{"id":33536,"date":"2018-03-09T09:30:42","date_gmt":"2018-03-09T09:30:42","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infecciones-urinarias-en-el-nino-pruebas-complementarias-y-su-valoracion\/"},"modified":"2018-03-09T09:30:42","modified_gmt":"2018-03-09T09:30:42","slug":"infecciones-urinarias-en-el-nino-pruebas-complementarias-y-su-valoracion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/infecciones-urinarias-en-el-nino-pruebas-complementarias-y-su-valoracion\/","title":{"rendered":"Infecciones urinarias en el ni\u00f1o: pruebas complementarias y su valoraci\u00f3n"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Jos\u00e9 S\u00e1nchez Polaina <\/strong><\/h2>\n<p>Las infecciones del tracto urinario (itu) son uno de los problemas m\u00e1s frecuentes en pediatr\u00eda. Su importancia no se deriva s\u00f3lo del proceso agudo en s\u00ed, sino del riesgo de lesiones parenquimatosas posteriores. El proceso diagn\u00f3stico no se reduce a la demostraci\u00f3n del agente causal, sino que debe incluir el estudio del tracto urinario para valorar la existencia de anormalidades subyacentes, la m\u00e1s frecuente el reflujo v\u00e9sico ureteral (rvu), y para evaluar el grado de invasi\u00f3n del mismo. La cicatrizaci\u00f3n renal, secundaria a itu, con o sin rvu, contin\u00faa siendo la principal causa previsible de enfermedad renal en etapa terminal en la infancia.  se han estudiado 149 ni\u00f1os (103 ni\u00f1as t 46 ni\u00f1os) remitidos por su pediatr\u00eda o por el servicio de urgencias para estudio de itu, de edades entre 27 d\u00edas y 12,58 a\u00f1os. Se realiz\u00f3 anamnesis y exploraci\u00f3n f\u00edsica, as\u00ed como exploraciones complementarias, tanto en sangre como en orina, destacando renina, aldosterona, igg, igm, iga en sangre, as\u00ed como beta-2 microglobulina en sangre y orina. Asimismo las siguientes t\u00e9cnicas de imagen: ecograf\u00eda, cums, uiv y gammagraf\u00eda con 99mtc-dmsa.  se valor\u00f3 la incidencia de \u00e1reas de inflamaci\u00f3n y\/o cicatrizaci\u00f3n renal. analizamos los factores que m\u00e1s frecuentemente se relacionar\u00edan con las mismas, considerando items poblacionales y epidemiol\u00f3gicos, funci\u00f3n renal e inmunidad. Se discuten las ventajas e inconvenientes de las diferentes pruebas diagn\u00f3sticas y sus indicaciones. Se resalta la importancia de descartar rvu mediante cums. No consideramos de elecci\u00f3n ex\u00e1menes complementarios anal\u00edticos exhaustivos en todos los ni\u00f1os; tampoco la uiv es necesaria como m\u00e9todo inicial en todos los ni\u00f1os. La gammagraf\u00eda con 99 mtc \u00e1cido dimercaptosucc\u00ednico debe indicarse en todos los ni\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Infecciones urinarias en el ni\u00f1o: pruebas complementarias y su valoraci\u00f3n<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Infecciones urinarias en el ni\u00f1o: pruebas complementarias y su valoraci\u00f3n <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Jos\u00e9 S\u00e1nchez Polaina <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/12\/1997<\/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>Ram\u00f3n Ca\u00f1ete Estrada<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: armando Romanos lezcanos <\/li>\n<li>Jos\u00e9 Mar\u00eda Latre romero (vocal)<\/li>\n<li>Jos\u00e9 Luis Lechuga campoy (vocal)<\/li>\n<li>Antonio Valenzuela ru\u00edz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Jos\u00e9 S\u00e1nchez Polaina Las infecciones del tracto urinario (itu) son uno de los problemas m\u00e1s frecuentes [&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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