Veidlapa Nr. M-3 (8)

Study Course Description

Department of Paediatric Infectious Diseases with Outpatient Consultations

Main Study Course Information

Course Code

RBI_012

Branch of Science

Clinical medicine

ECTS

91.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Dace Gardovska

Residency Speciality

Speciality

Pediatric infectologist

Supervisor of Medical Speciality

Dace Gardovska

Contacts

About Study Course

Objective

Provide acquisition and improvement of theoretical knowledge and practical skills in accordance with the specialty Regulation in Paediatric Infectious Diseases, adopted in Latvia, and the requirements of the European Union regarding this specialty, which would allow the doctors to be competent in Paediatric infectious diseases by reading literature or by facing such diseases in their clinical practice, as well as allowing to provide professional tertiary healthcare level help to the patient, their family and colleagues.

Learning Outcomes

Knowledge

1.Within the time given for the acquisition of the study course the resident acquires knowledge of acute and chronic infectious diseases of children of different ages, their aetiology, epidemiology, pathogenesis, clinical manifestations, diagnostic algorithms and treatment principles, as well as infection control principles and mechanisms, prevention and education programmes.

Skills

1.As a result of the study course the resident will be able to conduct the examination of the objective clinical condition of a child and its evaluation in accordance with their age, collect anamnesis of life and disease, if necessary, prescribe additional methods of examination, will be able to independently collect clinical material for determination of etiological factors of the infectious diseases, as well as to provide emergency medical assistance in acute situations.

Competences

1.• examine and assess the clinical symptoms characteristic of infectious diseases and syndromes in children of different ages; • create a patient’s individual diagnostic and treatment algorithm • properly collect material for laboratory diagnostics of infectious diseases and evaluate the obtained results, taking into consideration the nature of the method and the age of the child; • choose the specific diagnostic methods to evaluate the level of their information and, application time; • plan infection control measures; • vaccinate and perform dermal testing. The following competences are essential, but not exhaustive (the spectrum of the competences may be expanded, if preconditions occur during the course of the studies): Consult patients and families: • collect anamnesis • perform physical examination appropriate for the age • evaluate the growth and development • evaluate nutrition • evaluate the psychological state • perform clinical evaluation and make a decision • give explanations and advice • encourage and provide professional support. Evaluate clinical manifestations, prescribe the examination, diagnose and agree upon the treatment plan: • recognize and evaluate the severity of the clinical manifestations • perform a differential diagnosis • consider child protection issues • order the required investigations and interpret the results • consult with multidisciplinary professionals • agree upon a suitable health problem management plan with patients and caregivers. Immediately provide care for children in emergency situations, including, first aid and resuscitation measures: • recognize and evaluate acute paediatric emergency assistance problem • provide basic first aid • provide acute paediatric emergency care • provide cardiopulmonary resuscitation for new-borns and children in accordance with the current European guidelines • provide basic information in cases of trauma in accordance with the current European guidelines. Prescribe nutrition, medications, fluids and blood products: • clearly determine nutrition, medications, fluids and blood products • coordinate nutrition, medications, fluids and blood products in the clinical context • review the compliance with treatment and assess the possible benefits and risks • treat pain and suffering. Perform practical activities: A Paediatric Infectious Diseases Specialist is competent in many practical manipulations (see the list of manipulations), which are performed on infants, children, teenagers. For any of these manipulation, an ability must be shown to: • provide relevant information to the child and parents • if necessary obtain an informed consent • use as minimally invasive procedures as possible • reduce pain and suffering • use appropriate hygiene and infection control measures • make appropriate records in the medical documentation regarding manipulations. Effectively communicate with the child in the context of infectious diseases • communicate with infants, children and adolescents • communicate with carer and relatives • communicate with other multidisciplinary professionals • provide continuity of care • stop or reduce bad news, by explaining them skilfully • communicate with disabled children and youngsters • communicate with those who need the assistance of an interpreter • search and obtain an informed consent, if necessary • communicate in writing, including medical documentation, telephone and other means of communication • act adequately in cases when experiencing aggression Apply ethical and legal principles to the practice of paediatrics • apply the principles of ethics and analysis to clinical care and research • apply the national and European Union legislation to clinical care and research • protect children’s rights in accordance with The United Nations Convention on the Rights of the Child, legislation of the Republic of Latvia • maintain confidentiality • evaluate the patient's ability to give consent • obtain and record the informed consent of a person • provide information on organ donation • confirm death • prepare a request for autopsy Evaluate the psychological and social aspects of the patient’s disease • evaluate the impact of psychological factors on the manifestations of the disease • evaluate the impact of social factors on the manifestations of the disease • evaluate the impact of the patient’s health condition on school and education • discover disease related stress in children, their families or caregivers • discover alcohol and drug use and addiction • collaborate with the relevant colleagues in a timely manner Apply evidence- based medical knowledge, principles and skills • use evidence in practice • identify and perform appropriate literature search • critically evaluate the published medical literature Effectively use information and information technology in the context of paediatrics • prepare the clinical documentation accurately, fully and in a timely manner • be able to access international scientific information of paediatrics • save and obtain information Be able to apply scientific principles, methods and knowledge in practice of paediatrics and research • apply scientific principles to paediatric practice • analyse and disseminate research results • demonstrate understanding of research design and methodology, including the statistical analysis Promote the health of an individual and the public, effectively participate in the healthcare system • comply with the national screening, monitoring and immunization programmes • take measures to prevent the spread of infection • evaluate the patient’s diet and provide useful advice regarding healthy nutrition, be able to manage obesity and insufficient weight cases • identify disease or injury risks for children and manage them accordingly • promote patient’s safety and accident prevention • ensure compliance with professional certification practice • demonstrate understanding of the structure, organisation and functioning of the healthcare system, in the context of their workplace Perform their work professionally Professional qualities • honesty, decency and ethical obligations • commitment to maintain good practice, care for quality • critical and self-critical skills, reflective practice • empathy • initiative • interpersonal communication skills Professional work • recognize one’s limits and ask for help • work independently, if necessary • solve problems • make decisions • work in multidisciplinary groups • communicate with experts who do not represent medical disciplines • show leadership skills • be able to adapt to new situations and perform in conditions of uncertainty • be able to organize and plan, including, understand time management • make informed career choices, including paediatric sector specialization Perform the functions of an expert in paediatric infectious diseases • be able to carry out analysis and synthesis • be able to learn (including lifelong learning and self-education) and apply knowledge to practice • show teaching skills • apply research skills Perform the functions of Paediatric Infectious Diseases Specialist in the world context • understand diversity and multiculturalism • understand different cultures and customs of immigrants • demonstrate understanding of the local language and culture • be able to work in an international context • responsible attitude towards the environment and its resources

