{"id":68629,"date":"2018-03-09T23:12:50","date_gmt":"2018-03-09T23:12:50","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-de-los-factores-pronosticos-de-la-bacteriemia-en-un-hospital-comunitario\/"},"modified":"2018-03-09T23:12:50","modified_gmt":"2018-03-09T23:12:50","slug":"analisis-de-los-factores-pronosticos-de-la-bacteriemia-en-un-hospital-comunitario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/salamanca\/analisis-de-los-factores-pronosticos-de-la-bacteriemia-en-un-hospital-comunitario\/","title":{"rendered":"Analisis de los factores pronosticos de la bacteriemia en un  hospital comunitario"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Moran Becares Ana Yolanda <\/strong><\/h2>\n<p>Objetivo: conocer las caracter\u00edsticas cl\u00ednico-epidemiol\u00f3gicas y analizar los factores pron\u00f3sticos en relaci\u00f3n con la mortalidad asociada directamente a la bacteriemia-fungemia (bf), en los pacientes mayores de 13 a\u00f1os del hospital \u00abnuestra se\u00f1ora de sonsoles\u00bb de \u00e1vila. Un hospital de primer nivel (352 camas) que atiende a la poblaci\u00f3n de la provincia (en un 62% rural). para ello se realiz\u00f3 un estudio prospectivo observacional a partir del hallazgo del hemocultivo positivo durante 8 a\u00f1os de seguimiento (1991-98).  resultados: en 870 episodios se aislaron 956 g\u00e9rmenes (9,5% de los casos polimicrobianos). Hubo 10,08 casos\/1000 ingresos en adultos. El 68,7% de los casos se detectaron en pacientes a partir de 60 a\u00f1os, y hubo una mayor proporci\u00f3n de varones (1,7:1). El 54,6% de los casos fueron de origen comunitario (beh). Los principales focos de infecci\u00f3n fueron respiratorio (14,3%) y urinario (21,5%) en las beh, y el cat\u00e9ter endovenoso (31,6%) en los hospitalarios (bih). Hubo un 31% de casos primarios. E. Coli (19,2%), estafilococos coagulasa negativos (scn, 17,7%) y s. Aureus (16,2%) fueron los principales pat\u00f3genos aislados. La mayor\u00eda de los ingresos se produjeron en el \u00e1rea m\u00e9dica (79,8%). recibieron tratamiento antibi\u00f3tico adecuado un 79,9% de casos. Las bih y los detectados en servicios quir\u00fargicos tuvieron una mayor proporci\u00f3n de casos con un tratamiento inadecuado, que result\u00f3 significativa en el an\u00e1lisis univariado. El 20,2% de los casos desarrollaron insuficiencia renal aguda y un 13,1% shock, en menos casos hubo sdra (5,3%) o cid (4%). la mortalidad fue del 21,5%, aunque la asociada directamente con la bf fue del 11%. En el an\u00e1lisis multivariado destacaron como factores de mal pron\u00f3stico la edad (odds ratio [or]: 1,04, por cada a\u00f1o), la neutropenia (or: 126,2), el shock (or: 96,4), el sdra (or: 33,3), el n\u00famero de enfermedades de base (or: 130,7), el foco en piel y partes blandas (or: 46,2), no recibir<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Analisis de los factores pronosticos de la bacteriemia en un  hospital comunitario<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Analisis de los factores pronosticos de la bacteriemia en un  hospital comunitario <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Moran Becares Ana Yolanda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/06\/2004<\/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>Regino Serrano Heranz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  Luis Mu\u00f1oz bellido <\/li>\n<li>elpidio Calvo manuel (vocal)<\/li>\n<li>aurelio Fuertes mart\u00edn (vocal)<\/li>\n<li>Jos\u00e9 Luis P\u00e9rez castrill\u00f3n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Moran Becares Ana Yolanda Objetivo: conocer las caracter\u00edsticas cl\u00ednico-epidemiol\u00f3gicas y analizar los factores pron\u00f3sticos en relaci\u00f3n con [&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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