{"id":113055,"date":"2018-03-11T10:40:19","date_gmt":"2018-03-11T10:40:19","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-descriptivo-y-analisis-de-los-factores-pronosticos-de-las-bacteriemias-en-el-hospital-general-universitario-jose-maria-morales-meseguer-murcia\/"},"modified":"2018-03-11T10:40:19","modified_gmt":"2018-03-11T10:40:19","slug":"estudio-descriptivo-y-analisis-de-los-factores-pronosticos-de-las-bacteriemias-en-el-hospital-general-universitario-jose-maria-morales-meseguer-murcia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/microbiologia-clinica\/estudio-descriptivo-y-analisis-de-los-factores-pronosticos-de-las-bacteriemias-en-el-hospital-general-universitario-jose-maria-morales-meseguer-murcia\/","title":{"rendered":"Estudio descriptivo y an\u00e1lisis de los factores pron\u00f3sticos de las bacteriemias en el hospital general universitario \u00abjos\u00e9 mar\u00eda morales meseguer\u00bb (murcia)"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carmen Guerrero Gomez <\/strong><\/h2>\n<p>Se han estudiado todas las bacteriemias en un periodo de dos a\u00f1os analizando las caracter\u00edsticas cl\u00ednico-epidemiol\u00f3gicas, microbiol\u00f3gicas y los factores asociados con la mortalidad. la incidencia de bacteriemia ha sido de 25,7 episodios\/1.000 ingresos. Las bacteriemias comunitarias (39,8%) predominaron sobre las nosocomiales (37,4%) y fueron mayoritariamente de origen urinario. El origen desconocido y el cat\u00e9ter fueron los or\u00edgenes m\u00e1s frecuentes de las bacteriemias nosocomiales.  los microorganismos gramnegativos causaron el 65% de las bacteriemias, los grampositivos el 33% y resto fueron anaerobios (2,7%) y hongos (2,5%). Escherichia coli (38%) ha sido la etiolog\u00eda m\u00e1s frecuente seguido por los estafilococos coagulasa negativos (10,3%) y s. Aureus (8,6).  la mortalidad cruda fue del 17,6% y la relacionada del 10,6%. Las variables asociadas a peor pron\u00f3stico fueron: la edad &gt; 68 a\u00f1os, el \u00edndice de charlson ? 4, la sepsis grave\/shock s\u00e9ptico, el origen (respiratorio, abdominal y cardiovascular) y la etiolog\u00eda de las bacteriemia. palabras clave: bacteriemias, hemocultivos, mortalidad summary bloodstream infections (bsi) during a two years period have been studied in order to know the clinical, epidemiological and microbiological characteristics, and to analyze risk factors for mortality. bsi incidence was 25, 7 episodes\/1.000 admissions. There were more community acquired episodes (39, 7%) than hospital acquired (37, 4%). The urinary tract was the most frequent source in community-acquired bsi. Primary bacteremia and the intravascular catheter were the most common sources of nosocomial bsi.  gram-negative bacteria caused 65% of bsi episodes, gram-positive 33%, anaerobic bacteria 2, 7% and fungi 2, 5%. The most common etiology was escherichia coli (38%), coagulase-negative staphylococci (10, 3%) and s. Aureus (8, 6%).  key words: bacteremia, blood cultures, mortality overall and associated mortality was 17, 6% and 10, 6% respectively. Variables that were associated with poor prognosis included: age over 68, charlson&apos;s index &gt; 4, septic shock, the source of infection (respiratory tract, gastrointestinal and cardiovascular sources) and the etiologic agent.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio descriptivo y an\u00e1lisis de los factores pron\u00f3sticos de las bacteriemias en el hospital general universitario \u00abjos\u00e9 mar\u00eda morales meseguer\u00bb (murcia)<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio descriptivo y an\u00e1lisis de los factores pron\u00f3sticos de las bacteriemias en el hospital general universitario \u00abjos\u00e9 mar\u00eda morales meseguer\u00bb (murcia) <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carmen Guerrero Gomez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/07\/2012<\/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>Rosa Mar\u00eda Blazquez Garrido<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Prieto prieto <\/li>\n<li>\u00c1lvaro Pascual hern\u00e1ndez (vocal)<\/li>\n<li>Emilio Bouza Santiago (vocal)<\/li>\n<li>Francisco Javier Espinosa parra (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carmen Guerrero Gomez Se han estudiado todas las bacteriemias en un periodo de dos a\u00f1os analizando las 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