Veidlapa Nr. M-3 (8)
Study Course Description
Infection in vascular surgery
Course Code
RAKI_020
Branch of Science
Clinical medicine
ECTS
7.95
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ieva Griķe
Residency Speciality
Speciality
Vascular surgeon
Supervisor of Medical Speciality
Svetlana Thora
Contacts
-
About Study Course
Objective
The goal is to define the current state of the art in the management of patients with vascular graft infection (VGI), including aorto - enteric fistula (AEF).
Learning Outcomes
Knowledge
1.Three important principles dictate attitudes to treatment: * eradication of infection, * ensuring adequate peripheral perfusion, * minimizing mortality and morbidity.
Skills
1.The ultimate choice of intervention in therefore always going to be a compromise between idealism and reality, and has to be based on urgency of presentation, patient fitness, type of previous surgery and likely outcome.
Competences
1.Prophylactic antibiotics reduce surgical site infection. They should be administred sothey have maximum and adequate concentration prior to the skin incision. Inflamamatory markers can be monitored. Specimans must be taken for microbiological culture: wound swab and blood culture (+ sputum, urine, central catheters).
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Locations and incidence of vascular graft infection.
Mortality rate. Investigations: contrast sinography, CTA, MRI, upper endoscopy positron emission tomography with CT. Treatment, alternative methods.
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Examination
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Title
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% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
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-
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Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Variation in the incidence of infection (inguinal level or outside the inguinal level). Contamination sources especially in the weeks after graft implantation. Microbiological investigations.
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-
Seminar
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Modality
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Location
|
|
|---|---|---|
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On site
|
Specialized room
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Topics
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Classification of VGI: grade I - III (from subcutaneous region to implant involment). Early - with in four months of surgery or late - onset infection when occuring later than four months.
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-
Seminar
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Modality
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Location
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|
|---|---|---|
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On site
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Specialized room
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Topics
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Diagnosis, imagins studies. Management. Surgical options: excision of infected graft and various reconstructions to restored the flow with a autogenous material. For aorto - enteric fistulas and hemorrhage - in-situ prosthetic grafting fistula repair or endovascular theraphy.
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Total ECTS (Creditpoints):
7.95
Number of Residency Seminars:
-
Length (weeks):
-
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
W.S. Moore, J.C. Jimenez Handbook of Vascular Disease Management. World Scientific Publishing Company, University of California, Los Angeles, USA 2011, 313 p.
2.
R. Rutherford Vascular Surgery. W.B. Saunders Company 20014, V I-II 3057 p.