative care.

The manager of Highway Sub-Acute and Rehabilitation Hospital, Janice Greaves, says that the facility’s approach to care is holistic and that the multi-disciplinary team comprising doctors, nurses and physiotherapists, occupational therapists, speech therapists, dieticians, psychologists, biokineticists and social workers, as appropriate, provides a fully integrated service that is tailored to the needs of each individual patient.

“Patients who are members of a medical scheme require authorisation from their scheme, based on a letter of motivation from their doctor, which will be arranged by the case manager at the hospital. Private patients who aren’t members of a medical scheme, require a letter of referral from their doctor. Cost of services can be pre-determined to ensure affordability for private patients” concludes Greaves.

Ends

To find out more about the services offered through Netcare hospitals and other of the Group’s facilities, please contact Netcare’s customer service centre either by email at customer.service@netcare.co.za or phone 0860 NETCARE (0860 638 2273). Note that the centre operates Mondays to Fridays from 08:00 to 16:00.

For more information on this media release, contact MNA at the contact details listed below.

Issued by: MNA on behalf of Highway Sub-Acute and Rehabilitation Hospital
Contact: Martina Nicholson, Graeme Swinney, Meggan Saville and Estene Lotriet-Vorster
Telephone: (011) 469 3016
Email: martina@mnapr.co.za, graeme@mnapr.co.za, meggan@mnapr.co.za or estene@mnapr.co.za

Rehabilitation patients triumph over 2020 in 20th annual sports day

Progress and personal victories celebrated on International Day of Disabled Persons
Tuesday, December 8 2020

The only limitations at this year’s Netcare Rehabilitation Hospital sports day were COVID-19 precautions. Earlier this year, it was unclear whether this much anticipated annual event would go ahead, however on International Day of Disabled Persons, 3 December, a very successful 20th Sports Day was held, although it had to be restricted to patients at Netcare Rehabilitation Hospital.

“At this sports day, there is no such thing as competing against each other, you are ‘competing’ with yourself. You are competing with the circumstances that led to you to being here at this hospital and working so hard at progressing your rehabilitation” world-renowned trauma surgeon, Professor Ken Boffard, said in his keynote address to patients taking part in the event.

“The year 2020 is just one step on your own track, one step towards getting better. This is a challenge that you can be very sure you are going to win because that’s what Netcare Rehabilitation Hospital and its team of doctors, nurses and therapists is here for,” said Prof Boffard, who is trauma director at Netcare Milpark Hospital and a staunch, long-time supporter of Netcare Rehabilitation Hospital.

According to Lisete Vieira, general manager of the hospital, the sports day kicked off with the participants forming a procession from their wards to the lawns for the opening ceremony.

“Holding our 20th sports day in this unprecedented year is even more significant because it coincided with International Day of Disabled Persons. On this special day, we salute all persons living with a disability and we again commit ourselves to furthering inclusivity in our society,” she commented.

After a few motivating words of encouragement from Rita Henn, director of the rehabilitation therapy practice at the hospital, Rita Henn and Partners, the event started with a warm-up routine led by the therapists for all participants with variations on the exercises for those using wheelchairs or crutches.

Thereafter, the teams participated in a range of activities including volleyball, bowling, giant Jenga, wheelchair basketball and an obstacle course. The paediatric patients were overjoyed to receive a visit from some furry friends when the therapy dogs arrived.

“There was a delicious lunch and a big cake for all the participants and those who attended, thanks to our kind sponsors.
“Even though we were unable to invite other teams to join our sports day this year due to COVID-19 restrictions, the spirit of hope was as strong as ever, and we will have sports days together again when it is safe to do so,” Vieira said.

“We would like to congratulate everyone who took part, and we wish our patients every strength and success in their progress towards achieving their personal goals for 2021 and beyond.”

Ends

To find out more about the services offered through Netcare hospitals and other of the Group’s facilities, please contact Netcare’s customer service centre either by email at customer.service@netcare.co.za or phone 0860 NETCARE (0860 638 2273). Note that the centre operates Mondays to Fridays from 08:00 to 16:00.

Looking for a medical appointment? Netcare appointmed™ will make appointments with specialists practising at Netcare hospitals, GPs and dentists at Medicross medical and dental centres, and specialists at Akeso mental health facilities for YOU. Simply phone Netcare appointmed™ on 0860 555 565, Mondays to Fridays between 08:00 and 17:00, or go online at www.netcare.co.za/Request-a-medical-appointment to request an appointment.

