{"id":15422,"date":"2002-04-02T00:00:00","date_gmt":"2002-04-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infeccion-por-clostridium-difficile-en-el-hospital-de-bellvitge-caractera%c2%adsticas-cla%c2%adnicas-y-microbiologicas\/"},"modified":"2002-04-02T00:00:00","modified_gmt":"2002-04-02T00:00:00","slug":"infeccion-por-clostridium-difficile-en-el-hospital-de-bellvitge-caractera%c2%adsticas-cla%c2%adnicas-y-microbiologicas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/infeccion-por-clostridium-difficile-en-el-hospital-de-bellvitge-caractera%c2%adsticas-cla%c2%adnicas-y-microbiologicas\/","title":{"rendered":"Infecci\u00f3n por \u00abclostridium difficile\u00bb en el hospital de bellvitge. caracter\u00edsticas cl\u00ednicas y microbiologicas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Amparo Garc\u00eda Garcia <\/strong><\/h2>\n<p>Clostridium difficile es el principal agente etiol\u00f3gico de la diarrea intrahospitalaria, as\u00ed como del 1-2% de las diarreas de la comunidad. La infecci\u00f3n por este microorganismo se relaciona en casi todos los casos con el uso previo de antibi\u00f3ticos y abarca un amplio espectro de enfermedades intestinales como es el estado de portador asintom\u00e1tico, diarrea leve, colitis no complicada y colitis pseudomembranosa. En la ciutat sanitaria i universitaria de bellvitge (csub), la incidencia de la enfermedad asociada a c.Difficile (eacd) en los pacientes con diarrea intrahospitalaria es del 10% aproximadamente. Los episodios acontecidos corresponden a casos espor\u00e1dicos sin que se observe una transmisi\u00f3n intrahospitalaria ni ning\u00fan factor de riesgo precipitante. Los pacientes infectados por el vih, al contrario de los que ocurre en los pacientes con enfermedad  hematol\u00f3gica, no son en nuestra instituci\u00f3n una poblaci\u00f3n de riesgo para la infecci\u00f3n o colonizaci\u00f3n por c.Difficile.  en cuanto al diagn\u00f3stico de la eacd, la prueba de laboratorio m\u00e1s eficaz es la detecci\u00f3n de la toxina b directa de las heces por cultivo celular. no obstante, para una total sensibilidad, es conveniente asociarla a otra t\u00e9cnica, principalmente el cultivo anaerobio. \u00e9Ste ofrece una sensibilidad variable. Ante una poblaci\u00f3n con baja incidencia de la infecci\u00f3n por c.Difficile, la prueba m\u00e1s eficaz es el cultivo, simpre y cuando se utilicen t\u00e9cnicas de recuperaci\u00f3n de esporas y no se trate de pacientes sintom\u00e1ticos. Tras el aislamiento del clostridio en el medio de cultivo siempre debe investigarse la capacidad toxig\u00e9nica de \u00e9ste. La t\u00e9cnica de cultivo celular realizada directamente a partir de las colonias crecidas en el medio s\u00f3lido selectivo es un m\u00e9todo r\u00e1pido y sencillo que mejora de una forma global y desde el punto de vista cl\u00ednico la eficiencia del cultivo anaerobio. Las t\u00e9cnicas de investigaci\u00f3n gen\u00f3mica realizadas directamente a partir d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Infecci\u00f3n por \u00abclostridium difficile\u00bb en el hospital de bellvitge. caracter\u00edsticas cl\u00ednicas y microbiologicas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Infecci\u00f3n por \u00abclostridium difficile\u00bb en el hospital de bellvitge. caracter\u00edsticas cl\u00ednicas y microbiologicas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Amparo Garc\u00eda Garcia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/02\/2002<\/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>Jos\u00e9 Luis Perez Saenz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rom\u00e1n Pallar\u00e9s giner <\/li>\n<li>roberto Alonso fern\u00e1ndez (vocal)<\/li>\n<li>josefina Li\u00f1ares louzao (vocal)<\/li>\n<li>concepcion Gimeno cardona (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Amparo Garc\u00eda Garcia Clostridium difficile es el principal agente etiol\u00f3gico de la diarrea intrahospitalaria, as\u00ed como del [&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":[1418,951,155,35,9,278,597],"tags":[49197,49199,34042,9057,49198,1494],"class_list":["post-15422","post","type-post","status-publish","format-standard","hentry","category-bacteriologia","category-barcelona","category-ciencias-clinicas","category-ciencias-de-la-vida","category-ciencias-medicas","category-microbiologia","category-microbiologia-clinica","tag-amparo-garcia-garcia","tag-concepcion-gimeno-cardona","tag-jose-luis-perez-saenz","tag-josefina-linares-louzao","tag-roberto-alonso-fernandez","tag-roman-pallares-giner"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/15422","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=15422"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/15422\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=15422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=15422"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=15422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}