{"id":16295,"date":"2002-05-04T00:00:00","date_gmt":"2002-05-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/etiologa%c2%ada-diagnostico-y-pronostico-de-las-complicaciones-pulmonares-en-pacientes-inmunodeprimidos\/"},"modified":"2002-05-04T00:00:00","modified_gmt":"2002-05-04T00:00:00","slug":"etiologa%c2%ada-diagnostico-y-pronostico-de-las-complicaciones-pulmonares-en-pacientes-inmunodeprimidos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/etiologa%c2%ada-diagnostico-y-pronostico-de-las-complicaciones-pulmonares-en-pacientes-inmunodeprimidos\/","title":{"rendered":"Etiolog\u00eda, diagn\u00f3stico y pron\u00f3stico de las complicaciones pulmonares en pacientes inmunodeprimidos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ana Ra\u00f1o P\u00e9rez <\/strong><\/h2>\n<p>El desarrollo de infiltrados pulmonares en pacientes inmunodeprimidos es una complicaci\u00f3n frecuente y grave que requiere un diagn\u00f3stico precoz y tratamiento espec\u00edfico.  se estudiaron 200 pacientes inmunodeprimidos no vih con infiltrados pulmonares con el objetivo de:  1,- determinar la etiolog\u00eda mediante la aplicaci\u00f3n de t\u00e9cnicas diagn\u00f3sticas no invasivas y broncosc\u00f3picas.  2,- evaluar el impacto de estos m\u00e9todos sobre las decisiones terap\u00e9uticas y la evoluci\u00f3n final de los pacientes.  3,- determinar los factores pron\u00f3sticos relacionados con una mayor mortalidad.  se obtuvo un diagn\u00f3stico etiol\u00f3gico en 162\/200 (81%) de los episodios, siendo infeccioso en 125 (77%) y no infeccioso en 37 (23%). Treinta y ocho (19%) casos quedaron sin diagn\u00f3stico. Las etiolog\u00edas infecciosas principales fueron bacteriana (48\/125, 24%), f\u00fangica (33\/125, 17%) y v\u00edrica (20\/125, 10%) y el pat\u00f3geno m\u00e1s frecuentemente aislado fue aspergillus fumigatus (n=29), s.Aureus (n=17) y p.Aeruginosa (n=12). Entre las causas no infecciosas, el edema pulmonar (16\/37, 43%) y la hemorragia alveolar difusa (10\/37, 27%) fueron las m\u00e1s frecuentes. Las t\u00e9cnicas no invasivas condujeron el diagn\u00f3stico de los infiltrados pulmonares en el 41% de los episodios, mientras que las t\u00e9cnicas broncosc\u00f3picas permitieron el diagn\u00f3stico en el 59% de los casos. Las variables que se asociaron a una mayor mortalidad mediante estudio con an\u00e1lisis multivariado fueron el requerimiento de ventilaci\u00f3n mec\u00e1nica, un \u00edndice de gravedad apache ii&gt;20 y un retraso en la obtenci\u00f3n de un diagn\u00f3stico &gt; 5 d\u00edas. El an\u00e1lisis estad\u00edstico por subgrupos de inmunodepresi\u00f3n confirm\u00f3 el valor pron\u00f3stico de dichas variables adem\u00e1s de la etiolog\u00eda infecciosa de los infiltrados pulmonares.  se concluye que la mortalidad de los pacientes inmunodeprimidos que desarrollan una complicaci\u00f3n pulmonar es alta. La consecuci\u00f3n de un diagn\u00f3stico precoz puede, potencialmente, mejo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Etiolog\u00eda, diagn\u00f3stico y pron\u00f3stico de las complicaciones pulmonares en pacientes inmunodeprimidos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Etiolog\u00eda, diagn\u00f3stico y pron\u00f3stico de las complicaciones pulmonares en pacientes inmunodeprimidos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ana Ra\u00f1o P\u00e9rez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/04\/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>Antonio Torres Mart\u00ed<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>Emilio Bouza Santiago (vocal)<\/li>\n<li>enric Carreras pons (vocal)<\/li>\n<li>joan Ruiz manzano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ana Ra\u00f1o P\u00e9rez El desarrollo de infiltrados pulmonares en pacientes inmunodeprimidos es una complicaci\u00f3n frecuente y 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 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