{"id":74025,"date":"2018-03-09T23:18:57","date_gmt":"2018-03-09T23:18:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-de-riesgo-para-aspergilosis-invasiva-en-pacientes-con-trasplante-carda%c2%adaco-papel-protector-de-la-profilaxis-con-itraconazol\/"},"modified":"2018-03-09T23:18:57","modified_gmt":"2018-03-09T23:18:57","slug":"factores-de-riesgo-para-aspergilosis-invasiva-en-pacientes-con-trasplante-carda%c2%adaco-papel-protector-de-la-profilaxis-con-itraconazol","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-de-la-vida\/factores-de-riesgo-para-aspergilosis-invasiva-en-pacientes-con-trasplante-carda%c2%adaco-papel-protector-de-la-profilaxis-con-itraconazol\/","title":{"rendered":"Factores de riesgo para aspergilosis invasiva en pacientes con trasplante card\u00edaco: papel protector de la profilaxis con itraconazol"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Rodr\u00edguez Capriles Claudia Irene <\/strong><\/h2>\n<p>Justificaci\u00f3n  la incidencia relativa de las infecciones f\u00fangicas en pacientes trasplantados se ha incrementado en comparaci\u00f3n a las de las infecciones bacterianas o virales, que se han reducido desde que se cuenta con medidas de profilaxis efectivas frente a ellas. Entre los pacientes con trasplante card\u00edaco, aspergillus es el pat\u00f3geno oportunista con la mayor mortalidad atribuible, sin embargo, la profilaxis ideal no ha sido definida.  objetivos  identificar al grupo de pacientes que se beneficiar\u00edan de la profilaxis antif\u00fangica dirigida y establecer la pauta de administraci\u00f3n \u00f3ptica para esta profilaxis.  m\u00e9todos  se analizaron los factores de reisgo para aspergilosis invasiva en los pacientes que recibieron un trasplante card\u00edaco en nuestro centro entre 1988 y 2002, as\u00ed como el papel de la profilaxis con itraconazol oral, que fue administrado de forma universal a partir de 1995. Durante el per\u00edodo de estudio 307 pacientes recibieron un trasplante card\u00edaco, de los cuales 278 sobrevivieron m\u00e1s de una semana y fueron incluidos en el an\u00e1lisis. hubo 24 casos de aspergilosis.  resultados  en el an\u00e1lisis univariables, los factores de riesgo para aspergilosis invasiva fueron: infecci\u00f3n activa antes del trasplante (11% vs 16,7%, p=0,03), epoc (5,5% vs 12,5%, p=0,02) hiperbilirrubinemia antes del trasplante (mayor 2 mg\/dl) (40,2% vs 62,5%, p=0,3), transfusiones depsu\u00e9s del trasplante (66,5% vs 87,5%, p=0,03), ventilaci\u00f3n mec\u00e1nica prolongada (2,9 vs 5,4 d\u00edas, p=0,05), el uso de okt3 en la inducci\u00f3n (5,5% vs 16,7%, p=0,05), hemodi\u00e1lisis (5,1% vs 20,8%, p=0,01), diabetes mellitus (25,6% vs 50%, p=0,01), mayor n\u00famero de infecciones bacterianas en los tres primeros meses (0,6 vs 1,1, p=0,01), infecciones virales en los 3 primeros meses (46,9% vs 75%, p= 0,01), enfermedad por cmv en los 3 primeros meses (14,6% vs 45,8%, p=0,001), y la existencia de otro caso de aspergilosis que ocurriera en el \u00e1rea de trasplante ca<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores de riesgo para aspergilosis invasiva en pacientes con trasplante card\u00edaco: papel protector de la profilaxis con itraconazol<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores de riesgo para aspergilosis invasiva en pacientes con trasplante card\u00edaco: papel protector de la profilaxis con itraconazol <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Rodr\u00edguez Capriles Claudia Irene <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/05\/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>Emilio Bouza Santiago<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Prieto prieto <\/li>\n<li>Manuel Cuenca estrella (vocal)<\/li>\n<li>Jos\u00e9 Miguel Cisneros herreros (vocal)<\/li>\n<li> Rodr\u00edguez tudela Juan  Luis (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rodr\u00edguez Capriles Claudia Irene Justificaci\u00f3n la incidencia relativa de las infecciones f\u00fangicas en pacientes trasplantados se ha [&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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