Subject: Clinical Use of Antimicrobials
Scientific Area:
Pathological and Diagnostic Sciences
Workload:
20 Hours
Number of ECTS:
2 ECTS
Language:
Portuguese
Overall objectives:
Enable students to:
- Recognize the pharmacology of antimicrobials, as well as the general principles of antibiotic therapy;
- Recognize the spectrum of bacteria that cause infections and infectious diseases;
- Understand the role that the microbiology laboratory has in the choice and correct use of antibiotics;
- Know the clinical reasoning for the choice of empirical and targeted antimicrobial therapy;
- Indicate the basis of etiotropic therapy for the most important infectious diseases of the different systems/organs;
- To describe the problem of multidrug resistance and the consequences of antibiotic therapy;
Syllabus:
1 - Introduction;
2 - Errors and controversies in antibiotic therapy;
3 - Microbiology - agents of infection;
4 - The role of the microbiology laboratory;
5 - Antibiotics - pharmacology;
6 - Principle of antibiotic therapy;
7- Intra-abdominal infections;
8 - Surgical antibiotic prophylaxis;
9 - Urinary infection;
10 - Meningitis;
11 - Bacteremia;
12 - Endocarditis;
13- Treatment of infections in pediatrics;
14 - Respiratory infection;
15 - Other infectious diseases (Leptospirosis, Q fever, syphilis);
16 - Infection of the skin and soft tissues;
17 - Gastroenteritis;
18 - Sexually transmitted diseases;
19 - Resistance and multi-resistance - ESKAPE (MRSA, ESBL, CBP);
20 - Correct use of antibiotics in patients in the hospital;
21 - Assessment.
Literature/Sources:
Access Medicine. Flashcards. Pharamcology. Anti-Bacterial Agents (http://medicalflashcards.mhmedical.com/index.html?siteId=iL6hvvagsptyS2MgRUGUvg%3d %3d&referenceId=Rd1SxC8zes3aEe05VWBcJA%3d%3d#/dashboard/cards)
Access Medicine. Review Questions. Katzung & Trevor?s Pharamcology: Examination & Board Review. Chemotherapeutic Drugs. (http://accessmedicine.mhmedical.com/qa.aspx?resourceID=1576)
Joseph Guglielmo Chapter e1: Anti-Infective Chemotherapeutic & Antibiotic Agents. In: Current Medical Diagnosis & Treatment 2018. Maxine A. Papadakis, Stephen J. McPhee, Michael W. Rabow (Eds.). Access Medicine. (http://accessmedicine.mhmedical.com/content.aspx?sectionid=167994536&bookid=2192&R esultclick=2)
Goodman & Gilman's: The Pharmacological Basis of Therapeutics, 13e. Laurence L. Brunton, Randa Hilal-Dandan, Björn C. Knollmann (Eds). Section VII: Chemotherapy of Infectious Diseases. (http://accessmedicine.mhmedical.com/book.aspx?bookid=2189)
Infectious Diseases Society of America (IDSA) Practice guidelines
https://www.idsociety.org/PracticeGuidelines/
Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases
Free and open online course (MOOC):
World health organization.
Antimicrobial Stewardship: A competency-based approach https://openwho.org/courses/AMR-competency
Assesssment methods and criteria:
Continuous evaluation
Theoretical Assessment - Exam with 40 multiple-response questions
Final evaluation
0.2*Continuous Assessment Grade + 0.8*Exam Grade
Approval in any of the subject areas requires that the Continuous Assessment and Theoretical Assessment be equal to or greater than 9.5 points.