Study Guide Infection and Infectious Diseases

STUDY GUIDE

INFECTION & INFECTIOUS DISEASES

PROGRAM STUDI PENDIDIKAN DOKTER

FAKULTAS KEDOKTERAN

UNIVERSITAS UDAYANA

CONTENTS

Table of contents………..……………………………………………………………. 1

Introduction……………………………………………………………………………………. 2

Curriculum……………………………………………………………………………………… 4

The Seven General Core Competencies…………………………………………………….6

Block Team………………………………………………………………………...... 7

Facilitators……………………………………………………………………………………… 8

Time Table Regular Class…………………………………………………………………… 9

Time Table English Class…………………………………………………………………….. 9

Student’s Project…………………………………………………………………………….. 14

Assessment method…………………………………………………………………………... 16

Learning Program…………………………………………………………………………….. 17

  • Lecture…………………………………………………………………………………. 17
  • Learning Task and Self Assessment…………………………………………………….17

Curriculum Mapping…………………………………………………………………………... 60

Reference ……………………………………………………………………………………… 61

INTRODUCTION

Due to the application of integrated curriculum at the Faculty of Medicine Udayana University, the discipline-based subjects of the previous curriculum such as Biology, Anatomy, Physiology, Internal Medicine, etc have been integrated and incorporated into several blocks. One of these blocks is Infections and Infectious Diseases. In this block will be explained in general about pathogenesis, pathophysiology, sign, symptoms, clinical features, diagnosis, and management of certain infectious diseases commonly occur in community.

This book aims to give general information for medical students about infections and infectious diseases and important for facilitators and resource person while facilitating or guiding the students in learning process. This study guide consists of general information on learning time table, block team members, facilitators, and the core curriculum including learning outcomes, learning situations, learning tasks and self-evaluation items.

The block Infection and Infectious Diseases has the equivalent of 3 (three) credits. As a block of six credits, the learning processes will be carried out for 38 days starts from October, 6th 2017 as shown in the Time Table. Evaluation for infection and infectious disease will be held on 9th November 2017. Final mark of this block is combination between result of basic and clinical examination. During the 38 days of learning activities, the students will discuss several topics in varied forms of learning situations such as independent learning, small group discussion, lecture, and skill lab.

More than half of the learning material must be learned independently and in small group discussions. A lecture is given only to emphasize crucial things or objectivesof material and to prepare the students before discussion. For small group discussion, the students will be given learning tasks to solve and discuss. After discussion, students also have to evaluate their learning progress independently (self assessment).

From this block, we hope every medical student have knowledge and skill to diagnose and manage infections and certain infectious diseases commonly occur in community, as a frontline in community health.

Since the integrated curriculum of the Faculty of Medicine Udayana University is still in progress, this Study Guide will also, naturally, have some revisions in the future. Therefore, we kindly invite readers to give any comments or suggestions for its improvement and development.

Planners

CURRICULUM OF THE BLOCK

AIMS

  • To comprehend the biology of the infectious diseases
  • To apply and interpret common laboratory diagnosis of infectious diseases
  • To diagnose and manage common infectious diseases
  • To carry out basic immunization in children

LEARNING OUTCOMES

Comprehend the practical and clinical implications of the biology of infection

Apply the general principles of approach to patients with infectious diseases

Apply and interpret common laboratory diagnosis of common infectious diseases

Apply the basic principles of immunization in children

Diagnose and manage common bacterial infections (common Gram positive and negative, spirochetal)

Diagnose and manage common parasitic infections (common nematode, trematode, cestode, and protozoal infections)

Diagnose and manage common fungal infections

Clinically diagnose and manage common viral infections (caused by common respiratory virus, herpesvirus, arbovirus)

Clinically diagnose and manage Infection in pregnancy (TORCH)

