{"id":14725,"date":"2018-03-09T09:01:32","date_gmt":"2018-03-09T09:01:32","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-e-indicaciones-de-la-puncion-pulmonar-aspirativa-transitoracica-papt-en-el-absceso-pulmonar-ap\/"},"modified":"2018-03-09T09:01:32","modified_gmt":"2018-03-09T09:01:32","slug":"utilidad-e-indicaciones-de-la-puncion-pulmonar-aspirativa-transitoracica-papt-en-el-absceso-pulmonar-ap","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-e-indicaciones-de-la-puncion-pulmonar-aspirativa-transitoracica-papt-en-el-absceso-pulmonar-ap\/","title":{"rendered":"Utilidad e indicaciones de la punci\u00f3n pulmonar aspirativa transitor\u00e1cica (papt) en el absceso pulmonar (ap)"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Vargas Puerto <\/strong><\/h2>\n<p>Objetivos  1,- evaluar el rendimiento de la pat en el diagn\u00f3stico microbiol\u00f3gico del ap y del posible carcinoma subyacente.  2,- analizar y comparar las caracter\u00edsticas cl\u00ednico-radiol\u00f3gicas y la participaci\u00f3n bacteriana de los ap primarios y aquellos asociados a neoplasia bronquial.  3,- establecer las posibles indicaciones de la papt.  material y m\u00e9todos  serie consecutiva de ap no seleccionadas. En todos se realiz\u00f3 papt bajo control radiol\u00f3gico (fluorosc\u00f3pico mayoritariamente) con aguja 20-22 g.  resultados  se incluyen 131 pacientes, con edad media de 49.87 a\u00f1os (rango 16-79 a\u00f1os), con factores favorecedores de aspiraci\u00f3n orofar\u00ednges, 24 con neoplasia pulmonar asociada (no conocida en la presentaci\u00f3n del ap en 23 casos), 25 advp, 4 con  otros factores predisponentes para el ap y 28 sin factor detectable. Los ap adquiridos en la comunidad fueron 115 y en el hospital 16. En 15 casos exist\u00eda infecci\u00f3n hiv asociada. El 32.1% (42\/131) presentaba fetidez en el esputo.Las caracter\u00edsticas radiol\u00f3gicas fueron de esacasa ayuda para diferenciar los ap asociados a neoplasia anaerobias fue del 58% (65\/112) y de aerobias del 65.1% (73\/112). Dicha participaci\u00f3n vari\u00f3 en funci\u00f3n de la etiopatogenia del ap, lugar de adquisici\u00f3n y de la fetidez en el espunto.En los ap adquiridos en la comunidad, las bacterias anaerobias fueron m\u00e1s frecuente de forma significativa en los pacientes con fetidez en el esputo (36\/37 vs 22\/60, p&lt;0,001) y con circunstancias de aspiraci\u00f3n orofar\u00edngea (30\/35 vs 28\/62, p&lt;0,001) y los  bacilos aerobios gram negativos y\/o staphilococcus aureus se aislaron en una proporci\u00f3n singnificativamente mayor en los pacientes sin fetidez en el esputo (38\/60 vs 8\/37, p&lt;0,001), sin circunstancias de aspiraci\u00f3n (35\/62 vs 11\/35, p=0,03) y con neoplasia bronquial asociada (15\/21 vs 31\/76, p=0,02). Los resultados de los cultivos de la papt modificaron el tratamiento emp\u00edrico en el 39,7% (52\/131) de los<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad e indicaciones de la punci\u00f3n pulmonar aspirativa transitor\u00e1cica (papt) en el absceso pulmonar (ap)<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad e indicaciones de la punci\u00f3n pulmonar aspirativa transitor\u00e1cica (papt) en el absceso pulmonar (ap) <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Vargas Puerto <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/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>Javier Ayarra Jarne<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Rivas mart\u00edn <\/li>\n<li>vicente Martinez puentes (vocal)<\/li>\n<li>Francisco Gomez rodriguez (vocal)<\/li>\n<li>inmaculada Alfageme micyavilla (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Vargas Puerto Objetivos 1,- evaluar el rendimiento de la pat en el diagn\u00f3stico microbiol\u00f3gico del ap 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