{"id":110170,"date":"2018-03-11T10:36:04","date_gmt":"2018-03-11T10:36:04","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-conservador-en-la-infeccion-de-protesis-articular\/"},"modified":"2018-03-11T10:36:04","modified_gmt":"2018-03-11T10:36:04","slug":"tratamiento-conservador-en-la-infeccion-de-protesis-articular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-conservador-en-la-infeccion-de-protesis-articular\/","title":{"rendered":"Tratamiento conservador en la infecci\u00f3n de pr\u00f3tesis articular."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Vicente Saenz Casco <\/strong><\/h2>\n<p>La infecci\u00f3n de pr\u00f3tesis articular es una complicaci\u00f3n infrecuente pero temida por su elevada morbilidad y alto coste econ\u00f3mico, siendo los cocos gram positivos (cgp), en particular staphylococcus aureus y staphylococcus epidermidis, los microorganis mos mas frecuentemente implicados. La puerta de entrada del pat\u00f3geno es en su mayor\u00eda, la contaminaci\u00f3n directa durante la cirug\u00eda, seguido en frecuencia por la v\u00eda hemat\u00f3gena. el diagnostico cl\u00ednico debe ser confirmado por el crecimiento de estos mi croorganismos en una muestra obtenida por aspiraci\u00f3n o durante la intervenci\u00f3n quir\u00fargica. el tratamiento debe ser individualizado, pero normalmente conlleva la administraci\u00f3n de antibioterapia sist\u00e9mica y el recambio quir\u00fargico. El mantenimiento de la pr\u00f3tesis junto con el desbridamiento y la administraci\u00f3n de antibi\u00f3ticos durante al menos tres meses puede ser una alternativa viable en el caso de infecciones intraoperatorias precoces o en el caso de las hemat\u00f3genas tard\u00edas, con duraci\u00f3n de los s\u00edntomas menor de un mes, estabilidad del implante  y pat\u00f3genos sensibles al tratamiento administrado.  se presenta en esta tesis una serie de 60 pacientes con diagnostico de infecci\u00f3n de pr\u00f3tesis articular, rodilla o cadera, confirmado por el crecim iento de staphylococcus aureus o staphylococcus epidermidis, con intento de manejo conservador sin la retirada de la pr\u00f3tesis, estratificados en funci\u00f3n del momento de aparici\u00f3n de la infecci\u00f3n.  los resultados de esta tesis con la combinaci\u00f3n de rif ampicina y levofloxacino orales, ha permitido confirmar estos buenos resultados en el caso de las infecciones estafilococicas en el caso con menos de un mes de evoluci\u00f3n de la sintomatolog\u00eda.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento conservador en la infecci\u00f3n de pr\u00f3tesis articular.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento conservador en la infecci\u00f3n de pr\u00f3tesis articular. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Vicente Saenz Casco <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/07\/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>Jos\u00e9 Barber\u00e1n L\u00f3pez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  jos\u00e9 Picazo de la garza <\/li>\n<li>Manuel cesareo Lopez perales (vocal)<\/li>\n<li>Jos\u00e9 ram\u00f3n Toral revuelta (vocal)<\/li>\n<li>Alberto Hern\u00e1ndez abad\u00eda de barbar\u00e1 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Vicente Saenz Casco La infecci\u00f3n de pr\u00f3tesis articular es una complicaci\u00f3n infrecuente pero temida por su [&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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