CODE 67403 ACADEMIC YEAR 2016/2017 CREDITS 3 cfu anno 4 MEDICINA E CHIRURGIA (LM-41) - SCIENTIFIC DISCIPLINARY SECTOR MED/17 LANGUAGE Italiano TEACHING LOCATION SEMESTER 1° Semester MODULES Questo insegnamento è un modulo di: INFECTIOUS DISEASES AND CLINICAL MICROBIOLOGY OVERVIEW Understanding the main features of bacterial, viral, fungal and parasitic diseases. Apply knowledge on collecting medical history and clinical evaluation, laboratory and imaging tests to the diagnosis of infectious diseases Acquire skills on prophylaxis and treatment of the most important infectious diseases AIMS AND CONTENT LEARNING OUTCOMES (FURTHER INFO) The main goal of the training is to provide knowledge on the clinical presentation, prophylaxis and treatment of infectious diseases. The teaching also includes essential principles of antimicrobial chemotherapy of the most important infectious diseases, with focus on the appropriateness of antibiotic prescription and on the risk of developing antibiotic resistance. Students must acquire a clinical competence in the differential diagnosis and management of infections, together with the ability to order appropriate imaging and laboratory tests. Upon completion of the course, the students must be able to recognize symptoms and signs of infectious diseases, and to correctly interpret clinical presentation, medical history and tests results. TEACHING METHODS S Frontal lessons Seminars (active participation of students is essential) Group work The teaching will cover 60 hours of frontal lessons (30 infectious diseases, 30 microbiology) on all arguments included in the program and additional 50 hours (2 CFU) of practical exercises (apprenticeship) in infectious diseases. Practical activities will be carried out at the Infectious Diseases Clinic of the University of Genoa. During practical activities the students will discuss clinical cases with Infectious Diseases specialists. Goals of the training: To acquire knowledge on microbiologic diagnosis of infections. To acquire knowledge of appropriate microbiological procedures, with particular attention to the appropriateness of tests and to result interpretations SYLLABUS/CONTENT Infectious Diseases programme: -Medical history and clinical diagnosis - Methods of control and protection - Transmission of endemic and epidemic infections -Active and passive prophylaxis -Antibiotic use and prescription appropriateness -Antibiotic resistance: interpretation of resistance test - Antibiotic Stewardship - MDR pathogens -Exanthemas - Sexually transmitted diseases -Genitourinary infections -SNC infections: meningitis, encephalitis, tetanus, botulism -HIV infection and diagnosis -AIDS and opportunistic diseases -Systemic infections -Respiratory infectious diseases -Sepsis, septic shock, infective endocarditis -Healthcare associated infections - Emerging infections in a globalized world -Infective gastroenteritis -Viral hepatitis -Infections and pregnancy - Emergent infectious diseases Microbiology programme: Direct and indirect diagnosis of bacterial, viral , fungal and parasitic infectious diseases. Microscopy, molecular, serological and cultural tests. Antibiograms and mechanisms of resistance to antimicrobial agents of Gram positive and negative bacteria Microbiological tests for the diagnosis of bacterial, viral , fungal and parasitic infections of: -cardiovascular system -urinary tract -SNC -Respiratory tract -Gastrointestinal tract Nosocomial infections and MDR Systemic infections RECOMMENDED READING/BIBLIOGRAPHY Lazzarin A., Androni M., Angarano G.- Malattie infettive. Casa Editrice Ambrosiana (2008) • M. Moroni, R. Esposito, S Antinori: Malattie Infettive, ottava edizione. Elsevier Masson, 2014 M. Moroni, R. Esposito, S Antinori: Malattie Infettive, ottava edizione. Elsevier Masson, 2014 Carosi G., Pauluzzi S.- Malattie Infettive. Piccin Editore (2007) Text Book di approfondimento: Mandell, Douglas & Bennet- Principles and Practice of Infectious Diseases. Churchill Livingstone Ed. (2015) Microbiologia Jawetz, Melnick, Adelberg's Microbiologia Medica. Piccin Editore La Placa Principi di Microbiologia Medica. Società editrice Esculapio TEACHERS AND EXAM BOARD CLAUDIO VISCOLI ANDREA DE MARIA SANDRA RATTO MALGORZATA KAROLINA MIKULSKA LAURA AMBRA NICOLINI Exam Board CLAUDIO VISCOLI (President) ANDREA DE MARIA EUGENIO DEBBIA ANNA MARCHESE MALGORZATA KAROLINA MIKULSKA LAURA AMBRA NICOLINI BARBARA WENDA SANDRA RATTO (President and Coordinator of Integrated Course) LESSONS Class schedule The timetable for this course is available here: Portale EasyAcademy EXAMS EXAM DESCRIPTION Oral examination (according to calendar available on the dedicated website) ASSESSMENT METHODS Learning will be assessed only by means of the final oral examination . All students will be required to obtain a minimun score of 18/30. To obtain this result, students must demonstrate to have acquired: -knowledge on clinical presentation, diagnosis and prophylaxis, together with therapeutic approach to the main infectious diseases. -skills on differential diagnosis and rational use of laboratory tests and imaging resources -skills on principles of antimicrobial treatment -skills on the appropriate use of antibiotic treatment and on the impact of the inappropriate antibiotic prescription on the emergence of antibiotic resistance The final score will be determined by: -ability to face in a critical manner to all the arguments discussed during the examination -quality of exposure -use of an appropriate vocabulary The maximum score (30/30 lode) will be given in case of excellence. Exam schedule Data appello Orario Luogo Degree type Note 13/06/2017 09:00 GENOVA Orale 04/07/2017 09:00 GENOVA Orale 25/07/2017 09:00 GENOVA Orale 14/09/2017 09:00 GENOVA Orale 07/11/2017 09:00 GENOVA Orale FURTHER INFORMATION Students can arrange an appointment with teachers by e-mail