{"id":6124,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/estudio-de-colonizacion-por-corynebacterium-urealyticum-y-de-sus-repercusiones-clinicas\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"estudio-de-colonizacion-por-corynebacterium-urealyticum-y-de-sus-repercusiones-clinicas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-colonizacion-por-corynebacterium-urealyticum-y-de-sus-repercusiones-clinicas\/","title":{"rendered":"Estudio de colonizacion por corynebacterium urealyticum y de sus repercusiones clinicas."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Moises Garcia Bravo <\/strong><\/h2>\n<p>Se ha realizado un estudio epidemiologico prospectivo con el fin de conocer la historia natural de la infeccion por corynebacterium urealyticum. Para ello se ha investigado la presencia de este microorganismo en muestras de orina y piel de la region inguinal, mediante un medio selectivo, de 403 individuos (163 receptores de trasplante renal) que pertenecian a varios grupos con y sin patolog\u00eda renal que se escogieron por sus diferencias en el grado de contacto con el hospital y en el nivel de inmunosupresion. La preValencia de colonizacion cutanea y\/o urinaria de nuestra serie fue alta (14,6%), sin que la inmunosupresion y el mayor grado de contacto con el hospital influyeran significativamente en la misma. Los factores de riesgo de bacteriuria por corynebacterium urealyticum en el trasplante renal fueron el sexo femenino, las infecciones urinarias previas, la antibioterapia reciente y los antecedentes de nefrostomia y de cateterizacion vesical prolongada. Aunque en la mayoria de las ocasiones la infeccion urinaria es asintomatica y de poca intensidad (&lt;2.5&#215;104 ufc\/ml), la aparicion de clinica no es rara, sobre todo en receptores de trasplante renal y en pacientes que han sufrido manipulaciones urologicas y han recibido antibioticos.  las claves diagnosticas mas importantes que deberian alertarnos sobre la posibilidad de una infeccion urinaria sintomatica por corynebacterium urealyticum son la aparicion de episodios repetidos de uropatia obstructiva, hematuria macroscopica o sintomas urinarios cronicos, el hallazgo de orinas alcalinas con celulas inflamatorias y cristales de estruvita en el sedimento y los cultivos de orina convencionales reiteradamente negativos. Para el diagnostico microbiologico es aconsejable el empleo de medios selectivos, fundamentalmente en presencia de factores de riesgo, ya que aumentan la tasa de aislamientos de corynebacterium urealyticum. Por otra parte, la multirresistencia de esta bacteria a los a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de colonizacion por corynebacterium urealyticum y de sus repercusiones clinicas.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de colonizacion por corynebacterium urealyticum y de sus repercusiones clinicas. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Moises Garcia Bravo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>noriega Belaustegui Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jose Prieto Prieto <\/li>\n<li>Jos\u00e9 Mar\u00eda Aguado Garc\u00eda (vocal)<\/li>\n<li>Francisco Soriano Garc\u00eda (vocal)<\/li>\n<li> Sanz Perez Jos\u00e9 Vicente (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Moises Garcia Bravo Se ha realizado un estudio epidemiologico prospectivo con el fin de conocer la historia [&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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