{"id":22361,"date":"2003-01-04T00:00:00","date_gmt":"2003-01-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-un-conector-desinfectable-en-la-profilaxis-de-la-bacteriemia-relacionada-con-cateter-en-pacientes-criticos\/"},"modified":"2003-01-04T00:00:00","modified_gmt":"2003-01-04T00:00:00","slug":"utilidad-de-un-conector-desinfectable-en-la-profilaxis-de-la-bacteriemia-relacionada-con-cateter-en-pacientes-criticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-un-conector-desinfectable-en-la-profilaxis-de-la-bacteriemia-relacionada-con-cateter-en-pacientes-criticos\/","title":{"rendered":"Utilidad de un conector desinfectable en la profilaxis de la bacteriemia relacionada con cateter en pacientes criticos"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Yebenes Reyes Juan  Carlos <\/strong><\/h2>\n<p>La utilizaci\u00f3n de los cat\u00e9teres venosos centrales es esencial en las unidades de cuidados intensivos. Su uso, sin embargo, no est\u00e1 exento de riesgos como la bacteriemia relacionada con cat\u00e9ter, con una morbimortalidad asociada significativa. Conociendo la importancia de la v\u00eda endoluminal en la patog\u00e9nesis de la bateriemia por cat\u00e9ter, el objetivo de est\u00e1 tesis es observar la utilidad de un nuevo conector desinfectable que no requiere la utilizaci\u00f3n de agujas (smartsite(r), alaris medicals systems, san diego, california 92121, usa), tanto experimentalmente como en la pr\u00e1ctica cl\u00ednica.  descripci\u00f3n del conector desinfectable  el conector smartsite(r) es un conector sin aguja que dispone de un \u00e9mbolo silicona que permeabiliza la luz del conector al ser presionado por la jeringa o cualquier conector tipo luer. La peculiaridad de este sistema radica en que antes de ser manipulado puede ser f\u00e1cilmente descontaminado mediante la fricci\u00f3n de una gasa impregnada en antis\u00e9ptico.  evaluaci\u00f3n experimental  dise\u00f1amos un nuevo modelo experimental que consisti\u00f3 en dos grupos de 25 botellas para hemocultivos aer\u00f3bicos (bact alert(r)) en las que introducimos un cat\u00e9ter venoso perif\u00e9rico 18g (venflon(r)). Estas botellas est\u00e1n provistas de un reactivo en el fondo de la botella que cambia de color al detectar el co2 producido por el crecimiento de las bacterias.  para cerrar los cat\u00e9teres utilizamos un conector desinfectable en el grupo estudio, mientras que en el grupo control se utiliz\u00f3 un tap\u00f3 convencional.  en cada grupo se mantuvieron 5 cat\u00e9teres sin manipular durante toda la duraci\u00f3n del estudio para validar la esterilidad del sistema. En el resto de cat\u00e9teres, despu\u00e9s del tercer d\u00eda de inserci\u00f3n, la superficie del tap\u00f3n o del conector desinfectable se contamin\u00f3 con s.Aureus. Cinco horas despu\u00e9s de la contaminaci\u00f3n, se inyect\u00f3 en cada cat\u00e9ter 1 cent\u00edmetro c\u00fabico de suero fisiol\u00f3gico est\u00e9ril. Si se produc<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad de un conector desinfectable en la profilaxis de la bacteriemia relacionada con cateter en pacientes criticos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad de un conector desinfectable en la profilaxis de la bacteriemia relacionada con cateter en pacientes criticos <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Yebenes Reyes Juan  Carlos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/04\/2003<\/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>Mercedes Palomar Martinez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: guillem Prats pastor <\/li>\n<li> Le\u00f3n regidor m. angeles (vocal)<\/li>\n<li>josep Rosell\u00f3 urgell (vocal)<\/li>\n<li>carles Pigrau serrallach (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Yebenes Reyes Juan Carlos La utilizaci\u00f3n de los cat\u00e9teres venosos centrales es esencial en las unidades de [&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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