{"id":144699,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/enfermedad-meningococica-en-barcelona-1987-1990\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"enfermedad-meningococica-en-barcelona-1987-1990","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/enfermedad-meningococica-en-barcelona-1987-1990\/","title":{"rendered":"Enfermedad meningococica en barcelona (1987-1990)."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Nicolas Barquet Esteve <\/strong><\/h2>\n<p>423 pacientes residentes en la ciudad de barcelona fueron diagnosticados de enfermedad meningococica (em) entre el 01\/01\/1987 y el 31\/12\/1990. La tasa maxima de incidencia anual correspondio a 1987 (8,19\/100000) y la minima a 1990 (4,51\/100000). La edad media fue de 14,3+-20,3 a\u00f1os (mediana: 5,0 a\u00f1os; intervalo: 31 dias-89 a\u00f1os). El 69,7% de los pacientes eran menores de 15 a\u00f1os. La tasa de incidencia media anual (tima) especifica por grupos de edad alcanzo el valor maximo (68,13\/100.000) en los menores de 5 a\u00f1os. Habia 199 varones (47,0%) y 224 mujeres (53,0%). La tima mas elevada por distritos de residencia fue de 9,07\/100000 y correspondio al distrito i (ciutat vella) y la menor fue de 4,74\/100000 y correspondio al distrito v (sarria-sant gervasi). Solo el 0,7% de los pacientes eran casos coprimarios y el 4,5%, casos secundarios.  el 43,7% de los pacientes recibieron antibioticos antes del ingreso hospitalario. La tasa de letalidad de los enfermos que habian recibido tratamiento antibiotico previo al ingreso hospitalario fue del 0,54% y la de los que no lo habian recibido fue del 10,50% (or=0,05; ic del 95%: 0,02-0,41; p=0,07). El 33,3% de los casos no habia sido objeto de declaracion al institut municipal de la salut.  se obtuvo confirmacion bacteriologica en 305 pacientes (72,1%). El 82,3% de las cepas de neisseria meningitidis aisladas eran serogrupo b y el 14,4% eran serogrupo c. El serotipo predominante entre las cepas serogrupo b fue el 15 (36,9%), seguido del 4 y el 2. El 23,6% fueron no serotipables. El 71,2% de las cepas eran sensibles a la penicilina (pen s). No se aislo ninguna cepa con cmi -0,8 mg\/l a penicilina. Durante el periodo de estudio se constato la presencia e incremento, de forma estadisticamente significativa, de las cepas pen mr de forma que en 1987 representaban el 12,9% y en 1990 el 41,2%. El 50,0% de las cepas serogrupo c y el 22,5% de las serogrupo b eran pen mr (p&lt;0,001). El riesgo relat<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Enfermedad meningococica en barcelona (1987-1990).<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Enfermedad meningococica en barcelona (1987-1990). <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Nicolas Barquet Esteve <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/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>Marius Foz Sala<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Celestino Rey-joly Barroso <\/li>\n<li>Joan Sentis  Vilalta (vocal)<\/li>\n<li>Juan Rubies Prat (vocal)<\/li>\n<li>Juan Ferrando Barbera (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Nicolas Barquet Esteve 423 pacientes residentes en la ciudad de barcelona fueron diagnosticados de enfermedad meningococica (em) [&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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