Home » TERNOPIL STATE MEDICAL UNIVERSITY

TERNOPIL STATE MEDICAL UNIVERSITY

June 10, 2024

TERNOPIL STATE MEDICAL UNIVERSITY

after I.Y. GORBACHEVSKY

Department of infectious diseases

with the courses of epidemiology and dermatovenerology

CURRICULUM OF

INFECTIOUS DISEASES

Department of infectious diseases with the courses of epidemiology

dermatovenerology

for the students of higher medical establishments of education

of III – IV accreditation levels

Speciality : 7.110101“Stomatology”

Ternopil –2013

I. Explanatory note

Work Programme for Communicable Diseases for higher medical educational institutions of Ukraine III-IV accreditation is made for the specialty “dentist” specialty 7.110106 1101 “Medicine” in accordance with typical applications:

Duration of training, specialty, “Dentist” 7.110104 – 5 years.

According to the curriculum of the discipline is in fourth year of training.

Infectious diseases as subject matters:

a) based on a study of students of medical and biological physics, morphological sciences, microbiology, virology and immunology, physiology, pathophysiology, internal medicine, surgery, neurology, dermatology, epidemiology, ophthalmology, otolaryngology, endocrinology, clinical pharmacology, resuscitation and integrates these disciplines ;

b) laying the foundations of a healthy lifestyle and prevention of disorders of the body during life.
In the common system of training a doctor discipline “Infectious Diseases” has a special place in view of considerable prevalence of infectious diseases, the need for the formation of future doctors in clinical thinking, skills and practical skills to ensure timely diagnosis of infectious diseases and their complications, management of treatment, the optimal choice of tactics in case of emergency. Special attention in the teaching discipline is given to early diagnosis, treatment of pre-hospital phase and improve the quality of the doctor.

Organization of educational process is carried out by credit-modular system according to the implementation of the Bologna Declaration in higher medical education.

The program is structured in a discipline module ECTS, which includes two content modules. Student workload described in ECTS credits – credits loans to students enrolled in the successful assimilation of the module.

Module 1. Infectious diseases.

The substantive modules:

A. Introduction to infectology. Infectious diseases from airborne and fecal-oral transmission mechanisms.

2. Infectious diseases of parenteral and wound transfer mechanisms. Diseases controlled by the International Health Regulations.

Credit and modular educational system (ECTS) leads students systematically learn during the school year and provide improve the quality of students.

The types of classes according to the curriculum are lectures, workshops, independent study students (CPC).

Topics of lectures reveal issues relevant sections of infectious diseases. In the lecture course the most used variety of teaching tools – multimedia presentations, training films, slides, tapes, demonstration case patients. Lecture and practical steps students as possible are formed in the following order to the theme lecture was preceded by workshops.

Practical lessons on how their organizations are clinical and include:

A. Consideration of theoretical issues and practical skills for standard lists to every practice and during the final module control.

2. Situational tasks.

3. Standardized test control, oral and written surveys.

Independent work of students (CPC) holds in the study subjects important place. In addition to traditional training students in practical training and module control and mastery of a list of topics proposed for self-study, planned preparation and writing an essay. The effectiveness of CPC should be ensured cooperation of students and teachers.

TRAINING PLAN

with the subject “Infectious diseases” for students of dental faculty in specialty 7.110106 “Dentist” qualification – a doctor.

STRUCTURE of Educational discipline	Number of hours, including				Year of study	Type of control
	WHOLE	Classroom		СРС
		Lectures	Prac-tical trai-ning
Credit of ЕСТS	2,0
Examination Credit: Module 1 (5 semantic modules)	60 H. – 2,0 CD.	10	30	20	4	CURRENT And final module control
DURATION OF PRACTICAL WORK		3,0 H. – 0,1 CD.

Note: 1 ECTS credit – 30 hours.

