{"id":40280,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/gammagrafia-renal-con-acido-dimercaptosuccinico-en-la-pielonefritis-aguda-en-el-nino-protocolo-de-estudio\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"gammagrafia-renal-con-acido-dimercaptosuccinico-en-la-pielonefritis-aguda-en-el-nino-protocolo-de-estudio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/gammagrafia-renal-con-acido-dimercaptosuccinico-en-la-pielonefritis-aguda-en-el-nino-protocolo-de-estudio\/","title":{"rendered":"Gammagrafia renal con acido dimercaptosuccinico en la pielonefritis aguda en el ni\u00f1o. protocolo de estudio."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Elena Roman Ortiz <\/strong><\/h2>\n<p>La infecci\u00f3n urinaria en pediatr\u00eda es una entidad heterog\u00e9nea desde el punto de vista cl\u00ednico y pron\u00f3stico, cuya trascendencia depende de la presencia de factores de riesgo de nefropat\u00eda cicatricial, que se descubren frecuentemente a partir de una primera pielonefritis como primera manifestaci\u00f3n reconocible. La expresi\u00f3n cl\u00ednico-biol\u00f3gica de la enfermedad traduce con dificultad la importancia y extensi\u00f3n del alcance renal de la infecci\u00f3n. La gammagraf\u00eda renal con \u00e1cido dimercaptosucc\u00ednico 99 mtc (dmsa) es el estudio de imagen que representa el patr\u00f3n de referencia m\u00e1s sensible en el diagn\u00f3stico de lesi\u00f3n renal. Sin embargo, sus indicaciones e implicaciones pron\u00f3sticas son a\u00fan controvertidas. En este trabajo planteamos la repercusi\u00f3n del dmsa en ni\u00f1os con una primera pielonefritis aguda. Hip\u00f3tesis: ninguna exploraci\u00f3n es inequ\u00edvocamente diagn\u00f3stica de pielonefritis, si bien el resultado del dmsa se relaciona con la presencia de reflujo vesicoureteral, hecho que trasciende en la orientaci\u00f3n del protocolo de estudio de pacientes con pielonefritis. Objetivos: analizar las caracter\u00edsticas individuales, hematol\u00f3gicas y bioqu\u00edmicas de ni\u00f1os con un primer episodio de pielonefritis, identificar marcadores biol\u00f3gicos de lesi\u00f3n renal en dmsa, determinar el valor diagn\u00f3stico de la ecograf\u00eda renal, cistograf\u00eda y dmsa tomando como referencias la lesi\u00f3n renal y la presencia de reflujo vesicoureteral (rvu) y proponer un protocolo de estudio seleccionado las exploraciones adecuadas en cada paciente. Metodolog\u00eda: el grupo de estudio est\u00e1 formado por 220 pacientes de 0 a 15 a\u00f1os ingresados por un primer episodio de pielonefritis bajo criterios de selecci\u00f3n que incluyen ni\u00f1os con cuadro cl\u00ednico compatible y bacteriuria significativa (criterios de r. Steele, 1994), exclu\u00eddos pacientes con infecciones urinarias febriles previas, reflujo vesicoureteral conocido y uropat\u00edas obstructivas. Se obtuvieron muestra<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Gammagrafia renal con acido dimercaptosuccinico en la pielonefritis aguda en el ni\u00f1o. protocolo de estudio.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Gammagrafia renal con acido dimercaptosuccinico en la pielonefritis aguda en el ni\u00f1o. protocolo de estudio. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Elena Roman Ortiz <\/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>Vicente Bosch Gimenez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: emilio Borrajo guadarrama <\/li>\n<li>seraf\u00edn M\u00e1laga guerrero (vocal)<\/li>\n<li>Jos\u00e9 Simon gonzalez (vocal)<\/li>\n<li>Juan  de dios Berna serna (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Elena Roman Ortiz La infecci\u00f3n urinaria en pediatr\u00eda es una entidad heterog\u00e9nea desde el punto de vista 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