CURRICULUM CONTENT

  1. The biology of infection: bacterial, viral, fungal and parasitic.
  2. Principles of bacterial infections such as Staphylococci, Streptococci, Neisseria, Salmonella, Vibrio, anaerobic bacteria¸ Leptospira, Mycobacteria, Gram positive bacilli)
  3. Principles of viral infections such as respiratory virus (influenza virus, mumps, measles), retrovirus (HIV), herpesvirus (HSV 1, HSV 2, VZV, arbovirus (dengue virus, Japanese B encephalitis virus).
  4. Principles of fungal infections such as Candida, Pneumocytis jiroveci, Histoplasma, Cryptococcus
  5. Principles of parasitic infections such as Plasmodium, Toxoplasma gondii, Entamoeba histolytica and soil transmitted helminthes.
  6. General approach to the patients with infection such as:
  7. Clinical manifestations (local and systemic infections)
  8. Laboratory examination to support diagnosis of infections i.e. Microbiological examination, Parasites examination, Clinical pathology examination, Pathology examination and Imaging examination
  1. Management patients with infection such as:
  1. Common bacterial infections such as bacterial meningitis, typhoid fever,diarrhea, endocarditis, diphtheria, tetanus, food poisoning, genital gonorrhoeae, non gonococcal urethritis, etc.
  2. Common parasitic infections such as malaria, amoebiasis, toxoplasmosis.
  3. Common fungal infection such as dermatophytosis, systemic candidiasis,histoplasmosis, cryptococcosis, pneumocytis jiroveci pneumonia.
  4. Common viral infections such as mumps, measles, influenza (especiallyH5N1), SARS, varicella, herpes labialis, herpes genitalis, dengue fever,Japanese B encephalitis, and HIV.
  1. Immunization in children.
  2. Infection in pregnancy

The Seven General Core Competencies

  1. Patient Care

Demonstrate capability to provide comprehensive patient care that is compassionate, appropriate, and effective for the management of health problems, promotion of health and prevention of disease in the primary health care settings.

  1. Medical Knowledge Base

Mastery of a core medical knowledge which includes the biomedical sciences, behavioral sciences, epidemiology and statistics, clinical sciences, the social aspect of medicine and the principles of medical ethics

  1. Clinical skill

Demonstrate capability to effectively apply clinical skills and interpret the findings in the investigation of the patients

  1. Communication

Demonstrate capability to communicate effectively and interpersonally to establish rapport with the patient, family, community at large, and professional associates, that results in effective information exchange, the creation of a therapeutically and ethically sound relationship

  1. Information Management

Demonstrate capability to manager information which includes information access, retrieval, interpretation, appraisal, and application to patience’s specific problem, and maintaining records of his or her proactive for analysis and improvement

  1. Professionalism

Demonstrate a commitment to carrying out professional responsibilities and to personal probity, adherence to ethical principles, sensitivity to a diverse patient population and commitment to carrying out continual self-evaluation of his or her professional standard and competence

  1. Community-based and health system-based practice

Demonstrate awareness and responsiveness to larger context and system of health care, and ability to effectively use system resource for optimal patient care.

PLANNERS TEAM

No / Name / Departement / Phone
1 / Prof. Dr. dr. Tuti Parwati Merati, SpPD, KPTI-FINASIM / Internal Medicine (Tropical Disease) / 08123806626
2 / dr. Made Susila Utama, SpPD-KPTI / Internal Medicine (Tropical Disease) / 08123815025
3 / dr. Ratih Karna, Sp.KK / Dermatology & Venerology / 081337808844
4 / dr. Ni Putu Ekawati, M.repro, Sp.PA / Anatomy Phatology / 08113803933
5 / dr. I Gusti Ayu Harry Sundariyati, S.Ked / DME / 081805380277

LECTURER

NO / NAME / DEPT / PHONE
1. / Prof. Dr. dr. Tuti Parwati Merati, SpPD, KPTI-FINASIM / Internal Medicine (Tropical Disease) / 08123806626
3. / dr. Made Susila Utama, SpPD-KPTI / Internal Medicine (Tropical Disease) / 08123815025
4. / Dr. dr. Agus Somia, SpPD-KPTI / Internal Medicine (Tropical Disease) / 08123989353
5. / dr. AA Yuli Gayatri, SpPD-KPTI / Internal Medicine (Tropical Disease) / 08123803985
6. / dr. Ni Made Dewi Dian Sukmawati, Sp.PD / Internal Medicine (Tropical Disease) / 081805656501
7. / dr W. Gustawan,M.Sc., Sp.A / Pediatri / 08123848241
8. / dr. Made Bagiada, Sp.PD-KP / Pulmonology / 08123607874
9. / Dr. dr. Wayan Sudhana, SpPD-KGH / Internal Medicine (Nefrology) / 08123914095
10. / Dr. dr. IB Fajar Manuaba, SpOG / Obstetric & Gynecology / 081558101719
11. / dr. Dwi Lingga Utama, Sp.A (K) / Pediatric / 081353002002
12. / dr. Ni Made Susilawati, Sp.S (K) / Neurology / 08124690137
13. / Prof. dr. Made Swastika Adiguna, Sp.KK / Dermato & Venerology / 08123828548
14. / Dr. dr. A.A.G.P. Wiraguna, Sp.KK / Dermato & Venerology / 081338645288
15. / dr. Kadek Swastika, M.Kes / Parasitology / 08124649002
16. / dr. Ni Nengah Dwi Fatmawati, Sp.MK, Ph.D / Microchemistry / 087862200814

