MINISTRY OF HEALTH CARE OF UKRAINE
DNIPROPETROVSK MEDICAL ACADEMY
DEPARTMENT OF INFECTIOUS DISEASES
STUDENT’S GUIDANCE
„PEDIATRIC INFECTIOUS DISEASES”
5TH YEAR
DNIPROPETROVSK - 2015
1
«APPROVED»
First prorector of DSMA,
Chief of CMC DSMA.
Correspondent member of AMS of
Ukraine
professor Т. О. Pertseva
«____» ___________2015y.
Student’s guidance: «Pediatric infectious diseases» 5th year / Under redaction
of L.R. Shostakovich-Koretskaya. –Dnipropetrovsk: CMC DSMA, 2015.- 20p.
The guidance is compiled based on the active educational plan and Typical
program on the discipline «Pediatric infectious diseases» for the students of highest
medical schools of the ІІІ-IV levels of accreditation. It includes the data about
structure, goal and tasks of the subject, structure of the credits, thematical plans of
the lectures, practical classes and self-performed work of the students, list of the
individual tasks and methods of diagnosis of efficacy of subject study, list of
practical tasks according to the requirements of ECH and ОПП, list of program
questions which are used for final module control, list of information sources, scale
of conversion of the marks for the subject into the traditional (national) marks, as
well as general information regarding the studying of the students at the
department of infectious diseases of the course of «Pediatric infectious diseases».
The guidance is provided for the 5th year students who attend specialities 7.110101
– «General medicine», 7.110104 –«Pediatrics», 7.110105 – «Prophylactic
medicine».
Discussed and approved at the methodical counceil of the department of infectious
diseases «_____» ________ 2015y. (Protocol №).
Chief of the department
of infectious diseases
professor L.R. Shostakovich-Koretskaya
Approved by the subject metodical commettee of DSMA in pediatrics
«_____ » _______ 2015y. (Protocol №)
Chief of the subject metodical commette
in pediatrics
professor О.E.Аbaturov
2
CONTENTS
1.
2.
3.
4.
General information and structure of the subject
4
Goal and tasks of the subject
5
Strucutre of the credits of the module 4 «Pediatric infectious diseases»
7
Thematical plans
7
4.1 Thematical plan of the lectures
7
4.2 Thematical plan of the practical classes
8
4.3 Thematical plan of the self-performed work of the students
8
5. Content of the subject
8
5.1. Subject module 1. Pediatric airborn infections
8
5.2. Subject module 2. Infection of nervous system and ARVI in children
9
5.3. Subject module 3. Acute bowel infections and viral hepatitis in children 9
5.4. Subject module 4. HIV/AIDS, AIDS-opportunistic infections, TORCHinfections
10
6. Distribution of the points for evaluation of the educational activity
of the students
11
7. List of the practical skills, mastering of which is controlled during final module
control
11
8. List of the questions for the final module control 4
13
9. Evaluation of the educational activity of the students
15
9.1. Practical classes
15
9.1.1. Intermediate control
15
9.1.2. Criteria of evaluation
15
9.1.3. Reevaluation of unsatisfactory mark
15
9.2. Evaluation of self-performed work
16
9.2.1. General information
16
9.2.2. Criteria of marks
17
9.3. Final module control
17
9.3.1. General information
17
9.1.3. Reevaluation of unsatisfactory mark
18
9.4. Evaluation of the subject
10.Educational-methodical literature, recommended during learning the subject 20
3
1. GENERAL INFORMATION AND STRUCTURE OF THE SUBJECT
Study subject: «Pediatric infectious diseases».
Learnt at the 5th year at ХІ or Х semester.
The program is structurized, it consists of 1 module, 4 content modules, 9 subjects.
STUDY PLAN OF THE DISCIPLINE
General amount of hours – 45 hours (1,5 points)
Structurized plan of preparation for the learnt discipline
«Pediatric infectious diseases, V year»
Structure of the
learnt subject
Amount of hours / of them
Total
Auditory
amount of
Individua
Lectur Practic
hours /
l job
es
al
credits
Year
of the
study
Kins of control
5
Intermediate and
final
module
control
Methods of the
control:
tests,
situational
tasks,
practical
skills
according to standa
rt list, case history,
writing of medical
documentation
Module 4.
Pediatric
infectious
diseases
45/1,5
10
20
Content
modules 4
15
Basis of the study – department of infectious diseases (Municipal clinical hospital #21 named
after prof G.E.Popkova, Kanatnaya str, 17).
The subjct is taught in Ukrainian (local students), Russian (foreign stidents) and English
(English-speaking students) languages.
Personal staff of the department
(subdivision of «Pediatric infectious diseases):
Shostakovich-Koretskaya Ludmila Romanivna, PhD, professor, chief of the
department.
