{"id":143262,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-prospectivo-de-la-incidencia-y-factores-de-riesgo-asociados-a-nefrotoxicidad-por-aminoglucosidos-en-pacientes-con-ictericia-obstructiva-extrahepatica\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"estudio-prospectivo-de-la-incidencia-y-factores-de-riesgo-asociados-a-nefrotoxicidad-por-aminoglucosidos-en-pacientes-con-ictericia-obstructiva-extrahepatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-prospectivo-de-la-incidencia-y-factores-de-riesgo-asociados-a-nefrotoxicidad-por-aminoglucosidos-en-pacientes-con-ictericia-obstructiva-extrahepatica\/","title":{"rendered":"Estudio prospectivo de la incidencia y factores de riesgo asociados a nefrotoxicidad por aminoglucosidos en pacientes con ictericia obstructiva extrahepatica."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Cabello Porras M. Rosario <\/strong><\/h2>\n<p>Los aminoglucosidos son antibioticos ampliamente utilizados en clinicas dado su espectro de accion frente a microorganismos gram-negativos aerobios. Son muy utilizados en el tratamiento empirico de las complicaciones septicas de la obstruccion biliar. Su efecto nefrotoxico limita su utilizacion. Nos propusimos investigar prospectivamente la incidencia de nefrotoxicidad por aminoglucosidos en pacientes con ictericia obstructiva extrahepatica e identificar los factores de riesgo de nefrotoxicidad por aminoglucosidos en estos pacientes. Y secundariamente, estudiar las posibles modificaciones que en la farmacocinetica de los aminoglucosidos podria introducir la presencia de una patolog\u00eda como la obstruccion biliar extrahepatica. Se incluyeron 237 pacientes para su estudio ingresados en el hospital universitario. Todos los sujetos incluidos presentaban una funcion renal normal, sin embargo, observamos una mayor incidencia de nefrotoxicidad por aminoglucosidos en los sujetos con ictericia obstructiva extrahepatica. Las diferencias mas notables en la farmacocinetica de la gentamicina, entre los pacientes con y sin ictericia obstructiva, ocurrieron en aquellos mayores de 65 a\u00f1os con ictericia obstructiva extrahepatica.  la ictericia obstructiva extrahepatica se configura como el factor de riesgo mas importante para el desarrollo de nefrotoxicidad por aminoglucosidos, especialmente en los mas ictericos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio prospectivo de la incidencia y factores de riesgo asociados a nefrotoxicidad por aminoglucosidos en pacientes con ictericia obstructiva extrahepatica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio prospectivo de la incidencia y factores de riesgo asociados a nefrotoxicidad por aminoglucosidos en pacientes con ictericia obstructiva extrahepatica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Cabello Porras M. Rosario <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/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>Felipe Sanchez De La Cuesta  Alarcon<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Salvador Gonzalez Baron <\/li>\n<li> Castillo Ferrando Juan  Ram\u00f3n (vocal)<\/li>\n<li> Herrerias Gutierrez Juan  Manuel (vocal)<\/li>\n<li>Raul Jes\u00fas Andrade Bellido (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Cabello Porras M. Rosario Los aminoglucosidos son antibioticos ampliamente utilizados en clinicas dado su espectro de accion [&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":[9,2445,957,491,7834,139],"tags":[82518,8315,24765,11238,4063,17975],"class_list":["post-143262","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-evaluacion-de-farmacos","category-farmacologia","category-gastroenterologia","category-malaga","category-medicina-interna","tag-cabello-porras-m-rosario","tag-castillo-ferrando-juan-ramon","tag-felipe-sanchez-de-la-cuesta-alarcon","tag-herrerias-gutierrez-juan-manuel","tag-raul-jesus-andrade-bellido","tag-salvador-gonzalez-baron"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/143262","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=143262"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/143262\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=143262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=143262"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=143262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}