FACILITATORS

(REGULAR CLASS)

No / Name / Group / Departement / Phone / Venue
(3rd floor)
1 / Dr. dr. Ni Made Linawati, M.Si / A1 / Histology / 081337222567 / 3rd floor: R.3.01
2 / dr. I Gusti Ayu Harry Sundariyati, S.Ked / A2 / DME / 081805380277 / 3rd floor: R.3.02
3 / dr. Yukhi Kurniawan, Sp.And / A3 / Andrology / 08123473593 / 3rd floor: R.3.03
4 / dr. Ni Nengah Dwi Fatmawati, Sp.MK, Ph.D / A4 / Microbiology / 087862200814 / 3rd floor: R.3.04
5 / dr. Prima Sanjiwani Saraswati Sudarsa, M.Biomed, SpKK / A5 / Dermatovenerology / 08123818826 / 3rd floor: R.3.05
6 / dr. Sri Yenni Trisnawati GS, M.Biomed, Sp.S / A6 / Neurology / 081236223000 / 3rd floor: R.3.06
7 / Prof. Dr.dr. I Putu Gede Adiatmika, M.Kes / A7 / Physiology / 08123811019 / 3rd floor: R.3.07
8 / dr. I Kadek Swastika, M.Kes / A8 / Parasitology / 08124649002 / 3rd floor: R.3.08
9 / dr. I Wayan Surudarma, Msi / A9 / Biochemistry / 081338486589 / 3rd floor: R.3.21
10 / dr. Ni Made Ari Suryathi, M.Biomed, Sp.M / A10 / Opthalmology / 085253651928 / 3rd floor: R.3.22

FACILITATORS

(ENGLISH CLASS)

No / Name / Group / Departement / Phone / Venue
(3rd floor)
1 / dr. Putu Cintya D.Y, MPH / B1 / Public Health / 081353380666 / 3rd floor: R.3.01
2 / Dr. dr. I Dewa Made Sukrama, Msi, Sp.MK (K) / B2 / Microbiology / 081338291965 / 3rd floor: R.3.02
3 / dr. I Ketut Wibawa Nada, Sp.An / B3 / Anestesiology / 087860602995 / 3rd floor: R.3.03
4 / dr. Ni Putu Ekawati, M.Repro, Sp.PA / B4 / Anatomy Patology / 08113803933 / 3rd floor: R.3.04
5 / Dr. dr. Susy Purnawati, M.KK / B5 / Physiology / 08123989891 / 3rd floor: R.3.05
6 / Prof. dr. I G M. Aman, Sp.FK / B6 / Pharmacology / 081338770650 / 3rd floor: R.3.06
7 / dr. Ni Putu Witari, Sp.S / B7 / Neurology / 081338724040 / 3rd floor: R.3.07
8 / dr. I Wayan Sugiritama, M.Kes / B8 / Histology / 08164732743 / 3rd floor: R.3.08
9 / Dr. dr. I Made Muliarta, M.Kes / B9 / Physiology / 081338505350 / 3rd floor: R.3.21
10 / dr. Muliani, M.Biomed / B10 / Anatomy / 085103043575 / 3rd floor: R.3.22

TIME-TABLE

(Block Infection and infectious Diseases)

