Infectious Diseases I
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.Resident will acquire knowledge, which allows: - To understand epidemiology of infectious diseases; - To recognize clinical presentation of infectious diseases; - To understand specific an unspecific algorithms of laboratory diagnostic, differentialdiagnosis of infectious diseases, basic treatment, medication (antimicrobial, antiviral etc.).
Skills
1.Resident doctor will be able to: • make objective examination and evaluation of infectious patient, • make decision about special diagnostic tests for laboratory diagnosis and differential diagnosis, • make decision about additional diagnostic procedures (computed tomography, magnetic resonance etc.)
Competences
1.In the result of studies resident will be able: - To perform highly qualified and specialized diagnosis, treatment and prophylaxis of acute and chronic infectious diseases; - To consult other healthcare professionals, patients and patient relatives about infectious diseases issues; - To participate in developing community health and infectious diseases prophylaxis policy.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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-
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During study course resident doctor must:
• get theoretical knowledge about etiology, pathogenesis, early diagnosis, first aid and prevention of infectious diseases,
• gain practical skills in diagnostic methods, indications, interpretation of results and therapy principles.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
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-
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Evaluation criteria:
• attendance of practical classes, lectures, work at Emergency medical care department, participation in pedagogical and research work. In the end of this course there is multiple choice test, which is evaluated in 10 point scale.
• At state exam there is presentation of research work and resident doctor must pass the certification exam (multiple choice test and answers to examination committee questions)
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Study Course Theme Plan
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Placement
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Modality
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Location
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On site
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Placement location
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Topics
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Training of practical skills in the departments for infectious diseases (HIV/AIDS, liver diseases, parasitic and intestinal infectious diseases, intensive care units, isolation of patients with infectious diseases, emergency medical assistance to patients with infectious diseases, counselling and education on specific prevention issues of infectious diseases
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Covid -19 pandemic in Latvia and the World - etiology, clinical symptoms, complications, diagnostic, therapy, prevention
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Place of infectious diseases in world and Latvian community health.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Epidemiology of infectious diseases. Government policy normative and responsibilities of healthcare workers in epidemiology. Infectious process.
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Seminar
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Modality
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Location
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On site
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-
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Topics
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Cardiopulmonary resuscitation.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Basic diagnostics of infectious diseases.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Basic treatment of infectious diseases.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Organisation of infectious diseases department in Latvia. Obligatory requirements for infectious diseases department.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Basic principles of antibacterial therapy. Classification of antibiotics. Indications for antibacterial treatment for common infectious diseases.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Basic principles of antibacterial therapy. Classification of antibiotics. Indications for antibacterial treatment for common infectious diseases.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Virulence factors of microbes. Host immunity.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Global problem of resistant microbes.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Helmintosis and anti-parasitals.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Antifungals.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Antiviral treatment.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Imunprophylaxis of infectious diseases.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Imunprophylaxis of infectious diseases.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Organisation of immunization department. Requirements for storage of vaccines and immunoglobulin’s.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Acute respiratory infections – epidemiology, diagnostics, treatment.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Pleuropulmonary and bronchial infections – etiology, diagnostics, differential diagnosis, treatment.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Influenza – epidemiology, diagnostics and treatment. Specific prophylaxis.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Acute intestinal diseases – viral, bacterial, protozoae - epidemiology, symptoms, diagnostics, treatment, prevention.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Acute intestinal diseases – viral, bacterial, protozoae - epidemiology, symptoms, diagnostics, treatment, prevention.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Foodborne diseases. Botulism
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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HIV/AIDS epidemiology in Latvia and world, diagnostics, treatment. Acute HIV infection
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Opportunistic diseases of HIV in AIDS stage – clinic, diagnostics, prophylaxis, treatment.
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Opportunistic diseases of HIV in AIDS stage – clinic, diagnostics, prophylaxis, treatment.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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HIV postexposure and preexposure prophylaxis.
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Bioterrorism. Plague, anthrax, cholera, tularaemia, brucellosis, Covid-19
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Anaerobic infections (botulism, gas gangreene, stiffening seizures) - aetiology, clinic, diagnostic, therapy, specific prophylaxis
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Bibliography
Required Reading
Mandell, Douglas, and Bennett's. Principles and Practice of Infectious Diseases. 8th Edition, Elsevier Saunders, 2015. Authors: John E. Bennett & Raphael Dolin & Martin J. Blaser.
