{"id":73610,"date":"2018-03-09T23:18:30","date_gmt":"2018-03-09T23:18:30","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-epidemiologico-de-la-infeccion-nosocomial-en-el-servicio-de-uci-del-hospital-universitario-de-canarias\/"},"modified":"2018-03-09T23:18:30","modified_gmt":"2018-03-09T23:18:30","slug":"estudio-epidemiologico-de-la-infeccion-nosocomial-en-el-servicio-de-uci-del-hospital-universitario-de-canarias","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-epidemiologico-de-la-infeccion-nosocomial-en-el-servicio-de-uci-del-hospital-universitario-de-canarias\/","title":{"rendered":"Estudio epidemiologico de la infeccion nosocomial en el servicio de uci del hospital universitario de canarias"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Consuelo Revert Girones <\/strong><\/h2>\n<p>Tras recordar la utilidad de la epidemiolog\u00eda de la infeccion nosocomial, se presenta un analisis descriptivo de la incidencia de infeccion en la uci de un hospital  universitario de tercer nivel. Por medio de un seguimiento prospectivo de los pacientes ingresados mas de 24 horas. Se registraron las variables demogr\u00e1ficas: edad, sexo, procedencia hospitalaria, diagnostico al ingreso; las variables relacionadas con factores de riesgo de infeccion intrinsecas: gravedad al ingreso medida por el metodo a.P.A.C.H.E ii, estado de coma,  enfermedad obstructiva cronica, insuficiencia renal, cirrosis hepatica, inmunodeficiencia; diabetes; y factores extrinsecos: periodo y frecuencia de cateter venoso central, sondaje urinario, tubo orotraqueal; cirugia, tratamiento antibiotico y tratamiento inmunosupresor. Se registro el numero de infecciones por paciente, su localizacion, el  tiempo transcurrido desde el ingreso hasta el debut de la infeccion y los microorganismos aislados en las muestras clinicas correspondientes.  tras describir los resultados y contrastarlos con la bibliografia contemporanea se concluyo: que la edad media de los pacientes era alta, como en la mayoria de ucis similares y con predominio del sexo masculino. La puntuacion media del a.P.A.C.H.E ii era ligeramente superior a la de otros hospitales espanoles y se relacionaba con una tasa de exitus alta. En relacion al diagnostico al ingreso algo mas de la mitad correspondian a postoperatorios de cirugia cardiaca. Un tercio de los pacientes eran diabeticos, cifra superior a la de otros hospitales, pero concordante con la preValencia en canarias de diabetes complicada. Los pacientes ingresados en coma , insuficiencia renal o inmunodeprimidos tienen riesgos relativos que los identifican como factores de riesgo de infeccion nosocomial.  en cuanto a factores extrinsecos: el porcentaje de pacientes sometidos a ventilacion mecanica es similar al de hospitales con ucis comparables; el uso<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio epidemiologico de la infeccion nosocomial en el servicio de uci del hospital universitario de canarias<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio epidemiologico de la infeccion nosocomial en el servicio de uci del hospital universitario de canarias <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Consuelo Revert Girones <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 La laguna<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/04\/2005<\/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>Antonio Sierra L\u00f3pez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: lLuis Serra majem <\/li>\n<li>Juan  Antonio Zafra mezcua (vocal)<\/li>\n<li>Jos\u00e9 nicolas Boada ju\u00e1rez (vocal)<\/li>\n<li>Juan  Luis Gomez sirvent (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Consuelo Revert Girones Tras recordar la utilidad de la epidemiolog\u00eda de la infeccion nosocomial, se presenta un [&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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