Mavrutenkov Victor Volodymirovich, PhD, docent (professor assistant),
responsible for the educational work with the students of 5th and 6th years.
Cherginets Artem Valeriovych, PhD, docent (professor assistant), responsible for
the educational work with the interns studying at the specialty «Pediatrics»
Yakunina Oxana Myhailivna, PhD, teaching assistant, responsible for student
scientific group
Budayeva Irina Vasilievna, PhD, teaching assistant, responsible for treatment
work
Chykarenko Zoya Olexandrivna, teaching assistant, responsible for work with
English-speaking students.
Detailed information about the department, as well as study-methodical matherals can be found
at the site: www.dsma.dp.ua, http://infectology.dsma.dp.ua
4
2. GOAL AND TASKS OF THE STUDIED SUBJECT
Pediatric infectious diseases as a study discipline:
а) is included as a module 4 into the study program in Pediatrics for 5th year.
б) is based on the knowledge received by the students during learning
medical biology, normal nad pathological physiology, normal and pathological
anatomy, histology, pharmacology, pediatric propedeutics and is integrated with
these subjects;
в) creates basis for the students for forming skills and knowledge which are
considered as final goals of learning pediatrics as a separate subject and can be
used by the students at learning pediatrics, pediatric infectious diseases and other
clinical subjects at the 6th year and during professional activity.
Final goals of the studied subject «Pediatric infectious diseases» are based
on the ground of learning goals, which are pointed in educational-professional
program (EPP) and are described as the following:
1. To demonstrate the mastering of moral and deontological principles of a
medical specialist and principles of specialty subordination in pediatrics.
2. To be able to make the preliminary diagnosis of the most common infectious
diseases in children age.
3. To have the ability to point out ethiological and pathogenetic factors of the
most common infectious diseases of children.
4. To be able to differenciate the particularities of the clinical course of the
most common infectious diseases of children.
5. To possess the skills to delineate main directions of the treatment of the
most common infectious diseases of children of different age.
6. To be able to point out prophylactic and anti-epidemic activities regarding
the most common infectious diseases of children.
Types of studying activity of the students according to the studying plan are
the following: а) lectures; b) practical classes; c) self-performed work of the
students.
Lectures. The priority is given to problematic, rewiev and conceptualanalytic lectures. The lecture becomes the process, during which the students
develop knowledge, acquire motivation component and generally oriented stage of
scientific knowledge possession. The role of lectures in the management of selfperformed work of the students is stressed.
Practical classes. According to the credit-module system of organization of
the study process, the practical classes are performed in the regime of rotation of
modules of clinical subject. The length of one practical class is not less than 4
hours. According the method of organization, they are clinical, pointed to the
control of theoretical knowledge mastering and practical skills forming, as well as
ability to analyse and use the acquired knowledge for practical tasks solution,
which includes:
- Gatherin of anamnesis;
- Physical examination of the sick child;
5
- Planning of the investigation of the diseased child;
- Interpretation of the laboratory data and instrumental investigations;
- Performance of differential diagnosis of the most common diseases of pediatric
age at their typical course;
- Making the preliminary clinical diagnosis;
- Making therapeutical decision;
- Prescription of the therapeutical diet;
- Providing the urgent medical help;
- Solution of situational tasks;
- Mastering of practical skills on the dolls and at the bed of the sick child;
- Filling in medical documentation.
The mastering of the subjcts is controlled at practical classes according to
concrete goals: ability to point out ethiologiacl and pathogenetic factors of the
diseases of pediatric age, to classify and analyse the typical clinical picture, to
make the plan of investigation and to analyse the laboratory and instrumental data
at typical course of the disease, to demonstrate possession of principles of therapy,
rehabilitaion and prophylaxis of the diseases, to make the diagnosis and to provide
the urgent medical help at main urgent conditions, to perform differential diagnosis
and to make preliminary diagnosis at typical course of the disease, to perform
evaluation of the prognosis of the disease, to demonstrate possession of moral and
deontological principles of the medical specialist and principles of specialty
subordination in pediatrics.
The list of the criteria of diagnosis and management of infectious diseases in
children is pointed out according the appropriate protocols of the specialty
«Pediatric infectious diseases» (Regulation of Health Care Ministry of Ukraine
#354 «Protocols of diagnosis and treatment of infectious diseases in children»
from 09.07.2004).
Self-perfromed work of the students. It is one of the main organizational
forms of study, which is described by the study plan and is performed by the
student him/herself beyond auditory classes. Possible kinds of self-performed work
of the students include: preparation for practical classes and studying of the
subjects which are provided only for self-study of the students, search and study of
additional literature, creation of the algorhythms, structural-logical schemes,
writing the researches, annotations, reports for practical studies, being on duty in
the clinics beyond classes. Organization of the self-performed work in departments
of infectious hospital is provided by the stuff of the department.