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
During the study course the resident shall acquire theoretical and practical knowledge of acute and chronic diseases of new-borns, children and adolescents, their diagnostics, treatment, prophylaxis and rehabilitation in accordance with the tertiary healthcare level, as well as shall be able to give advice to patients, their relatives and other medical practitioners within the framework of their specialty.

Examination

Title	% from total grade	Grade
1. Examination	-	-
1) At the end of the study course the lecturer assesses practical skills according to a 10-point grading system, recording the assessment in the Resident’s book. 2) Theoretical knowledge is tested in a written form and assessed in a 10-point grading system.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

Classification of infection agents. Microbe virulence factors. Protection mechanisms of children’s organism against infections in different age periods.

Seminar

Modality	Location
On site	Specialized room

Topics

Immunoprophylaxis of paediatric infectious diseases. Active immunization. Passive immunization.

Seminar

Modality	Location
On site	Specialized room

Topics

Chemoprophylaxis. Breast milk and infectious diseases.

Seminar

Modality	Location
On site	Specialized room

Topics

Clinical syndromes and symptoms of infectious diseases in children - diagnosis and tactics in initial treatment: fever and inflammatory response. Septicemia and septic shock.

Seminar

Modality	Location
On site	Specialized room

Topics

Clinical syndromes and symptoms of infectious diseases in children - diagnosis and tactics in initial treatment toxic shock syndrome.

Seminar

Modality	Location
On site	Specialized room

Topics

Clinical syndromes and symptoms of infectious diseases in children - diagnosis and tactics in initial treatment: skin and mucous membrane, lymphatic system symptom complex.

Seminar

Modality	Location
On site	Specialized room

Topics

Clinical syndromes and symptoms of infectious diseases in children - diagnosis and tactics in initial treatment: respiratory symptom complex.

Seminar

Modality	Location
On site	Other

Topics

Clinical syndromes and symptoms of infectious diseases in children - diagnosis and tactics in initial treatment: abdominal symptom complex.

Seminar

Modality	Location
On site	Specialized room

Topics

Clinical syndromes and symptoms of infectious diseases in children - diagnosis and tactics in initial treatment: neurological symptom complex.

Seminar

Modality	Location
On site	Specialized room

Topics

Clinical syndromes and symptoms of infectious diseases in children - diagnosis and tactics in initial treatment: musculoskeletal symptom complex.

Seminar

Modality	Location
On site	Specialized room

Topics

Water - electrolyte metabolism disorders in children with infectious diseases.

Seminar

Modality	Location
On site	Specialized room

Topics

The most urgent conditions in children with infectious diseases.

