{"id":107629,"date":"2018-03-11T10:32:06","date_gmt":"2018-03-11T10:32:06","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/caracterizacion-de-la-neumona%c2%ada-adquirida-fuera-del-hospital\/"},"modified":"2018-03-11T10:32:06","modified_gmt":"2018-03-11T10:32:06","slug":"caracterizacion-de-la-neumona%c2%ada-adquirida-fuera-del-hospital","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/enfermedades-pulmonares\/caracterizacion-de-la-neumona%c2%ada-adquirida-fuera-del-hospital\/","title":{"rendered":"Caracterizaci\u00f3n de la neumon\u00edaadquirida fuera del hospital"},"content":{"rendered":"<h2>Tesis doctoral de <strong> P\u00f3vilas Gerardo Dambrava Rodr\u00edguez <\/strong><\/h2>\n<p>Antecedentes:  la american thoracic society (ats) publico gu\u00edas para el manejo de la neumon\u00eda adquirida en la comunidad (nac) en 2001, pero el impacto de la adherencia no estaba bien definido.  en 2005 se excluyo a la neumon\u00eda en pacientes provenientes de centros de cuidado prolongado (naccp) de la nac, pero a\u00fan no esta claro si se debe considerar como una nueva categor\u00eda de infecci\u00f3n.  objetivos: determinar,   1.- El impacto de la adherencia a las recomendaciones antibi\u00f3ticas de la ats para la nac sobre la mortalidad y la estancia hospitalaria (eh).   2.- La etiolog\u00eda y la adecuaci\u00f3n del tratamiento antibi\u00f3tico en la naccp.    metodolog\u00eda:   1.- Se estudiaron 780 pacientes con nac admitidos consecutivamente desde el 1 de julio de 2001 al 30 de junio de 2004, excluy\u00e9ndose a los pacientes con naccp.   2.- Se analizaron 150 casos consecutivos de naccp (desde el 1 de febrero de 1997 al 1 de julio de 2007).  resultados:   1.- La adherencia promedio a los antibi\u00f3ticos recomendados en las gu\u00edas de la ats fue del 84%. La menor adherencia fue en los pacientes admitidos a cuidados intensivos (52%). Se encontr\u00f3 diferencia en la mortalidad (3% versus 10,6%), y en la eh entre los pacientes que recibieron tratamientos adherentes y no adherentes (7,6 versus 10,4 d\u00edas). Esto \u00faltimo se confirmo en el an\u00e1lisis multivariado.   2.- Los pacientes con naccp (edad media, 82 a\u00f1os) presentaron numerosas comorbilidades y limitaci\u00f3n para desarrollar las actividades de la vida diaria. Los casos de naccp fueron clasificados principalmente como leves a moderados de acuerdo al \u00edndice crb-65. La mortalidad intrahospitalaria y a 30 d\u00edas fue del 8,7%, y 20%, respectivamente. Los g\u00e9rmenes m\u00e1s com\u00fanmente aislados fueron streptococcus pneumoniae (58%), bacterias gram-negativas (gnb) (9%), bacterias at\u00edpicas (7%), virus respiratorios (5%), staphylococcus aureus resistente a meticilina (sarm) (5%) y legionella pneumophila (5%).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Caracterizaci\u00f3n de la neumon\u00edaadquirida fuera del hospital<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Caracterizaci\u00f3n de la neumon\u00edaadquirida fuera del hospital <\/li>\n<li><strong>Autor:<\/strong>\u00a0 P\u00f3vilas Gerardo Dambrava Rodr\u00edguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/03\/2011<\/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 Torres Mart\u00ed<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joan Ruiz manzano <\/li>\n<li>Javier Garau (vocal)<\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de P\u00f3vilas Gerardo Dambrava Rodr\u00edguez Antecedentes: la american thoracic society (ats) publico gu\u00edas para el manejo 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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