{"id":75954,"date":"2018-03-09T23:21:15","date_gmt":"2018-03-09T23:21:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-prospectivo-de-la-infeccion-nosocomial-en-ciruga%c2%ada-carda%c2%adaca\/"},"modified":"2018-03-09T23:21:15","modified_gmt":"2018-03-09T23:21:15","slug":"estudio-prospectivo-de-la-infeccion-nosocomial-en-ciruga%c2%ada-carda%c2%adaca","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-prospectivo-de-la-infeccion-nosocomial-en-ciruga%c2%ada-carda%c2%adaca\/","title":{"rendered":"Estudio prospectivo de la infecci\u00f3n nosocomial en cirugia card\u00edaca."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marta Fernandez-ayala Novo <\/strong><\/h2>\n<p>Estudio de cohortes prospectivo de la infecci\u00f3n nosocomial en cirug\u00eda cardiaca, realizado en el hospital de valdecilla entre el 1 de junio de 1999 y el 31 de junio de 2000. La infecci\u00f3n nosocimial se defini\u00f3 siguiendo los criterios de los cdc e incluy\u00f3 la infecci\u00f3n de herida quir\u00fargica (ihq), la infecci\u00f3n respiratoria (tanto la neumon\u00eda como la infecci\u00f3n de v\u00edas respiratorias bajas), la infecci\u00f3n urinaria y la bacteriemia. Se realiz\u00f3 seguimiento del paciente hasta un mes despu\u00e9s del alta hospitalaria, a trav\u00e9s de una entrevista telef\u00f3nica, para vigilar la aparici\u00f3n de ihq. En las diferentes infecciones se analiz\u00f3 la flora microbiana implicada. Se recogieron una serie de variables preoperatorias, intraoperatorias y postoperatorias siguiendo un protocolo preestablecido y se determinaron los factores de riesgo de la ifecci\u00f3n nosocomial mediante an\u00e1lisis de regresi\u00f3n log\u00edstica. De forma particular se  analiz\u00f3 si exist\u00edan diferentes epidemiol\u00f3gicas entre la infecci\u00f3n de herida quir\u00fargica diagnosticada durante el ingreso y la detectada tras el alta hospitalaria.  la incidencia de infecci\u00f3n nosocomial fue del 26,1%, siendo la infecci\u00f3n respiratoria la m\u00e1s frencuente seguida de la infecci\u00f3n de herida quir\u00fargica. un tercio de las ihq se detectaron despu\u00e9s de que el paciente abandonara el hospital. En las infecciones nosocomiales solo hubo un ligero predominio de microorganismos grampositivos (49,7%) sobre los gramnegativos (42,8%). los factores de riesgo de la infecci\u00f3n nosocomial dependieron tanto de la gravedad de base del sujeto (epco, desnutrici\u00f3n, diabetes, insuficiencia renal) como de los factores relacionados con la hospitalizaci\u00f3n, fundamentalmente la presencia de complicaciones en la cirug\u00eda (n\u00famero de transfusiones sangu\u00edneas intraoperatorias o el uso de bal\u00f3n de contrapulsaci\u00f3n) y las maniobras extr\u00ednsecas postoperatorias (la duraci\u00f3n de la ventilaci\u00f3n mec\u00e1nica y el tiempo de permanencia de l<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio prospectivo de la infecci\u00f3n nosocomial en cirugia card\u00edaca.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio prospectivo de la infecci\u00f3n nosocomial en cirugia card\u00edaca. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marta Fernandez-ayala Novo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/07\/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> Maria Del Carmen Fari\u00f1as Alvarez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 manuel Revuelta soba <\/li>\n<li>gomez Joaquin gomez (vocal)<\/li>\n<li>Francisco Javier Llorca diaz (vocal)<\/li>\n<li>perez Adolfo diaz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marta Fernandez-ayala Novo Estudio de cohortes prospectivo de la infecci\u00f3n nosocomial en cirug\u00eda cardiaca, realizado en el [&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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