Individual studies. It is the form of organization of the study with the goal
of making the knowledge obtained during the study more profound, generalized
and strong, as well as usage of this knowledge in the practice, that is, individual
study and research tasks. As required, individual studies with criteria of evaluation
is the writing of study case history according to the results of curation of the
patients.
Final control. Evaluation of the mastering of the module is performed after
its completion at the final module control classes.
6
Evaluation of the student’s performance at the subject. It is according to
the rating and is made on a multiple-point scale with consideration of the marks of
separate content modules.
3. STRUCTURE OF THE CREDIT MODULE 4
“PEDIATRIC INFECTIOUS DISEASES»
Subject
Lectures
SelfPract.
performed
classes
work
Subject module 1: Pediatric air-born infections
1. Measles, rubella, chicken pox, herpes
2
3
1
zoster
2. Scarlet
fever,
pseudotuberculosis,
3
1
infectious mononucleosis
3. Diphtheria, parotic infection, whooping
2
3
1
cough
Subject module 2: Infections of nervous system and ARVI in children
4. Meningococcal infection, polyomyelitis,
2
3
1
enteroviral infection
5. Influenza, parainfluenza, adenoviral,
2
1
respiratory-synticial, rhinoviral infections
Subject module 3: Acute bowel infections and viral hepatitis in children
6. Shigellosis, salmonellosis, escherichiosis,
2
3
1
intestinal yersiniosis, rotaviral infection
7. Viral hepatites
3
1
Subject module 4: HIV/AIDS, AIDS-opportunistic infections, TORCHinfections
8. HIV/AIDS
(pneumocyctic,
candida,
2
2
cryptococcal infections)
9.
TORCH-infections
(toxoplasmosis,
3
cytomegaloviral, herpetic infections)
Individual self-performed work – follow-up
3
of the patients and writing of the case history
Total: points of ECTS – 1,5; hours – 45;
10
20
15
Individual
work
Evaluation of
the diaseased
child, writing
and reporting of
study case
history
4. THEMATICAL PLANS
4.1. THEMATICAL PLAN OF THE LECTURES
№
1
2
3
4
5
Total
Subject
Infectious diseases with exanthema syndrome
Infectious diseases with tonsillitis syndrome. Diphtheria
Infectious diseases of the nervous system
Acute bowel infections
HIV/AIDS in children
7
Amount of hours
2
2
2
2
2
10
4.2. THEMATICAL PLAN OF THE PRACTICAL CLASSES
№
1
2
3
4
5
6
7
Total
Subject
Measles, rubella, chickenpox, herpes zoster
Scarlet fever, pseudotuberculosis, infectious mononucleosis
Diphtheria, parotic infection, whooping cough
Meningococcal infection, polyomyelitis, enteroviral infection
Acute respiratory viral infections
Acute bowel infections
Viral hepatites
Amount of hours
3
3
3
3
2
3
3
20
4.3. THEMATICAL PLAN OF THE SELF-PERFORMED WORK OF STUDENTS
№
Kinds of self-performed work
1
Preparation for practical classes and
final module control
Work with themes not included into
the plan of practical classes:
2
8. HIV/AIDS in children
9. TORCH-infections in children
Individual self-performed work:
3
follow-up of the patients and writing
of case history
Total amount of hours
Amount of
hours
Types of control
7
Intermediate
control
at
practical classes and final
module control
5
Final module control
3
Final module control
20
5. CONTENT OF THE SUBJECT
5.1.SUBJECT MODULE 1: PEDIATRIC AIRBORN INFECTIONS
Concrete goals:
1. To point out the place of pediatric air-born infections in the structure of
infectious morbidity in children.
2. To describe ethiology, particularities of epidemic process, main phases of
pathogenesis of the diseases.
3. To perform clinical examination of the sick child, to point out symptoms and
syndroms which characterize the infectious disease, to make clinical
diagnosis, to evaluate the severety of the disease and presence of urgent
conditions.
4. To make the plan of investigation and to evaluate the results of
investigation.
5. To point out the requirement for hospitalization and to prescribe treatment.
6. To list the anti-epidemic activities in the source of the infection.
Subject 1. Measles. rubella, chicken pox, herpes zoster.
Ethilogy, epidemiology, pathogenesis, clinics of typical forms, complications.
8
Inborn rubella. Principles of treatment. Specific prophylaxis. Anti-epidemic
activities in the the source of the infection.
Subject 2. Scarlet fever, pseudotuberculosis, infectious mononucleosis.
Ethilogy, epidemiology, pathogenesis, clinics of typical forms, complications.
