{"id":77526,"date":"2005-01-12T00:00:00","date_gmt":"2005-01-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-cla%c2%adnico-y-microbiologico-de-las-meningitis-en-la-edad-pediatrica-en-el-hospital-cla%c2%adnico-universitario-de-valencia\/"},"modified":"2005-01-12T00:00:00","modified_gmt":"2005-01-12T00:00:00","slug":"estudio-cla%c2%adnico-y-microbiologico-de-las-meningitis-en-la-edad-pediatrica-en-el-hospital-cla%c2%adnico-universitario-de-valencia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-cla%c2%adnico-y-microbiologico-de-las-meningitis-en-la-edad-pediatrica-en-el-hospital-cla%c2%adnico-universitario-de-valencia\/","title":{"rendered":"Estudio cl\u00ednico y microbiol\u00f3gico de las meningitis en la edad pedi\u00e1trica en el hospital cl\u00ednico universitario de Valencia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> In\u00e9s Costa Alc\u00e1cer <\/strong><\/h2>\n<p>Las meningitis son las m\u00e1s graves de las infecciones bacterianas agudas frecuentes en el ni\u00f1o. En los \u00faltimos a\u00f1os se han producido cambios en el campo de la profilaxis y de las resistencias a antibi\u00f3ticos que podr\u00edan estar modificando la etiolog\u00eda y las pautas de tratamiento.  el objetivo general de nuestro estudio fue analizar las caracter\u00edsticas epidemiol\u00f3gicas, cl\u00ednicas y microbiol\u00f3gicas de las meningitis diagnosticadas en el servicio de pediatr\u00eda del hospital cl\u00ednico universitario de Valencia en los \u00faltimos 15 a\u00f1os, para mejorar la pr\u00e1ctica cl\u00ednica en cuanto al diagn\u00f3stico, las recomendaciones asistenciales y la prevenci\u00f3n de la enfermedad.  el grupo de estudio constaba de 489 ni\u00f1os sanos, de 1 mes a 16 a\u00f1os,  ingresados por meningitis (s\u00edndrome men\u00edngeo + pleocitosis en lcr) en el citado servicio, desde enero de 1989 hasta diciembre de 2004.  Los pacientes se clasificaron por etiolog\u00eda: (i) meningitis bacterianas (mb) por nesisseria meningitidis; (ii) mb por haemophilus influenzae serotipo b; (iii) mb por streptococcus pneumoniae; (iv) mb por otras etiolog\u00edas; (v) mb sin identificaci\u00f3n de microorganismo (mbsi); (vi) meningitis linfocitaria benigna (mlb); (vii) meningitis tuberculosa, y por grupos de edad: (i) 1-2 meses; (ii) 3-23 meses; (iii) 2-5 a\u00f1os; (iv) 6-15 a\u00f1os. Se estudiaron variables cl\u00ednicas (anamnesis, exploraci\u00f3n cl\u00ednica al ingreso, tratamiento, evoluci\u00f3n, complicaciones, mortalidad y secuelas) y resultados de an\u00e1lisis citoquimicos y microbiol\u00f3gicos de lcr, hemocultivo y detecci\u00f3n de virus en heces.  resultados y conclusiones:  1. El n\u00famero de meningitis diagnosticadas en nuestro hospital ha presentado varios picos de incidencia, en los a\u00f1os 89-90, 97, 2000 y 2002-2003. Por microorganismos, 47% de los casos correspondieron a mlb; 29% fueron mbsi; 16,3% las caus\u00f3 el meningococo; 3,2% el neumococo y 2,8% hib; hubo 2 meningitis tuberculosas (0,41%). Las mlb predominaron en verano y las<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio cl\u00ednico y microbiol\u00f3gico de las meningitis en la edad pedi\u00e1trica en el hospital cl\u00ednico universitario de Valencia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio cl\u00ednico y microbiol\u00f3gico de las meningitis en la edad pedi\u00e1trica en el hospital cl\u00ednico universitario de Valencia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 In\u00e9s Costa Alc\u00e1cer <\/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 01\/12\/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>Juan Brines Solanes<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: roberto Hern\u00e1ndez marco <\/li>\n<li>Francisco Ruza tarrio (vocal)<\/li>\n<li>Rafael Borr\u00e1s salvador (vocal)<\/li>\n<li>Jaime Fons moreno (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de In\u00e9s Costa Alc\u00e1cer Las meningitis son las m\u00e1s graves de las infecciones bacterianas agudas frecuentes 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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