Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.1.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Infectious Diseases III

Main Study Course Information

Course Code
RIN_017
Branch of Science
Clinical medicine; Infectious diseases
ECTS
48.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor
Indra Zeltiņa

Residency Speciality

Speciality
Infectologist
Supervisor of Medical Speciality
Indra Zeltiņa
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

New and re-emerging infectious diseases, outbreaks

  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

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Ectoparasites

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Meningococcal infections - aetiology, pathogenesis, clinic, diagnosis and treatment

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Special features of children infectious diseases (measles, measles, mumps) in adults

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Leptospirosis - etiology, clinic, diagnosis and treatment

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Rabies etiology, clinic and treatment, specific prophylaxis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Hemorrhagic fever - etiology, clinic and treatment principles for .

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Travellers' diseases, their specific prophylaxis.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Malaria - aetiology, epidemiology, clinic, diagnosis, therapy, prevention

  1. Seminar

Modality
Location
On site
Auditorium

Topics

leismaniosis, triponosomosis, shistosimosis, filariosis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

liver transplantation - causes, criteria, tactics, prevention of infections

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Bacterial zoonoses: cat-scratching disease, etc.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Listeriosis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Etiology, pathogenesis, clinic, diagnostic and treatment of toxoplasmosis and toxocariasis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Mycoplasma

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Chlamidia group

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Etiology, pathogenesis, clinic and treatment of typhoid rash. Clinical peculiarities of Bril's disease

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Rikettsiosis.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Fungal infections.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Sepsis - aetiology, pathogenesis, clinical scene, treatment tactics

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Sepsis - aetiology, pathogenesis, clinical scene, treatment tactics

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Epidemiology, aetiology of tuberculosis. Principles and methods for the diagnosis of tuberculosis. Clinical forms of tuberculosis, principles of treatment. Co-infection of tuberculosis and HIV infections. Problem of multidrug-resistant tuberculosis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Epidemiology, aetiology of tuberculosis. Principles and methods for the diagnosis of tuberculosis. Clinical forms of tuberculosis, principles of treatment. Co-infection of tuberculosis and HIV infections. Problem of multidrug-resistant tuberculosis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Epidemiology, aetiology of tuberculosis. Principles and methods for the diagnosis of tuberculosis. Clinical forms of tuberculosis, principles of treatment. Co-infection of tuberculosis and HIV infections. Problem of multidrug-resistant tuberculosis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Epidemiology, aetiology of tuberculosis. Principles and methods for the diagnosis of tuberculosis. Clinical forms of tuberculosis, principles of treatment. Co-infection of tuberculosis and HIV infections. Problem of multidrug-resistant tuberculosis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Classification of nosocomial infections, their most frequent risk factors. Nosocomial infections in the surgery and Intensive Therapy Divisions. Tactics for MRSA and Clostridium Difficile infection.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Classification of nosocomial infections, their most frequent risk factors. Nosocomial infections in the surgery and Intensive Therapy Divisions. Tactics for MRSA and Clostridium Difficile infection.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Classification of nosocomial infections, their most frequent risk factors. Nosocomial infections in the surgery and Intensive Therapy Divisions. Tactics for MRSA and Clostridium Difficile infection.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

differential diagnosis of plmonary diseases with infectious diseases

  1. Seminar

Modality
Location
On site
Auditorium

Topics

endocarditis, myocarditis, pericarditis - diagnostic principles, agents, tactics
Total ECTS (Creditpoints):
48.00
Number of Residency Seminars:
33
Length (weeks):
38
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., 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)