Classroom activity – 67.0%, CPC – 33.0%

II. The purpose of learning a discipline

The purpose of learning a subject “Infectious diseases” – the ultimate goals are established on the basis of Annexes B and D education and training program (EPP) training medical specialty pursuant to the power module and its contents are the basis for building a content discipline (HSVO-2003). Goals (final and concrete) are formulated in terms of “professional” for the appropriate taxonomic levels. Based on the ultimate goals for each semantic module specific objectives formulated in the form of specific skills (actions) targets to ensure the ultimate goal of the discipline.

Final objectives (are based on educational and vocational training programs in “Dentistry”, Kyiv, 2003):

• PP.0029, PP.00222 identify key symptoms and syndromes in the most common infectious diseases;

• PP.0035 determine the tactics of dental patients with the most common infectious diseases;

• PP.0089 interpret patterns and peculiarities of pathological and epidemiological process in infectious diseases that require special tactics of patients;

• PP.00106 demonstrate possession of the moral and ethical principles of professional subordination in providing medical care to infectious patients;

• PP.00111 demonstrate awareness of infectious diseases as weapons of mass destruction;

• PP.00124, PP.00140 diagnose and provide emergency care for urgent conditions that complicate the course of infectious diseases at the Hospital to the stage.

3. Contents of the program.

Module 1. Infectious diseases.

Thematic module

1. Introduction to infectology. Infectious diseases from airborne and fecal-oral transmission mechanisms.

Specific objectives:

• highlight key symptoms and syndromes in the most common infectious diseases with airborne and fecal-oral transmission mechanisms: abdominal pain, fever, lymphadenopathy, meningeal syndrome, rash, enantema with lesions of the mucous membranes of the mouth;

• set a preliminary diagnosis of the most common infectious diseases with airborne and fecal-oral transmission mechanisms (diphtheria);

• Identify tactics of patients with the most common infectious diseases with airborne and fecal-oral transmission mechanisms;

• interpret laboratory results (overall clinical, biochemical, bacteriological, virological, serological) and instrumental methods of analysis (duodenal intubation, X-ray examinations, ultrasound, biophysical fetus profile, MRI, etc.). In patients with the most common infectious diseases with airborne and fecal- oral transmission mechanisms;

• diagnose and provide emergency care for urgent conditions that impede the progress of the most common infectious diseases with airborne and fecal-oral transmission mechanisms, on Hospital to the stage: infectious-toxic, dehydration, anaphylactic shock, acute respiratory failure, swelling of the brain;

• perform medical manipulations: wash the stomach and intestines, to make the injection of drugs (intramuscular, subcutaneous, intravenous drip and stream) to measure blood pressure, perform artificial respiration, indirect cardiac massage.

Topic number 1. The concept of an infectious process and Infectious Diseases. Principles of diagnosis, prevention and immunoprophylaxis of infectious diseases. SARS (influenza, parainfluenza, adenoviral, rynovirusna, respiratory infections syntytsiyna). Immunoprophylaxis flu.

Place discipline “Infectious diseases” in the system of medical knowledge. Milestones infectology as a science.

Classification of Diseases. The role of immunity and nonspecific protective factors in the infectious process. Methods of test infectious patient. Features of the clinical and laboratory diagnosis of infectious diseases, interpretation of results of specific research methods. Principles of treatment of infectious diseases. Preventive measures and principles of immunoprophylaxis of infectious diseases. The structure and mode of infectious hospital. These admissions, examinations and discharge patients. Features of medical records.

Place of infectious diseases from airborne transmission mechanism in struktruri infectious diseases. Epidemiologic, pathogenetic and clinical features of infectious respiratory diseases. These hospitalyzatsiyi, evaluation and discharge of patients. Features of medical records.

Influenza: etiology, epidemiology, pathogenesis, clinical course, laboratory diagnosis, complications, prognosis. Modern methods of treatment. The principles of immunoprophylaxis. Indications for hospitalization, discharge policies for patients with infectious hospital. Medical care for pre-hospital stage.

Definitions “ARI” and “SARS“. Etiology of SARS. Place of SARS in the structure of infectious diseases.

