{"id":37289,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diagnostico-conservador-y-factores-pronosticos-de-la-infeccion-asociada-a-cateter-venoso-central-de-corta-duracion\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"diagnostico-conservador-y-factores-pronosticos-de-la-infeccion-asociada-a-cateter-venoso-central-de-corta-duracion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/diagnostico-conservador-y-factores-pronosticos-de-la-infeccion-asociada-a-cateter-venoso-central-de-corta-duracion\/","title":{"rendered":"Diagnostico conservador y factores pronosticos de la infeccion asociada a cateter venoso central de corta duracion."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jes\u00fas Fort\u00fan Abete <\/strong><\/h2>\n<p>La infecci\u00f3n asociada a cat\u00e9ter constituye una de las causas m\u00e1s importantes de infecci\u00f3n nosocomial. La retirada de \u00e9ste es necesaria para el diagn\u00f3stico de dicha infecci\u00f3n, la cual s\u00f3lo se confirma en un reducido n\u00famero de todos los cat\u00e9teres retirados. El disponer de t\u00e9cnicas diagn\u00f3sticas eficaces que no conlleven dicha retirada garantiza un claro beneficio para el paciente y una reducci\u00f3n del coste hospitalario. Igualmente, un mejor conocimiento de los factores de riesgo asociados con este tipo de infecciones favorece un mayor cuidado y prevenci\u00f3n de \u00e9stas. Con este doble objetivo, diagn\u00f3stico y epidemiol\u00f3gico, hemos analizado prospectivamente durante 30 meses en el hospital ram\u00f3n y cajal 118 cat\u00e9teres venosos centrales de corta duraci\u00f3n, retirados por sospecha de infecci\u00f3n o finalizaci\u00f3n de tratamiento.  en todos los casos se obtuvieron hemocultivos por venopunci\u00f3n directa para evaluar si exist\u00eda o no bacteriemia aosicada, y en todos ellos se constat\u00f3 la presencia o ausencia de colonizaci\u00f3n del segmento distal, mediante cultivos cuantitativos y semicuantitativos.  previamente a la retirada, en todos los cat\u00e9teres se realizaron los siguientes cultivos \u00abconservadores\u00bb:  cultivo de la superficie cut\u00e1nea que rodea la inserci\u00f3n del cat\u00e9ter, cultivo de la conexi\u00f3n, cultivo del segmento subcut\u00e1neo del cat\u00e9ter y hemocultivos cuantitativos.  posteriormente, se calcul\u00f3 la sensibilidad, especificidad y valores predictivos de estos cultivos respecto a la colonizaci\u00f3n y\/o bacteriemia de los cat\u00e9teres.  igualmente, en todos los cat\u00e9teres se analizaron diferentes par\u00e1metros epidemiol\u00f3gicos y se evalu\u00f3 la asociaci\u00f3n de estos par\u00e1metros con la colonizaci\u00f3n del segmento distal y con la bacteriemia mediante an\u00e1lisis univariante y multivariante. Ninguna de las t\u00e9cnicas conservadoras analizadas de forma individual tuvo buena sensibilidad para el diagn\u00f3stico de la colonizaci\u00f3n del segmento distal.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Diagnostico conservador y factores pronosticos de la infeccion asociada a cateter venoso central de corta duracion.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Diagnostico conservador y factores pronosticos de la infeccion asociada a cateter venoso central de corta duracion. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jes\u00fas Fort\u00fan Abete <\/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: Joaquin Ortu\u00f1o Mirete <\/li>\n<li>Josefina Li\u00f1ares Louzao (vocal)<\/li>\n<li>Emilio Bouza Santiago (vocal)<\/li>\n<li>Jes\u00fas Mart\u00ednez Beltr\u00e1n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jes\u00fas Fort\u00fan Abete La infecci\u00f3n asociada a cat\u00e9ter constituye una de las causas m\u00e1s importantes de infecci\u00f3n [&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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