{"id":38873,"date":"2018-03-09T09:38:39","date_gmt":"2018-03-09T09:38:39","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-clinica-epidemiologica-y-terapeutica-de-la-infeccion-por-helicobacter-pylori-en-el-nino\/"},"modified":"2018-03-09T09:38:39","modified_gmt":"2018-03-09T09:38:39","slug":"valoracion-clinica-epidemiologica-y-terapeutica-de-la-infeccion-por-helicobacter-pylori-en-el-nino","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valoracion-clinica-epidemiologica-y-terapeutica-de-la-infeccion-por-helicobacter-pylori-en-el-nino\/","title":{"rendered":"Valoracion clinica, epidemiologica y terapeutica de la infeccion por helicobacter pylori en el ni\u00f1o."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos Trillo Belizon <\/strong><\/h2>\n<p>Investigamos la infecci\u00f3n por helicobacter pylori como causa org\u00e1nica de dolor abdominal recurrente en 80 ni\u00f1os en consultas externas de pediatr\u00eda del hospital cl\u00ednico san cecilio durante un per\u00edodo de un a\u00f1o.  para ello empleamos t\u00e9cnicas diagn\u00f3sticas no invasivas: como el inmunoensayo r\u00e1pido flexpack hp de abbot, la serolog\u00eda elisa y el test del aliento con urea marcada con c13 con el kit microvir hp, y t\u00e9cnicas invasivas: como la gastroscopia, el test r\u00e1pido de ureasa mediante el kit clotest y el estudio histol\u00f3gico.  en los pacientes con dolor abdominal recurrente en los que se comprobara infecci\u00f3n por helicobacter pylori (32 pacientes, el 32% de la muestra) se ensayaba una pauta de tratamiento que asociaba ranitidina a 4mg\/kg\/d\u00eda en dos dosis durante cuatro semanas y claritromicina a 15 mg\/kg\/d\u00eda en dos dosis durante dos semanas. un mes despu\u00e9s de concluir el tratamiento evalu\u00e1bamos la evoluci\u00f3n cl\u00ednica del ni\u00f1o, los posibles efectos adversos producidos con la medicaci\u00f3n y comprob\u00e1bamos la erradicaci\u00f3n del germen mediante el test del aliento. En aquellos pacientes no erradicados se ensay\u00f3 una segunda pauta que a\u00f1ad\u00eda a la anterior amoxicilina a 50mg\/kg\/d\u00eda en dos dosis durante dos semanas.  los mejores \u00edndices de validez de las t\u00e9cnicas no invasivas empleadas los conseguimos con el test del aliento, con sensibilidad, especificidad y valores predictivos superiores al 93%. Con la serolog\u00eda mediante elisa tambi\u00e9n obtuvimos unos buenos resultados, con \u00edndices superiores al 80%.  tambi\u00e9n analizamos la fiabilidad de las combinaciones de las pruebas empleadas de dos en dos, resultando que los mejores \u00edndices los obtuvimos con la asociaci\u00f3n de serolog\u00eda mediante elisa y test del aliento, con valores superiores al 95%.  por tanto, en nuestra experiencia, aconsejamos para el diagn\u00f3stico de infecci\u00f3n por helicobacter pylori de un ni\u00f1o con dolor abdominal, la realizaci\u00f3n en p<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoracion clinica, epidemiologica y terapeutica de la infeccion por helicobacter pylori en el ni\u00f1o.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoracion clinica, epidemiologica y terapeutica de la infeccion por helicobacter pylori en el ni\u00f1o. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos Trillo Belizon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/11\/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 Mu\u00f1oz Hoyos<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Antonio Molina font <\/li>\n<li>\u00e1ngel Palacios p\u00e9rez (vocal)<\/li>\n<li>Manuel Martin gonzalez (vocal)<\/li>\n<li>Carlos Sierra salinas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos Trillo Belizon Investigamos la infecci\u00f3n por helicobacter pylori como causa org\u00e1nica de dolor abdominal recurrente 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 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":[155,9,1085,139],"tags":[22242,3393,100581,100580,3662,74060],"class_list":["post-38873","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-enfermedades-infecciosas","category-medicina-interna","tag-angel-palacios-perez","tag-antonio-munoz-hoyos","tag-carlos-sierra-salinas","tag-carlos-trillo-belizon","tag-juan-antonio-molina-font","tag-manuel-martin-gonzalez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38873","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=38873"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/38873\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=38873"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=38873"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=38873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}