{"id":19588,"date":"2018-03-09T09:08:36","date_gmt":"2018-03-09T09:08:36","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/stenotrophomonas-maltophilia-estudio-cla%c2%adnico-epidemiologico-y-pronostico\/"},"modified":"2018-03-09T09:08:36","modified_gmt":"2018-03-09T09:08:36","slug":"stenotrophomonas-maltophilia-estudio-cla%c2%adnico-epidemiologico-y-pronostico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sevilla\/stenotrophomonas-maltophilia-estudio-cla%c2%adnico-epidemiologico-y-pronostico\/","title":{"rendered":"Stenotrophomonas maltophilia: estudio cl\u00ednico, epidemiol\u00f3gico y pron\u00f3stico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M. Dolores Del Toro Lopez <\/strong><\/h2>\n<p>Realizamos un estudio multic\u00e9ntrico de casos y controles para conocer la incidencia de s.Maltophilia, las caracter\u00edsticas de los pacientes que adquieren este microorganismo, los factores de riesgo asociados a dicha adquisici\u00f3n, y la diferencia entre pacientes infectados y colonizados. Realizamos tambi\u00e9n un estudio de la cohorte de casos con s.Maltophilia en el hospital universitario virgen macarena para conocer la incidencia de s.Maltophilia en diferentes servicios y su relaci\u00f3n con el consumo de antimicrobianos de amplio espectro, los tipos de infecci\u00f3n producidas por s.Maltophilia, las caracter\u00edsticas de los pacientes infectados, el tratamiento y la evoluci\u00f3n de estos pacientes, as\u00ed como la mortalidad global y atribuible. Investigamos en este estudio la sensibilidad de s.Maltophilia a los diferentes antimicrobianos y su epidemiolog\u00eda cl\u00ednica y molecular. La incidencia media de s.Maltophilia en nuestros hospitales fue de 5,73 casos por 10.000 ingresos. Se incluyeron 129 pacientes en el estudio multic\u00e9ntrico, 67% hombres, y 94% adultos. un 36% proced\u00edan de uci, 35% de servicios m\u00e9dicos, 18% de servicios quir\u00fargicos, y 11% de oncolog\u00eda\/hematolog\u00eda. La mediana de hospitalizaci\u00f3n fue de 17 d\u00edas.  el 79% de los pacientes padec\u00eda una enfermedad cr\u00f3nica de base (enfermedad pulmonar cr\u00f3nica 25%, neoplasias 21%). El 88% de los pacientes hab\u00eda recibido antibioterapia, un 41% hab\u00eda sido intervenido quir\u00fargicamente, un 30% hab\u00edan recibido inmunosupresores, un 92% eran portadores de cat\u00e9teres venosos, un 48% ten\u00edan sonda urinaria, y un 36% hab\u00edan sido sometidos a ventilaci\u00f3n mec\u00e1nica. Se consider\u00f3 que exist\u00eda infecci\u00f3n en el  53,5% de los casos. la adquisici\u00f3n de s.Maltophilia fue nosocomial en el 91% de los casos. los factores de riesgo independientes para la adquisici\u00f3n de s.Maltophilia (an\u00e1lisis multivariante), fueron el consumo de carbapenemas, ceftazidima y fluoroquinolonas, y la ventilaci\u00f3n mec\u00e1nica. En el<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Stenotrophomonas maltophilia: estudio cl\u00ednico, epidemiol\u00f3gico y pron\u00f3stico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Stenotrophomonas maltophilia: estudio cl\u00ednico, epidemiol\u00f3gico y pron\u00f3stico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M. Dolores Del Toro Lopez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/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>Jes\u00fas Rodr\u00edguez Ba\u00f1o<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Perea p\u00e9rez evelio jos\u00e9 <\/li>\n<li>Alberto Pahissa berga (vocal)<\/li>\n<li>\u00c1lvaro Pascual hern\u00e1ndez (vocal)<\/li>\n<li>Jos\u00e9 Prieto prieto (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M. Dolores Del Toro Lopez Realizamos un estudio multic\u00e9ntrico de casos y controles para conocer la incidencia [&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":[10715],"tags":[1089,56335,60078,3474,60077,26441],"class_list":["post-19588","post","type-post","status-publish","format-standard","hentry","category-sevilla","tag-alberto-pahissa-berga","tag-alvaro-pascual-hernandez","tag-jesus-rodriguez-bano","tag-jose-prieto-prieto","tag-m-dolores-del-toro-lopez","tag-perea-perez-evelio-jose"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19588","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=19588"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/19588\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=19588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=19588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=19588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}