Vīksna L. Infekcijas slimības. Rīga: Medicīnas apgāds; 2011.
Brila A. Infekcijas slimību epidemioloģija. Rīga: Nacionālais apgāds; 2009.
Kucers’ The use of antibiotics. A. Kucers, M.L. Grayson. 6th Edition, 2010.
Clinical Immunology, Principles and Practice. 5th Edition, Elsevier, 2018. Authors: Robert Rich, Thomas Fleisher, William Shearer, et.al.
EASL Recommendations on Treatment of Hepatitis C 2020. J. Hepatol, 2018
Karen L. Roos, Allan R. Tunkel. Bacterial Infections of the Central Nervous System. Volume 96, Elsevier, 2010. (Handbook of Clinical Neurology),
Eiropas Aknu pētnieku asociācija klīniskās vadlīnijas (EASL Clinical Practice Guideline)
Zeltiņa I., Zavadska D, Grope I., Aldiņš P., et.al. Praktiskas rekomendācijas vakcinācijai veseliem pieaugušajiem un riska grupu indivīdiem Latvijā. Rīga. Slimību profilakses un kontroles centrs; 2022
Additional Reading
Ceļotāju veselības rokasgrāmata. L. Vīksna, Rīga, 2002.
Juan Carlos García-Moncó. CNS Infections: A Clinical Approach. Publisher: Springer; 2nd Edition, 2018.
David Schlossberg. „Clinical Infectious disease”. Cambridge University Press (2008). 2nd Edition, 2015
Klīniskās rekomendācijas drošai un racionālai antibakteriālās terapijas izvēlei un lietošanai gastroenteroloģijā / redaktore S. Zvirbule. Rīga: Medicīna un Prese, 2018. - 81 lpp.
Other Information Sources
Infektoloģiju un epidemioloģisko drošību reglamentējošie normatīvie dokumenti:
Epidemioloģiskās drošības likums.
Ministru kabineta 2008.gada 13.maija noteikumi Nr.328 „Noteikumi par poliomielīta pretepidēmijas pasākumiem”.
Ministru kabineta 2006.gada 21.novembra noteikumi Nr.948 „Noteikumi par gripas pretepidēmijas pasākumiem”.
Ministru kabineta 2006.gada 19.septembra noteikumi Nr.774 „Kontaktpersonu noteikšanas, primārās medicīniskās pārbaudes, laboratoriskās pārbaudes un medicīniskās novērošanas kārtība”.
Ministru kabineta 2005.gada 27.decembra noteikumi Nr.1040 „Kārtība, kādā ārstniecības persona ziņo par vakcinācijas izraisītām komplikācijām”.
Ministru kabineta 2005.gada 19.jūlija noteikumi Nr.523 „Kārtība, kādā ieved valstī vai izved no tās miruša cilvēka ķermeni, pārvadā, glabā, apbedī vai kremē no infekcijas slimības miruša cilvēka ķermeni un veic obligāto patologanatomisko izmeklēšanu diagnozes precizēšanai pēc slimnieka nāves”.
Ministru kabineta 2005.gada 14.jūnija noteikumi Nr.413 „Kārtība, kādā veicama personu obligātā medicīniskā un laboratoriskā pārbaude, obligātā un piespiedu izolēšana un ārstēšana infekcijas slimību gadījumos”.
Ministru kabineta 2000.gada 26.septembra noteikumi Nr.330 „Vakcinācijas noteikumi”.
Ministru kabineta 1999.gada 5.janvāra noteikumi Nr.7 „Infekcijas slimību reģistrācijas kārtība”.
Vadlīnijas un racionālās farmakoterapijas rekomendācijas:
C vīrushepatīta racionālas farmakoterapijas rekomendācijas zāļu iegādes kompensācijas sistēmas ietvaros.
Racionālas farmakoterapijas rekomendācijas no valsts budžeta apmaksātai antiretrovirālai terapijai HIV/AIDS infekcijas ārstēšanai.
Cilvēka imūndeficīta vīrusa (HIV) infekcijas diagnostikas, ārstēšanas un profilakses klīniskās vadlīnijas.
Ikmēneša/iknedēļas tematiskie resursi internetā: