INFECTIOUS AND PARASTITIC DISEASES The course of infectious and parasitic diseases consists of 30 hours of seminars and 60 hours of tutorials. It lasts 15 days. The goal of the course is to present state of main infections and parasitic diseases with special indication on hepatotropic viruses, HIV/AIDS, neuroinfection and children's infectious diseases. During classes students discuss case reports. TEACHERS: prof. dr hab. Waldemar Halota dr hab. n. med. Małgorzata Pawłowska, prof. UMK dr n. med. Dorota Dybowska dr n. med. Edyta Grąbczewska dr n. med. Dorota Kozielewicz dr n. med. Anita Olczak dr n. med. Małgorzata Sobolewska-Pilarczyk lek. Kornelia Karwowska CONTACT: kikchzak@cm.umk.pl SYLABUS I. Name of the unit offering the course: Department of Infectious Diseases and Hepatology II. Head of the unit: prof. Dr hab. Waldemar Halota III. Faculty of Medicine, Medical Programme, year 5 IV. Form of the classs: seminars, tutorials VI. Form of crediting: exam, 5 ECTS points VII. Number of hours: 45 hours of seminars, 45 hours of tutorials, total – 90 hours VIII. Aims of the course: to discuss the present state of knowledge in epidemiology, with special emphasis on biological infection sources like hepatotropic viruses, HIV/AIDS, hospital sources, bioterrorism, etc to present the methodologies used in diagnostics and treatment of infectious diseases, including anamnesis, physical examination, interpretation of laboratory tests leading to the accurate diagnosis and treatment to present practical methods of isolating patients diagnosed with or suspected of an infectious disease 1. Course content: Methods of collecting, storing and transporting material for virological, bacteriological and serological tests. Enzyme-linked immunosorbent and molecular diagnostic of infectious diseases. HIV structure, replication, diagnosis of HIV infection. Antiretroviral therapy. Liver structure and functions. Biochemical diagnosis of liver diseases. Treatment of chronic hepatitis. Acute liver failure. Hepatorenal syndrome. Cholestasis. Septic shock, sepsis. Infectious foodborne diseases. Cholera. Botulism. Pseudomembranous colitis. Tick-borne diseases. Parasitic diseases (taeniases, giardiasis, ascariasis, echinococcosis). Selected tropical diseases (malaria, yellow fever, haemorrhagic fevers). Slow virus infections. Current threats – bioterrorism, SARS, avian influenza and other zoonoses (depending on current epidemiological issues). 2. Topics for self-study: Epidemiology of infectious diseases with particular regard to AIDS, hospital-acquired infections, occupational diseases of infectious etiology. Infections related to pregnancy, delivery and postnatal period. Childhood infectious diseases (whooping cough, scarlet fever, varicella and herpes zoster, mononucleosis, rubella, mumps, enteroviral infections). Natural history of HIV infection. HIV infection – course, diagnosis, treatment. Hepatitis A, B, C, D, E and others. Chronic hepatitis and cirrhosis. Differential diagnosis of liver diseases. Tetanus, gangrene, rabies. Diagnosis of fever of unknown etiology. Opportunistic infections. Prevention of infectious diseases and vaccination schedule. Typhoid fever and paratyphoid fevers. Typhus fever and other rickettsioses. Leptospirosis. Neuroinfections. Zoonoses (trichinellosis, brucellosis, toxoplasmosis, plague). Differential laboratory diagnosis of infectious diseases. 3. References Zakim D., Boyer T.D. Hepatology A textbook of liver disease Mandell G.L., Douglas R.G., Bennett J.E. Principles and practice of infectious diseases 4. Detailed list of practical skills and confirmation of competence Practical skills assessment sheet - Infectious and parasitic diseases Student’s first name: Student”s surname: Year, group: Academic year: Practical skills Management of a patient diagnosed with or suspected of an infectious disease: isolation, physical examination, collecting, storing and transporting diagnostic material. Date Approved by Interpretation of laboratory test leading to the accurate diagnosis and treatment. Preventive measures in case of exposure to blood-borne infections. RULES AND REGULATIONS A. Nicolaus Copernicus University, Collegium Medicum, Department of Infectious Diseases and Hepatology B. Professor Waldemar Halota, MD, PhD C. Infectious Diseases Medical Programme Year 5 Comments 1. In order to pass seminars, practical lab and hospital sessions, the student must attend timetabled sessions, obtain partial credits in individual hospital wards and gain pass marks for seminars. The student must come to seminars and practical lab and hospital sessions punctually. Lateness may result in a failure to pass the sessions. 2. In order to pass practical lab and hospital sessions, the student must actively participate in timetabled classes. The student shall be equipped with a stethoscope and necessary stationery. 3. Passing the practical lab and hospital sessions and seminars is a prerequisite for taking the examination. The students take the oral examination on infectious diseases immediately after the block has been completed or during the examination period. The examination must not be taken during the period intended for learning and teaching activities related to other subjects. 4. In case of an absence through illness or other good cause for which the student has provided sufficient evidence, the student must do an oral or written test given by the instructor/tutor. In case of a failure to pass practical lab and hospital sessions held in a hospital ward, the student is entitled to apply for repeated classes; in case of a fail mark for the seminar, the student must undertake the assessment again and obtain a pass mark. 5. Except for stethoscopes and stationery, no personal belongings, in particular food, textbooks and notebooks are allowed on hospital wards. The students do not need special footwear or their own protective uniforms. The uniforms are given to the students on the first day of clinical teaching; the students are required to return the uniforms after the block is completed. On the first day of clinical teaching, the students are reminded of health and safety rules and an obligation to comply with sanitary/hygiene requirements of hospital wards.