{"id":102332,"date":"2010-01-07T00:00:00","date_gmt":"2010-01-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-de-la-antibioticoterapia-oral-extrahospitalaria-en-la-enfermedad-meningogocica-invasora-en-lactantes\/"},"modified":"2010-01-07T00:00:00","modified_gmt":"2010-01-07T00:00:00","slug":"impacto-de-la-antibioticoterapia-oral-extrahospitalaria-en-la-enfermedad-meningogocica-invasora-en-lactantes","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/pediatria\/impacto-de-la-antibioticoterapia-oral-extrahospitalaria-en-la-enfermedad-meningogocica-invasora-en-lactantes\/","title":{"rendered":"Impacto de la antibioticoterapia oral extrahospitalaria en la enfermedad meningog\u00f3cica invasora en lactantes"},"content":{"rendered":"<h2>Tesis doctoral de <strong> David Moreno Perez <\/strong><\/h2>\n<p>T\u00edtulo de la tesis: impacto de la antibnioticoterapia oral extrahospitalaria en la enfermedad meningococica invasora en lactantes  estudio retrospectivo multic\u00e9ntrico en el que se eval\u00faa el impacto de la antibioticoterapia oral extrahospitalar en el pron\u00f3stico final (mortalidad) de la enfermedad meningoc\u00f3cica \u00c2\u00a1nvasora en 211 lactantes menores de 12 meses. Finalmente, se obtienen los siguientes resultados principales: los lactantes m\u00e1s peque\u00f1os (menores de 1 mes y 26 d\u00edas) presentan mayor riesgo de mortalidad por emi la emi se presenta de forma preferente con fiebre como s\u00edntoma referido por los padres\/cuidadores y cor signo f\u00edsico constatado en el medio sanitario. en el momento del diagn\u00f3stico de sospecha, el aspecto s\u00e9ptico, el relleno capilar mayor o igual a segundos y los signos f\u00edsicos de coagulaci\u00f3n intravascular diseminada (lesiones equ\u00edm\u00f3ticas o purp\u00faric* se asocian de forma significativa a mayor mortalidad. Las sepsis aisladas sin meningitis y las formas agudas son m\u00e1s letales. el cultivo de lcr es el recurso de diagn\u00f3stico microb\u00edol\u00f3g\u00edco con m\u00e1s alta rentabilidad para el diagn\u00f3sti definitivo de emi en nuestra cohorte. la presencia de una cifra de leucocitos en sangre perif\u00e9rica de menos de 3070\/mm3, y el porcentaje neutr\u00f3filos en sangre perif\u00e9rica menor del 31%, presentan una sensibilidad del 95% para la asociacior exitus. el hallazgo de un tiempo de protrombina menor o igual a 60% o un tiempo de tromboplast\u00edna pare activada mayor o igual a 40 segundos, se asocian significativamente a mayor riesgo de fallecimiento. El tiempo medio entre el diagn\u00f3stico de sospecha de emi y la administraci\u00f3n de antibi\u00f3tico parenteral u vez en el hospital es de 3 horas. Se deben implementar estrategias hospitalarias de mejora de este intervalo de tiempo. el empleo de antibioticoterapia oral extrahosp\u00edtalar\u00eda presenta una tendencia protectora sobre la mortal\u00edd por emi y su forma cl\u00ednica de sepsis aislada en ni\u00f1os menores de 12 meses, tanto si se realiza un an\u00e1l\u00ed crudo como si se efect\u00faa un modelo de regresi\u00f3n log\u00edstica. En caso de un brote epid\u00e9mico de emi m localizado podr\u00eda valorarse la administraci\u00f3n de amoxicilina oral ante el inicio de un cuadro febril lactantes, dentro de las medidas de salud p\u00fablica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto de la antibioticoterapia oral extrahospitalaria en la enfermedad meningog\u00f3cica invasora en lactantes<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto de la antibioticoterapia oral extrahospitalaria en la enfermedad meningog\u00f3cica invasora en lactantes <\/li>\n<li><strong>Autor:<\/strong>\u00a0 David Moreno Perez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/07\/2010<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Antonio Jurado Ortiz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco javier P\u00e9rez fr\u00edas <\/li>\n<li>teresa Hernandez sampelayo (vocal)<\/li>\n<li>Mar\u00eda  Jos\u00e9 Mellado pe\u00f1a (vocal)<\/li>\n<li>Mar\u00eda  Luisa Navarro g\u00f3mez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de David Moreno Perez T\u00edtulo de la tesis: impacto de la antibnioticoterapia oral extrahospitalaria en la enfermedad meningococica 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