DAY/DATE / Time / TOPIC / Learning Situation / Place / PIC
Regular Class / English Class
1
Friday
Oct 6th 2017 / 09.00-09.30 / 08.00-08.30 / Lecture 1: Introduction of block infection and infectious disease / Introduction of block and basic infection / Class room / Dr Made Susila Utama, SpPD-KPTI
09.30-10.00 / 08.30-09.00 / Lecture 2: Malaria / Lecture / Class room / Dr Made Susila Utama, SpPD-KPTI
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. Room / facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-15.30 / 14.00-14.30 / Plenary session / Class room
15.30-16.00 / 14.30-15.00 / Plenary session / Class room
2
Monday Oct 9th 2017 / 09.00-10.00 / 08.00-09.00 / Lecture 3: Dengue viral infection / Lecture / Class room / Dr Dewi Dian Sukmawati, SpPD
12.00-13.30 / 09.00-10.30 / Individual learning
12.00-13.30 / 10.30-12.00 / Small Group Discussion / Disc. Room / facilitator
13.30-15.00 / 12.30-14.00 / Individual learning
15.00-16.00 / 14.00-15.00 / Plenary / Class room / Dr Dewi Dian Sukmawati, SpPD
3
Tuesday
Oct 10th 2017 / 09.00-10.00 / 08.00-09.00 / Lecture 4: Host response to infection (viral, bacterial, fungal and parasite) / Lecture / Class room / Prof DR Dr Tuti Parwati Merati, SpPD-KPTI
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-16.00 / 14.00-15.00 / Plenary / Class room / Prof DR Dr Tuti Parwati Merati, SpPD-KPTI
4
Wednesday
Oct 11th 2017 / 09.00-10.00 / 08.00-09.00 / Lecture 5: Infection in Pediatric / Lecture / Class room / Dr Dwi Lingga Utama, SpA (K)
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-16.00 / 14.00-15.00 / Plenary / Class room / Dr Dwi Lingga Utama, SpA (K)
5
Thursday
Oct 12th 2017 / 09.00-10.00 / 08.00-09.00 / Lecture 6: infection in pregnancy / Lecture / Class room / DR Dr IB Fajar Manuaba, SpOG
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning / Class room
15.00-16.00 / 14.00-15.00 / Plenary / DR Dr IB Fajar Manuaba, SpOG
6
Friday
Oct 13th 2017 / 09.00-10.00 / 08.00-09.00 / Lecture 7: Central nervous system infection (meningitis, encephalitis) / Lecture / Class room / Dr Ni Made Susilawati, SpS(K)
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Grup Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-16.00 / 14.00-15.00 / Plenary / Class room / Dr Ni Made Susilawati, SpS(K)
7
Monday
Oct 16th 2017 / 09.00-09.30 / 08.00-08.30 / Lecture 8: typhoid fever / Lecture / Class room / DR Dr Ketut Agus Somia, SpPD-KPTI
09.30-10.00 / 08.30-09.00 / Lecture 9: Acute gastroenteritis / Lecture / Class room / Dr AAA Yuli Gayatri, SpPD-KPTI
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning / Class room
15.00-15.30 / 14.00-14.30 / Plenary / Class room / DR Dr Ketut Agus Somia, SpPD-KPTI
15.30-16.00 / 14.30-15.00 / Plenary / Dr AAA Yuli Gayatri, SpPD-KPTI
8
Tuesday
Oct 17th 2017 / 09.00-10.00 / 08.00-09.00 / Lecture 10:HIV infection: pathogenesis and opportunistic infections / Lecture / Class room / Prof DR Dr Tuti Parwati Merati, SpPD-KPTI
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-16.00 / 14.00-15.00 / Plenary / Class room / Prof DR Dr Tuti Parwati Merati, SpPD-KPTI
9
Wednesday
Oct 18th 2017 / 09.00-09.30 / 08.00-08.30 / Lecture 11: Leptospirosis / Lecture / Class room / DR Dr Ketut Agus Somia, SpPD-KPTI
09.30-10.00 / 08.30-09.00 / Lecture 12: Filariasis / Lecture / Dr Dewi Dian Sukmawati, SpPD
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-15.30 / 14.00-14.30 / Plenary / Class room / DR Dr Ketut Agus Somia, SpPD-KPTI
15.30-16.00 / 14.30-15.00 / Plenary / Class room / Dr Dewi Dian Sukmawati, SpPD
10
Thursday
Oct 19th 2017 / 09.00-09.30 / 08.00-08.30 / Lecture 13: Child Imunization / Lecture / Class room / Dr Wayan Gustawan, SpA(K)
09.30-10.00 / 08.30-09.00 / Lecture 14: Bacteriemia, sepsis / Lecture / Class room / Dr Made Susila Utama, SpPD-KPTI
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small group discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-15.30 / 14.00-14.30 / Plenary / Class room / Dr Wayan Gustawan, SpA(K)
15.30-16.00 / 14.30-15.00 / Plenary / Class room / Dr Made Susila Utama, SpPD-KPTI
11
Friday
Oct 20th 2017 / 09.00-09.30 / 08.00-08.30 / Lecture 15: urinary tract infection (acute pyelonephritis, lower urinary tract infection) / Lecture / Class room / DR Dr Wayan Sudhana, SpPD-KGH
09.30-10.00 / 08.30-09.00 / Lecture 16: Lower respiratory tract infection (pneumonia, acute bronchitis) / Lecture / Class room / Dr Made Bagiada, SpPD-KP
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small group discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-15.30 / 14.00-14.30 / Plenary / Class room / DR Dr Wayan Sudhana, SpPD-KGH
15.30-16.00 / 14.30-15.00 / Plenary / Class room / Dr Made Bagiada, SpPD-KP
12
Monday
Oct 23rd 2017 / 09.00-09.30 / 08.00-08.30 / Lecture 17: avian influenza, SARS / Lecture / Class room / DR Dr Ketut Agus Somia, SpPD-KPTI
09.30-10.00 / 08.30-09.00 / Lecture 18: tetanus / Lecture / Dr AAA Yuli Gayatri, SpPD-KPTI
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-15.30 / 14.00-14.30 / Plenary / Class room / DR Dr Ketut Agus Somia, SpPD-KPTI
15.30-16.00 / 14.30-15.00 / Plenary / Class room / Dr AAA Yuli Gayatri, SpPD-KPTI
13
Tuesday
Oct 24th 2017 / 09.00-10.00 / 08.00-09.00 / Lecture 19: Skin infection / Lecture / Class room / Prof. dr. Made Swastika Adiguna, Sp.KK
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room / Facilitator
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-16.00 / 14.00-15.00 / Plenary / Class room / Prof. dr. Made Swastika Adiguna, Sp.KK
14
Wednesday
Oct 25th 2017 / 09.00-10.00 / 08.00-09.00 / Lecture 20: SSexually Transmitted Infection / Lecture / Class room / Dr. dr. A.A.G.P. Wiraguna, Sp.KK
12.00-13.30 / 09.00-10.30 / Individual learning
13.30-15.00 / 10.30-12.00 / Small Group Discussion / Disc. room
10.00-11.30 / 12.30-14.00 / Individual learning
15.00-16.00 / 14.00-15.00 / Plenary / Class room
15
Thursday
Oct 26th 2017 / 08.00-16.00 / 08.00-16.00 / STUDENT PROJECT
(REGULAR CLASS) / Theater room /Class room / Evaluator/
facilitator
16
Friday
Oct 27th 2017 / 08.00-16.00 / 08.00-16.00 / STUDENT PROJECT
(ENGLISH CLASS) / Theater room /Class room / Evaluator/
facilitator
17
Monday
Oct 30th 2017 / 09.00-16.00 / 08.00-15.00 / Basic Clinical skill :
Diagnostic of Dengue Viral Infection / Skill Lab / dr. Ni Made Dewi Dian Sukmawati, Sp.PD
Vaccine Administration / Skill Lab / dr W. Gustawan,M.Sc., Sp.A
18
Friday
Nov 3rd 2017 / 09.00-16.00 / 08.00-15.00 / Basic Clinical skill :
Culture sampling technique in gynecology / Skill Lab / DR Dr IB Fajar Manuaba, SpOG
19
Monday
Nov 6th 2017 / 09.00-16.00 / 08.00-15.00 / Basic Clinical skill :
Fecal Examination / dr. Kadek Swastika, M.Kes
20
Tuesday
Nov 7th 2017 / 09.00-16.00 / 08.00-15.00 / Basic Clinical skill : / dr. Ni Nengah Dwi Fatmawati, Sp.MK, Ph.D
Wednesday
Nov 08th 2017 / PRE-EVALUATION BREAK
Thursday
Nov 09th / EVALUATION

