MICROBIOLOGY 2

Degree course: 
Corso di Long single cycle degree (6 years) in MEDICINE AND SURGERY
Academic year when starting the degree: 
2022/2023
Year: 
3
Academic year in which the course will be held: 
2024/2025
Course type: 
Compulsory subjects, characteristic of the class
Language: 
Italian
Credits: 
5
Period: 
Second semester
Standard lectures hours: 
60
Detail of lecture’s hours: 
Lesson (40 hours), Laboratory (20 hours)
Requirements: 

Basic biology knowledge

Final Examination: 
Orale

The exam will be divided in two parts:

• Written part
o Seven questions with simple, often single-word, answers (not multiple choice) on basic concepts in Microbiology.
• Oral part
o The student will be evaluated according to his/her capcity of discussing the main aspects of major infectious diseasesunder different perspectives (microbiological, clinical and diagnostic).

Assessment: 
Voto Finale

Acquisition of basic knowledge of microorganisms Acquisition of principles underlying the human-microorganism interaction Acquisition of basic knowledge of anti-infective therapy Biological properties of bacteria, viruses, fungi and protozoa; Infection and transmission concept; Disinfection and sterilization concept Mechanisms of natural and acquired resistance to infectious agents; Pathogenetic mechanisms of infectious processes; Principles of pharmacotherapy and immunological prevention of infections

This clinically-oriented course will give to students the basics regarding the mechanisms of bacterial, viral, fungal and parasitic infections. The expanding knowledge of the effects of altered (dysbiotic) resident flora will also be presented and critically discussed.

The following topics will be part of the exam:

Bacteriology
Following the above-described perspective, students will be introduced to all of the basic structural, physiological and metabolic principles of medical bacteriology including the following points:

‐ Cell structure of prokaryotes
‐ Structure and function of endospores
‐ Microbial metabolism
‐ Microbial genetics
‐ Virulence and pathogenicity of bacteria
‐ Transmission of bacterial infection
‐ The immune response to bacteria
‐ Techniques for the diagnosis of bacterial infections
‐ Novel techniques for the study of resident flora
The detailed knowledge of the microbiota and its composition will also allow a better comprehension of the role played by specific bacterial genera and species, important in medical microbiology, that will be studied in details.
The microbiota‐oriented perspective will also be followed in the study of the available prophylactic and therapeutic anti‐bacterial approaches:
‐ Sterilization, Disinfection and Antisepsis
‐ Modes of action of the main biocides used for disinfection and antisepsis
‐ Mechanisms of resistance to biocides
‐ Antibiotics: bacterial targets of available molecules and mechanisms of resistance
‐ Genetic bases of antibiotic resistance
‐ Genetic bases of the diffusion of antibiotic resistance
‐ Multi‐drug resistant bacteria
‐ Passive immunoprophylaxis
‐ Anti‐bacterial vaccines

Virology
The general purpose of this course is to give a robust introduction to basic medical virology, correlating the molecular features of each viral agents to the associated clinical syndromes. The dramatic advances in the comprehension of the different phases of the viral replicative cycle and pathogenesis will be directly correlated to the practical possibility of developing novel antiviral strategies or of improving the available diagnostic tools.

At the end of the course, the students should be familiar with the following general topics:
‐ Structure and chemical composition of viruses
‐ Phases of viral replication
‐ Transmission of viral infection
‐ Different types of viral infection
‐ Pathogenesis of viral diseases according to different sites of replication
‐ Viral carcinogenesis
‐ The immune response to viruses
‐ Techniques for the diagnosis of viral infections
‐ Antiviral agent and mechanisms of viral resistance
‐ Passive immunoprophylaxis
‐ Antiviral vaccines

These general concepts should be specifically correlated to the specific features of each of the
main viral families of medical interest.

Mycology
At the end of the course, the students will be familiar with the following topics regarding medical mycology:
‐ Structure of fungal cell
‐ Yeasts and moulds
‐ Fungal genera and species present in the human microbiota
‐ Virulence and pathogenicity of fungi
‐ Immune control of fungal agents
‐ Causative fungal agents of superficial, cutaneous and subcutaneous mycoses
‐ Causative fungal agents of endemic mycoses
‐ Causative fungal agents of opportunistic mycoses
‐ Diagnostic laboratory techniques of fungal infections
‐ Antifungal agents: targets of available molecules and mechanisms of resistance

The students should also be familiar with the main features regarding the most common fungal genera and species of medical interest.

Parasitology
By the end of the course, students should be familiar with the main protozoan and helminthic parasites of medical importance, with particular attention given to associated clinical syndromes and diagnostic laboratory techniques.

