CODE 66687 ACADEMIC YEAR 2023/2024 CREDITS 3 cfu anno 2 BIOLOGIA APPLICATA E SPERIMENTALE 11158 (LM-6) - GENOVA SCIENTIFIC DISCIPLINARY SECTOR MED/07 TEACHING LOCATION GENOVA SEMESTER 1° Semester TEACHING MATERIALS AULAWEB OVERVIEW Clinical Microbiology concerns humans and microorganisms relationships. Some thousands of microbial species, collectively known as microbiota, live in our body and plays useful functions, while other species, pathogens, may cause morbidity. Upon the completion of this course the students should know the biology of the microorganisms and their strategies to cause diseases in humans as well as diagnostic and therapeutic strategies. AIMS AND CONTENT LEARNING OUTCOMES The aim of the Clinical Microbiology course is to introduce basic principles of humans and microorganism relationship with a special focus on human microbiome and its modifications. The aim of the course is also to provide the basis for understanding mechanisms of microorganisms pathogenicity. It will also provide opportunities for a student to develop skills in diagnostic microbiology. AIMS AND LEARNING OUTCOMES At the end of the course, students should know the different types of host-microbe interactions, the role of microbiota/ microbiome and the main characteristics of pathogens. In addition, the students should know how the microbiome can change along life, factors influencing the microbiome and its differences in healthy and morbidity status and the most commonly used method in microbiome analysis and therapeutic strategies (i.e.microbiome transplantation). At the end of the course, the student should have a deep knowledge of the main clinical pathogens and diagnostic strategies. PREREQUISITES The student know the main characteristics of prokaryotes, viruses and fungi, their structure, classification genetics, growth and human strategies to inhibit pathogens growth. TEACHING METHODS Lessons in classroom SYLLABUS/CONTENT - Host-microbe interactions (symbiosis, parasitism, opportunism, colonization, infection, disease). -Human microbiome characteristics, changes along life, factors influencing the microbiome and its differences in healthy and morbidity status. Methods in microbiome analysis. Microbiome transplantation. -Bacterial pathogenicity and virulence factors (input, adherence to host tissue, invasion, permanence, exotoxins and endotoxins, hydrolytic enzymes, antiphagocytic mechanisms), intracellular parasites and antigen heterogenicity -Main characteristics of the major classes of chemotherapeutic agents and antibiotics (spectrum of action, target, pharmacokinetics and mechanisms of drug resistance). Susceptibility and antimicrobial resistance and quantitative and qualitative determination of antibiotic in vitro activity. - Characteristics and mechanisms of pathogenicity of the following microorganisms: Staphylococci, Streptococci, Pneumococci, Enterococci, Enterobacteriales, Pseudomonas, , Hemophilus, Neisseria, Moraxella, Clostridia, H. pylori, V. cholerae, atypical pathogens, Mycobacteria. Herpesvirus, HIV, Hepatitis, Orthomyxovirus, HPV, and Coronavirus. -Mechanism of viral transmission, penetration into the host and spreading, tissue tropism, virulence and cytopathic effects, persistence, latency, reactivation). Antiviral drugs . -Microbiological diagnosis (direct-indirect techniques) -Microbiological diagnosis of respiratory, uro-genital, cardio-circulatory infections (blood culture and endotoxin test), gastro-enteric, central nervous system RECOMMENDED READING/BIBLIOGRAPHY Antonelli et al. Principi di Microbiologia Medica II ed. CEA 2012 Brock Microbiologia Biomedica Pearson 2016 Microbiologia clinica a cura di E.A. Debbia Società editrice Esculapio Wessner et al Microbiologia CEA 2016 The course slides can be downloaded from Aula WEB. TEACHERS AND EXAM BOARD ANNA MARCHESE Ricevimento: An appointment, fixed by an electronic request at the address: anna-marchese@unige.it, is needed Exam Board ANNA MARCHESE (President) VINCENZO DI PILATO LESSONS LESSONS START For lessons start and timetable go to the link: https://easyacademy.unige.it/portalestudenti/ Please check the module Aulaweb page for timetable updates dependent on the sanitary and epidemic situation. Class schedule CLINICAL MICROBIOLOGY EXAMS EXAM DESCRIPTION The evaluation is carried out through a final exam which seeks to ascertain the actual acquisition by the student of the expected learning results. A minimum mark of 18/30 is required to pass the module. The mark 30/30 with any honors will correspond to an excellent knowledge of all argoments. ASSESSMENT METHODS oral test The exam will verify the achievement of the educational objectives through questions that will concern the possible relationships between microorganisms and humans in health and pathology, the main characteristics and virulence factors of the main pathogens and the laboratory strategies for diagnosing infectious diseases. Exam schedule Data appello Orario Luogo Degree type Note 09/02/2024 09:00 GENOVA Orale 12/06/2024 09:00 GENOVA Orale 02/07/2024 09:00 GENOVA Orale 10/09/2024 09:00 GENOVA Orale