For more information on this media release, contact MNA at the contact details listed below.

Issued by: MNA on behalf of Netcare Rehabilitation Hospital
Contact: Martina Nicholson, Graeme Swinney, Meggan Saville and Estene Lotriet-Vorster
Telephone: (011) 469 3016
Email: connect@mnapr.co.za, martina@mnapr.co.za, graeme@mnapr.co.za, meggan@mnapr.co.za or estene@mnapr.co.za

Constantiaberg Medi Clinic

How one COVID-19 case at St Augustine’s Hospital led to 135 infections within 51 days – report

St Augustine Hospital – The coronavirus spread rapidly through Netcare St Augustine Hospital and beyond and made up 14% of KwaZulu-Natal’s infections by the end of April.

The outbreak of coronavirus disease at the Netcare St Augustine Hospital in Durban, that led to the infection of at least 135 patients and staff the hospital complex and people in a nursing home, was caused by a single patient admitted to the facility’s emergency department early in March, a new report has found.

The virus spread so fast in the hospital, that infections caused by the outbreak in the hospital constituted almost 14% of COVID-19 cases in KwaZulu‐Natal by the end of April.

The study, seen by Bhekisisa, was conducted by researchers at the University of KwaZulu-Natal’s (UKZN) Nelson R. Mandela School of Medicine and the KwaZulu‐Natal Research Innovation & Sequencing Platform, Krisp.

The investigative report into the rapid spread of infections through the 469-bed facility holds crucial lessons for hospitals about the importance of proper infection control and the deadly consequences of identifying COVID-19 patients too late.

The SARS-CoV-2 virus, which causes COVID-19, had infected more than 17 200 people in South Africa by the end of Tuesday and caused 312 deaths, health department figures show. Mathematical modelling estimates the country will reach the 30 000-mark in diagnosed COVID-19 cases by the end of the month and could see as many as 40 000 deaths by November, Health Minister Zweli Mkhize announced yesterday.

From the emergency room at St Augustine’s Hospital, SARS-CoV-2 spread quickly through the facility, infecting 80 staff and 39 patients in at least five different wards between 9 March and 30 April. The hospital outbreak led to an additional 21 cases, including four residents at a Durban nursing home and 17 patients and staff at St. Augustine’s outpatient dialysis unit.

That’s a total of 140 infections. But researchers found five cases they can’t be 100% sure came from inside the hospital, so they’re sticking to 135.

“Overall, we estimate that the hospital outbreak and its spread to these other institutions accounted for about 14% of COVID-19 cases in KwaZulu‐Natal reported up to 30 April,” says Krisp director Tulio De Oliveria in a university statement.

How did the virus spread so fast?

By frequently moving patients around inside wards and from one ward to another, the researchers argue. Patients were moved often between wards as the hospital began repurposing wards to prepare for an influx of COVID-19 cases. This way, health workers unknowingly exposed patients and colleagues to coronavirus patients who were still undetected.

The investigators found no evidence that the virus spread through the air. The virus spreads from person to person through droplets that contain the virus, according to the World Health Organisation.

The main way the virus spread through St Augustine’s hospital, however, is through droplets left on surfaces and transferred by health workers. The findings suggest that facilities be cleaned often since the report shows the environment around a COVID-19 patient could be contaminated for hours or even days depending on the surfaces.

“Hand hygiene remains the most important intervention to prevent transmission of SARS‐CoV‐2 inside and outside hospitals,” the researchers note.

The slow detection of cases also contributed to rapid spread of the virus in the facility, the report shows. By the time the first case of coronavirus disease was confirmed at the hospital, the report shows 16 other patients were already exposed to the virus.

Although the early cases at the hospital did not fit the typical profile someone with fever, difficulty breathing, a cough or unexplained flu symptoms for the disease being used in the country at the time, researchers found the facility did miss opportunities to curb infections. For example, health workers failed to begin identifying people who may have been exposed to the new coronavirus to isolate them. Instead, they waited until the patient’s positive test results came back.

In those three days, staff did not investigate potential sources of infection.

This patient would become the first case COVID-19 contracted inside the hospital.

“The primary lesson learnt is that SARS-COV-2 can spread very rapidly in the hospital environment,” the researchers found. Going forward, hospitals will need strong infection prevention and systems in place to prevent such outbreaks, says the head of infectious diseases at UKZN’s medical school Yunus Moosa in a statement.

