Veidlapa Nr. M-3 (8)
Study Course Description

Infectious Diseases I

Main Study Course Information

Course Code
RIN_015
Branch of Science
Clinical medicine; Infectious diseases
ECTS
52.50
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

Acquisition of theoretical knowledge, experience and practical skills in specific and non-specific prevention of infectious diseases, etiology, pathogenesis, clinic, course and treatment of microbial diseases, differential diagnosis of infectious diseases.

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

Title
% from total grade
Grade
1.

Individual work

-
-
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.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
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)

Study Course Theme Plan

FULL-TIME
Part 1
  1. Placement

Modality
Location
On site
Placement location

Topics

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
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Covid -19 pandemic in Latvia and the World - etiology, clinical symptoms, complications, diagnostic, therapy, prevention
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Place of infectious diseases in world and Latvian community health.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Epidemiology of infectious diseases. Government policy normative and responsibilities of healthcare workers in epidemiology. Infectious process.
  1. Seminar

Modality
Location
On site
-

Topics

Cardiopulmonary resuscitation.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Basic diagnostics of infectious diseases.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Basic treatment of infectious diseases.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Organisation of infectious diseases department in Latvia. Obligatory requirements for infectious diseases department.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Basic principles of antibacterial therapy. Classification of antibiotics. Indications for antibacterial treatment for common infectious diseases.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Basic principles of antibacterial therapy. Classification of antibiotics. Indications for antibacterial treatment for common infectious diseases.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Virulence factors of microbes. Host immunity.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Global problem of resistant microbes.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Helmintosis and anti-parasitals.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Antifungals.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Antiviral treatment.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Imunprophylaxis of infectious diseases.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Imunprophylaxis of infectious diseases.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Organisation of immunization department. Requirements for storage of vaccines and immunoglobulin’s.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Acute respiratory infections – epidemiology, diagnostics, treatment.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Pleuropulmonary and bronchial infections – etiology, diagnostics, differential diagnosis, treatment.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Influenza – epidemiology, diagnostics and treatment. Specific prophylaxis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Acute intestinal diseases – viral, bacterial, protozoae - epidemiology, symptoms, diagnostics, treatment, prevention.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Acute intestinal diseases – viral, bacterial, protozoae - epidemiology, symptoms, diagnostics, treatment, prevention.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Foodborne diseases. Botulism
  1. Seminar

Modality
Location
On site
Auditorium

Topics

HIV/AIDS epidemiology in Latvia and world, diagnostics, treatment. Acute HIV infection
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Opportunistic diseases of HIV in AIDS stage – clinic, diagnostics, prophylaxis, treatment.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Opportunistic diseases of HIV in AIDS stage – clinic, diagnostics, prophylaxis, treatment.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

HIV postexposure and preexposure prophylaxis.
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Bioterrorism. Plague, anthrax, cholera, tularaemia, brucellosis, Covid-19
  1. Seminar

Modality
Location
On site
Auditorium

Topics

Anaerobic infections (botulism, gas gangreene, stiffening seizures) - aetiology, clinic, diagnostic, therapy, specific prophylaxis
Total ECTS (Creditpoints):
52.50
Number of Residency Seminars:
29
Length (weeks):
40
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

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.

2.

Vīksna L. Infekcijas slimības. Rīga: Medicīnas apgāds; 2011.

3.

Brila A. Infekcijas slimību epidemioloģija. Rīga: Nacionālais apgāds; 2009.

4.

Kucers’ The use of antibiotics. A. Kucers, M.L. Grayson. 6th Edition, 2010.

5.

Clinical Immunology, Principles and Practice. 5th Edition, Elsevier, 2018. Authors: Robert Rich, Thomas Fleisher, William Shearer, et.al.

6.

EASL Recommendations on Treatment of Hepatitis C 2020. J. Hepatol, 2018

7.

Karen L. Roos, Allan R. Tunkel. Bacterial Infections of the Central Nervous System. Volume 96, Elsevier, 2010. (Handbook of Clinical Neurology),

8.

Eiropas Aknu pētnieku asociācija klīniskās vadlīnijas (EASL Clinical Practice Guideline)

9.

Hepatology. A Clinical Textbook. Mauss, Berg, Rocstoh, Sarrazin, Wedemeyer 2015/2016/2017/2018.

10.

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

11.

The Merc Manual 2019. versija

12.

EACS Guidelines Version 11.0

Additional Reading

1.

International travel and health

2.

Ceļotāju veselības rokasgrāmata. L. Vīksna, Rīga, 2002.

3.

Juan Carlos García-Moncó. CNS Infections: A Clinical Approach. Publisher: Springer; 2nd Edition, 2018.

4.

David Schlossberg. „Clinical Infectious disease”. Cambridge University Press (2008). 2nd Edition, 2015

5.

Klīniskās rekomendācijas drošai un racionālai antibakteriālās terapijas izvēlei un lietošanai gastroenteroloģijā / redaktore S. Zvirbule. Rīga: Medicīna un Prese, 2018. - 81 lpp.

Other Information Sources

1.

Infektoloģiju un epidemioloģisko drošību reglamentējošie normatīvie dokumenti:

2.

Epidemioloģiskās drošības likums.

3.

Ministru kabineta 2008.gada 13.maija noteikumi Nr.328 „Noteikumi par poliomielīta pretepidēmijas pasākumiem”.

4.

Ministru kabineta 2006.gada 21.novembra noteikumi Nr.948 „Noteikumi par gripas pretepidēmijas pasākumiem”.

5.

Ministru kabineta 2006.gada 19.septembra noteikumi Nr.774 „Kontaktpersonu noteikšanas, primārās medicīniskās pārbaudes, laboratoriskās pārbaudes un medicīniskās novērošanas kārtība”.

6.

Ministru kabineta 2005.gada 27.decembra noteikumi Nr.1040 „Kārtība, kādā ārstniecības persona ziņo par vakcinācijas izraisītām komplikācijām”.

7.

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”.

8.

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”.

9.

Ministru kabineta 2000.gada 26.septembra noteikumi Nr.330 „Vakcinācijas noteikumi”.

10.

Ministru kabineta 1999.gada 5.janvāra noteikumi Nr.7 „Infekcijas slimību reģistrācijas kārtība”.

11.

Vadlīnijas un racionālās farmakoterapijas rekomendācijas:

12.

C vīrushepatīta racionālas farmakoterapijas rekomendācijas zāļu iegādes kompensācijas sistēmas ietvaros.

13.

Racionālas farmakoterapijas rekomendācijas no valsts budžeta apmaksātai antiretrovirālai terapijai HIV/AIDS infekcijas ārstēšanai.

14.

Cilvēka imūndeficīta vīrusa (HIV) infekcijas diagnostikas, ārstēšanas un profilakses klīniskās vadlīnijas.

15.

Ikmēneša/iknedēļas tematiskie resursi internetā:

16.

Europe's journal on infectious disease epidemiology, prevention and control

17.

The Weekly Epidemiological Record (WER) (PVO iknedēļas izdevums)