STUDENT PROJECT

Regulation:

TITLE

Name:

NIM:

Faculty of Medicine, Udayana University

2016

  1. Introduction (Pendahuluan)
  2. Content (Isi sesuai dengan judul paper)
  3. Summary (Ringkasan)
  4. References (Daftar pustaka): Vancouver style
  5. Pages: 6-10, Spasi: 1.5, Time New Roman:12

TOPIC Regular Class (Class A)

GROUP / DATE & TIME / TITLE / PEMBIMBING/FASILITATOR / EVALUATOR
1 / Tuesday, Sept 20th 2016,
08.30-09.00 / Cerebral abses / dr. Ni Made Susilawathi, Sp.S (K)
2 / 09.00-09.30 / Cerebral toxoplasmosis
3 / 09.30-10.00 / Multi drug resisten (MDR) TB / dr. Made Bagiada, Sp.PD-KP
4 / 10.00-10.30 / Spondilitis TB
5 / 10.30-11.00 / Acute infection pancreatitis / dr. A.A.A. Yuli Gayatri, Sp.PD-KPTI
6 / 11.00-11.30 / Pes
11.30-12.30 / BREAK
7 / 12.30-13.00 / Leishmaniasis / dr. Dewi Dian Sukmawati, Sp.PD
8 / 13.00-13.30 / Tripanosomiasis
9 / 13.30-14.00 / Cytomegalovirus infection / Dr. dr. Ketut Agus Somia, Sp.PD-KPTI
10 / 14.00-14.30 / Squamous cell carcinoma (associated with HPV infection)