Parainfluenza: etiology, epidemiology, pathogenesis, classification, clinical course, diagnosis, complications.

Adenoviral disease: epidemiology, pathogenesis, classification, clinical course, diagnosis, complications.

PC infection: etiology, epidemiology, pathogenesis, classification, clinical course, diagnosis, complications.

Rynovirusna infection: etiology, epidemiology, pathogenesis, clinical features, complications.

The principles of laboratory diagnosis, treatment and prevention of SARS. Indications for hospitalization, discharge policies for patients with infectious hospital. Medical care for pre-hospital stage.

Topic number 2. Clinical characteristics of bacterial pharyngitis. Meningococcal nasopharyngitis. Diphtheria. Immunoprophylaxis diphtheria.

Diphtheria: relevance for Ukraine. Etiology, characteristics of the epidemic process, pathogenesis, classification, clinical course, laboratory diagnosis, differential diagnosis, complications, prognosis. Principles of treatment and prevention (including immunization). Medical care for pre-hospital stage. Indications for admission and discharge policies of infectious hospital. Clinical convalescents.

Meningococcal disease: a place in the structure of infectious diseases in Ukraine. Etiology, epidemiology, pathogenesis, clinical and laboratory diagnosis of meningococcal nasopharyngitis, weather. The principles of treatment. Indications for admission and discharge policies for patients with infectious hospital. Preventive measures.

Topic number 3. Children of infection in adults. Measles, rubella, mumps, scarlet fever. Immunoprophylaxis of these diseases.

Cyrus: etiology, epidemiology, pathogenesis, clinical features, peculiarities in adults, laboratory diagnosis, complications. The principles of treatment, anti-epidemic measures in the cell. The principles of immunoprophylaxis. Medical care for pre-hospital stage. Indications for hospitalization, discharge policies for patients with infectious hospital.

Rubella: etiology, epidemiology, pathogenesis, clinical features, peculiarities in adults, laboratory diagnosis, complications. Principles of treatment and prevention (including immunization) rubella. Indications for hospitalization, discharge policies for patients with infectious hospital. Role of rubella virus in fetal pathology.

Mumps virus disease: etiology, epidemiology, pathogenesis, classification, clinical features, peculiarities of adults, complications. The principles of laboratory diagnosis, treatment and prevention (including immunization). Indications for hospitalization, discharge policies for patients with infectious hospital. Medical care for pre-hospital stage.

Scarlet fever: etiology, epidemiology, pathogenesis, clinical features, peculiarities in adults, laboratory diagnosis, complications. The principles of treatment. Medical care for pre-hospital stage. Indications for hospitalization, discharge policies for patients with infectious hospital.

Topic number 4. Herpes infection – HSV, VZV, EBV, CMV. Clinical characteristics of herpes simplex. Principles of treatment and prevention.

General characteristics of herpetic infections etiological structure, place in an infectious disease.

Infections caused by herpes simplex virus HSV-1 and HSV-2: etiology, epidemiology, pathogenesis, classification, clinical manifestations, laboratory diagnosis, complications, prognosis. Principles of treatment and prophylaxis of herpes infections. Indications for hospitalization. Medical care for pre-hospital stage.

Varicella and herpes zoster: etiology, epidemiology, pathogenesis, classification, clinical manifestations, laboratory diagnosis, complications. Principles of treatment and prevention of VZV-infection. Indications for hospitalization, discharge policies for patients with infectious hospital. Medical care for pre-hospital stage.

EBV-infection and SMV infection: etiology, pathogenesis, classification, clinical presentation, complications, prognosis. Infectious mononucleosis as polyetiological disease. Laboratory diagnosis. Principles of treatment and prevention of EBV-and SMV infections. Indications for hospitalization, discharge policies for patients with infectious hospital. Medical care for pre-hospital stage.

Topic number 5. The concept of enterotoksyhenni enteroinvazyvni and diarrhea. Shigellosis, salmonellosis, cholera. First Aid.

