{"id":25806,"date":"2018-03-09T09:17:19","date_gmt":"2018-03-09T09:17:19","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-de-riesgo-de-infeccion-respiratoria-por-hongos-filamentosos-cla%c2%adnicamente-resistentes-a-anfotericina-b\/"},"modified":"2018-03-09T09:17:19","modified_gmt":"2018-03-09T09:17:19","slug":"factores-de-riesgo-de-infeccion-respiratoria-por-hongos-filamentosos-cla%c2%adnicamente-resistentes-a-anfotericina-b","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-de-riesgo-de-infeccion-respiratoria-por-hongos-filamentosos-cla%c2%adnicamente-resistentes-a-anfotericina-b\/","title":{"rendered":"Factores de riesgo de infecci\u00f3n respiratoria por hongos filamentosos cl\u00ednicamente resistentes a anfotericina b"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carolina Patricia Gallego Luque <\/strong><\/h2>\n<p>Introducci\u00f3n  cuando se aisla un hongo filamentoso (hf) en un paciente con riesgo de enfermedad respiratoria invasora por hf (erihf), se inicia tratamiento emp\u00edrico con anfotericina b (ab), antes de tener tipificada la especie.  hip\u00f3tesis  cuando en un paciente con riesgo elevado de desarrollar erihf (en el que se est\u00e1n utilizando de forma profil\u00e1ctica aerosoles de ab) se aisla un hf en una muestra respiratoria, debe sospecharse que \u00e9ste sea resistente a ab.  material y m\u00e9todos  revisi\u00f3n retrospectiva de historiales cl\u00ednicos de pacientes atendidos en nuestro hospital con cultivos positivos para hf en muestra respiratorias.  periodo  1990-2000. Agrupaci\u00f3n de los aislamientos en episodios de infecci\u00f3n respiratoria (eir) (colonizaci\u00f3n y enfermedad invasora -ei-) seg\u00fan criterios de la eortc. se consideraron hf cl\u00ednica\/int\u00ednsecamente resistentes a ab (hfrc): a .Terreus, scedosporium sp, paecylomyces sp y fusarium sp.  resultados  332 pacientes (218 hombres, 114 mujeres) con 505 eir (313 colonizaciones, 192 episodios de ei, 88 eir por hfrc y 417 por hf sensibles a ab). Hf m\u00e1s frecuentes: a.Fumigatus (300 eir), seguido de a.Terreus (46 eir). Patolog\u00edas m\u00e1s frecuentes: fibrosis qu\u00edstica (fq), y trasplante de pulm\u00f3n (ambas 106 eir). 163 eir en trasplantados. La incidencia de eir aument\u00f3 significativamente a partir de 1994. Factores de riesgo fr) de hfrc: cat\u00e9ter venoso central (cvc), aerosoles de ab, fq, patolog\u00eda pulmonar distinta a trasplante de pulm\u00f3n y fq (ppntpfq), y otras patolog\u00edas (op), (en trasplantados: hospitalizaci\u00f3n prolongada -hp- e infecci\u00f3n por cmv). Fr de erihf: eir nosocomial, antibioterapia, azoles, linfopenia, cvc, hp y ppntpfq, (en trasplantados: rechazo). Fr de mortalidad: hfrc, nutrici\u00f3n parenteral, linfopenia, ei, ppntpfq y op, (en trasplantados: aerosoles de ab).  conclusiones  la administraci\u00f3n previa de aerosoles de ab es un factor de riesgo de adquisici\u00f3n de eir por hf cl\u00edni<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores de riesgo de infecci\u00f3n respiratoria por hongos filamentosos cl\u00ednicamente resistentes a anfotericina b<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores de riesgo de infecci\u00f3n respiratoria por hongos filamentosos cl\u00ednicamente resistentes a anfotericina b <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carolina Patricia Gallego Luque <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/09\/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>Juli\u00e1n De La Torre Cisneros<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>Javier Aznar martin (vocal)<\/li>\n<li>jer\u00f3nimo Pachon d\u00edaz (vocal)<\/li>\n<li> Rodriguez l\u00f3pez Fernando Carlos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carolina Patricia Gallego Luque Introducci\u00f3n cuando se aisla un hongo filamentoso (hf) en un paciente con riesgo [&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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