{"id":58479,"date":"2018-03-09T22:46:20","date_gmt":"2018-03-09T22:46:20","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/vigilancia-epidemiologica-de-pseudomonas-aeruginosas-multirresistente-en-el-medio-hospitalario\/"},"modified":"2018-03-09T22:46:20","modified_gmt":"2018-03-09T22:46:20","slug":"vigilancia-epidemiologica-de-pseudomonas-aeruginosas-multirresistente-en-el-medio-hospitalario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/epidemiologia\/vigilancia-epidemiologica-de-pseudomonas-aeruginosas-multirresistente-en-el-medio-hospitalario\/","title":{"rendered":"Vigilancia epidemiol\u00f3gica de pseudomonas aeruginosas multirresistente en el medio hospitalario"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Roc\u00edo Rodr\u00edguez Ortega <\/strong><\/h2>\n<p>P.Aeruginosa es el cuarto pat\u00f3geno m\u00e1s aislado en las infecciones hospitalarias y una causa importante de morbimortalidad entre los pacientes ingresados. Adem\u00e1s en los \u00faltimos a\u00f1os se ha producido un marcado incremento de las cepas de p.Aeruginosa con fenotipo multirresistente o con resistencia a carbapenemes, de manera que el conocimiento de las caracter\u00edsticas y factores que predisponen  a la aparici\u00f3n de las mismas va a ser de suma importancia. Se dise\u00f1\u00f3 une surtido de casos y controles para el estudio de los factores de riesgo de adquisici\u00f3n de p.Aerugionsa multirresistente o con alta resistencia intrahospitalaria (pamr) y a su vez un estudio longitudinal prospectivo para el conocimiento de los factores pron\u00f3stico y caracter\u00edsticas a partir de dichos aislamientos. Entre los factores de riesgo independiente para la adquisici\u00f3n de pamr frente a capas sensibles se encontraron el ingreso en el mes previo, un \u00edndice de comorbilidad de 2, el ser fumador ,las causas de ingreso respiratorias, cardio-vasculares u otras causas de ingreso en el mes previo, un \u00edndice de comorbilidad de 2, el ser fumador, las causas de ingreso respiratorias y la administraci\u00f3n previa de carbapenemes y aminogluc\u00f3sidos. adem\u00e1s tambi\u00e9n se encontraron como factores de riesgo el ingreso en unidades de cuidados intensivos uci y la estancia hospitalaria prolongada. La mortalidad bruta por pamr intrahospitalaria, durante nuestro periodo de estudio, fue del 30,9% encontrando tambi\u00e9n la estancia en la uci como factores asociados al mal pron\u00f3stico, as\u00ed como el ingreso en unidades de onco-hematologl\u00eda, la ventilaci\u00f3n mec\u00e1nica prolonga y las infecciones graves por p.Aeruginosa, como la sepsis, entre otros. Al agrupar las cepas por fenotipos de resistencia el m\u00e1s frecuente, con un 22,2% era el que presentaba resistencia a todos los grupos de antimicrobianos. en cuanto a las resistencias a los carbapenems, el 6,16% de las cepas de p. Aeruginosa intrahospitalarias presentaban res<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Vigilancia epidemiol\u00f3gica de pseudomonas aeruginosas multirresistente en el medio hospitalario<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Vigilancia epidemiol\u00f3gica de pseudomonas aeruginosas multirresistente en el medio hospitalario <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Roc\u00edo Rodr\u00edguez Ortega <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/05\/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>Alfonso Pinedo Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaqu\u00edn Fern\u00e1ndez-crehuet navajas <\/li>\n<li>Ana Vindel hernando (vocal)<\/li>\n<li>Manuel Antonio Rodr\u00edguez iglesias (vocal)<\/li>\n<li>m isabel Lucena gonzalez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Roc\u00edo Rodr\u00edguez Ortega P.Aeruginosa es el cuarto pat\u00f3geno m\u00e1s aislado en las infecciones hospitalarias y una causa [&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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