{"id":135757,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-la-eficacia-de-la-pauta-de-erradicacion-con-omeprazol-claritromicina-y-amoxicilina-durante-seis-dias-en-pacientes-con-ulcera-duodenal-infectados-por-helicobacter-pylori\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"evaluacion-de-la-eficacia-de-la-pauta-de-erradicacion-con-omeprazol-claritromicina-y-amoxicilina-durante-seis-dias-en-pacientes-con-ulcera-duodenal-infectados-por-helicobacter-pylori","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evaluacion-de-la-eficacia-de-la-pauta-de-erradicacion-con-omeprazol-claritromicina-y-amoxicilina-durante-seis-dias-en-pacientes-con-ulcera-duodenal-infectados-por-helicobacter-pylori\/","title":{"rendered":"Evaluacion de la eficacia de la pauta de erradicacion con omeprazol, claritromicina y amoxicilina durante seis dias en pacientes con ulcera duodenal infectados por helicobacter pylori."},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Aurelia Garcia Romero <\/strong><\/h2>\n<p>Objetivos: evaluar la tasa de erradicacion de una triple terapia de 6 dias complementada con una cuadruple terapia (t4) en caso de fracaso, en pacientes diagnosticados de ulcera duodenal (ud) infectados por helicobacter pylori (hp). Investigar el grado de cumplimiento y efectos secundarios de ambas terapias. Estimar el tiempo adecuado (1 frente a 3 meses) para identificar la erradicacion.  evaluar la tasa de reinfeccion al a\u00f1o.  material y metodos: se reclutaron 99 pacientes consecutivos con ud, evaluables 96, divididos en dos grupos: i.- Ud activa, 65 pacientes. Ii.- Rescatados de tratamiento de mantenimiento, 31 pacientes; positividada a hp por prueba rapida de la ureasa y test del aliento con c-13. Se indico omeprazol 20 mg, claritromicina 500 mg y amoxicilina 1 g cada 12 horas. A aquellos que fracasaron con dicha terapia se les indico omeprazol 20 mg\/12 h amoxicilina 750 mg\/8h, metronidazol 500 mg\/8h y bismuto coloidal 240 mg\/12h. Se investigo la erradicacion con c-13 a 1 mes y 3 meses; y la tasa de reinfeccion a los 12 meses.  resultados: tasa de erradicacion t3-6d al mes 76% (ic95% 66-84), a los 3 meses 72.6% (ic95% 63-81). Tasa de erradicacion t4-7d 1 mes y 3 meses 70% (ic95%46-88).  falsos negativos al mes con t3 4.17% (ic95%0.8-11.7).  tasa de erradicacion global 90.3%. Efectos secundarios leves y cumplimiento excelente (t3:99%, t4:100%). Tasa de erradicacion a 1 a\u00f1os con 31 pacientes evaluados: 0%.  conclusiones: la tasa de erradicacion con t3-6d es inaceptablemente baja complementada con t4-7d alcanza cifras aceptables, pero se a\u00f1ade complejidad al tratamiento. La valoracion de la erradicacion al mes sobreestima la eficacia. La tasa de reinfeccion a 1 a\u00f1o carece de importancia clinica en nuestro medio.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluacion de la eficacia de la pauta de erradicacion con omeprazol, claritromicina y amoxicilina durante seis dias en pacientes con ulcera duodenal infectados por helicobacter pylori.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluacion de la eficacia de la pauta de erradicacion con omeprazol, claritromicina y amoxicilina durante seis dias en pacientes con ulcera duodenal infectados por helicobacter pylori. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Aurelia Garcia Romero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/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>Julio Ponce Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Adolfo Benages Martinez <\/li>\n<li>Juan  Ignacio Arenas Mirave (vocal)<\/li>\n<li>Miguel Perez Mateo Regadera (vocal)<\/li>\n<li>Concepcion Gimeno Cardona (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Aurelia Garcia Romero Objetivos: evaluar la tasa de erradicacion de una triple terapia de 6 dias [&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":[9,1085,491,139],"tags":[11564,49199,28538,12217,250040,11374],"class_list":["post-135757","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-infecciosas","category-gastroenterologia","category-medicina-interna","tag-adolfo-benages-Martinez","tag-concepcion-gimeno-cardona","tag-juan-ignacio-arenas-mirave","tag-julio-ponce-garcia","tag-m-aurelia-garcia-romero","tag-miguel-perez-mateo-regadera"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/135757","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=135757"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/135757\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=135757"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=135757"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=135757"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}