{"id":17204,"date":"2002-04-06T00:00:00","date_gmt":"2002-04-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tecnica-fibrobroncoscopia-o-broncoaspirado-en-el-diagnostico-microbiologico-de-la-neumonia-asociada-a-la-ventilacion-repercusion-en-la-evolucion-cla%c2%adnica\/"},"modified":"2002-04-06T00:00:00","modified_gmt":"2002-04-06T00:00:00","slug":"tecnica-fibrobroncoscopia-o-broncoaspirado-en-el-diagnostico-microbiologico-de-la-neumonia-asociada-a-la-ventilacion-repercusion-en-la-evolucion-cla%c2%adnica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tecnica-fibrobroncoscopia-o-broncoaspirado-en-el-diagnostico-microbiologico-de-la-neumonia-asociada-a-la-ventilacion-repercusion-en-la-evolucion-cla%c2%adnica\/","title":{"rendered":"T\u00e9cnica fibrobroncoscopia o broncoaspirado en el diagn\u00f3stico microbiologico de la neumonia asociada a la ventilaci\u00f3n. repercusi\u00f3n en la evoluci\u00f3n cl\u00ednica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Amalia Alcon Dom\u00ednguez <\/strong><\/h2>\n<p>Objetivo  comparar la evoluci\u00f3n cl\u00ednica de los pacientes con neumonia asociada a la ventilaci\u00f3n mec\u00e1nica (nav) realizando diagn\u00f3stico microbiol\u00f3gico mediante cultivo cuantitativo del broncoaspirado o mediante fibrobroncoscopia (cat\u00e9ter telescopado y lavado broncoalveolar).  m\u00e9todos  se estudiaron 76 adultos con sospecha cl\u00ednica de nav, inmunocompetentes. de forma aleatoria a 37 pacientes se le realizo fbs y a 39 bas. An\u00e1lisis multivariado para cultivo significativo y mortalidad.  resultados  el 47% de los pacientes era quir\u00fargicos. El apache ii fue de 19 (6) al ingreso en uci. El 68% de los pacientes recibieron tratamiento antibi\u00f3tico previo. El 63% de los pacientes desarrollaron nav de forma tard\u00eda el tratamiento emp\u00edrico fue modificado en un 57% de pacientes con neumon\u00eda precoz respecto a 31% en neumon\u00eda tard\u00eda (p=0,02).  los microorganismos hospitalarios supusieron un 62%, siendo pseudomonas aeruginosa el microorganismo m\u00e1s frecuente. Recibieron tratamiento adecuado un 52% de los pacientes, sin diferencia entre los grupos diagn\u00f3sticados. hubo fallo cl\u00ednico a las 72 h en un 31,6%, sin diferencia entre los grupos. los d\u00edas de ventilaci\u00f3n mec\u00e1nica, de estancia en uci fue similar para ambos grupos, y para los pacientes con confirmaci\u00f3n respecto a los no confirmado por cultivo. La mortalidad cruda fue similar en ambos grupos (38%) en uci. el fallo cl\u00ednico de tratamiento y el ingreso hospitalario previo a uci fueron factores de riesgo asociados a la mortalidad. El tratamiento previo con antibi\u00f3ticos fue la \u00fanica variable relacionada inversamente con crecimiento significativo en las muestras respiratorias.  conclusi\u00f3n  la evoluci\u00f3n cl\u00ednica de los pacientes con nav es similar si se confirma con broncoaspirado o fbs.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>T\u00e9cnica fibrobroncoscopia o broncoaspirado en el diagn\u00f3stico microbiologico de la neumonia asociada a la ventilaci\u00f3n. repercusi\u00f3n en la evoluci\u00f3n cl\u00ednica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 T\u00e9cnica fibrobroncoscopia o broncoaspirado en el diagn\u00f3stico microbiologico de la neumonia asociada a la ventilaci\u00f3n. repercusi\u00f3n en la evoluci\u00f3n cl\u00ednica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Amalia Alcon Dom\u00ednguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/06\/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: M\u00aa teresa Jim\u00e9nez de anta <\/li>\n<li>j.m. Gatell (vocal)<\/li>\n<li>mercedes Palomar mart\u00ednez (vocal)<\/li>\n<li> Rodr\u00edguez de castro felipe (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Amalia Alcon Dom\u00ednguez Objetivo comparar la evoluci\u00f3n cl\u00ednica de los pacientes con neumonia asociada a la ventilaci\u00f3n [&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":[951,9,69,139],"tags":[53970,1095,53971,33815,13814,31107],"class_list":["post-17204","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-medicas","category-enfermedades-pulmonares","category-medicina-interna","tag-amalia-alcon-dominguez","tag-antonio-torres-marti","tag-j-m-gatell","tag-mercedes-palomar-Martinez","tag-ma-teresa-jimenez-de-anta","tag-rodriguez-de-castro-felipe"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17204","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=17204"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17204\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17204"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17204"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17204"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}