Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.2.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Infectious Diseases III

Main Study Course Information

Course Code
RIN_025
Branch of Science
Clinical medicine; Infectious diseases
ECTS
54.00
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.The resident will have acquired knowledge to: - understand epidemiology of infectious diseases; - recognise clinical manifestations of infectious diseases; - understand specific and unspecific laboratory diagnostic algorithms, differential diagnosis of infectious diseases, basic treatment, medication (antimicrobials, antivirals, etc.); - identify indications for hospitalisation; - prescribe specific and non-specific prophylactic measures.

Skills

1.The resident will be able to: - make an objective clinical examination and evaluation of an infectious patient; - make decision about special diagnostic tests for laboratory diagnosis and differential diagnosis of infectious diseases; - make decision about additional diagnostic procedures to clarify the diagnosis (computed tomography, magnetic resonance imaging, etc.); - interpret the results obtained and prescribe appropriate therapy; - make recommendations for further treatment and follow-up of the patient under the supervision of a general practitioner; - provide emergency medical care in acute situations.

Competences

1.Upon completion of the study course, the resident will be able to: - perform highly qualified and specialised diagnosis, treatment and prophylaxis of acute and chronic infectious diseases; - advise other healthcare professionals, patients and patient relatives on issues related infectious diseases; - participate in the promotion of public health and the prevention of infectious diseases.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-
During the course of study, the resident doctor must independently learn: - theoretical knowledge of infectious diseases, their aetiology, pathogenesis, early diagnosis, first aid, containment and prevention, - practical skills in the methods used in the diagnosis of infectious diseases, their indications, interpretation of results and choice of treatment methods.

Examination

Title
% from total grade
Grade
1.

Examination
-
-
Attendance of practical classes, lectures, on-call duties at Emergency and Admission Department, participation in pedagogical and research work. Theoretical knowledge is assessed by a multiple-choice test (multiple-choice questions on current issues in infectious diseases), which is assessed on a 10-point grading scale.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Training of practical skills in the departments for infectious diseases (HIV/AIDS, liver diseases, parasitic and intestinal infectious diseases, intensive care units, differential diagnosis, isolation of patients with contagious infectious diseases, emergency medical assistance to patients with infectious diseases, counselling and education on specific prevention issues of infectious diseases
Covid -19 pandemic in Latvia and the World - etiology, clinical symptoms, complications, diagnostic, therapy, prevention

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Emerging and re-emerging infectious diseases. Outbreaks of infectious diseases

  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

Aetiology, clinic and treatment principles of haemorrhagic fever.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Diseases of travellers, their specific prevention.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

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

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Leishmaniasis, trypanosomiasis, schistosomiasis, filariasis

  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

Aetiology, pathogenesis, clinic, diagnosis and treatment of toxoplasmosis and toxocariasis

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Infectious diseases caused by mycoplasmas

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Diseases caused by chlamydia.

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Aetiology, pathogenesis, clinic and treatment of typhoid fever. Clinical features of Brill'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 pulmonary diseases with infectious diseases

  1. Seminar

Modality
Location
On site
Auditorium

Topics

Endocarditis, myocarditis, pericarditis - diagnostic principles, agents, tactics
Total ECTS (Creditpoints):
54.00
Number of Residency Seminars:
33
Length (weeks):
40
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

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

2.

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

3.

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

4.

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

5.

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.

6.

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

7.

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

8.

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

9.

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

10.

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

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)