Encompass Healthcare and Wound Medicine

We Treat All Infections in our Outpatient Wound Care Center.

At Encompass HealthCare, we treat serious infections with powerful antibiotics and advanced wound care.

Dr. Ruben cures infections at Encompass HealthCare.

Dr. Ruben cures infections at Encompass HealthCare.

We treat all kinds of infections, including bacterial, viral, parasitic, and fungal. In the bacterial category, these type of infections lead to problems like bone, surgical, kidney, staph, hardware-related infections and more.

At Encompass Healthcare, we also specialize in the more challenging bacteria and germs that have become antibiotic resistant due to the overuse of antibiotics and those borne from inpatient hospital care.

To deal with these challenging germs in wound medicine effectively, it takes extensive training and a multi-disciplinary approach to wound care. That’s one of the reasons Dr. Bruce Ruben, Medical Director at Encompass HealthCare, became triple board certified in Infectious Disease, Internal Medicine and Undersea and Hyperbaric Medicine.

Below are just SOME of the more serious infections we treat in our outpatient wound care center. We treat many more infections that what we could possibly list here. To understand the 4 broader categories of infections, click HERE and to find out if we treat a specific infection, please call our office at 248-624-9800.


Electron microscope view of the C. diff bacteria--one of the infections treated at Encompass Healthcare

Electron microscope view of the C. diff bacteria–one of the infections treated at Encompass Healthcare

Clostridium difficile is a very serious bacterium that can cause symptoms from severe diarrhea to life-threatening inflammation of the colon.

C. difficile can occur in any population but is more common in older adults and usually presents after the use of antibiotic medications. According to the CDC, over 250,000 infections arise each year resulting in 14,000 deaths.

Those statistics are growing because C. difficile infections have become more frequent, severe and antibiotic resistant.

(from Antibiotics Resistance Threats in the United States, 2013)


Carbapenem-Resistant Enterobacteriaceae--one of the infections treated at Encompass Healthcare

Carbapenem-Resistant Enterobacteriaceae–one of the infections treated at Encompass Healthcare

CRE are a family of germs that are hard to treat because they are becoming increasingly resistant to antibiotics. Of the estimated 140,000 healthcare-associated enterobacteriaceae infections that occur in the United States, about 9,300 are caused by CRE and result in about 600 deaths.

CRE does not usually affect healthy people. But in hospitals and other healthcare facilities, CRE infections most commonly occur among patients whose care requires devices like breathing machines, urinary (bladder) catheters, or intravenous (vein) catheters. Patients who are taking long courses of certain antibiotics are most at risk for CRE infections.


Methicillin-Resistant Staphylococcus aureus (MRSA)--one of the infections we treat at Encompass HealthCare

Methicillin-Resistant Staphylococcus Aureus (MRSA)–one of the infections treated at Encompass Healthcare

MRSA causes a range of illnesses from skin and wound infections to pneumonia and bloodstream illnesses that can cause sepsis and death. Staph bacteria including MRSA are one of the most common causes of healthcare-associated infections.

The CDC estimates 80,461 invasive MRSA reports and 11,285 related deaths occurred in 2011


Vancomycin-Resistant Enterococci--one of the infections treated at Encompass Healthcare

Vancomycin-Resistant Enterococci treated at Encompass Healthcare

Enteroccocci are bacteria that are normally present in the human intestines and in the female genital tract and are often found in the environment. These bacteria can sometimes cause infections. Vancomycin is an antibiotic that is used to treat some drug-resistant infections caused by enterococci. In some instances, enterococci have become resistant to this drug and thus are called vancomycin-resistant enterococci (VRE).

Most VRE infections occur in hospitals.

The following persons are at increased risk becoming infected with VRE:

  • People who have been previously treated with the antibiotic vancomycin or other antibiotics for long periods of time.
  • People who are hospitalized, particularly when they receive antibiotic treatment for long periods of time.
  • People with weakened immune systems such as patients in intensive care units, or in cancer or transplant wards.
  • People who have undergone surgical procedures such as abdominal or chest surgery.
  • People with medical devices that stay in for some time such as urinary catheters or central intravenous (IV) catheters.
  • People who are colonized with VRE.

VRE is often passed from person to person by the contaminated hands of caregivers. VRE can get onto a caregiver’s hands after they have contact with other people with VRE or after contact with contaminated surfaces. VRE can also be spread directly to people after they touch surfaces that are contaminated with VRE. VRE is not spread through the air by coughing or sneezing.

Parasitic Infections

Giardia is one type of parasite infection we treat, West Bloomfield, Michigan.

Giardia is one type of parasite infection we treat.

We treat many parasitic infections including Giardia and Toxoplasmosis. Call our office if you are concerned about these or any other type of infection.

Also, it’s important to note that infections are one of the reasons some wounds won’t heal. By treating them with I.V. antibiotics, we can clear them up, allowing you to return to a better state of health.

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Encompass HealthCare
Have questions? Call us!248-624-9800