{"id":10586,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/etiologia-de-la-neumonia-en-ventilacion-mecanica-rentabilidad-diagnostica-de-las-tecnicas-broncoscopicas\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"etiologia-de-la-neumonia-en-ventilacion-mecanica-rentabilidad-diagnostica-de-las-tecnicas-broncoscopicas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/etiologia-de-la-neumonia-en-ventilacion-mecanica-rentabilidad-diagnostica-de-las-tecnicas-broncoscopicas\/","title":{"rendered":"Etiolog\u00eda de la neumonia en ventilacion mecanica. rentabilidad diagnostica de las tecnicas broncoscopicas."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Temes Montes <\/strong><\/h2>\n<p>Durante 18 meses de forma prospectiva fueron estudiados 73 enfermos ventilados en uci, realizandose cepillado bronquial con cateter telescopado (cbct) y\/o lavado broncoalveolar (lba) por broncoscopia sesenta y tres de estos enfermos presentaban criterios clinico-radiologicos de neumonia cuando se llevaban a cabo dichas tecnicas y 10 constituyeron el grupo control. Se consideraron positivos los cultivos cuantitativos igual o mayor de 1000ufc\/ml para cbct y de 10000 ufc\/ml para lba aceptandose la confirmacion diagnostica cuando se produjo coincidencia con los aislamientos microbianos obtenidos mediante hemocultivo, cultivo de derrame pleural o de tejido pulmonar obtenido en necropsia o se comprobo una evolucion favorable tras administrarse tratamiento antibiotico dirigido segun antibiograma. Fue demostrada la existencia de neumonia en el 46% de enfermos con sospecha clinico-radiologica de la misma. S. Aureus fue el germen mas frecuentemente aislado siendo especialmente incidente en la neumonia del paciente politraumatizado con\/sin tce asociado. Cbct y lba han presentado una concordancia microbiologica bruta del 77.7% y del 52.3%, segun indice de kappa, calificable de \u00abmoderadamente buena\u00bb. El rendimiento diagnostico de ambas tecnicas han ofrecido una sensibilidad del 92,62% y una especificidad del 64,7%, con un valor predictivo positivo del 82,85%, y un valor predictivo negativo del 78,57% ascendiendo estos ultimos al 88,46% y 83,3% respectivamente si solo se incluyen los pacientes sin antibioterapia empirica. No se evidenciaron complicaciones graves derivadas de estos procedimientos de diagnostico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Etiolog\u00eda de la neumonia en ventilacion mecanica. rentabilidad diagnostica de las tecnicas broncoscopicas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Etiolog\u00eda de la neumonia en ventilacion mecanica. rentabilidad diagnostica de las tecnicas broncoscopicas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Temes Montes <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Santiago de compostela<\/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>Jos\u00e9 Castillo S\u00e1nchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Manuel Noya  Garc\u00eda <\/li>\n<li>Juan  Jes\u00fas Cruz Hern\u00e1ndez (vocal)<\/li>\n<li>Manuel Oya Otero (vocal)<\/li>\n<li>Vicente Lorenzo Z\u00fa\u00f1iga (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Temes Montes Durante 18 meses de forma prospectiva fueron estudiados 73 enfermos ventilados en uci, realizandose [&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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