Principles of treatment. Anti-epidemic activities in the the source of the infection
Subject 3. Diphtheria, parotic infection, whooping cough
Ethilogy, epidemiology, pathomorphologic particularities of different forms.
classification, clinics of typical forms and complications. Diagnosis. Principles of
treatment. Specific prophylaxisand anti-epidemic activities in the the source of the
infection
5.2. SUBJECT MODULE 2: INFECTIOUS DISEASES OF NERVOUS SYSTEM AND ARVI
IN CHILDREN
Concrete goals:
1. To point out the place of nervous system infections and ARVI in the
structure of infectious morbidity in children.
2. To describe ethiology, particularities of epidemic process, main phases of
pathogenesis of the diseases.
3. To perform clinical examination of the sick child, to point out symptoms and
syndroms which characterize the infectious disease, to make clinical
diagnosis, to evaluate the severety of the disease and presence of urgent
conditions.
4. To make the plan of investigation and to evaluate the results of
investigation.
5. To point out the requirement for hospitalization and to prescribe treatment.
6. To list the anti-epidemic activities in the source of the infection.
Subject 4. Meningococcal infection, polyomyelitis, enteroviral infection
Ethilogy, epidemiology, pathogenesis. Classification. Clinics of different forms.
Complications. Diagnosis. Residuals. Principles of treatment. Specific prophylaxis
and anti-epidemic activities in the the source of the infection
Subject 5. Acute respiratory viral infections (Influenza, parainfluenza,
adenoviral, respiratory-synticial, rhinoviral infections)
Ethilogy, epidemiologic particularities, pathogenesis. Clinical forms.
Complications. Diagnosis. Principles of treatment and prophylaxis.
5.3. SUBJECT MODULE 3: ACUTE BOWEL INFECTIONS AND VIRAL HEPATITES IN
CHILDREN
Concrete goals:
1. To point out the place of acute bowel infections and viral hepatites in the
structure of infectious morbidity in children.
9
2. To describe ethiology, particularities of epidemic process, main phases of
pathogenesis of the diseases.
3. To perform clinical examination of the sick child, to point out symptoms
and syndroms which characterize the infectious disease, to make clinical
diagnosis, to evaluate the severety of the disease and presence of urgent
conditions.
4. To make the plan of investigation and to evaluate the results of
investigation.
5. To point out the requirement for hospitalization and to prescribe treatment.
6. To list the anti-epidemic activities in the source of the infection.
Subject 6. Shigellosis, salmonellosis, escherichiosis, intestinal yersiniosis,
rotaviral infection
Ethilogy, epidemiology, pathogenesis. Classification. Clinics of typical forms in
children of different age. Complications. Laboratory diagnosis. Principles of
treatment and prophylaxis.
Subject 7. Viral hepatitis А, В, С, D and others
Ethilogy, epidemiological particularities, pathogenesis. Classification. Clinics of
different forms. Laboratory diagnosis. Principles of treatment and prophylaxis.
5.4. SUBJECT MODULE 4: HIV/AIDS, AIDS-OPPORTUNISTIC INFECTIONS,
TORCH-INFECTIONS
Concrete goals:
1. To point out the place of HIV/AIDS, AIDS-opportunistic infections,
TORCH-infections in the structure of infectious morbidity in children.
2. To describe ethiology, particularities of epidemic process, main phases of
pathogenesis of the diseases.
3. To perform clinical examination of the sick child, to point out symptoms and
syndroms which characterize the infectious disease, to make clinical
diagnosis, to evaluate the severety of the disease and presence of urgent
conditions.
4. To make the plan of investigation and to evaluate the results of
investigation.
5. To point out the requirement for hospitalization and to prescribe treatment.
6. To list the anti-epidemic activities in the source of the infection.
Subject 8. HIV/AIDS in children. AIDS-opportunistic infections
(pneumocyctic, candida, cryptococcal infections and others).
Epidemic particularities in children. Clinical and laboratory diagnosis of AIDSopportunistic infections. Principles of treatment. Prophylaxis of inborn HIV
infection.
10
Subject 9. TORCH-infections.
General information about inborn infections. Principles of diagnosis. Clinical signs
of main inborn infections (toxoplasmosis, cytomegalovirus, rubella, chlamidiosis,
syphilis, herpetic infection). Methods of prenatal and postnatal laboratory
diagnosis. Methods of prophylaxis and treatment.
