{"id":136371,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infeccion-quirurgica-nosocomial-en-un-servicio-de-angiologia-y-cirugia-vascular\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"infeccion-quirurgica-nosocomial-en-un-servicio-de-angiologia-y-cirugia-vascular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/infeccion-quirurgica-nosocomial-en-un-servicio-de-angiologia-y-cirugia-vascular\/","title":{"rendered":"Infeccion quirurgica nosocomial en un servicio de angiolog\u00eda y cirugia vascular."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Emiliano Cano Trigueros <\/strong><\/h2>\n<p>La infeccion nosocomial es un problema de gran magnitud tanto para los servicios medicos como quirurgicos.  actualmente esta reconocido que los indicadores de infeccion nosocomial son uno de los parametros de calidad asistencial mas importantes que genera un centro sanitario, por su relacion directa con la calidad de los cuidados y morbimortalidad hospitalaria.  objetivos determinar y cuantificar los factores de riesgo relacionados con la infeccion quirurgica nosocomial; asi como calcular las tasas de incidencia de infeccion quirurgica global en un servicio de angiolog\u00eda y cirugia vascular y el indice de infeccion en cirugia limpia como control de calidad en un servicio quirurgico.  material y metodos se trata de un estudio protocolizado de vigilancia prospectiva de la infeccion quirurgica asi como de revision retrospectiva de las intervenciones quirurgicas realizadas en un periodo de 5 a\u00f1os (n=1784 casos).  periodo de seguimiento 2 dias-6,5 a\u00f1os. Criterios de infeccion quirurgica los emanados por los cdc de atlanta.  dise\u00f1amos un protocolo de recogida de datos pre, intra y postoperatorios con un total de 47 variables. Se realizo un estudio descriptivo y analisis univariante (test x2 y exacto de fisher) y en segundo lugar, un modelo multivariante por regresion logistica multiple, obteniendo una ecuacion predictiva y la curva roc o de caracteristicas operantes.  resultados la incidencia de infeccion quirurgica global fue del 5,38% y en cirugia limpia del 2,45%. En el analisis univariante 14 fueron las variables relacionadas con la infeccion quirurgica. Al aplicar regresion logistica, los factores de riesgo de infeccion estadisticamente significativos (p&lt;0,001) fueron: duracion de la intervencion (odds. Ratio 1,1), diabetes mellitus (or 1,9), no profilaxis antibiotica (or 2,8), malnutricion (or 3,7), isquemia cronica critica (or 6,7), isquemia aguda (or 9,7), aneurisma roto (or 14,7), cirugia limpia contaminada (or 3,<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Infeccion quirurgica nosocomial en un servicio de angiolog\u00eda y cirugia vascular.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Infeccion quirurgica nosocomial en un servicio de angiolog\u00eda y cirugia vascular. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Emiliano Cano Trigueros <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/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>Jos\u00e9 Luis Arribas Llorente<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jose Bueno G\u00f3mez <\/li>\n<li> Estevan Solano Jos\u00e9 Miguel (vocal)<\/li>\n<li>Josep Vaque Rafart (vocal)<\/li>\n<li>Juan  Antonio Amiguet Garc\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Emiliano Cano Trigueros La infeccion nosocomial es un problema de gran magnitud tanto para los servicios medicos [&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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