{"id":27839,"date":"2018-03-09T09:20:17","date_gmt":"2018-03-09T09:20:17","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neumona%c2%ada-neumococica-adquirida-en-la-comunidad-susceptibilidad-antibiotica-serotipos-y-factores-relacionados-con-la-resistencia-y-la-evolucion-cla%c2%adnica\/"},"modified":"2018-03-09T09:20:17","modified_gmt":"2018-03-09T09:20:17","slug":"neumona%c2%ada-neumococica-adquirida-en-la-comunidad-susceptibilidad-antibiotica-serotipos-y-factores-relacionados-con-la-resistencia-y-la-evolucion-cla%c2%adnica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neumona%c2%ada-neumococica-adquirida-en-la-comunidad-susceptibilidad-antibiotica-serotipos-y-factores-relacionados-con-la-resistencia-y-la-evolucion-cla%c2%adnica\/","title":{"rendered":"Neumon\u00edaneumoc\u00f3cica adquirida en la comunidad. susceptibilidad antibi\u00f3tica, serotipos y factores relacionados con la resistencia y la evoluci\u00f3n cl\u00ednica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Olga Isabel Rajas Naranjo <\/strong><\/h2>\n<p>La resistencia del neumococo a los antibi\u00f3ticos habitualmente empleados en el tratamiento de la neumon\u00eda adquirida en la comunidad (nac), es un hecho com\u00fan de distribuci\u00f3n mundial, siendo espa\u00f1a uno de los pa\u00edses con mayor incidencia. Los factores relacionados con la resistencia.  la mortalidad y la elecci\u00f3n del antibi\u00f3tico adecuado en las nac por s.Pneumoniae (nac-sp) contin\u00faa siendo objeto de debate. Dise\u00f1amos un estudio prospectivo, multic\u00e9ntrico. En el que se reclutaron 638 pacientes consecutivos con diagn\u00f3stico microbiol\u00f3gico de nac-sp en 35 hospitales espa\u00f1oles desde enero de 1999 hasta abril de 2000. Se estudiaron las susceptibilidad antibi\u00f3tica de las cepas neumoc\u00f3cicas, los factores relacionados con la resistencia a penicilina y eritromicina, serotipos m\u00e1s frecuentes, factores asociados a la mortalidad y si la resistencia influye en la morbimortalidad de estos procesos.  conclusiones  el 37,5% de los pacientes ten\u00eda cepas con sensibilidad disminu\u00edda a la penicilina (s\u00f3lo el 0,5% con cmi de 4ug\/ml. El 27,4% eran resistentes a eritromicina (23,8% con cmi de 128 ug\/ml). Las cefalosporinas de tercera generaci\u00f3n, la amoxicilina y el levofloxacino mostraron bajos niveles de resistencia. Los factores de riesgo asociados de forma independiente a la resistencia a la penicilina fueron: enfermedad pulmonar cr\u00f3nica, infecci\u00f3n por vih, sospecha de aspiraci\u00f3n e ingresos hospitalarios previos.  los factores de riesgo independientemente asociados con la resistencia a la eritromicina fueron: la resistencia a la penicilina y los ingresos hospitalarios previos.  la coagulaci\u00f3n intravascular diseminada, el empiema y la bacteriemia son complicaciones significativamente m\u00e1s frecuentes en pacientes con nac-sp con cepa sensible a penicilina. Los factores relacionados con la mortalidad de nuestro estudio con significaci\u00f3n estad\u00edstica tras realizar el an\u00e1lisis multivariado fueron: el \u00edndice de severidad de prsentaci\u00f3n de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neumon\u00edaneumoc\u00f3cica adquirida en la comunidad. susceptibilidad antibi\u00f3tica, serotipos y factores relacionados con la resistencia y la evoluci\u00f3n cl\u00ednica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neumon\u00edaneumoc\u00f3cica adquirida en la comunidad. susceptibilidad antibi\u00f3tica, serotipos y factores relacionados con la resistencia y la evoluci\u00f3n cl\u00ednica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Olga Isabel Rajas Naranjo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/12\/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> Aspa Marco Francisco Javier<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>Fernando S\u00e1nchez gasc\u00f3n (vocal)<\/li>\n<li> Rodr\u00edguez de castro felipe (vocal)<\/li>\n<li>Jos\u00e9 Villamor leon (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Olga Isabel Rajas Naranjo La resistencia del neumococo a los antibi\u00f3ticos habitualmente empleados en el tratamiento 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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