{"id":10245,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/influencia-de-la-infeccion-por-vih-en-la-enfermedad-neumococica\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"influencia-de-la-infeccion-por-vih-en-la-enfermedad-neumococica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/influencia-de-la-infeccion-por-vih-en-la-enfermedad-neumococica\/","title":{"rendered":"Influencia de la infeccion por vih en la enfermedad neumococica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Clavo Sanchez <\/strong><\/h2>\n<p>Durante los ultimos a\u00f1os se ha observado en espa\u00f1a un progresivo aumento de la resistencia a penicilina de los aislamientos de s. Pneumoniae. Asimismo se ha comprobado una mayor incidencia de infeccion neumococica en los enfermos infectados por el vih. Justificacion y objetivos: conocer la influencia de la infeccion por vih en la enfermedad neumococica, la preValencia de resistencia a penicilina en nuestro medio y los factores de riesgo para la misma. Material y metodo: estudio transversal durante 14 meses en el que se han recogido las caracteristicas de los enfermos ingresados en los hospitales de la provincia de cadiz (hospital universitario puerta del mar de cadiz, hospital clinico de puerto real, hospital de jerez, hospital punta europa de algeciras y hospital de la linea) en los que se aislo un s. Pneumoniae con significacion clinica en alguna muestra biologica. Se estudiaron 112 aislamientos de s.  pneumoniae que correspondian a 95 pacientes. La identificacion del s. Pneumoniae se hizo segun tecnicas habituales y la cuantificacion de la cmi a penicilina por e-test. Se realizo un analisis multivariante de las variables que podrian influir en la penicilin-resistencia. Resultados: la edad media de los enfermos era de 45.34 a\u00f1os siendo el 77.90% varones. El 82.10% tenian alguna enfermedad de base; las mas frecuentes fueron: infeccion por vih (26.31%), alcoholismo (23.15%) y epoc (21.05%). Los enfermos vih+ estaban severamente inmunodeprimidos en el 76% de los casos (linfocitos cd4&lt;400 cel\/mmc). El tipo de infeccion mas frecuente fue la neumonia. La infeccion fue de adquisicion nosocomial en 11 casos (11.60%). El estudio de la sensibilidad a penicilina mostro que el 49.47% (47\/95) de los aislamientos eran resistentes a penicilina. Las resistencias a otros antibioticos fueron las siguientes: eritromicina 22.10%, tetraciclina 44.21%, cloranfenicol 9.47%, clindamicina 22.10% y cotrimoxazol 56.84%. El analisis multivariante de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Influencia de la infeccion por vih en la enfermedad neumococica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Influencia de la infeccion por vih en la enfermedad neumococica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Clavo Sanchez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/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>Adriano Lopez Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Eduardo Zamora Madaria <\/li>\n<li>Alipio Mangas Rojas (vocal)<\/li>\n<li>Jos\u00e9 Luis Lechuga Campoy (vocal)<\/li>\n<li>Jer\u00f3nimo Pachon D\u00edaz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Clavo Sanchez Durante los ultimos a\u00f1os se ha observado en espa\u00f1a un progresivo aumento de la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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