{"id":40985,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-clinico-epidemiologico-de-las-bacteriemias-en-un-hospital-general\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"estudio-clinico-epidemiologico-de-las-bacteriemias-en-un-hospital-general","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-clinico-epidemiologico-de-las-bacteriemias-en-un-hospital-general\/","title":{"rendered":"Estudio clinico-epidemiologico de las bacteriemias en un hospital general."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rogelio Vicente Ull <\/strong><\/h2>\n<p>Objetivos: 1. Conocer la incidencia de las bacteriemias. 2. Conocer su etiolog\u00eda y focos. 3. Conocer los factores cl\u00ednicos, biol\u00f3gicos y de riesgo de los pacientes. 4. conocer la mortalidad de las bacteriemias y que factores las determinan.  material y metodos: estudio observacional, prospectivo descriptivo y anal\u00edtico. los pacientes fueron los mayores de 14 a\u00f1os. Se descartaron los cocos gram positivo de urgencias si se aislaba en un hemocultivo sin factores predisponentes. Se analiz\u00f3 la historia cl\u00ednica seg\u00fan el m\u00e9todo de feinstein. se ubic\u00f3 cada caso en los conceptos de sepsis y sus categor\u00edas consensuados en 1992. se utiliz\u00f3 la definici\u00f3n de tratamiento adecuado dada por bouza y la de muerte atribuible a las bacteriemias (bma) seg\u00fan capdevila y g\u00f3mez.  resultados: se analizaron 1312 episodios de bacteriemias de los cuales el 36% fueron significativos. La incidencia fue de 13,61 por mil ingresos. El 89% fueron monomicrobianas. el 49,8% fueron gram negativo, el 46,4% gram positivo, el 2% anaerobios y el 2% hongos. Los pat\u00f3genos m\u00e1s frecuentes fueron: e. Coli, ecn, s.Aureus, p.Aeruginosa, s.Pneumoniae, enterococcus spp. Y a. baumanni. Se estudiaron 427 pacientes con una edad media de 64 a\u00f1os. Los procesos de base fueron: diabetes mellitus (22,9%), enfermedades vasculocerebrales (15,6%), uso de corticoides (15,4%), neoplasia s\u00f3lida (15%) y hematol\u00f3gica (7,9%) infecci\u00f3n vih (7,9%), neutropenia (6,6%). El 54% fueron comunitarios y el 46% nosocomiales. Los pat\u00f3genos comunitarios m\u00e1s frecuentes fueron: e. Coli, s. Pneumoniae, ecn, s. aureus, p.Aeruginasa. Y los nosocomiales: ecn, s.Aureus, a. Baumannii, e. Coli p.Aeruginosa. Los focos comunitarios: urinario (28,4%), desconocido (26%) y respiratorio (22,4%). Entre las de origen nosocomial: desconocido (42,5%), cat\u00e9ter (22,6%) y respiratorio (13,7%). El 70% de los pacientes con bacteriemia nosocomial ten\u00edan un cat\u00e9ter o central y\/o perif\u00e9rico y el<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio clinico-epidemiologico de las bacteriemias en un hospital general.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio clinico-epidemiologico de las bacteriemias en un hospital general. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rogelio Vicente Ull <\/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>Jos\u00e9 Miguel Nogueira Coito<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: adolfo Benages Martinez <\/li>\n<li> Camarena mi\u00f1ana Juan  Jos\u00e9 (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Eiros bouza (vocal)<\/li>\n<li>Javier Hern\u00e1ndez haba (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rogelio Vicente Ull Objetivos: 1. Conocer la incidencia de las bacteriemias. 2. Conocer su etiolog\u00eda y focos. [&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":[155,9,1085,1086,139,384],"tags":[11564,12117,16912,22346,27020,104161],"class_list":["post-40985","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-enfermedades-infecciosas","category-epidemiologia","category-medicina-interna","category-patologia-clinica","tag-adolfo-benages-Martinez","tag-camarena-minana-juan-jose","tag-javier-hernandez-haba","tag-jose-maria-eiros-bouza","tag-jose-miguel-nogueira-coito","tag-rogelio-vicente-ull"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/40985","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=40985"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/40985\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=40985"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=40985"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=40985"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}