{"id":10796,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1996\/01\/01\/factores-de-riesgo-de-la-infeccion-nosocomial-en-cirugia\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"factores-de-riesgo-de-la-infeccion-nosocomial-en-cirugia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-de-riesgo-de-la-infeccion-nosocomial-en-cirugia\/","title":{"rendered":"Factores de riesgo de la infeccion nosocomial en cirugia."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marcelino Medina Cuadros <\/strong><\/h2>\n<p>Se ha realizado un estudio epidemiologico de cohortes, con el objetivo de analizar los determinantes de la infeccion de la herida quirurgica, analizando su efecto en funcion de la duracion de la estancia hospitalaria.Se incluyeron todos los pacientes ingresados en el servicio de cirugia general de dicho hospital durante un periodo de dos a\u00f1os consecutivos que generaron al menos una estancia. La recogida de la informacion se realizo de acuerdo con un protocolo dise\u00f1ado al respecto, en el que se incluyeron variables obtenidas al ingreso del paciente, y variables generadas durante la estancia del paciente en el hospital, relacionadas con el proceso asistencial. Como variable de efecto se recogio la infeccion nosocomial de acuerdo con los criterios definidos por los cdc en 1988. Para el analisis de los datos se calcularon riesgos relativos (rr) y sus correspondientes intervalos de confianza al 95%. El analisis multivariable se realizo por regresion logistica multiple no condicionada.  la muestra quedo constituida por 1483 pacientes, entre los que se detectaron 155 casos de infeccion quirurgica, que permanecieron como tales en el analisis multivariable destacaron la creatinina serica, el colesterol total, cuyo efecto fue especialmente relevante respecto a las infecciones causadas por microorganismos gram negativos, los antecedentes de cancer o infeccion comunitaria, la exposicion a sondaje urinario, lineas intravenosas perifericas, duracion de la intervencion superior a 120 minutos, y la estancia preoperatoria. Al estudiar el efecto de las distintas variables recogidas en funcion de la duracion de la estancia se comprobo que la mayor parte de ellas ejercian su efecto en estancias cortas, pero no en estancias prolongadas.  como conclusiones mas destacadas, se demuestra la existencia de una asociacion significativa en tre colesterol total y hdl-colesterol e infeccion de la herida quirurgica, no exolicada por otros factores de riesgo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores de riesgo de la infeccion nosocomial en cirugia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores de riesgo de la infeccion nosocomial en cirugia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marcelino Medina Cuadros <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/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>Miguel Delgado Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Ram\u00f3n G\u00e1lvez Vargas <\/li>\n<li>Joaqu\u00edn Fern\u00e1ndez-crehuet Navajas (vocal)<\/li>\n<li>Antonio Cueto Espinar (vocal)<\/li>\n<li>Pablo Lardelli Claret (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marcelino Medina Cuadros Se ha realizado un estudio epidemiologico de cohortes, con el objetivo de analizar los [&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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