{"id":108450,"date":"2018-03-11T10:33:15","date_gmt":"2018-03-11T10:33:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/omalizumab-en-tratamiento-del-asma-grave-no-controlada\/"},"modified":"2018-03-11T10:33:15","modified_gmt":"2018-03-11T10:33:15","slug":"omalizumab-en-tratamiento-del-asma-grave-no-controlada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/patologia-clinica\/omalizumab-en-tratamiento-del-asma-grave-no-controlada\/","title":{"rendered":"Omalizumab en tratamiento del asma grave no controlada"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alberto Levy Naon <\/strong><\/h2>\n<p>Resumen: introducci\u00f3n: el asma bronquial es una enfermedad de alta preValencia, polifactor\u00edal y plurietiol\u00f3gica. Entre todos los mecanismos patog\u00e9nicos uno de ellos es la elevaci\u00f3n de la ige.Que condiciona la degranulaci\u00f3n de mastocitos y liberaci\u00f3n de mediadores inflamatorios.Las clasificaciones m\u00e1s recientes del asma bronquial, no se basan exclusivamente en la gravedad cl\u00ednica y funcional del asma, sino que adem\u00e1s incluyen el concepto de control, entendiendo como tal, la desaparici\u00f3n de s\u00edntomas, la ausencia de crisis, la disminuci\u00f3n de la inflamaci\u00f3n ,1a mejor\u00eda en la calidad de vida y la ausencia de efectos secundarios de la medicaci\u00f3n. En la versi\u00f3n m\u00e1s recientes de las tablas de tratamiento del asma se incluye un anticuerpo monoclonal el omalizumab que act\u00faa bloqueando la uni\u00f3n de la ige a los mastocitos, recomendando su uso en asma grave en las gu\u00edas europeas y en asma moderada en las americanas material y m\u00e9todos: con el fin de valorar la eficacia de la puesta en marcha de una consulta monogr\u00e1fica de asma y del uso del omalizumab en asma severo, se revisan las historias de los pacientes atendidos en \u00faltimo a\u00f1o y se seleccionan 30 pacientes que reciben omalizumab y 15 con asma severo que no lo reciben. A todos se les realiza encuesta de salud, estudio funcional, mini aqlq, determinaci\u00f3n de feno y n\u00c2\u00b0 de visitas a urgencias as\u00ed como intensidad de medicaci\u00f3n en una vista basal ,a los ,tres seis y doce meses resultados: los dos grupos de enfermos, tratados y no tratados, experimentan mejor\u00edas estad\u00edsticamente significativas en los par\u00e1metros funcionales, mini a qlq, visitas a urgencias y necesidad de medicaci\u00f3n y escasa en feno. Con un an\u00e1lisis de la variaci\u00f3n se demuestra que esta mejor\u00eda adquiere mayor significaci\u00f3n estad\u00edstica en el grupo de pacientes tratados con omalizumab conclusiones: la puesta en marcha de una consulta monogr\u00e1fica de asma de control dif\u00edcil mejora la evoluci\u00f3n cl\u00ednica funcional, de necesidades de medicaci\u00f3n y de vistas a urgencias de nuestros pacientes esta mejor\u00eda e observa tanto en pacientes que reciben omalizumab como en aquellos que no re\u00fanen criterios para recibirlos en el grupo de pacientes tratados esta mejor\u00eda es m\u00e1s significativa<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Omalizumab en tratamiento del asma grave no controlada<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Omalizumab en tratamiento del asma grave no controlada <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alberto Levy Naon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/05\/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>Francisco Javier P\u00e9rez Fr\u00edas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Gonz\u00e1lez santos <\/li>\n<li>Jes\u00fas Ramirez rodriguez (vocal)<\/li>\n<li>Jos\u00e9 Antonio Moreno vazquez (vocal)<\/li>\n<li>pilar Caro aguilera (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alberto Levy Naon Resumen: introducci\u00f3n: el asma bronquial es una enfermedad de alta preValencia, polifactor\u00edal y plurietiol\u00f3gica. [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[851,7834,384],"tags":[217377,59925,132661,148678,2192,208292],"class_list":["post-108450","post","type-post","status-publish","format-standard","hentry","category-endocrinologia","category-malaga","category-patologia-clinica","tag-alberto-levy-naon","tag-francisco-javier-perez-frias","tag-jesus-ramirez-rodriguez","tag-jose-antonio-moreno-vazquez","tag-pedro-gonzalez-santos","tag-pilar-caro-aguilera"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/108450","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=108450"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/108450\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=108450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=108450"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=108450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}