Seminar

Modality	Location
On site	Specialized room

Topics

Upper respiratory tract and oral infections in children.

Seminar

Modality	Location
On site	Specialized room

Topics

Lower respiratory tract infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Cardiovascular infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Central nervous system infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Kidney and urinary tract infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Reproductive organ and genital tract infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Digestive tract infections and intoxications.

Seminar

Modality	Location
On site	Specialized room

Topics

Intra-abdominal infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Skin infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Soft tissue, bone and joint infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Eye infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Infections related to traumas, burns and bites.

Seminar

Modality	Location
On site	Specialized room

Topics

COVID-19 in pediatric patients.

Seminar

Modality	Location
On site	Specialized room

Topics

Neonatal infections: peculiarities of the immune system and susceptibility to infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Neonatal infections: infected neonate – how to start solving the problem.

Seminar

Modality	Location
On site	Specialized room

Topics

Neonatal infections: bacterial infections, viral infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Neonatal infections: nosocomial infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Neonatal infections: nosocomial infections.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of Gram-positive cocci caused infections in children: (Staphylococcal infection, Streptococcal infection).

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of gram-negative cocci caused infections in children: Neisseria meningitidis, Neisseria gonorrhoeae and other types of Neisseria, Moraxella catarrhalis.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of Gram-positive bacterial infections in children: Arcanobacterium haemolyticum and others. Corynebacterium diphtheria and other corynebacteria Erysipelothrix rhusiopathiae, Gardnerella vaginalis and other more rarely seen micro-organisms, Listeria monocytogenes.

Seminar

Modality	Location
On site	Specialized room

Topics

Gram-positive bacterial infections in children. Tuberculosis.

Seminar

Modality	Location
On site	Specialized room

Topics

Gram-positive bacterial infections in children. Tuberculosis.

Seminar

Modality	Location
On site	Specialized room

Topics

Gram-positive bacterial infections in children: nontuberculosis mycobacteria and nocardia.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of Enterobacteriaceae caused infections in children: Gram-negative bacilli (Citrobacter, Edwardsiella tarda, Enterobacter, E. Coli, Klebsiella, Proteus, Morganella, Providencia, Serratia, Salmonella, Shigella, Yersinia and others).

Seminar

Modality	Location
On site	Specialized room

Topics

Non-enterobacteriaceae caused infections in children: Gram-negative bacilli (Acinetobacter, Aeromonas, Alcaligenes, Eikenellas, Flavobacterium, Moraxella, Pasteurellas, Plesiomonas shigelloides, Pseudomonas aeruginosa, Burkholderia cepacia and others, Stenotrophomonas).

Seminar

Modality	Location
On site	Specialized room

Topics

Non-enterobacteriaceae caused infections in children: Gram-negative bacilli (Vibrio cholera and other vibrioni, other non-enterobacteriaceae).

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of gram-negative cocci bacilli caused infections in children: (Bartonella, Brucella, Calymatobacterium granulomatis).

Seminar

Modality	Location
On site	Specialized room

Topics

Gram-negative cocci bacilli caused infections in children: (Campylobacter and Helicobacter species).

Seminar

Modality	Location
On site	Specialized room

Topics

Gram-negative cocci bacilli caused infections in children: (Chlamydia).

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of Gram - negative cocci bacilli caused infections in children: (Ehrlichia species, Francisella tularensis, Kinginella, Legionella, Streptobacillus moniliformis, Rickettsia Rickettsii and other species, other unmentioned Gram-negative cocci bacilli infections).

Seminar

Modality	Location
On site	Specialized room

Topics

Gram-negative cocci bacilli caused infections in children: (Haemophilus influenzae and other species).

Seminar

Modality	Location
On site	Specialized room

Topics

Treponemataceae infections in children: Treponema pallidum.

Seminar

Modality	Location
On site	Specialized room

Topics

Treponemataceae infections in children: Leptospira species.

Seminar

Modality	Location
On site	Specialized room

Topics

Treponemataceae infections in children: Borrelia Burgdorferi and other species.

Seminar

Modality	Location
On site	Specialized room

Topics

Anaerobic bacteria caused infections in children: classification of bacteria, the normal flora, clinical relevance; Clostridium tetani, Clostridium botulinum, Clostridium difficile and other clostridia.

Seminar

Modality	Location
On site	Specialized room

Topics

Anaerobic bacteria caused infections in children: Bacteroides and Prevotella species, other Gram-negative anaerobic bacilli; Fusobacteriium species, anaerobic cocci, non-spore-forming anaerobic Gram-positive bacilli.

Seminar

Modality	Location
On site	Specialized room

Topics

Mycoplasma and Ureaplasma caused infections in children.