Place of infectious diseases from fecal-oral transmission mechanism in the structure of infectious diseases. Current methods of laboratory diagnosis. Indications for admission and discharge policies for patients with infectious hospital. Regulation of medical records.

The concept of enteroinvazyvni enterotoksyhenni and diarrhea.

Diarrheal syndrome: etiology, pathogenesis, clinical features, laboratory diagnosis.

Cholera: etiology, epidemiology, pathogenesis, clinical course, laboratory diagnosis, complications. Modern methods of treatment, medical care for pre-hospital stage. Indications for admission and discharge policies for patients with infectious hospital. Preventive measures and immunoprophylaxis.

Salmonellosis: etiology, epidemiology, classification, pathogenesis, clinical course, laboratory diagnosis, complications. Modern methods of treatment, medical care for pre-hospital stage. Indications for hospitalization, discharge policies for patients with infectious hospital. Principles of prevention.

Shigellosis: etiology, epidemiology, classification, pathogenesis, clinical course, laboratory diagnosis, complications. Modern methods of treatment, medical care for pre-hospital stage. Indications for admission and discharge policies for patients with infectious hospital. Principles of prevention.

Thematic module 2. Infectious diseases of parenteral and wound mechanisms of transmission. Diseases that areregulated by the International Health Regulations.

Specific objectives:

• highlight key symptoms and syndromes in the most common infectious diseases of parenteral and wound mechanisms and disease transmission, regulated by the International Health Regulations;

• set a preliminary diagnosis of the most common infectious diseases of parenteral and wound mechanisms of transmission and disease, regulated by the International Health Regulations;

• Identify tactics of patients with the most common infectious diseases of parenteral and wound mechanisms and disease transmission, regulated by the International Health Regulations;

• interpret laboratory results (overall clinical, biochemical, bacteriological, virological, serological) and instrumental methods of analysis (duodenal intubation, X-ray examinations, ultrasound, biophysical fetus profile, MRI, etc.). In patients with the most common infectious diseases of parenteral and wound mechanisms of transmission and diseases, regulated by the International Health Regulations;

• diagnose and provide emergency care for urgent conditions that impede the progress of the most common infectious diseases of parenteral and wound mechanisms of transmission and disease, regulated by the International Health Regulations, the Hospital to the stage: infectious-toxic, dehydration, anaphylactic shock, acute respiratory failure, swelling of the brain;

Topic number 6. Viral hepatitis with parenteral mechanism of transmission. Clinic, diagnosis, treatment. Immunoprophylaxis of viral hepatitis A and B. Features of infection in dental practice. Planned and emergency prevention of infectious diseases. Individual prevention.

Acute HBV: etiology, epidemiology, classification, pathogenesis, clinical course, complications, prognosis. Indications for hospitalization, discharge policies for patients with infectious hospital. Preventive measures. Immunoprophylaxis.
Acute VHD: etiology, epidemiology, classification, pathogenesis, clinical course, complications, prognosis. Indications for hospitalization, discharge policies for patients with infectious hospital. Preventive measures.

The concept of viral hepatitis G, TTV.

Acute hepatic encephalopathy: pathogenesis, clinical and laboratory diagnosis, treatment guidelines, patients with emergency pre-hospital stage.

Laboratory diagnosis of acute viral hepatitis. Therapeutic tactics, medical care for pre-hospital stage.

Viral hepatitis C: etiology, epidemiology, classification, pathogenesis, clinical course, laboratory diagnosis, differential diagnosis, prognosis. Principles of treatment and prevention. Indications for hospitalization.

HIV infection and HIV-associated infections and infestations, accompanied by lesions of oral mucosa.

Relevance of HIV infection in Ukraine. Etiology, epidemiology, pathogenesis, classification, clinical course, prognosis. Laboratory diagnosis, plan of survey of the patient when determining the previous diagnosis of HIV infection. Principles of destination therapy. Preventive measures.

