{"id":70941,"date":"2018-03-09T23:15:29","date_gmt":"2018-03-09T23:15:29","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-asociados-a-una-respuesta-inadecuada-a-la-vacunacion-antihepatitis-b-en-personal-sanitario\/"},"modified":"2018-03-09T23:15:29","modified_gmt":"2018-03-09T23:15:29","slug":"factores-asociados-a-una-respuesta-inadecuada-a-la-vacunacion-antihepatitis-b-en-personal-sanitario","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-asociados-a-una-respuesta-inadecuada-a-la-vacunacion-antihepatitis-b-en-personal-sanitario\/","title":{"rendered":"Factores asociados a una respuesta inadecuada a la vacunacion antihepatitis b en personal sanitario"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Tolosa Martinez Mar\u00eda  Natividad <\/strong><\/h2>\n<p>El vhb es el principal agente infeccioso asociado al riesgo ocupacional en los trabajadores sanitarios. Con la introducci\u00f3n de los programas de vacunaci\u00f3n, la incidencia de hepatitis b se ha reducido de manera espectacular en las instituciones sanitarias, pero entre un 5 y un 10% de los vacunados no responden adecuadamente a la vacuna. Objetivos: estimar el porcentaje de inmunogenicidad y estudiar que variables pueden influir en la respuesta inadecuada. El dise\u00f1o del estudio es de tipo observacional y anal\u00edtico en el que una cohorte de 1022 trabajadores sanitarios es seguida de forma retrospectiva. Se realiz\u00f3 un estudio descriptivo, un an\u00e1lisis bivariante y finalmente un modelo de regresi\u00f3n log\u00edstica no condicional. En nuestra muestra obtuvimos una tasa de seroconversi\u00f3n del 94,5%; mientras que en el 5,5% restante, la respuesta fue insuficiente o nula. Entre las posibles variables predictoras, las que se asociaron de una forma significativa con el riesgo de desarrollar una respuesta no protectora fueron el g\u00e9nero masculino (or 4,4), la edad superior a 40 a\u00f1os (or 3,1), un mayor \u00edndice de masa corporal (or 5,5) y el consumo de tabaco (or 3,2). Se debe estimar el riesgo individual de cada trabajador antes de vacunar en funci\u00f3n de las cuatro variables predictivas y en aquellas personas con riesgo alto de respuesta inadecuada optar por una estrategia de vacunaci\u00f3n alternativa: 4 dosis, dosis dobles, nuevas vacunas que incluyen adyuvantes o  subunidades pres1 y pres2,&#8230;<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores asociados a una respuesta inadecuada a la vacunacion antihepatitis b en personal sanitario<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores asociados a una respuesta inadecuada a la vacunacion antihepatitis b en personal sanitario <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Tolosa Martinez Mar\u00eda  Natividad <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/10\/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>Brigido Perez Bermudez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Mar\u00eda Mart\u00edn moreno <\/li>\n<li>julio Sanchez buenaventura (vocal)<\/li>\n<li>Rafael Borr\u00e1s salvador (vocal)<\/li>\n<li>daniel Bautista rentero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Tolosa Martinez Mar\u00eda Natividad El vhb es el principal agente infeccioso asociado al riesgo ocupacional en los [&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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