{"id":34324,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/riesgo-beneficio-de-tratamiento-de-tuberculosis-en-un-hospital-provincial-con-una-sensibilidad-alta-de-la-baciloscopia\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"riesgo-beneficio-de-tratamiento-de-tuberculosis-en-un-hospital-provincial-con-una-sensibilidad-alta-de-la-baciloscopia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/riesgo-beneficio-de-tratamiento-de-tuberculosis-en-un-hospital-provincial-con-una-sensibilidad-alta-de-la-baciloscopia\/","title":{"rendered":"Riesgo-beneficio de tratamiento de tuberculosis en un hospital provincial con una sensibilidad alta de la baciloscopia."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Geijo Martinez M. Paloma <\/strong><\/h2>\n<p>Objetivos principales: 1) conocer la incidencia y tipo de htx del tratamiento de tbc en nuestro medio. 2) valorar el riesgo\/beneficio del tratamiento de tbc en nuestra poblaci\u00f3n geri\u00e1trica, en un contexto de alta sensibilidad de la baciloscopia.  objetivos secundarios: relaci\u00f3n de htx con otros factores. F\u00e1rmacos implicados en cambio definitivo de pauta. Evoluci\u00f3n cl\u00ednica con pautas de 6 meses, incluyendo pacientes vih +.  dise\u00f1o: estudio prospectivo, no comparativo, secuencial.  poblacion objeto del estudio: 161 pacientes tratados de tbc, en el servicio de medicina interna del hospital del insalud de cuenca-, con pautas 6 meses, desde enero de 1989 a diciembre de 1994.  conclusiones: la htx en nuestro estudio fue alta (48%), aunque en el 81% era leve. La htx global se asoci\u00f3 negativamente con la infecci\u00f3n vih. La htx grave se asoci\u00f3 con alcoholismo y edad mayor de 60 a\u00f1os. El cambio definitivo de la pauta terape\u00fatica se asoci\u00f3 con la htx, alcoholismo, toxicidad digestiva y edad mayor de 65 a\u00f1os.  el alto porcentaje de afectaci\u00f3n diseminada de nuestra serie (41%) y su asociaci\u00f3n con la infecci\u00f3n vih avanzada, llevan a una cifra alta de fracaso terape\u00fatico (17%), a pesar de tratarse de un estudio controlado. El beneficio del tratamiento tuberculost\u00e1tico en el 42% de nuestra poblaci\u00f3n geri\u00e1trica que ten\u00eda carga bacilar baja (evitar la muerte atribuible a tbc -7% en los mayores de 65 a\u00f1os-), supera al riesgo provocado por la qt; si se realiza un seguimiento estrecho y suspensi\u00f3n precoz de los f\u00e1rmacos si aparece toxicidad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Riesgo-beneficio de tratamiento de tuberculosis en un hospital provincial con una sensibilidad alta de la baciloscopia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Riesgo-beneficio de tratamiento de tuberculosis en un hospital provincial con una sensibilidad alta de la baciloscopia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Geijo Martinez M. Paloma <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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 Fernandez Cruz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Alfonso Moreno Gonzalez <\/li>\n<li>Jos\u00e9 Manuel Ribera Casado (vocal)<\/li>\n<li>Melchor Alvarez De Mon Soto (vocal)<\/li>\n<li>Manuel Rodriguez Zapata (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Geijo Martinez M. Paloma Objetivos principales: 1) conocer la incidencia y tipo de htx del 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 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":[9,1085,69,139],"tags":[3585,723,92736,22803,17588,14431],"class_list":["post-34324","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-infecciosas","category-enfermedades-pulmonares","category-medicina-interna","tag-alfonso-moreno-gonzalez","tag-arturo-fernandez-cruz","tag-geijo-Martinez-m-paloma","tag-jose-manuel-ribera-casado","tag-manuel-rodriguez-zapata","tag-melchor-alvarez-de-mon-soto"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/34324","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=34324"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/34324\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=34324"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=34324"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=34324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}