{"id":79161,"date":"2018-03-09T23:24:58","date_gmt":"2018-03-09T23:24:58","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/nuevos-aspectos-en-la-epidemiologa%c2%ada-fisiopatologa%c2%ada-profilaxis-y-tratamiento-de-la-peritonitis-bacteriana-espontanea-en-la-cirrosis-hepatica\/"},"modified":"2018-03-09T23:24:58","modified_gmt":"2018-03-09T23:24:58","slug":"nuevos-aspectos-en-la-epidemiologa%c2%ada-fisiopatologa%c2%ada-profilaxis-y-tratamiento-de-la-peritonitis-bacteriana-espontanea-en-la-cirrosis-hepatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/gastroenterologia\/nuevos-aspectos-en-la-epidemiologa%c2%ada-fisiopatologa%c2%ada-profilaxis-y-tratamiento-de-la-peritonitis-bacteriana-espontanea-en-la-cirrosis-hepatica\/","title":{"rendered":"Nuevos aspectos en la epidemiolog\u00eda, fisiopatolog\u00eda, profilaxis y tratamiento de la peritonitis bacteriana espont\u00e1nea en la cirrosis hep\u00e1tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Javier Fern\u00e1ndez G\u00f3mez <\/strong><\/h2>\n<p>La presente tesis consta de 5 estudios, 4 cl\u00ednicos y uno experimental, todos ellos de car\u00e1cter prospectivo.  el primero de ellos analiz\u00f3 los cambios epidemiol\u00f3gicos observados en 572 infecciones bacterianas producidas durante 2 a\u00f1os en m\u00e1s de 400 pacientes. el segundo estudio, evalu\u00f3 en un modelo experimental de cirrosis inducida por tetracloruro de carbono la eficacia del lactobacillus rhamonosus en la prevenci\u00f3n la traslocaci\u00f3n bacteriana y de la peritonitis bacteriana espont\u00e1nea.  los tres \u00faltimos trabajos constituyeron estudios cl\u00ednicos realizados en pacientes con peritonitis bacteriana espont\u00e1nea. el primero incluyo 23 pacientes, 8 con insuficiencia renal y 15 sin ella, en los que se realiz\u00f3 un estudio hemodin\u00e1mico sist\u00e9mico y espl\u00e1cnico detallado, evalu\u00e1ndose asimismo diferentes sistemas vasoconstrictores end\u00f3genos y citocinas. los dos \u00faltimos estudios, de car\u00e1cter piloto, incluyeron 32 pacientes y fueron dise\u00f1ados de manera similar al tercero. Se evaluaron las alteraciones en la hemodin\u00e1mica sist\u00e9mica, espl\u00e1cnica y renal y en diferentes sistemas vasoactivos end\u00f3genos producidas en pacientes con peritonitis bacteriana espont\u00e1nea que recibieron alb\u00famina o un expansor plasm\u00e1tico artificial, el hidroxietilalmid\u00f3n. el \u00faltimo estudio evalu\u00f3 asimismo, la disfunci\u00f3n endotelial en pacientes con peritonitis bacteriana espont\u00e1nea mediante la determinaci\u00f3n de los niveles de factor de von willebrand. Este hecho permiti\u00f3 profundizar en el estudio de la patogenia de la disfunci\u00f3n circulatoria en estos pacientes.     los principales hallazgos dela tesis son los siguientes:     * se han producido cambios epidemi\u00f3logicos importantes en el tipo de microorganismos aislados en pacientes con peritonitis bacteriana espont\u00e1nea decontaminados a largo plazo con norfloxacina. El desarrollo de peritonitis bacterianas espont\u00e1neas causadas por bacilos gram-negativos resistentes a quinolonas en estos pacientes es relativamente frecuente y p<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Nuevos aspectos en la epidemiolog\u00eda, fisiopatolog\u00eda, profilaxis y tratamiento de la peritonitis bacteriana espont\u00e1nea en la cirrosis hep\u00e1tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Nuevos aspectos en la epidemiolog\u00eda, fisiopatolog\u00eda, profilaxis y tratamiento de la peritonitis bacteriana espont\u00e1nea en la cirrosis hep\u00e1tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Javier Fern\u00e1ndez G\u00f3mez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/03\/2006<\/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>Vicente Arroyo Perez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Bruguera cortada <\/li>\n<li>antoni Rimola castell? (vocal)<\/li>\n<li>josep Fuster obregon (vocal)<\/li>\n<li>german Soriano pastor (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Javier Fern\u00e1ndez G\u00f3mez La presente tesis consta de 5 estudios, 4 cl\u00ednicos y uno experimental, todos ellos [&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":[951,491],"tags":[1283,29310,169987,1282,13802,19655],"class_list":["post-79161","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-gastroenterologia","tag-antoni-rimola-castell","tag-german-soriano-pastor","tag-javier-fernandez-gomez","tag-josep-fuster-obregon","tag-miguel-bruguera-cortada","tag-vicente-arroyo-perez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/79161","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=79161"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/79161\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=79161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=79161"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=79161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}