{"id":74639,"date":"2018-03-09T23:19:45","date_gmt":"2018-03-09T23:19:45","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/uso-de-antibioticos-en-el-paciente-cra%c2%adtico-soometido-a-ventilacion-mecanica-aspectos-relacinados-con-el-tratamiento-antibiotico-de-la-neumona%c2%ada-asociada-a-ventilacion-mecanica\/"},"modified":"2018-03-09T23:19:45","modified_gmt":"2018-03-09T23:19:45","slug":"uso-de-antibioticos-en-el-paciente-cra%c2%adtico-soometido-a-ventilacion-mecanica-aspectos-relacinados-con-el-tratamiento-antibiotico-de-la-neumona%c2%ada-asociada-a-ventilacion-mecanica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/uso-de-antibioticos-en-el-paciente-cra%c2%adtico-soometido-a-ventilacion-mecanica-aspectos-relacinados-con-el-tratamiento-antibiotico-de-la-neumona%c2%ada-asociada-a-ventilacion-mecanica\/","title":{"rendered":"Uso de antibi\u00f3ticos en el paciente cr\u00edtico soometido a ventilaci\u00f3n mec\u00e1nica. aspectos relacinados con el tratamiento antibi\u00f3tico de la neumon\u00edaasociada a ventilaci\u00f3n mec\u00e1nica ."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Burgue\u00f1o Campi\u00f1ez M. Jose <\/strong><\/h2>\n<p>La preValencia de la infecci\u00f3n nosocomial en la unidad de cuidados intensivos (dci) es elevada. La infecci\u00f3n adquirida m\u00e1s frecuente en la uci es la neumon\u00eda, en concreto la neumon\u00eda asociada a ventilaci\u00f3n mec\u00e1nica (nav). la alta preValencia de la infecci\u00f3n conlleva una elevada utilizaci\u00f3n de  antibi\u00f3ticos. Del grupo de pacientes de uci, los que est\u00e1n con ventilaci\u00f3n mec\u00e1nica (vm) son los que m\u00e1s infecciones presentan, particularmente nav, ytambi\u00e9n los que presentan mayor uso antibi\u00f3tico. No exiten estudios que hayan examinado concretamente el uso antibi\u00f3tico en los pacientes cr\u00edticos con vm, y  si realmente, este alto consumo antibi\u00f3tico se debe a la infecci\u00f3n que m\u00e1s frecuentemente desarrollan: la nav. A pesar de los avances en el estudio de la nav, algunas cuestiones no tienen una respuesta clara, tales como si la terapia emp\u00edrica combinada es superior a la monoterapia. Realizamos un estudio  prospectivo, multic\u00e9ncentrico, de 1.704 pacientes cr\u00edticos con vm. Los objetivos fueron:  1) analizar el uso antibi\u00f3tico en el paciente cr\u00edtico con vm prolongada  2) conocer las caracter\u00edsticas del tratamiento (t\u00ed\u00bb) antibi\u00f3tico de la nav, especialmente la utilizaci\u00f3n de la terapia combinada frente a la monoterapia.  en resumen, como resultados y conclusiones:  -los pacientes ingresados en dci con vm prolongada son pacientes con un elevado consumo antibi\u00f3tico. Sin embargo, s\u00f3lo el 16% de los antibi\u00f3t\u00edcosque se indican en estos pacientes son prescritos para el t\u00ed\u00bb de la nav. Las indicaciones no se deben mayoritariamente a la nav, sino a otras infecciones  o profilaxis. La optimizaci\u00f3n del t\u00ed\u00bb en estos pacientes deber\u00eda incluir la protocolizaci\u00f3n del t\u00ed\u00bb antibi\u00f3tico no s\u00f3lo de la nav, sino tambi\u00e9n de otras infecciones y de la profilaxis antibi\u00f3tica.  &#8211; de los 1.704 pacientes, 353 presentaron 403 navs. El criterio \u00abd\u00edas de estancia hospitalaria previos a la infecci\u00f3n\u00bb clasific\u00f3 mejor que el crit<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Uso de antibi\u00f3ticos en el paciente cr\u00edtico soometido a ventilaci\u00f3n mec\u00e1nica. aspectos relacinados con el tratamiento antibi\u00f3tico de la neumon\u00edaasociada a ventilaci\u00f3n mec\u00e1nica .<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Uso de antibi\u00f3ticos en el paciente cr\u00edtico soometido a ventilaci\u00f3n mec\u00e1nica. aspectos relacinados con el tratamiento antibi\u00f3tico de la neumon\u00edaasociada a ventilaci\u00f3n mec\u00e1nica . <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Burgue\u00f1o Campi\u00f1ez M. Jose <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Nacional de educaci\u00f3n a distancia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/06\/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>Mercedes Palomar Mart\u00ednez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: guillem Prats pastor <\/li>\n<li>Antonio Torres mart\u00ed (vocal)<\/li>\n<li>Alberto Pahissa berga (vocal)<\/li>\n<li>Francisco Alvarez lerma (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Burgue\u00f1o Campi\u00f1ez M. Jose La preValencia de la infecci\u00f3n nosocomial en la unidad de cuidados intensivos (dci) [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[2193,35,9,1085,69,139,278,17070],"tags":[1089,1095,161620,161621,13812,33815],"class_list":["post-74639","post","type-post","status-publish","format-standard","hentry","category-antibioticos","category-ciencias-de-la-vida","category-ciencias-medicas","category-enfermedades-infecciosas","category-enfermedades-pulmonares","category-medicina-interna","category-microbiologia","category-nacional-de-educacion-a-distancia","tag-alberto-pahissa-berga","tag-antonio-torres-marti","tag-burgueno-campinez-m-jose","tag-francisco-alvarez-lerma","tag-guillem-prats-pastor","tag-mercedes-palomar-Martinez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/74639","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=74639"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/74639\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=74639"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=74639"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=74639"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}