{"id":14352,"date":"2001-10-12T00:00:00","date_gmt":"2001-10-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-factores-pronosticos-de-la-infeccion-vih-avanzada-en-la-era-de-los-tratamientos-antirretrovirales-de-gran-actividad\/"},"modified":"2001-10-12T00:00:00","modified_gmt":"2001-10-12T00:00:00","slug":"estudio-de-factores-pronosticos-de-la-infeccion-vih-avanzada-en-la-era-de-los-tratamientos-antirretrovirales-de-gran-actividad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-factores-pronosticos-de-la-infeccion-vih-avanzada-en-la-era-de-los-tratamientos-antirretrovirales-de-gran-actividad\/","title":{"rendered":"Estudio de factores pron\u00f3sticos de la infecci\u00f3n vih avanzada en la era de los tratamientos antirretrovirales de gran actividad"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Sergio Reus Ba\u00f1uls <\/strong><\/h2>\n<p>Introducci\u00f3n  la morbimortalidad de los pacientes con infecci\u00f3n vih avanzada es muy elevada y los factores asociados a la mala evoluci\u00f3n despu\u00e9s de la aparici\u00f3n de los nuevos tratamientos antirretrovirales de gran actividad (targa) no son bien conocidos.  hip\u00f3tesis  1,- los factores pron\u00f3sticos cl\u00e1sicos de la infecci\u00f3n vih avanzada podr\u00edan ser menos importantes que variables nuevas relacionadas con la targa.  2,- la viremia por cmv conserva la capacidad predictora de enfermedad citomeg\u00e1lica (ecmv) tras la aparici\u00f3n de la targa.  objetivos  principal: determinar los marcadores predictores de progresi\u00f3n de la infecci\u00f3n por el vih en pacientes con &lt; 100 linfocitos cd4+\/mm3.  secundario: determinar el valor pron\u00f3stico de la viremia por cmv determinada por pcr en cuanto a desarrollo de ecmv y muerte.  sujetos y m\u00e9todo  estudio observacional, prospectivo y multic\u00e9ntrico realizado entre diciembre 1997 y junio 1999. Criterios inclusi\u00f3n: linfocitos cd4+&lt;100\/mm3 y serolog\u00eda cmv (+). Criterios y exclusi\u00f3n: enfermedad citomeg\u00e1lica y embarazadas. variable principal: progresi\u00f3n de la infecci\u00f3n vih, definida por la aparici\u00f3n de una enfermedad definitoria de sida, leishmaniasis visceral o muerte. variables explicativas: factor de riesgo para el vih, estadio cl\u00ednico basal (cdc), poblaciones linfocitarias basales, carga viral plasm\u00e1tica basal (cvp) de vih, pcr-cmv (determinada cada 2-3 meses), utilizaci\u00f3n de mono o biterapias antes de la inclusi\u00f3n, y utilizaci\u00f3n y eficacia de targa.  resultados  se incluyeron 146 pacientes, 84% varones, con edad media 35 a\u00f1os, antecedentes de uso de drogas por v\u00eda parenteral (udvp) (62%), estadio c (66%), linfocitos cd4+51\/mm3 y cvp-vih 5.3 log. El 47% recib\u00eda targa en la inclusi\u00f3n y el 60% hab\u00edan recibido mono o biterapias antes. Tras un seguimiento medio de 12 meses, el 40% progres\u00f3 y el 17% fallecieron, y las variables a las que se asoci\u00f3 fueron el estadio c, linfo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de factores pron\u00f3sticos de la infecci\u00f3n vih avanzada en la era de los tratamientos antirretrovirales de gran actividad<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de factores pron\u00f3sticos de la infecci\u00f3n vih avanzada en la era de los tratamientos antirretrovirales de gran actividad <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Sergio Reus Ba\u00f1uls <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/12\/2001<\/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>Joaquin Portilla Sogorb<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: reyes Pascual <\/li>\n<li>alfredo Cano (vocal)<\/li>\n<li>Mar\u00eda Pe\u00f1a jose (vocal)<\/li>\n<li>Jos\u00e9 Lopez aldeguer (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sergio Reus Ba\u00f1uls Introducci\u00f3n la morbimortalidad de los pacientes con infecci\u00f3n vih avanzada es muy elevada y [&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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