{"id":66261,"date":"2018-03-09T22:54:31","date_gmt":"2018-03-09T22:54:31","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/manejo-en-urgencias-de-las-neumona%c2%adas-adquiridas-en-la-comunidad-que-requieren-ingreso-hospitalario\/"},"modified":"2018-03-09T22:54:31","modified_gmt":"2018-03-09T22:54:31","slug":"manejo-en-urgencias-de-las-neumona%c2%adas-adquiridas-en-la-comunidad-que-requieren-ingreso-hospitalario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/manejo-en-urgencias-de-las-neumona%c2%adas-adquiridas-en-la-comunidad-que-requieren-ingreso-hospitalario\/","title":{"rendered":"Manejo en urgencias de las neumon\u00edas adquiridas en la comunidad que requieren ingreso hospitalario."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Virginia Alvarez Rodriguez <\/strong><\/h2>\n<p>Este estudio examina el manejo diario que el m\u00e9dico de urgencias hace de las nac que requieren ingreso hospitalario de forma retrospectiva, revisando h  cl\u00ednicas de pacientes que fueron tratados en el hospital en un periodo invernal (enero-marzo 2003 ) en 24 hospitales espa\u00f1oles. Se obtuvieron datos demogr\u00e1ficos, cl\u00ednicos y anal\u00edticos necesarios para clasificarlos seg\u00fan la escala de estratificaci\u00f3n de riesgo de fine. Quedaron exluidos los pacientes que recibieron tratamiento ambulatorio. Resultad os: 341 pacientes (67.0 \/-24,6 a\u00f1os;65,3  varones) fueron ingresados desde el s  de urgencias. Los pacientes en clases altas de fine (iv y v) fueron 65,7 . Los hemocultivos se realizaron en el 50,1  de los pacientes y el cultivo de esputo en el 35,8  . La detecci\u00f3n de ant\u00edgenos de legionella y neumococo en orina se realiz\u00f3 en el 42,2  y 34 , respectivamente.El tratamiento emp\u00edrico inicial m\u00e1s utilizado fueron las quinolonas(37,5 ).Conclusiones:la escala propuesta por fine parece no influir al m\u00e9d ico de urgencias para decidir el s  hospitalario en el que ingresa el paciente(salvo en los que ingresan en uci). La infrautilizaci\u00f3n de los test microbiol\u00f3gicos de detecci\u00f3n r\u00e1pida probablemente est\u00e1 en relaci\u00f3n con el uso de antibioterapia de ampli o espectro emp\u00edrica utilizada para cubrir las resistencias antibi\u00f3ticas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Manejo en urgencias de las neumon\u00edas adquiridas en la comunidad que requieren ingreso hospitalario.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Manejo en urgencias de las neumon\u00edas adquiridas en la comunidad que requieren ingreso hospitalario. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Virginia Alvarez Rodriguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/07\/2008<\/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>David Mart\u00ednez Hern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Prieto prieto <\/li>\n<li>Mar\u00eda  Jos\u00e9 Alonso martin (vocal)<\/li>\n<li>Juan  ram\u00f3n Maestre vera (vocal)<\/li>\n<li>Jos\u00e9 Barber\u00e1n l\u00f3pez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Virginia Alvarez Rodriguez Este estudio examina el manejo diario que el m\u00e9dico de urgencias hace de las [&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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