Here it follows a complete list of the microorganisms of medical interests which could be discussed during the exam:

BACTERIOLOGY
- Staphylococcus spp
‐ Staphylococcus aureus
‐ Coagulase‐negative staphylococci (CoNS)
‐ Streptococcus spp
‐ Streptococcus pyogenes
‐ Streptococcus agalactiae
‐ Streptococcus pneumoniae
‐ Viridans streptococci
‐ Enterococcus spp
‐ Enterococcus faecalis
‐ Enterococcus faecium
‐ Bacillus spp
‐ Bacillus anthracis
‐ Bacillus cereus
‐ Clostridioides difficile
‐ Clostridium perfringens
‐ Clostridium botulinum
‐ Clostridium tetani
‐ Corynebacterium spp
‐ Corynebacterium diphteriae
‐ Listeria monocytogenes
‐ Actinomyces spp
‐ Nocardia pp
‐ Enterobacterales
‐ Escherichia coli
‐ Klebsiella pneumoniae
‐ Proteus mirabilis
‐ Enterobacter spp
‐ Serratia marcescens
‐ Salmonella spp
- Shigella spp
‐ Pseudomonas aeruginosa
‐ Stenotrophomonas maltophilia
‐ Burkholderia spp
‐ Acinetobacter spp
‐ Vibrio cholerae
‐ Campylobacter spp
‐ Helicobacter pylori
‐ Haemophilus spp
‐ Haemophilus influenzae
‐ Moraxella catarrhalis
‐ Bordetella pertussis
‐ Brucella spp
‐ Francisella tularensis
‐ Yersinia pestis
‐ Yersinia enterocolitica
‐ Pasteurella multocida
‐ Neisseria spp
‐ Neisseria meningitidis
‐ Neisseria gonorrhoeae
‐ Legionella pneumophila
‐ Bartonella spp
‐ Bacteroides spp
‐ Mycobacteria
‐ Mycobacterium tuberculosis
‐ Nontuberculous Mycobacteria (NTM)
‐ Spirochetes
‐ Mycoplasma and Ureaplasma
‐ Rickettsia, Ehrlichia, Anaplasma and Coxiella
‐ Chlamydia and Chlamydophila
- Other bacterial genera or species of medical interest possibly discussed during the lectures

VIROLOGY
‐ Parvoviruses
‐ Adenoviruses
‐ Herpesviruses
‐ Poxviruses
‐ Picornaviruses
‐ Papillomaviruses and polyomaviruses
‐ Hepatitis viruses
‐ Rotaviruses
‐ Caliciviruses
‐ Arthropod‐borne and rodent‐borne viruses
‐ Orthomyxoviruses
‐ Paramyxoviruses
‐ Rubella virus
‐ Coronaviruses
‐ Rabies virus
‐ Human retroviruses
‐ Lentiviruses
‐ Non‐conventional non‐viral pathogens (Prions)
- Other viral agents of medical interest possibly discussed during the lectures

MYCOLOGY
‐ Candida spp
‐ Candida albicans
‐ Candida glabrata
‐ Candida krusei
‐ Candida auris
‐ Cryptococcus neoformans
‐ Aspergillus spp
‐ Aspergillus fumigatus
‐ Aspergillus terreus
‐ Fusarium spp
‐ Zygomycetes
‐ Pneumocystis jiroveci
‐ Histoplasma capsulatum and other dimorphic fungi
- Other fungal agents of medical interest possibly discussed during the lectures

PARASITOLOGY
‐ Giardia lamblia
‐ Cryptosporidium spp and Cyclospora spp
‐ Entamoeba histolytica
‐ Trichomonas vaginalis
‐ Trypanosoma spp
‐ Leishmania spp
‐ Tissue amebae (i.e. Acanthamoeba spp)
‐ Plasmodium spp
‐ Babesia microti
‐ Toxoplasma gondii
‐ Enterobius vermicularis
‐ Trichuris trichiura
‐ Ascaris lumbricoides
‐ Ancylostoma duodenale
‐ Strongyloides stercoralis
‐ Trichinella spiralis
‐ Taenia spp
‐ Diphyllobotrium latum
‐ Anisakis simplex
‐ Schistosoma spp
‐ Filariae
‐ Echinococcus granulosus
- Other parasitic agents of medical interest possibly discussed during the lectures

Convenzionale

Frontal lessons; slides available to the student on e learing platform. On the same platform, in-depth tools are provided to the student (scientific articles and material from dedicated websites)

To fix a meeting, please use the following e-mail addresses: nicasio.mancini@uninsubria.it
andreina.baj@uninsubria.it
federica.novazzi@uninsubria.it