Infectious Disease in the Community and Hospital Setting (SLS220)

10 credits

Aim of this module

This module will provide the trainee with advanced knowledge and understanding of the aetiology, clinical presentation and management of infection in the community and of hospital-acquired infection (HAI). In the work-based module they will be expected to apply this knowledge as they gain experience of infection control and perform methods used in the diagnosis and monitoring of community infection. To provide the trainee with experience and development in the clinical and laboratory investigation and management of a wide range of infectious disease in the hospital and community setting. This will include the selection of relevant techniques, performance of investigations, interpretation of results and working within the required quality system. The trainee will also experience working in partnership between the clinical microbiology laboratory and other clinical specialisms and agencies.

1. Perform the clinical and laboratory investigations that are required for the management of infectious disease in the community, including with older people and in care homes.
2. Perform the clinical and laboratory investigations that are required for the management of common pathogens in food, water and environmental samples.
3. Perform the clinical and laboratory investigations that are required for the management of healthcare-acquired infection.
4. Interpret and report on the full range of investigations specified in this module in the correct clinical context.
5. Perform quality assurance and control tasks across the range of investigations associated with infection in the community and hospital setting.

Number Work-based learning outcome Title Knowledge
1 1,2,3,5

Control infection in the laboratory setting.

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2 1

Select appropriate technique to investigate the frequency and clinical presentation of the following community-based infections:

  • genitourinary tract, including sexually transmitted and urinary tract infections
  • respiratory tract
  • gastrointestinal tract
  • skin and soft tissue
  • eye
  • liver (hepatitis)
  • postoperative/inoculation.
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3 1

Investigate the frequency and clinical presentation of the following community-based infections:

  • genitourinary tract, including sexually transmitted infections and bacterial urinary tract
  • respiratory tract
  • gastrointestinal tract
  • skin and soft tissue
  • eye
  • liver (hepatitis)
  • postoperative/inoculation.
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4 7

Interpret and report the results of the laboratory investigation of the following community-based infections:

  • genitourinary tract, including sexually transmitted and urinary tract infections
  • respiratory tract
  • gastrointestinal tract
  • skin and soft tissue
  • eye, liver (viral hepatitis)
  • postoperative/inoculation.
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5 4

Select techniques for the investigation of the following range  of healthcare-acquired infections:

  • hepatitis B virus
  • hepatitis C virus
  • HIV
  • influenza virus
  • varicella-zoster virus (VZV)
  • herpes viruses
  • methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile, glycopeptide-resistant enterococci (GRE), resistant
  • Gram negatives.
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6 2

Investigate the source/cause of common pathogens in food and water specimens.

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7 3

Investigate the source/causes of the following healthcare infections:

  • hepatitis B virus
  • hepatitis C virus
  • HIV
  • influenza virus
  • VZV
  • herpes viruses
  • MRSA, C. difficile, GRE, resistant Gram negatives.
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8 4

Interpret and report the results of the laboratory investigation of food, water and environmental samples.

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9 5

Perform quality assurance and quality control tasks within the laboratory in the investigation of the following community-based infections:

  • genitourinary tract, including sexually transmitted and urinary tract infections
  • respiratory tract
  • gastrointestinal tract
  • skin and soft tissue
  • eye
  • liver (hepatitis)
  • postoperative/inoculation.
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10 4

Perform quality assurance and quality control tasks within the laboratory in the investigation of food, water and environmental samples.

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11 4

Interpret and report the results of the laboratory investigation of HAIs, including:

  • MRSA
  • difficile
  • GRE.
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12 5

Fulfil the requirements and mechanisms for reporting of HAIs within healthcare organisations, locally and nationally, including mandatory surveillance and ‘serious untoward incidents’ of infection.

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13 5

Perform quality assurance and quality control tasks within the laboratory for methods associated with HAIs, including for the following micro-organisms:

  • MRSA
  • difficile
  • GRE.
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You must complete
2 Case-based discussion(s)
2 of the following DOPS / OCEs
Assessment Title Type
Set up and read identification tests e.g. API of common pathogens in this module DOPS
Set up, read and iterpret antimicrobial susceptibility tests of suitable pathogens in this module, including for appropriate resistant organisms DOPS
Perform and interpret serological molecular identification of appropriate viral pathogens DOPS
Perform the analysis of an appropriate IQA or EQA e.g. NEQAS sample DOPS
Analyse samples for the detection of C. difficile infection by different methods e.g. ELISA, PCR, culture DOPS
Perform serological identification of Salmonella spp. using Kauffmann White scheme DOPS
Participate in an infection control meeting ward round where healthcare acquired infection prevention and control is discussed OCE
Under supervision obtain a patient history from a normal volunteer or typical patient referred to your service and present the findings to a colleague or peer OCE
Under supervision, provide advice on the management of an MRSA colonised patient OCE
Under supervision, provide advice on the management of an C. difficile positive patient OCE

Important information

The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.

Learning Outcomes

1. Discuss the aetiology, pathogenesis and presentation of infectious disease in the community, including older people and care homes.
2. Describe the methods used in the investigation and management of infectious disease in the community, including treatment of commonly associated microorganisms.
3. Describe the methods used in the application of microbiology testing to food, water and environmental samples in community and hospital settings.
4. Explain the sources and routes of transmission of hospital-acquired infections and the risks caused to patients.
5. Explain and justify the legal framework and the role of guidelines and the hospital infection team in reducing hospital-acquired infections.
6. Describe and evaluate the role of the clinical microbiology laboratory and the infection control team in surveillance, decontamination, disinfection and sterilisation in the hospital and primary care settings and the contribution to patient care.
7. Describe the partnership between the clinical microbiology and other clinical specialisms and agencies in the investigation of infectious disease in the community and hospital setting.

Indicative Content

  • Aetiology and presentation, including sources and routes of transmission of infectious disease in the community and hospital-acquired infection (HAI)
  • Pathophysiology of commonly occurring infections in hospital and community settings
  • Epidemiological consequences of hospital-acquired and community disease control with reference to tuberculosis, viral hepatitis, HIV and genitourinary disease
  • The laboratory investigation of infection in the community, including testing at the point of care
  • Guidelines for the optimum treatment of hospital-acquired and community based infection
  • Microbiological testing of food, water and environment samples in hospital and community settings (e.g. endoscopy rinse water, hydrotherapy water, settle plates)
  • Current legislation and guidelines on the microbiological testing of food, water and environmental samples
  • Local, national and international standards and guidelines in relation to occupational exposure to infectious agents
  • Management of needlestick injuries in the clinical setting
  • Legislation and guidelines for the diagnosis and management of common HAI (e.g. meticillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile (C Diff), glycopeptide-resistant enterococci (GRE))
  • Decontamination, disinfection and sterilisation in the hospital and primary care setting
  • The role of surveillance in reducing HAI
  • The role of the hospital infection control team
  • Investigation protocols and patient pathways relevant to hospital-acquired and community infection
  • Diagnostic tools for the detection and identification of causes of microbial outbreaks (e.g. culture, enzyme-linked immunosorbent assay [ELISA], molecular techniques, automation, point-of-care testing [POCT])
  • Interpretation and reporting of results, including notification (e.g. CoSURV)