Seminar

Modality	Location
On site	Specialized room

Topics

Classification of viruses: Overview of DNA virus caused infections in children: Poxviridae (Molluscum contagiosum), Herpesviridae (Herpes simplex, human Herpesviridae 6.7).

Seminar

Modality	Location
On site	Specialized room

Topics

DNA virus caused infections in children: Herpesviridae (Varicella – zoster virus, CMV, Epstein Barr virus).

Seminar

Modality	Location
On site	Specialized room

Topics

DNA virus caused infections in children: Adenoviridae, Papovaviridae.

Seminar

Modality	Location
On site	Specialized room

Topics

DNA virus caused infections in children: Hepadnaviridae (hepatitis B and Delta viruses).

Seminar

Modality	Location
On site	Specialized room

Topics

DNA virus caused infections in children: Parvoviridae.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of RNA virus caused infections in children: Reoviruses (Coltivirus, Rotavirus), Caliciviridae (Norwalk and similar viruses, astroviruses, hepatitis E viruses) Togaviridae, Flaviviridae, Bunyaviridae, and Coronaviridae.

Seminar

Modality	Location
On site	Specialized room

Topics

Hepatitis C virus caused infection in children.

Seminar

Modality	Location
On site	Specialized room

Topics

German measles.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of RNA virus caused infections in children: Paramyxoviridae and Orthomyxoviridae.

Seminar

Modality	Location
On site	Specialized room

Topics

Parainfluenza, RS, influenza virus caused infections in children:

Seminar

Modality	Location
On site	Specialized room

Topics

Epidemic parotitis.

Seminar

Modality	Location
On site	Specialized room

Topics

Measles.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of RNA virus caused infections in children: rabies.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of RNA virus caused infections in children: Filoviridae (Ebola and Marburg viruses), Arenaviridae (Lymphocytic choriomeningitis viruses, Lassa fever and others).

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of Retroviridae caused infections in children.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of Picornaviridae caused infections in children: polioviruses and enteroviruses; rhinoviruses.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of Picarnoviridae caused infections in children: hepatitis A.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of the most common mycoses in children.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of the most common mycoses in children.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of the most common parasitic diseases in children.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of the most common parasitic diseases in children.

Seminar

Modality	Location
On site	Specialized room

Topics

Overview of the most common parasitic diseases in children.

Seminar

Modality	Location
On site	Specialized room

Topics

Antimicrobial, antiviral and antifungal therapy for children.

Seminar

Modality	Location
On site	Specialized room

Topics

Introduction to the requirements of the study programmes in Children’s Infectious diseases.

Total ECTS (Creditpoints):

35.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Part 2

Total ECTS (Creditpoints):

29.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Part 3

Total ECTS (Creditpoints):

27.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Kliegman R. M., Behrman R. E., Jenson H. B. Stanton B. F. „Nelson Textbook of Pediatrics”. 21st Edition, 2020.

Richard J. Martin ,Avroy A. Fanaroff , Michele C. Walsh Fanaroff and Martin's “Neonatal-Perinatal Medicine, Diseases of the Fetus and Infant”, 2020

Cherry, James D. “Feigin and Cherry's Textbook of Pediatric Infectious Diseases, 8th Edition”, 2019

Zimmerman, Jerry J. ”Fuhrman and Zimmerman's Pediatric Critical Care, 6h Edition”, 2022

Merrow, A. Carlson “Imaging in Pediatrics”,2018

Wilmott, Robert William. “Kendig’s Disorders of the Respiratory Tract in Children, 9th Edition”, 2019

Long, Sarah S. “Principles and Practice of Pediatric Infectious Diseases, 5th Edition”, 2018

Lantos, John D. Ethics Rounds: a Casebook in Pediatric Bioethics American Academy of Pediatrics (AAP); American Academy of Pediatrics, 2019

Red Book Atlas of Pediatric Infectious Diseases American Academy of Pediatrics. Carol J. Baker, FAAP American Academy of Pediatrics, 2019

Additional Reading

Kleinman, Keith. ”Harriet Lane Handbook, 22nd Edition”, 2021

Lissauer, Tom. ”Illustrated Textbook of Paediatrics, 6th Edition”, 2022

Marcdante, Karen J. “Nelson Essentials of Pediatrics, 8th Edition”, 2019

Kliegman, Robert M. ”Nelson Pediatric Symptom-Based Diagnosis”, 2018

Nocton, James J. “On Call Pediatrics, 4th Edition”, 2019

Paller, Amy S. “Paller and Mancini – Hurwitz Clinical Pediatric Dermatology, 6th Edition”, 2022

Zitelli, Basil J. “Zitelli and Davis' Atlas of Pediatric Physical Diagnosis, 8th Edition”