Regulations Health of Ukraine, regulating the voluntary testing, hospitalization, treatment, preventive measures and legal aspects of HIV infection.

The most common HIV–associated infectious diseases: herpes, protozoan (cerebral toxoplasmosis, cryptosporidiosis, izosporoz), mycosis (candidiasis, pnevmotsistnaya pneumonia, cryptococcosis), bacterial etiology (bacterial recurrent pneumonia, listeriosis, mycobacterioses, recurrent Salmonella septicemia, disseminated other bacterial infections) . Clinical and laboratory diagnosis. Tuberculosis as a marker of immunodeficiency. Peculiarities of opportunistic infections in patients with HIV. Principles of treatment and prevention. Indications for hospitalization. Clinical HIV-infection.

Topic number 8. Tetanus. Erysipelas. Anthrax. Foot and mouth disease.

Tetanus: etiology, epidemiology, classification, pathogenesis, clinical course, diagnosis, complications, prognosis. The principles of treatment, medical care for pre-hospital stage, therapeutic tactics in case of emergency conditions. These admissions, rules discharge of patients from the hospital. Principles of prevention.
Erysipelas: etiology, epidemiology, classification, pathogenesis, clinical course, diagnosis, complications, prognosis. Principles of treatment and prevention. Indications for hospitalization.

Foot and mouth disease: etiology, epidemiology, pathogenesis, clinical course, laboratory diagnosis, complications, prognosis. Principles of treatment and prevention. Indications for hospitalization.

Topic number 9. The concept of infection, regulated by the International Health Regulations. Plague. Yellow fever. Hemorahiyni fever Lass, Marburg, Ebola.

Plague: etiology, epidemiology, classification, pathogenesis, clinical course, laboratory diagnosis, complications, prognosis. Principles of treatment and prevention. Medical care for pre-hospital stage, therapeutic tactics in case of emergency conditions. These admissions, rules discharge of patients from the hospital. Preventive measures.

Yellow fever: etiology, epidemiology, classification, pathogenesis, clinical course, laboratory diagnosis, complications, prognosis. Principles of treatment and prevention (including immunization). Medical care for pre-hospital stage, therapeutic tactics in case of emergency conditions. These admissions, rules discharge of patients from the hospital.

Fever Marburg, Ebola, Lass: etiology, epidemiology, classification, pathogenesis, clinical course, laboratory diagnosis, complications, prognosis. Principles of treatment and prevention. Medical care for pre-hospital stage, therapeutic tactics in case of emergency conditions. These admissions, rules discharge of patients from the hospital.

The structure of credit scoring – Module 1:

Infectious diseases.

№ з	Topics	Lectures	Practical exercises	Independent student work training
№ з	Topics	Lectures	Practical exercises	СРС	Indiv. СРС
Thematic module 1. Introduction to infectology. Infectious diseases from airborne and fecal-oral transmission mechanisms
	The concept of infectious process and Infectious Diseases. Principles of diagnosis, prevention and immunoprophylaxis of infectious diseases. SARS (influenza, parainfluenza, adenoviral, rynoviral, respiratory-syncytial infections). Immunoprophylaxis of flu.	2	3	2	Infectious lesions of mucous membrane (oral mucosa)
2	Children infection in adults. Measles, rubella, mumps, scarlet fever. Immunoprophylaxis of these diseases.	1	3	2
3	Clinical characteristics of bacterial pharyngitis. Meningococcal nasopharyngitis. Diphtheria. Immunoprophylaxis of diphtheria.	–	3	2
4	Herpetic infection HSV, VZV, EBV, CMV. Clinical characteristics of herpes simplex. Principles of treatment and prevention.	1	3	2
5	The concept of enterotoksigen and enteroinvaziv diarrhea. Shigellosis, salmonellosis, cholera. First Aid.	–	6	3
Thematic module 2. Infectious diseases of parenteral and wound mechanisms of transmission. Diseases that are regulated by the International Health Regulations.
6	Viral hepatitis with parenteral mechanism of transmission. Clinic, diagnosis, treatment. Immunoprophylaxis of viral hepatitis A and B. Features of infection in dental practice.	2	3	2	HIV-associated infections and infestations, in which the affected oral mucosa
7	HIV infection and HIV-associated infections and infestations, accompanied by lesions of oral mucosa.	2	3	2
8	Tetanus. Erysipelas. Anthrax. Foot and mouth disease.	–	3	2
9	The concept of infection, regulated by the International Health Regulations. Plague. Yellow fever. Hemoraghic fever of Lass, Marburg, Ebola.	2	3	2
10	Final module control	–
Total		10	30	20

