{"id":14403,"date":"2001-12-12T00:00:00","date_gmt":"2001-12-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-epidemiologico-y-cla%c2%adnico-de-la-neumona%c2%ada-extrahospitalaria\/"},"modified":"2001-12-12T00:00:00","modified_gmt":"2001-12-12T00:00:00","slug":"estudio-epidemiologico-y-cla%c2%adnico-de-la-neumona%c2%ada-extrahospitalaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-epidemiologico-y-cla%c2%adnico-de-la-neumona%c2%ada-extrahospitalaria\/","title":{"rendered":"Estudio epidemiologico y cl\u00ednico de la neumon\u00edaextrahospitalaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Isabel Carpena Mart\u00ednez <\/strong><\/h2>\n<p>Introducci\u00f3n  la neumon\u00eda adquirida en la comunidad nac sigue siendo un problema m\u00e9dico grave. En las \u00faltimas decadas se han producido cambios en las cracter\u00edsticas de la poblaci\u00f3n afectada, en la etiolog\u00eda (identificaci\u00f3n de nuevos pat\u00f3genos y entre los pat\u00f3genos habituales,incremento de las resistencias a los antibi\u00f3ticos m\u00e1s utilizados), aparici\u00f3n de nuevas t\u00e9cnicas diagn\u00f3sticas y nuevos agentes antimicrobianos.Todo ello obliga a la vigilancia de las caracter\u00edsticas de la neumon\u00eda en las diferentes \u00e1reas geogr\u00e1ficas.  objetivos  1,- conocer las caracter\u00edsticas epidemiol\u00f3gicas y cl\u00edncias de la nac atendida en un hospital regional.  2,- analizar la etiolog\u00eda microbian de la nac.  3,- estudiar las caracter\u00edsticas diferenciales de las neumonias clasificadas en grupos etiol\u00f3gicos.  4,- evaluar el rendimiento de diferentes t\u00e9cnicas diagn\u00f3sticas y su repercusi\u00f3n en el pron\u00f3stico.  5,- evaluar la adecuaci\u00f3n de los ingresos hospitalarios.  material y m\u00e9todo  entre octubre 97 y noviembre 98 se estudiaron de forma prospectiva los pacientes diagnosticados de nac en el s. De urgencias del h: morales y meseguer de murcia. El protocolo de recogida de datos incluia: antecedentes perosnales, datos epidemiol\u00f3gicos y cl\u00ednicos y estudios microbiol\u00f3gicos realizados (tinciones y cultivo de espunto, hemocultivos, antigenuria de legionella pneumophila, estuidos serol\u00f3gicos, estudio de virus respiratorios en muestras de lavado nasofar\u00edngeo y t\u00e9cnicas invasivas cuando proced\u00eda).  resultados  durante el periodo de estudio se diagnosticaron 125 casos de nac. El 47% de los pacientes presentaba una o m\u00e1s enfermedades de base.Las manifestaciones cl\u00ednicas m\u00e1s frecuentes fueron fiebre (89%), tos (85%) y expectoraci\u00f3n (66%). El 35% de los pacientes presentaba s\u00edntomas extrarrespiratorios. el patr\u00f3n radiol\u00f3gico m\u00e1s frecuente fue el infiltrado alveolar (90%).El 48% de los pacientes presentaba criterios de graved<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio epidemiologico y cl\u00ednico de la neumon\u00edaextrahospitalaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio epidemiologico y cl\u00ednico de la neumon\u00edaextrahospitalaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Isabel Carpena Mart\u00ednez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/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>Santiago Moreno Guillen<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda no Vald\u00e9s chavarri <\/li>\n<li> G\u00f3mez de terrero s\u00e1nchez Javier (vocal)<\/li>\n<li>Jos\u00e9 Prieto prieto (vocal)<\/li>\n<li>Francisco Javier Espinosa parra (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Isabel Carpena Mart\u00ednez Introducci\u00f3n la neumon\u00eda adquirida en la comunidad nac sigue siendo un problema m\u00e9dico grave. [&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":[9,69,1086,139,8235],"tags":[46379,46378,46377,3474,8243,24488],"class_list":["post-14403","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-pulmonares","category-epidemiologia","category-medicina-interna","category-murcia","tag-francisco-javier-espinosa-parra","tag-gomez-de-terrero-sanchez-javier","tag-isabel-carpena-Martinez","tag-jose-prieto-prieto","tag-maria-no-valdes-chavarri","tag-santiago-moreno-guillen"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14403","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=14403"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14403\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=14403"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=14403"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=14403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}