6. DISTRIBUTION OF THE POINTS FOR EVALUATION OF THE
EDUCATIONAL ACTIVITY OF THE STUDENTS
Content of evaluated activity
Subject module 1: Pediatric air-born infections
Subject 1. Measles, rubella, chicken pox, herpes zoster
Subject 2. Scarlet fever, pseudotuberculosis, infectious mononucleosis
Subject 3. Diphtheria, parotic infection, whooping cough
Subject module 2: Infection of nervous system and ARVI in children
Subject 4. Meningococcal infection, polyomyelitis, enteroviral infection
Subject 5. ARVI
Subject module 3: Acute bowel infections and viral hepatitis in
children
Subject 6. Acute bowel infections
Subject 7. Viral hepatites
Individual self-performed work – follow-up of the patients and writing of
the case history
Total study activity
Final module control
AMOUNT OF POINTS FOR THE MODULE
Maximal amount
of points
45
15
15
15
30
15
15
30
15
15
15
120
80
200
Notation: At studying the subject by traditional system and for self-performed
work the students are given marks:
«5» — 15 points
«4» — 12 points
«3» — 9 points
«2» — 0 points
- Maximal amount of points for current studying activity of the student is 120
(60%)
- Maximal amount of points for final module control is 80 (40%)
- Maximal amount of points for credits module 4 control is 200 (100%)
The student is allowed to pass the final module control if the student has
completed the requirements of the study program and in case of acquisition of not
less than 72 points for current studies activity, not less than 63 points for practical
classes and 9 points for individual self-performed work.
The final module control is approved for the student if the student acquired
50 from 80 points.
11
7. LIST OF THE PRACTICAL SKILLS, MASTERING OF WHICH IS
CONTROLLED DURING FINAL MODULE CONTROL
(according to ОКХ of the specialist in the specialty
7.110101 – internal medicine, division 1101 medicine)
1. To perform examination of the child with infectious pathology.
2. To point out the ethioogical and pathogenetic factors of the most common
infectious diseases of pediatric age
3. Using the previous anamnesis data, epidemiologic anamnesis and data of
physical examination, basing on the main clinical symptom or syndrom,
keeping to the appropriate ethical and low regulations, by the method of
thought solution, to make the most probable or syndromal diagnosis of the
most common infectious diseases of pediatric age.
4. Based on the most probable or syndromal diagnosis, according to the
standartized stза стандартними schemes, keeping to the appropriate ethical
and low regulations, by the method of thought solution, to prescribe
laboratory and/or instrumental evaluation of the sick child and to interprete
the obtained results.
5. Using the most probable or syndromal diagnosis, data of laboratory and/or
instrumental evaluation of the sick child, to make the clinical diagnosis of
the infectious disease.
6. To explain and prove the general principles of treatment, rehabilitation and
prophylaxis of infectious patholgy in children.
7. Using the standart methods of evaluation, to diagnose the urgent conditions
and to provide required help at infectious diseases in children.
8. To demonstrate the possession of moral and deonthologcal principles of a
medical specialist and the principles of specialty subordination in pediatrics.
І. Analysis of laboratory and instrumental investigations:
1. General blood analysis
2. General urine analysis
3. Coprocytogram
4. CSF analysis
5. Immunogram
6. Markers of acute inflammation in blood
7. Serological investigations at infectious diseases
8. Microbiological and virusological analyses of fluids and discharges
9. Methods of molecular diagnosis of infectious diseases
10. Biochemical analysis: liver function, renal function, proteinogram,
electrolyte balance
11. X-ray and ultrasound investigation of thorax, abdominal cavity and urinary
system.
ІІ. Medical manipulations
1. To perform injections of medical drugs
2. To take metherial for microbiologic and virusologic investigations
12
3. To perform lumbar punction
4. To insert catheters of peripheral veins
ІІІ. Provision of medical help at urgent conditions
1. Sepsis and septic shock
2. Laryngeal edema (acute stenosing laryngotracheitis)
3. Abdominal dehydration (hypovolemic shock)
4. Anaphylactic shock
5. Acute hepatic insufficiency
6. Brain edema
7. Hyperthermia
8. LIST OF THE QUESTIONS FOR THE FINAL MODULE 4 CONTROL
«PEDIATRIC INFECTIOUS DISEASES»
1. Particularities of infectious process and immunity in children. Prophylaxis of
pediatric infectious diseases (specific and non-specific). Organization of
prophylactic vaccination for the children.
2. Diphtheria. Ethiology, epidemiology. Pathogenesis of different clinical
forms. Diphtheria of the tonsills. Clinical forms. Complications. Diphtherial
laryngotracheitis. Diphtheria of the nose, eyes, sexual organs, skin.
Diagnosis. Treatment of diphtheria. Antidiphtherial serum, conditions of its
effective action, methods of injection. Prophylaxis of diphtheria.
3. Scarlet fever. Ethiology, epidemiology, pathogenesis. Classification of
scarlet fever. Clinical picture of typical and atypical forms. Complications.
Treatment. Prophylaxis.
4. Measles. Ethiology, epidemiology, pathogenesis. Clinics of typical and
atypical forms. Complications. Main principles of treatment. Prophylaxis.
