{"id":117590,"date":"2015-09-06T00:00:00","date_gmt":"2015-09-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-las-caractera%c2%adsticas-cla%c2%adnicas-microbiologicas-e-histologicas-en-pacientes-con-ulcera-de-pie-diabetico-complicado-con-osteomielitis\/"},"modified":"2015-09-06T00:00:00","modified_gmt":"2015-09-06T00:00:00","slug":"estudio-de-las-caractera%c2%adsticas-cla%c2%adnicas-microbiologicas-e-histologicas-en-pacientes-con-ulcera-de-pie-diabetico-complicado-con-osteomielitis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/complutense-de-madrid\/estudio-de-las-caractera%c2%adsticas-cla%c2%adnicas-microbiologicas-e-histologicas-en-pacientes-con-ulcera-de-pie-diabetico-complicado-con-osteomielitis\/","title":{"rendered":"Estudio de las caracter\u00edsticas cl\u00ednicas, microbiol\u00f3gicas e histol\u00f3gicas en pacientes con ulcera de pie diab\u00e9tico complicado con osteomielitis"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Luis Garcia Klepzig <\/strong><\/h2>\n<p>Introduccion. existen numerosos trabajos sobre la patogenia, diagn\u00f3stico y tratamiento de la osteomielitis como complicaci\u00f3n del pie diab\u00e9tico. Con respecto a la etiolog\u00eda de la misma es bien conocido que las bacterias m\u00e1s frecuentemente implicada son las mismas que afectan a la infecci\u00f3n de los tejidos blandos cuando una \u00falcera neurop\u00e1tica o neuroisqu\u00e9mica se complica con una infecci\u00f3n de los mismos. no obstante, tanto en la infecci\u00f3n de tejidos blandos, como en la osteomielitis todav\u00eda hay bacterias que tienen un papel controvertido como verdaderas responsables de la infecci\u00f3n. Otras, como el staphylococcus aureus meticil\u00edn resistente, cl\u00e1sicamente considerado un microorganismo nosocomial, tienen una importancia creciente en pacientes de la comunidad. este estudio pretende, mediante el an\u00e1lisis de las caracter\u00edsticas cl\u00ednicas, microbiol\u00f3gicas e histopatol\u00f3gicas de los pacientes con pie diab\u00e9tico complicado con osteomielitis, identificar qu\u00e9 factores pueden contribuir a que determinadas bacterias de especial relevancia y dudosa patogenia sean las responsables del cuadro. el conocimiento de estos factores es de especial importancia, ya que si son tenidos en cuenta, mejorar\u00e1n enormemente el rendimiento del tratamiento antibi\u00f3tico emp\u00edrico y, por tanto, el pron\u00f3stico de estos pacientes.  material y m\u00e9todos. se realiza un estudio observacional descriptivo retrospectivo incluyendo 287 pacientes diab\u00e9ticos con \u00falceras en el pie y sospecha cl\u00ednica de osteomielitis. Todos los pacientes cumpl\u00edan los criterios de inclusi\u00f3n y no presentaban criterios de exclusi\u00f3n. Asimismo, todos ellos firmaron la hoja de consentimiento informado.  resultados. las bacterias m\u00e1s frecuentemente implicadas, tanto en la infecci\u00f3n de tejidos blandos, como en la osteomielitis fueron las pertenecientes al grupo de los gram-positivos (81.98%). Dentro de estos microorganismos, el agente m\u00e1s aislado fue  staphylococcus aureus meticil\u00edn sensible (41%). No obstante, el porcentaje de staphyloccoccus aureus meticil\u00edn resistente es considerable (5%), asoci\u00e1ndose su participaci\u00f3n a la \u00falcera localizada en el hallux, a los antecedentes cardiovasculares previos y al sedentarismo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de las caracter\u00edsticas cl\u00ednicas, microbiol\u00f3gicas e histol\u00f3gicas en pacientes con ulcera de pie diab\u00e9tico complicado con osteomielitis<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de las caracter\u00edsticas cl\u00ednicas, microbiol\u00f3gicas e histol\u00f3gicas en pacientes con ulcera de pie diab\u00e9tico complicado con osteomielitis <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Luis Garcia Klepzig <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/06\/2015<\/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>Elpidio Miguel Calvo Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>Jos\u00e9 Antonio Rubio  garcia (vocal)<\/li>\n<li>Santiago Coca menchero (vocal)<\/li>\n<li>Jos\u00e9 ram\u00f3n Mendez montesino (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Luis Garcia Klepzig Introduccion. existen numerosos trabajos sobre la patogenia, diagn\u00f3stico y tratamiento de la osteomielitis [&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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