{"id":42160,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/profilaxis-antibiotica-en-c-general-modelos-de-r-logistica-y-costes\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"profilaxis-antibiotica-en-c-general-modelos-de-r-logistica-y-costes","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/profilaxis-antibiotica-en-c-general-modelos-de-r-logistica-y-costes\/","title":{"rendered":"Profilaxis antibiotica en c. general: modelos de r. logistica y costes."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Hita Fernandez <\/strong><\/h2>\n<p>Objetivos: conocer las pautas de profilaxis antibi\u00f3tica y su influencia sobre la infecci\u00f3n hospitalaria. Construir los modelos multivariables y validar los modelos.  calcular el aumento de estancias hospitalarias y el coste aproximado.  material y m\u00e9todos: 754 intervenidos de cirug\u00eda general desde 1-2-94 a 30-4-95, tipo cohortes. Recogida de datos: programa viconos. variable dependiente: infecci\u00f3n hospitalaria e infecci\u00f3n de herida quir\u00fargica (criterios del cdc). Variable independiente principal: profilaxis antibi\u00f3tica (criterios del comit\u00e9 de infecciones). An\u00e1lisis con el programa estad\u00edstico spss (an\u00e1lisis bivariante y modelos de r. Log\u00edstica) y programa relodi (prueba de bondad de ajuste).  resultados: el modelo de r. Log\u00edstica para la i. Hospitalaria incluye las variables profilaxis inadecuada rr= 2.33 (1.54-3.74), v\u00eda perif\u00e9rica + 5 d\u00edas), sonda vesical, tiempode intervenci\u00f3n (+ 45 minutos), obesidad, enfermedad endocrinoneoplasica y edad (+60 a\u00f1os). El modelo de r. Log\u00edstica para i. De herida quir\u00fargica incluye las variables: profilaxis inadecuada rr= 2.32 (1.92-4.52), v\u00eda perif\u00e9rica (+5 d\u00edas), grado contaminaci\u00f3n de la herida (contaminada, sucia) y tiempo de intervenci\u00f3n (+45 minutos). las pruebas de bondad de ajuste son aceptables. Los d\u00edas de estancia hospitalaria est\u00e1n aumentados por la profilaxis incorrecta en 5 d\u00edas (infectados) y en 3 d\u00edas (no infectados). El ahorro para cada paciente por la profilaxis incorrecta es de 62426 ptas. conclusiones: el efecto de la profilaxis antibi\u00f3tica incorrecta sobre la i. Hospitalaria y la i. De la herida quir\u00fargica fue importante (duplicando el riesgo de infecci\u00f3n), despu\u00e9s de ajustar por otras variables predictivas.  la probabilidad de infecci\u00f3n hospitalaria de un paciente con todos los factores de riesgo del modelo multiplica por 19 veces el riesgo de infecci\u00f3n de un paciente intervenido sin factores de riesgo.  el uso de una profil<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Profilaxis antibiotica en c. general: modelos de r. logistica y costes.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Profilaxis antibiotica en c. general: modelos de r. logistica y costes. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Hita Fernandez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/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 Monge Jodra<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio L\u00f3pez alonso <\/li>\n<li>Francisco Calbo torrecillas (vocal)<\/li>\n<li>angel Gil de Miguel (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Hita Fernandez Objetivos: conocer las pautas de profilaxis antibi\u00f3tica y su influencia sobre la infecci\u00f3n hospitalaria. [&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":[17426,9,1085,139,967],"tags":[4647,106242,10318,1657,12701],"class_list":["post-42160","post","type-post","status-publish","format-standard","hentry","category-alcala","category-ciencias-medicas","category-enfermedades-infecciosas","category-medicina-interna","category-salud-publica","tag-angel-gil-de-miguel","tag-antonio-hita-fernandez","tag-antonio-lopez-alonso","tag-francisco-calbo-torrecillas","tag-vicente-monge-jodra"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42160","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=42160"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/42160\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=42160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=42160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=42160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}