TOPIC English Class (Class B)

GROUP / DATE & TIME / TITLE / PEMBIMBING/FASILITATOR / EVALUATOR
1 / Wednesday, Oct 5th 2016, 08.30-09.00 / Nasopharyngeal carcinoma (associated with EBV infection) / dr. Wayan Gustawan, Sp.A (K)
2 / 09.00-09.30 / Hairy leukoplakia (associated with EBV infection)
3 / 09.30-10.00 / Korioretinitis / dr. Ratih Karna, Sp.KK
4 / 10.00-10.30 / Carcinoma servik (associated with HPV infection)
5 / 10.30-11.00 / Penyakit jantung rematik / dr. Dwi Lingga Utama, Sp.A (K)
6 / 11.00-11.30 / Endoftalmitis
11.30-12.30 / BREAK
7 / 12.30-13.00 / Hepatitis C / dr. Made Susila Utama, Sp.PD-KPTI
8 / 13.00-13.30 / Abses payudara
9 / 13.30-14.00 / Epididimitis / Dr. dr. I.B. Fajar Manuaba, Sp.OG
10 / 14.00-14.30 / Herpes genital tipe 2

ASSESSMENT METHOD

  1. Assessment will be held twice, for infection & infectious diseases. Final mark is combination beteween this mark. The time provision is 100 minutes. The number of MCQ is 100 with passing point  70.

2. Assessment in this block consists of:

SGD: 5%

Student Project (Paper): 10%

Exam: 85%

LEARNING PROGRAM

Lecture 1

INTRODUCTION OF BLOCK INFECTION AND INFECTIOUS DISEASE

Abstract

Infections and infectious diseases are a great burden on many societies, including Indonesia. To reduce that burden an integrated approach is required, combining health promotion, disease prevention and patient treatment. The prerequisite for success in this fight is the participation of all health care professionals. Should know and understand terminology commonly use in the context of infectious disease.

Infectious diseases are disorders or diseases caused by organisms — such as bacteria, viruses, fungi or parasites. Many organisms live in and on our bodies. They're normally harmless or even helpful, which we called them normal flora; but under certain conditions, some organisms may cause disease. This organisms called as pathogen as they can produced pathology to the body.

Infectious diseases are one of the leading causes of death worldwide. Infectious diseases can be spread directly or indirectly. Some infectious diseases can be passed from person to person. Some are transmitted by bites from insects or animals. And others are acquired by ingesting contaminated food or water or being exposed to organisms in the environment.

Many infectious diseases become difficult to control if the infectious agents evolve resistance to commonly used drugs: For example, bacteria can accumulate mutations in their DNA or acquire new genes that allow them to survive contact with antibiotic drugs that would normally kill them.

Signs and symptoms vary depending on the organism causing the infection, but often include fever and fatigue. Mild infections may respond to rest and home remedies, while some life-threatening infections may require hospitalization.

Many infectious diseases, such as measles and chickenpox, can be prevented by vaccines but many other still do not have vaccine available. Other prevention mean such as frequent and thorough hand-washing helps protect from most infectious diseases.

Symptoms

Each infectious disease has its own specific signs and symptoms. General signs and symptoms common to a number of infectious diseases include: fever, fatigue, muscle aches, coughing and diarrhea

Transmission: an infection can be spread through direct and indirect contact

Direct contact

An easy way to catch most infectious diseases is by coming in contact with a person or animal who has the infection. Three ways infectious diseases can be spread through direct contact are:

Person to person. A common way for infectious diseases to spread is through the direct transfer of bacteria, viruses or other germs from one person to another. This can occur when an individual with the bacterium or virus touches, kisses, or coughs or sneezes on someone who isn't infected. These germs can also spread through the exchange of body fluids from sexual contact. The person who passes the germ may have no symptoms of the disease, but may simply be a carrier.

Animal to person. Being bitten or scratched by an infected animal — even a pet — can make you sick and, in extreme circumstances, can be fatal. Handling animal waste can be hazardous, too. For example, you can acquire a toxoplasmosis infection by scooping your cat's litter box.