{"id":40930,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-bacteriemia-enterococica-epidemiologia-clinica-evolucion-y-factores-de-adquisicion-de-resistencias\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"estudio-de-la-bacteriemia-enterococica-epidemiologia-clinica-evolucion-y-factores-de-adquisicion-de-resistencias","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-bacteriemia-enterococica-epidemiologia-clinica-evolucion-y-factores-de-adquisicion-de-resistencias\/","title":{"rendered":"Estudio de la bacteriemia enterococica. epidemiolog\u00eda, clinica, evolucion y factores de adquisicion de resistencias."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Peset Mancebo <\/strong><\/h2>\n<p>El g\u00e9nero enterococcus ha suscitado un inter\u00e9s especial en los \u00faltimos a\u00f1os, debido tanto al aumento cuantitativo de las infecciones producidas por \u00e9stos, como a su capacidad para desarrollar mecanismos de resistencias frente a los antibi\u00f3ticos utilizados para su tratamiento.  el objetivo de este trabajo de investigaci\u00f3n ha sido profundizar en el estudio de la infecci\u00f3n enteroc\u00f3cica y, especialmente, en la bacteriemia.  se realiz\u00f3 un estudio comparativo entre las bacteriemias enteroc\u00f3cicas que tuvieron lugar en el hospital universitario la fe durante 1984-86 y 1994-96, para observar la evoluci\u00f3n en 10 a\u00f1os. Se recogieron datos cl\u00ednicos y microbiol\u00f3gicos que las acompa\u00f1aron. mediante un estudio prospectivo de casos-controles analizamos los factores de adquisici\u00f3n de resistencias por m\u00e9todos estad\u00edsticos univariantes y multivariantes (regresi\u00f3n log\u00edstica \u00abstepwise\u00bb). Aplicamos t\u00e9cnicas de biolog\u00eda molecular como la reaceci\u00f3n en cadena de la polimerasa para detectar los genotipos de resistencia glucop\u00e9ptidos y el an\u00e1lisis de los fragmentos de restricci\u00f3n de longitus polim\u00f3rfica para establecer la detecci\u00f3n de un brote de resistencia a glucop\u00e9ptidos en 1994-95.  los resultados m\u00e1s relevantes fueron un aumento en la incidencia y preValencia, de las bacteriemias enteroc\u00f3cicas, un incremento de la especie e. Faecium y de las resistencias a la ampicilina, alto nivel de vancomicina y teicoplanina y alta carga de gentamicina y kanamicina.  la mortalidad fue del 10%, el 75% fueron intrahospitalarias, el 30% polimicrobianas, el 33% fueron tratadas incorrectamente. las estancias hospitalarias totales y previas fueron prolongadas. Se detectaron 2 casos de endocarditis (1,1%), y 4 casos de meningitis.  la tasa de resistencias a gluco\u00e9ptidos fue alta (11%) y los genotipos implicados fueron 17 vana, 7 vanc1 y 5 vanc2. en el brote se implicaron 16 aislamientos de e. Faecalis con fenotipo de resistenc<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la bacteriemia enterococica. epidemiolog\u00eda, clinica, evolucion y factores de adquisicion de resistencias.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la bacteriemia enterococica. epidemiolog\u00eda, clinica, evolucion y factores de adquisicion de resistencias. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Peset Mancebo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/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>Miguel Gobernado Serrano<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ramon Cisterna cancer <\/li>\n<li>Manuel Segovia hern\u00e1ndez (vocal)<\/li>\n<li>Miguel \u00e1ngel Sanz alonso (vocal)<\/li>\n<li>carmen Otero reigroa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Peset Mancebo El g\u00e9nero enterococcus ha suscitado un inter\u00e9s especial en los \u00faltimos a\u00f1os, debido tanto [&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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