{"id":37273,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-clinico-y-epidemiologico-de-un-brote-nosocomial-de-tuberculosis-multirresistente-producido-por-mycobacterium-bovis\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"estudio-clinico-y-epidemiologico-de-un-brote-nosocomial-de-tuberculosis-multirresistente-producido-por-mycobacterium-bovis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-clinico-y-epidemiologico-de-un-brote-nosocomial-de-tuberculosis-multirresistente-producido-por-mycobacterium-bovis\/","title":{"rendered":"Estudio clinico y epidemiologico de un brote nosocomial de tuberculosis multirresistente producido por mycobacterium bovis."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Javier Cobo Reinoso <\/strong><\/h2>\n<p>La infecci\u00f3n por el vih ha contribuido notablemente al resurgir de la tuberculosis en la \u00faltima d\u00e9cada, no solo en lo que se refiere a un aumento en la incidencia, si no tambi\u00e9n por la aparici\u00f3n de nuevos fen\u00f3menos como la aparici\u00f3n de brotes nosocomiales de tuberculosis multirresistente (tbmr), inicialmente descritos en estados unidos. En espa\u00f1a, la elevada preValencia de ambas infecciones (vih y tuberculosis) hac\u00eda temer su aparici\u00f3n. El hospital ram\u00f3n y cajal sufri\u00f3 un brote de tbmr producido por mycobacterium bovis resistente a once tuberculost\u00e1ticos durante 1994. La presente tesis doctoral recoge la investigaci\u00f3n cl\u00ednica y epidemiol\u00f3gica realizada mediante la revisi\u00f3n de los casos, la reconstrucci\u00f3n temporoespacial de los ingresos hospitalarios de los pacientes, el seguimiento de los expuestos, el c\u00e1lculo del per\u00edodo de incubaci\u00f3n y de la incidencia, el an\u00e1lisis de las causas en el retraso respiratorio de algunos de los casos, dos estudios de casos y controles para el estudio de los factores de riesgo de adquisici\u00f3n de tbmr, el estudio de los convivientes y la descripci\u00f3n de las medidas de control adoptadas. El brote afect\u00f3 entre diciembre de 1993 y febrero de 1995 a 19 pacientes, todos ellos vih+ gravemente inmunodeprimidos. La mayor parte de los enfermos presentaron formas radiol\u00f3gicas de tuberculosis pulmonar primaria o diseminada, de evoluci\u00f3n r\u00e1pidamente mortal. La reconstrucci\u00f3n del curso de la epidemia y en estudio de casos y controles demuestran la transmisi\u00f3n nosocomial a partir del caso \u00edndice en la sala de hospitalizaci\u00f3n de la unidad de enfermedades infecciosas.  el per\u00edodo de incubaci\u00f3n medio se situ\u00f3 en torno a los 4 meses. La tasa de ataque y densidad de incidencia fueron bajas, indicando que fueron precisos prolongados per\u00edodos de exposici\u00f3n de un elevado n\u00famero de pacientes para el desarrollo del brote. Los retrasos en el aislamiento respiratorio de alguno de los casos de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio clinico y epidemiologico de un brote nosocomial de tuberculosis multirresistente producido por mycobacterium bovis.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio clinico y epidemiologico de un brote nosocomial de tuberculosis multirresistente producido por mycobacterium bovis. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Javier Cobo Reinoso <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/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>Antonio Guerrero Espejo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Melchor Alvarez De Mon Soto <\/li>\n<li>Fernando Baquero Mochales (vocal)<\/li>\n<li>Emilio Bouza Santiago (vocal)<\/li>\n<li>Josep Vaque Rafart (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Javier Cobo Reinoso La infecci\u00f3n por el vih ha contribuido notablemente al resurgir de la tuberculosis en [&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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