5. Rubella. Ethiology, pathogenesis. Clinics and diagnosis. Inborn rubella.
Treatment. Prophylaxis.
6. Pertussis. Ethiology. Epidemiology. Pathogenesis. Clinics. Particularities of
pertussis in infants. Complications. Laboratory methods of diagnosis.
Etiotropic and pathogenic therapy of the patients with pertussis. Prophylaxis.
7. Varicella. Ethiology, epidemiology, pathogenesis. Clinics of typical and
atypical forms. Complications. Treatment. Prophylaxis.
8. Zoster. Diagnosis. Treatment.
9. Herpetic infection (herpes symplex). Ethiology, ways of acquisition. Clinical
forms, diagnosis. Treatment.
10. Parotic infection. Ethiology, epidemiology. Classification. Clinical picture of
different forms (parotitis, submaxillitis, sublinguitis, pancreatitis, orchitis,
meningitis, etc.). Treatment. Prophylaxis.
11. Influenza. Clinical course. Particularities in early age children.
Complications, their pathogenesis. Treatment. Prophylaxis.
12. Parainfluenza and respiratory-synthitial virus infection in children.
Particularities of clinics. Treatment, prophylaxis.
13
13. Adenoviral infection. Ways of transmission. Particularities in early age
children. Treatment. Prophylaxis.
14. Tonsillitis in children. Ethiologic particularitis depending of age. Clinics.
Diagnosis. Differential diagnosis. Treatment. Management of tonsillitis
patients at home.
15. Meningococcal infection. Ethiology, epidemiology, pathogenesis. Clinical
forms. Clinical picture of meningococcal meningitis. Particularities of the
course at first-year children.
16. Meningococcemia, clinical picture. Laboratory diagnosis. Main principles of
treatment. Prophylaxis. Urgent conditions at meningococcal infection
(infectious-toxic shock, brain edema), diagnosis, therapy before admission to
the hospit and in the hospital.
17. Infectious mononucleosis. Ethiology. Clinical picture. Laboratory methods
of diagnosis. Main principles of treatment.
18. Polyomyelitis. Ethiology. Clinics. Treatment. Prophylaxis.
19. Enteroviral infection. Ethiology. Epidemiology. Clinical forms. Diagnosis.
Treatment. Prophylaxis.
20. Shigellosis in children. Morbidity in different age groups. Clinics.
Diagnosis. Treatment. Prophylaxis.
21. Salmonellosis in children. Ethiology. Pathogenesis. Clinical forms.
Treatment. Prophylaxis.
22. Escherichioses in children. Ethiology. Clinical particularities in children of
different age depending on the causative agent. Treatment. Prophylaxis.
23. Acute bowel infections in newborns. Ethiological structure. Clinical
particularities. Diagnosis. Treatment..
24. Pseudotuberculosis.
Epidemiological
particularities
in
children.
Pathogenesis. Clinics. Diagnosis. Treatment, prophylaxis.
25. Yersiniosis of the bowels. Epidemiological particularities in children of
different age. Pathogenesis. Clinical forms.
Diagnosis. Treatment,
prophylaxis.
26. Rotaviral infection. Ethiology. Epidemiology. Pathogenesis. Clinical forms.
Treatment.
27. Viral hepatitis А. Ethiology. Clinical picture in children. Laboratory
diagnosis. Treatment. Prophylaxis.
28. Viral hepatitis В. Ethiology.. Pathogenesis. Particularities of the course in
early age children. Laboratory diagnosis. Principles of therapy.
29. Particularities of diagnosis and course of viral hepatites С, D, Е and others in
children.
30. HIV-infection / AIDS in children. Epidemiology. Clinics. Diagnosis.
Treatment. Prophylaxis.
31. TORCH-infections: toxoplasmosis, rubella, cytomegaloviral infection,
herpetic infection. Characteristics of the causative agents, epidemiology,
pathogenesis of acquired and inborn forms, clinical picture depending on
way of transmission and age. Laboratory diagnosis of acure, reactivated and
latent forms. Principles of treatment and prophylaxis.
14
9. EVALUATION OF EDUCATIONAL ACTIVITY OF THE
STUDENTS
The forms of the control and the system of evaluation are performed
according to requirements of the discipline program and the new redaction
«Instructions for evaluation of the studying activity of the students at
implementation of credit-module system of educartional process organization»,
approved by Health Care Ministry of Ukraine 21.01.2008 № 08.01-22/65.
9.1. PRACTICAL CLASSES
9.1.1. Intermediate control
Intermediate control is perfromed at each practical class according to concrete
goals of every subject. At studying every subject of the module during the
intermediate studying activity the student obtains marks according to 4- points
traditional scale, which are later converted into points.