“We call on management to promote a culture in which infection prevention and control is everyone’s responsibility and that everyone has a role to play.” The researchers recommend all staff members at the facility are retrained in COVID-19 prevention with a special focus on the importance of infection control and hand hygiene, which must be monitored by facilities. Physical distance inside and outside the hospital is crucial, the experts warn, as well as possible weekly testing for all frontline staff.

Plus, a three-tier system must be put in place for both entry and admission to the facility, the report found. That includes a “red zone” for confirmed COVID-19 patients, an “orange zone” for suspected cases, and a “green zone” for people who are unlikely to be infected.

The three zones must be clearly marked with signs on doors and floors so that people know when they are moving from one to the other, and if it’s possible, facilities should devise plans to set up separate routes through the hospital to avoid overlap with green zones.

Hospital staff must remain vigilant for signs of respiratory illness throughout the facility but especially in green zones, the researchers say.

Early recognition and isolation of patients with suspected COVID‐19 will be key to preventing repeat outbreaks at hospitals as the pandemic continues, the report shows.

When it comes to patients who are not yet showing symptoms of the infection fever, cough or difficulty breathing the experts suggest health workers adopt a healthy suspicion.

The report concludes: “The safest approach is for healthcare workers to assume that all patients are potentially infectious with COVID-19 and to take precautions on that basis.” Featured

Source: bhekisisa.org

Related Sources – St Augustine Hospital

netcare.co.za

These results are reported on a daily basis to the head of the KZN Department of Health‘s (DOH) COVID-19 task team.

All screening and testing is being done in close consultation and collaboration with the KwaZulu

Safety of patients, staff and doctors remain of paramount importance Further update on the situation at Netcare St Augustine’s Hospital Netcare today assured South Africans that safeguarding each and every person in its care, staff members, doctors and others who work at Netcare St Augustine Hospital, as well as in all other Netcare hospitals, against COVID-19 and other infections has, and will always be, of paramount importance. “We are deeply saddened that, despite our very best efforts and precautions, there have been a total of four COVID-19 associated deaths at Netcare St Augustine Hospital in Durban, since the outbreak started in South Africa,” says Dr Richard Friedland, chief executive officer of the Netcare Group. “As a healthcare group that holds the sanctity of life above all else, every death is one too many.

-Natal Department of Health.

Thank you and acknowledgement “We wish to acknowledge Professor Salim Karim, a special adviser to the Minister of Health, a team of epidemiology and infectious diseases specialists from the University of KZN and the Netcare clinical team who are investigating the underlying cause and nature of the COVID-19 outbreak at Netcare St Augustine Hospital for their exceptional dedication and efforts in rendering assistance to us at this time. “As we have seen globally, COVID-19 is a highly virulent and contagious virus.

The process to completely decontaminate and disinfect the entire hospital through deep cleaning began on 2 April 2020 and remains ongoing.

news24.com

An online meeting had been scheduled for Monday with the CEOs of KwaZulu

Professor Tulio de Oliveira is the director of the KwaZulu

For only R75 per month , you have access to a world of in-depth analyses, investigative journalism, top opinions and a range of features.

Netcare In its response to the report, Netcare’s regional directorCraig Murphy, said recommendations and interventions that came out of the investigation had been fully implemented, while others were already in place and had been strengthened. “In early March, we were rapidly learning about the nature of Covid-19 as many national policy guidelines were being changed and refined as the pandemic unfolded in South Africa,” Murphy added, saying many lessons had been learnt by the entire health sector.

He said Covid-19 presented particular challenges as it was still highly infectious even though patients might not exhibit any symptoms. “Despite the presence of extensive and effective infection prevention measures, such as those in place within Netcare facilities, any workplace or gathering of people poses a potential risk for infection. “We wish to reiterate our sincere gratitude to all our healthcare workers, nurses and doctors, and their families for their incredible efforts under these trying and challenging circumstances,” Murphy added.

sabcnews.com

-Natal Research Innovation and Sequencing Platform: Recommendations The report recommends, among other things, that the hospital be divided into separate zones, according to COVID-19 risk, as well as weekly rapid coronavirus tests of all frontline workers .

Professor Tulio de Oliveira is the director of the KwaZulu-Natal Research Innovation and Sequencing Platform: Recommendations The report recommends, among other things, that the hospital be divided into separate zones, according to COVID-19 risk, as well as weekly rapid coronavirus tests of all frontline workers .

dailymaverick.co.za

-Natal’s private hospitals, “not to pick on them”, but to “streamline protocols” and “raise some concerns”, said the MEC.

 

St Augustine Hospital