{"id":30790,"date":"2018-03-09T09:24:34","date_gmt":"2018-03-09T09:24:34","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-terapeutico-longitudinal-de-pacientes-afectados-de-tuberculosis-resistente\/"},"modified":"2018-03-09T09:24:34","modified_gmt":"2018-03-09T09:24:34","slug":"estudio-terapeutico-longitudinal-de-pacientes-afectados-de-tuberculosis-resistente","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-terapeutico-longitudinal-de-pacientes-afectados-de-tuberculosis-resistente\/","title":{"rendered":"Estudio terap\u00e9utico longitudinal de pacientes afectados de tuberculosis resistente"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Elena Escudero \u00e1lvarez <\/strong><\/h2>\n<p>Estudio descriptivo de los pacientes ingresados en la unidad de aislamiento respiratorio del hospital de la fuenfr\u00eda (Madrid), con habitaciones con presi\u00f3n negativa, que presta asistencia a pacientes afectados de tuberculosis con sospecha de resistencia.  se estudiaron 29 pacientes (27 varones y 2 mujeres) con una edad media de 42 a\u00f1os. Todos los pacientes presentaban serolog\u00eda vih(-). El 100% de los pacientes ten\u00eda enfermedad pulmonar, con ausencia de manifestaciones cl\u00ednicas extra-pulmonares. A todos se les practic\u00f3 baciloscop\u00eda y cultivo de esputo y, tras el correspondiente aislamiento de m.Tuberculosis, se realiz\u00f3 el antibiograma. Desde la perspectiva bacteriol\u00f3gica las cepas se clasificaron en 4 con resistencia primaria  y 25 con resistencia adquirida. los pacientes hab\u00edan recibido anteriormente 5,4 f\u00e1rmacos de media y en los test de sensibilidad las cepas mostraron  resistencia a una media de 4,4 medicamentos con un 83% de multirresistencia (isoniazida y rifampicina). fueron tratados con una mediana de 4 f\u00e1rmacos (rango 4-5), entre los que se inclu\u00eda un aminogluc\u00f3sido o capreomicina parenteral durante 6 meses. los pacientes siguieron tratamiento durante 18 meses y fueron seguidos posteriormente durante 2 a\u00f1os sin haberse objetivado reca\u00eddas. A 2 pacientes se le sindic\u00f3 cirug\u00eda, realizandose lobectom\u00eda.  el resultado final fue que 25 pacientes cumplieron criterios de curaci\u00f3n (86,2%) y 4 pacientes se perdieron (13,8%) que seg\u00fan nuestra metodolog\u00eda \u00abintenci\u00f3n de tratamiento\u00bb hemos considerado fracaso.  en resumen:  1,- la resistencia de las cepas de los pacientes tuberculosos, que han fracasado esquemas anteriores, suelen afectar a varios f\u00e1rmacos, implicando casi siempre, a los m\u00e1s eficacez: isionazida y rifampicina. Por el contrario en los pacientes con tuberculosis inicial no se ha encontrado un patr\u00f3n homog\u00e9neo de resistencia.  2,- en la terap\u00e9utica de estos pacientes no existe un esquema de aplic<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio terap\u00e9utico longitudinal de pacientes afectados de tuberculosis resistente<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio terap\u00e9utico longitudinal de pacientes afectados de tuberculosis resistente <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Elena Escudero \u00e1lvarez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/06\/2004<\/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>Arturo Ortega Calder\u00f3n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  jos\u00e9 V\u00e1zquez rodr\u00edguez <\/li>\n<li>Manuel Casal roman (vocal)<\/li>\n<li>Rafael Herruzo cabrera (vocal)<\/li>\n<li>Carlos G\u00f3mez alonso (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Elena Escudero \u00e1lvarez Estudio descriptivo de los pacientes ingresados en la unidad de aislamiento respiratorio del hospital [&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":[1],"tags":[24487,25307,86306,4860,2067,8545],"class_list":["post-30790","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-arturo-ortega-calderon","tag-carlos-gomez-alonso","tag-elena-escudero-alvarez","tag-juan-jose-vazquez-rodriguez","tag-manuel-casal-roman","tag-rafael-herruzo-cabrera"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/30790","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=30790"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/30790\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=30790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=30790"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=30790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}