{"id":19327,"date":"2002-03-10T00:00:00","date_gmt":"2002-03-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/impacto-del-estudio-microbiologico-en-la-neumona%c2%ada-comunitaria-grave\/"},"modified":"2002-03-10T00:00:00","modified_gmt":"2002-03-10T00:00:00","slug":"impacto-del-estudio-microbiologico-en-la-neumona%c2%ada-comunitaria-grave","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/rovira-i-virgili\/impacto-del-estudio-microbiologico-en-la-neumona%c2%ada-comunitaria-grave\/","title":{"rendered":"Impacto del estudio microbiol\u00f3gico en la neumon\u00edacomunitaria grave"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Bodi Saera M. Amparo <\/strong><\/h2>\n<p>Objetivo de la tesis  esta tesis va dirigida a valorar el impacto que tiene el estudio microbiol\u00f3gico en las decisiones terap\u00e9uticas y en la evoluci\u00f3n de la neumon\u00eda comunitaria grave.  material y m\u00e9todos  se trata de un an\u00e1lisis retrospectivo de los datos recogidos de forma prospectiva.  se realiza en dos servicios de cuidados intensivos espa\u00f1oles. Se analizan todos los casos de neumon\u00eda comunitaria grave en un periodo de siete a\u00f1os.  resultados  entran en el an\u00e1lisis 204 casos de neumon\u00eda comunitaria grave. Ciento seis pacientes requieren intubaci\u00f3n orotraqueal y ventilaci\u00f3n mec\u00e1nica convencional: 81 precisaron ventilaci\u00f3n mec\u00e1nica no invasiva y 17 no requirieron soporte ventilatorio.  se estableci\u00f3 el diagn\u00f3stico microbiol\u00f3gico en el 57,3% de los casos. Los microorganismos responables de la nuemon\u00eda m\u00e1s frecuentes fueron streptococcus pneumoniae, legionella pneumophila y haemophilus influenzae.  pseudomonas aeroguinosa (6,6% vs, 1,0%, p&lt;0,05) y legionella pneumophila (15,1% vs 7,1%, p&lt;0,05) fueron aisladas con mayor frecuencia en el grupo de pacientes intubados.  la mortalidad global del grupo fue del 23,5% (44,3% en el subgrupo de pacientes intubados). Los microorganismos que m\u00e1s frecuentemente se hallaron como responsables de los casos de muerte fueron: streptococcus pneumoniae (7 casos), pseudomonas aeruginosa (7), legionella pneumophila (5).  el diagn\u00f3stico microbiol\u00f3gico gui\u00f3 los cambios realizados en el tratamiento antibi\u00f3tico inicial en el 41,6% de los pacientes, incluyendo 11 (5%) en los que el tratamiento antibi\u00f3tico emp\u00edrico no era activo frente al microorganismo aislado. La causa m\u00e1s frecuente de cambio de antibi\u00f3tico fue la simplificaci\u00f3n del mismo en 65 episodios de neumon\u00eda (31,8%).  conclusiones  esta tesis concluye que el estudio microbiol\u00f3gico est\u00e1 justificado en los pacientes con neumon\u00eda comunitaria grave porque tiene impacto en la evoluci\u00f3n de la neumon\u00eda com<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Impacto del estudio microbiol\u00f3gico en la neumon\u00edacomunitaria grave<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Impacto del estudio microbiol\u00f3gico en la neumon\u00edacomunitaria grave <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Bodi Saera M. Amparo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Rovira i virgili<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/10\/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>Jordi Rello Condomines<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: cristobal Richart jurado <\/li>\n<li>mercedes Palomar mart\u00ednez (vocal)<\/li>\n<li>josep Guarro artigas (vocal)<\/li>\n<li>jordi Roig cutillas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Bodi Saera M. Amparo Objetivo de la tesis esta tesis va dirigida a valorar el impacto que [&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":[18759],"tags":[59422,1372,59423,42690,7013,33815],"class_list":["post-19327","post","type-post","status-publish","format-standard","hentry","category-rovira-i-virgili","tag-bodi-saera-m-amparo","tag-cristobal-richart-jurado","tag-jordi-rello-condomines","tag-jordi-roig-cutillas","tag-josep-guarro-artigas","tag-mercedes-palomar-Martinez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19327","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=19327"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19327\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=19327"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=19327"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=19327"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}