Traditional mark «5» is appropriate for maximal amount of points, which can
be obtained by the student at studying at practical classes, that is, 8 points. Marks
«4» and «3» are appropriate for 80% and 60% from maximal marks in points, that
is, 6 and 5 points accordingly. The students who were present at classes and
received mark «2», obtain minimal amount of points, which is appropriate for 30%
from anout of credits of traditional mark «3», that is, 2 points.
Maximal amout of credits which can be obtained by the student at studyin the
module 4, is 120. It is the result of multiplication of amount of points appropriate
to the mark «5», and the amount of subjects in the module, with additioning the
points for individual self-performed work provided by the program.
Minimal amount of credits which can be obtained during studying the module
is calculated by the multiplication of amount of credits appropriate for mark «3»,
and amount of subjects in the module.
As the program provides required individual self-performed work of the
students at patient follow-up and writing of the case history, the minimal mark also
includes amount of credits appropriate for the mark «3» for the given work.
The credits for individual work are added to the sum of credits obtained by the
student during the intermediate studying activity. Proof of the case histore is
perfrmed during the time for self-performed work of the students at the
department.
Students can work out the missed classes or improve their marks during the
time of consultations of the teacher (individual work with the students) not more
than 3 times during the module, that is, to obtain amnout of credits not less than
minimal, to be admitted to the final module control.
9.1.2. Criteria of evaluation
Practical classes in pediatric infectious diseases are structured and provide
complex evaluation in points of all the kinds of studying activity (studying tasks),
which are performed by the students during practical classes.
Traditional marks, which are converted into points, are obtained by the
student at practical classes at the following conditions:
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Mark «5» - if the student performed correctly not less than 90% of the
studying tasks (sum of points for all kinds of work is 13-15 points)
Mark «4» - if the student performed correctly not less than 80% of the
studying tasks (sum of points for all kinds of work is 10-12 points)
Mark «3» - if the student performed correctly not less than 60% of the
studying tasks (sum of points for all kinds of work is 9 points)
Mark «2» - if the student performed correctly not less than 60% of the
studying tasks (sum of points for all kinds of work is 0-8 points).
The mark is given by the teacher in the «Book of presence and performance of
the students» (form НІ І-і) after testing the individual tasks and is told to the
students at the next classes.
Traditional marks and credits which are used in the book during practical
classes:
Traditional
Points
mark
5
15
4
12
3
9
2
<9
9.1.3. Reevaluation of unsatisfactory mark
Student can only improve the mark «2». Intermediate marks «3» or «4» can
not be reevaluated. The student is obliged to improve «2», if the sum of credits of
current credits does not reach the minimal for allowing to take the final module
control. The student is not obliged to improve the current «2» in case if the sum of
credits within the module is higher than the minimal for allowing to take the final
module control, but has the right to improve «2» and in case if minimal amount of
credits is reached. Reevaluation is done by the teacher on duty only after classes
according to the schedule of consultations, which is proscribed by studying
department. Number of reevaluations of intermediate «2» is not retricted. The
student has the right to reevaluate intermediate «2» durin the whole period of the
study of the subject, but not later than the additional term, proscribed by studying
department of DSMA. During one consultation the student can improve only one
intermediate «2».
9.2.INDIVIDUAL SELF-PERFORMED WORK
9.2.1. General information
Evaluation of self-performed work of the students for preparation for
practical classes is performed during the intermediate control of the subject at
appropriate classes.
Evaluation of the learned subjects which are supposed only for selfperformed work and are not included into auditory classes, is controlled during
final module control.
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Evaluation of the case history as a required individual work of the student is
performed during its discussion with the teacher during the individual work of the
teacher with the student.
9.2.2. Criteria of the marks
Mark «5» is given if the student has performed complete clinical investigation
of the sick child, has described its results, evaluated correctly general condition of
the patient, clinical changes of organs and systems, results of laboratory or
functional methods of investigation, has correctly made clinical diagnosis
according to the classification of the diseases, has prescribed complete and correct
treatment, has pointed out correct prognosis of the disease and methods of its
prophylaxis.
Mark «4» is given if the student has performed complete clinical investigation
of the sick child, but made some impreciseness in description and evaluation of the
results of investigation, has correctly but not completely made clinical diagnosis
and has prescribed incomplete treatment.
Mark «3» is given if the student has made some mistakes in the analysis of the
condition, of results of clinical and laboratory evaluation of the child, in provement
of the diagnosis, in prescription of the treatment of pointing out the prognosis of
the disease.
Mark «2» is given if the student has made bad mistakes in the analysis of the
condition, of results of clinical and laboratory evaluation of the child, has
incorrectly made the diagnosis, has prescribed incorrect treatment.
Treaditional
Points
mark
5
15
4
12
3
9
2
<9
The work is considered as performed if the student has obtained positive mark
for case history.
