{"id":40258,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/significcion-clinico-epidemiologica-de-los-microorganismos-gram-negativos-en-un-hospital-general\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"significcion-clinico-epidemiologica-de-los-microorganismos-gram-negativos-en-un-hospital-general","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/significcion-clinico-epidemiologica-de-los-microorganismos-gram-negativos-en-un-hospital-general\/","title":{"rendered":"Significcion clinico-epidemiologica de los microorganismos gram negativos en un hospital general."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Brigida Martinez Vicente <\/strong><\/h2>\n<p>Hipotesis: valorar la significaci\u00f3n cl\u00ednico-epidemiol\u00f3gica de las infecciones nesocomiales por g\u00e9rmenes gram negativos en un hospital general. Objetivos: su estudio espidemipl\u00f3gico. Su an\u00e1lisis comparativo con las infecciones comunitarias. Su etiolog\u00eda. Factores de riesgo, de predicci\u00f3n y pron\u00f3stico. An\u00e1lisis del coste. Material y metodos: se estudian 250 pacientes ingresados en un hospital de los cuales 50 son grupo control y el resto son 50 de cada uno de los siguientes grupos: neumon\u00eda, infecc urinaria, infecc posquir\u00fargica y sepsis. Se recogieron datos de cada enfermo referentes a edad, sexo, servicio en el que ingresa, patolog\u00eda de base, infecc previas, antibi\u00f3ticos previos, gravedad cl\u00ednica de inicio, adquisici\u00f3n nosocomial o comunitaria, tipo de g\u00e9rmen y procedencia, complicaciones, datos de hemograma, autoanalizador, controles cl\u00ednicos, evoluci\u00f3n y duraci\u00f3n de la hospitalizaci\u00f3n. Analisis estadistico: variables cuantitativas, se estudi\u00f3 media, mediana desviaci\u00f3n t\u00edpica y cuartiles. De las variables cualitativas se analizaron tablas de contingencia, x2 de pearson, an\u00e1lisis de varianza, t de student, curvas de supervivencia, test de bereslow y mantel-cox. Resultados: las caracter\u00edsticas epidemiologicas de los grupos de estudio son homog\u00e9neas a las del grupo control. Las infecciones nosocomiales son mas graves que las comunitarias. El g\u00e9rmen m\u00e1s frecuente en las nosocomiales es la ps aeruginosa y en las comunitarias la e. Coli. Infecc comunitarar\u00edas ingresan en servicios m\u00e9dicos, no se someten amanipulaciones, situaci\u00f3n cl\u00ednica buena, foco urinario, y germen e. Coli. mientras que en las inf. Nosocomiales su estancia es mas prolongada, gravedad y mortalidad mayor, antecedentes de manipulaciones previas, infecci\u00f3n previa y uso previo de antibi\u00f3ticos. Asociaciones entre intubaci\u00f3n y neumon\u00eda y entre manipulaciones-ventilaci\u00f3n mec\u00e1nica con neumon\u00edas y sepsis. Factores predictivos: asociaci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Significcion clinico-epidemiologica de los microorganismos gram negativos en un hospital general.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Significcion clinico-epidemiologica de los microorganismos gram negativos en un hospital general. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Brigida Martinez Vicente <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Joaquin Gomez Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda no Valdez chavarri <\/li>\n<li> Garacia de lomas Juan (vocal)<\/li>\n<li>Jos\u00e9 Prieto prieto (vocal)<\/li>\n<li>Alberto Pahissa berga (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Brigida Martinez Vicente Hipotesis: valorar la significaci\u00f3n cl\u00ednico-epidemiol\u00f3gica de las infecciones nesocomiales por g\u00e9rmenes gram negativos 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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