{"id":57724,"date":"2018-03-09T22:45:32","date_gmt":"2018-03-09T22:45:32","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/profilaxis-y-diagnostico-precoz-de-la-aspergilosis-invasora-basado-en-el-riesgo-individualizado-del-paciente-neutropenico\/"},"modified":"2018-03-09T22:45:32","modified_gmt":"2018-03-09T22:45:32","slug":"profilaxis-y-diagnostico-precoz-de-la-aspergilosis-invasora-basado-en-el-riesgo-individualizado-del-paciente-neutropenico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/profilaxis-y-diagnostico-precoz-de-la-aspergilosis-invasora-basado-en-el-riesgo-individualizado-del-paciente-neutropenico\/","title":{"rendered":"Profilaxis y diagn\u00f3stico precoz de la aspergilosis invasora basado en el riesgo individualizado del paciente neutrop\u00e9nico."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  D\u00edaz Pedroche Mar\u00eda Del Carmen <\/strong><\/h2>\n<p>Objetivo: valorar si una estrategia de profilaxis y tratamiento precoz dirigido seg\u00fan riesgo de aspergilosis invasora (ai) reduce la incidencia y la mortalidad de la misma. Estudiar si esta estrategia permite una reducci\u00f3n en la utilizaci\u00f3n de tratamiento antif\u00fangico emp\u00edrico (tae) y adelantar el inicio del tratamiento antif\u00fangico espec\u00edfico.  pacientes y m\u00e9todos: se incluyeron de forma prospectiva todos los pacientes ingresados en la planta de hematolog\u00eda del hospital universitario 12 de octubre, Madrid que recibieron tratamiento con quimioterapia. Los episodios se clasificaban en alto riesgo o bajo riesgo seg\u00fan la enfermedad de base y tratamiento inmunosupresor recibido. Se defini\u00f3 episodio de alto riesgo (ear) de ai aquel que cumpl\u00eda alguna de las siguientes condiciones: episodios con neutropenia esperable  menor que 500 netr\u00f3filos \/mmelevado a 3 superior a 10 d\u00edas; episodios de tph alog\u00e9nico; episodios con neutr\u00f3filos  menor que 500\/ mmelevado a 3 >5 d\u00edas y tratamiento corticoesteroideo con dosis de prednisona (o equivalente) >500 mg en el mismo episodio; episodios con coexistencia de neutropenia (neutr\u00f3filos  menor que 500\/ mmelevado a 3) de cualquier duraci\u00f3n y tratamiento con alemtuzumab y\/o fludarabina en los \u00faltimos 6 meses; y episodios con coexistencia de neutropenia (neutr\u00f3filos  menor que 500\/ mmelevado a 3) de cualquier duraci\u00f3n y otros tipos de inmunosupresi\u00f3n celular (pacientes con trastornos linfoproliferativos postrasplante, pacientes con infecci\u00f3n vih y cd4 menor que 200, y pacientes con linfomas t). El resto eran episodios de bajo riesgo (ebr) de ai. El manejo del ear consiste en profilaxis con itraconazol (itra) y detecci\u00f3n de galactomanano (gm) dos veces por semana independientemente de la evoluci\u00f3n cl\u00ednica. En estos episodios se indicaba el inicio de tae si presentaban neutropenia febril persistente (nfp) independientemente del resultado de las pruebas complementarias. En los episodios de bajo riesgo, el galactomana<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Profilaxis y diagn\u00f3stico precoz de la aspergilosis invasora basado en el riesgo individualizado del paciente neutrop\u00e9nico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Profilaxis y diagn\u00f3stico precoz de la aspergilosis invasora basado en el riesgo individualizado del paciente neutrop\u00e9nico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  D\u00edaz Pedroche Mar\u00eda Del Carmen <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/03\/2007<\/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 Mar\u00eda Aguado Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Enr\u00edquez de salamanca <\/li>\n<li>valent\u00edn Cuervas-mous mart\u00ednez (vocal)<\/li>\n<li>Jes\u00fas Ruiz contreras (vocal)<\/li>\n<li>Alberto Pahissa berga (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de D\u00edaz Pedroche Mar\u00eda Del Carmen Objetivo: valorar si una estrategia de profilaxis y tratamiento precoz dirigido seg\u00fan [&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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