Classroom work – 66.7%, CPC – 33.3%

IV. Plan of lectures.

The topic subject

SARS. Clinical features and prevention of influenza.

Bacterial and fungal infectious diseases, affecting the oral mucosa.

Viral hepatitis with parenteral mechanism of transmission.

HIV infection. HIV-associated infections and infestations.

The concept of disease, controlled by the International Health Regulations. Plague, cholera, yellow fever.

Total: 10 hours.

Context plan of practical work

N	The topic subject	Number of ac. hours
1.	The concept of infectious process and Infectious Diseases. Principles of diagnosis, prevention and immunoprophylaxis of infectious diseases. SARS (influenza, parainfluenza, adenoviral, rynoviral, respiratory-syncytial infections). Immunoprophylaxis of flu.	3
1.	Children infection in adults. Measles, rubella, mumps, scarlet fever. Immunoprophylaxis of these diseases.	3
2.	Clinical characteristics of bacterial pharyngitis. Meningococcal nasopharyngitis. Diphtheria. Immunoprophylaxis of diphtheria.	3
2.	Herpetic infection HSV, VZV, EBV, CMV. Clinical characteristics of herpes simplex. Principles of treatment and prevention.	3
3.	The concept of enterotoksigen and enteroinvaziv diarrhea. Shigellosis, salmonellosis, cholera. First Aid.	6
4.	Viral hepatitis with parenteral mechanism of transmission. Clinic, diagnosis, treatment. Immunoprophylaxis of viral hepatitis A and B. Features of infection in dental practice. Planned and emergency prevention of infectious diseases. Individual prevention.	3
4.	HIV infection and HIV-associated infections and infestations, accompanied by lesions of oral mucosa.	3
5.	The concept of infection, regulated by the International Health Regulations. Plague. Yellow fever. Hemoraghic fever of Lass, Marburg, Ebola.	3
5.	Tetanus. Erysipelas. Anthrax. Foot and mouth disease.	3

Total: 30 hrs.

VI. Plan of the independent work of students.

N	The topic subject	Number of ac. hours
1.	Theoretical training with practical exercises.	9
2.	Self–study topics not included in the plan of classes:
2.1	Botulism.	1
2.2	The general concept of helminthiases.	1
2.3	The general concept of illness of travelers (traveler’s diarrhea, fever hemorahiyni a disease of travelers, malaria).	2
3.	Write an essay on infectious diseases.	3
4.	Preparing for the PMK.	4

Total: 20 hours.

LIST OF PRACTICAL SKILLS, INCLUDED

In MATRYKULY PRACTICAL SKILLS

№

з/м

Name of practical skills

The level of mastery

Line of the matrykul

Name of the semantic module in matrykul

Supervision of patients with viral hepatitis – level 4

Supervision of patient with herpes disease

Thematic module 1

Introduction to infectology. Infectious diseases from airborne and fecal-oral transmission mechanisms.

Supervision of patients with lesions of the tonsils (tonsillitis, diphtheria, infectious mononucleosis)

Thematic module 1

Introduction to infectology. Infectious diseases from airborne and fecal-oral transmission mechanisms.

Diagnostic criteria and treatment of tetanus

Thematic module 2. Infectious diseases of parenteral and wound mechanisms of transmission. Diseases that areregulated by the International Health Regulations.