{"id":40346,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-clinica-de-la-descontaminacion-digestiva-selectiva-en-pacientes-con-intubacion-traqueal-prolongada\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"eficacia-clinica-de-la-descontaminacion-digestiva-selectiva-en-pacientes-con-intubacion-traqueal-prolongada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/eficacia-clinica-de-la-descontaminacion-digestiva-selectiva-en-pacientes-con-intubacion-traqueal-prolongada\/","title":{"rendered":"Eficacia clinica de la descontaminacion digestiva selectiva en pacientes con intubacion traqueal prolongada."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Armando Blanco Vicente <\/strong><\/h2>\n<p>Estudio: prospectivo, concurrente y con asignaci\u00f3n aleatoria: objetivo: evaluar la eficacia de la descontaminaci\u00f3n digestiva selectiva para prevenir la colonizaci\u00f3n e infecci\u00f3n nosocomial, en pacientes con intubaci\u00f3n traqueal durante 3 o m\u00e1s d\u00edas. Pacientes: se estudiaron 157 pacientes, sin signos de infecci\u00f3n al inicio del estudio; 78 en el grupo control y 79 en el grupo de tratamiento (grupo dds). intervenciones: los pacientes del grupo dds recibieron profilaxis sist\u00e9mica con cefotaxima durante 4 d\u00edas, y t\u00f3pica con tobramicina, polimixina e y anfotericina b en orofaringe y estomago 4 veces al d\u00eda mientras permanecia con v\u00eda a\u00e9rea artificial; los pacientes del grupo control no recibieron profilaxis antibi\u00f3tica. Resultados: la colonizaci\u00f3n por bacilos gramnegativos aerobios y candida spp orofaringe, traquea, est\u00f3mago y recto fue m\u00e1s baja en el grupo dds (p&lt;0.005). La tasa de numon\u00eda, traqueobronquitis, infecci\u00f3n urinaria y bacteriemia fue menor en el grupo dds (p&lt;0.02). el porcentaje de aislamientos bacterianos resistentes a tobramicina fue mayor en el grupo dds. Conclusiones; la descontaminaci\u00f3n digestiva selectiva redujo la colonizaci\u00f3n por bacilos gramnegativos aerobios y candida spp., La incidencia de infecci\u00f3n respiratoria, urinaria y la bacteriemia, pero no redujo el coste del tratamiento antibi\u00f3tico, la estancia, la duraci\u00f3n de la ventilaci\u00f3n mec\u00e1nica ni la tasa de mortalidad. Fue necesareo realizar vigilancia microbiol\u00f3gica continua, para detectar la aparici\u00f3n de g\u00e9rmenes resistentes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia clinica de la descontaminacion digestiva selectiva en pacientes con intubacion traqueal prolongada.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia clinica de la descontaminacion digestiva selectiva en pacientes con intubacion traqueal prolongada. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Armando Blanco Vicente <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/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>Javier Mendez Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Arribas castrillo Jos\u00e9 manuel <\/li>\n<li> Gonzalez gonzalez Juan  Jos\u00e9 (vocal)<\/li>\n<li>Francisco Javier Casta\u00f1eda casado (vocal)<\/li>\n<li>Francisco Gomez gomez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Armando Blanco Vicente Estudio: prospectivo, concurrente y con asignaci\u00f3n aleatoria: objetivo: evaluar la eficacia de la descontaminaci\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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