9.3. FINAL MODULE CONTROL
9.3.1. General information
It is performed after completing the study of all the subjects of the module at
the last classes of the module.
The students who completed all the kinds of work required by the studying
program and who obtained amount of points not less than minimal during the study
of the module, are allowed to pass final control.
The forms of the performance of final module control are standartized and
include the control of theoretical and practical skills.
Maximal amount of points of the final module control is 80.
The final module control is considered performed if the student acquired not
less than 50 points.
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The control cal theoretical and practical skills of the students during the final
module control, which is performed during 4 academical hours, is performed
according to the following plan:
Test control – 30 tests, performed during 30 min. Maximal amount of points
is 30 (1 points for 1 correct responce).
Performance by the students of the practical skills at the bedside (evaluation
of the general condition of the child, objective evaluation and clinical findings of
organs and systems, making preliminary diagnosis, prescription of the treatment,
providing of urgent help, etc.) – 90 min. Maximal amount of credits is 30
Solution of the complex structured situational task, which includes
intrepretation of clinical and instrumental data, making preliminary clinical
diagnosis, prescription of therapeutic management, prescription of the treatment
and checking the results at the presence of the student is 60 min. The maximal
amount of points is 20.
9.3.1. Reevaluation of final module control
Reasons for not to reevaluate the module control:
а) the student has not obtained the minimal amount of points for intermediate
activities and is not allowed to take the final module control;
б) the student has passed the final module control but obtained less than 50
points;
в) the student has missed and not passed classes and (or) lectures;
г) the student did not come for the final module control
Reevaluation of the final module control is perfromed not more than twice.
The first reevaluation of the final module control is performed by a commettee
within 3 weeks after the planned control, but not later than the additional term. The
second (and the last) reevaluation of the final module control is performed by a
commettee after termination of the course «Pediatric infectious diseases, V year»
according to the schedule of the studying process.
Reevaluation is performed on the day appointed by the study department of
DSMA.
9.4. EVALUATION OF THE SUBJECT
The mark for «Pediatric infectious diseases, VІ year» is only given to the
students who are completed all the moduls of the subject.
The mark for the subject is given as a mean of the marks for the modules
which are included into the subject.
Additional encouraging points, according to the decision of the Scientific
Council, are added to the subject points for the students who have scientific
publications (15 points) or who have possessed prises at student scientificpractical conferences (15 points) or olimpiads on the subject «Pediatrics» among
high schools of Uraine, etc.
The objectivity of the evaluation of study activity of the students must be
tested by statistical methods (correlation coefficient between current marks and
results of final module control).
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Convertion of the amount of points for the subject into marks of ECTS scales
and 4-point (traditional) is performed by the following method:
ЕСТS mark
4-point mark
А
5
В, С
4
D, E
3
FX, F
2
Ranging of the marks «А», «В», «С», «D», «Е» is performed for the
students of the given course, who study one specialty and have successuly
completed studying the subject.
Marks «FX, F» are given to the students who have not completed at least
one module of the subject after its finishing.
Mark «FX» is given to the students who obtained the minimal amount of
points for intermediate study activities but who have not passed the final module
control. This category of the students has right to reevaluate the final module
control according to the approved schedule during vacations within two weeks
after competion of the year. The repeated reevaluation of the final module control
is allowed not more than twice.
Mark «F» is given to the students who attended all the classes of the module
but who did not obtained the minimal amount of points for current study subject
and are not allowed to pass the final module control. This category of the students
has rights to study the module the second time.
Aftre permission of the prorector of study department, student is allowed to
improve the mark for the subject by reevaluation of the final module control (not
more than three times during all the period of studies).
The students who sudy the same subject, with considering all the amount of
points for the subject, are distributed for ECTS scale by the following way:
Mark ЕСТS
Statistics
А
Best 10% students
В
Next 25% students
С
Next 30% students
D
Next 25% students
Е
Rest 10% students
10.EDUCATIONAL-METHODICAL LITERATURE, RECOMMENDED
DURING LEARNING THE SUBJECT
1. Pediatric Infectious Diseases=Інфекційні хвороби у дітей: Підручник для
мед. ВНЗ ІV р.а. - 2-ге вид., випр. Рекомендовано МОЗ / За ред. С.О.
Крамарьова, А.О. Надраги. — К., 2015. — 240 с.
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2. Nelson textbook 19th Edition by Robert M. Kliegman, MD, Richard E.
Behrman, MD, Hal B. Jenson, MD and Bonita F. Stanton, MD.
Видавництво: SAUNDERS
3. Principes and practice of pediatric infections diseases / Edited by Saran S.
Long, Larry K. Pickering, Charles G. Prober , 1997.-1821 р.
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