{"id":79944,"date":"2018-03-09T23:25:50","date_gmt":"2018-03-09T23:25:50","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudios-de-las-recidivas-de-brucelosis-una-aproximacion-a-sus-aspectos-cla%c2%adnicos-diagnosticos-y-terapeuticos\/"},"modified":"2018-03-09T23:25:50","modified_gmt":"2018-03-09T23:25:50","slug":"estudios-de-las-recidivas-de-brucelosis-una-aproximacion-a-sus-aspectos-cla%c2%adnicos-diagnosticos-y-terapeuticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/microbiologia\/estudios-de-las-recidivas-de-brucelosis-una-aproximacion-a-sus-aspectos-cla%c2%adnicos-diagnosticos-y-terapeuticos\/","title":{"rendered":"Estudios de las recidivas de brucelosis: una aproximaci\u00f3n a sus aspectos cl\u00ednicos, diagn\u00f3sticos y terape\u00faticos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Martos P\u00e9rez <\/strong><\/h2>\n<p>Las recidivas de la brucelosis humana afectan al 5-10% de los pacientes tratados con el r\u00e9gimen de mayor eficacia existente (doxiciclina 6 semanas con estreptomicina las primeras 2-3 semanas). El uso de otros reg\u00edmenes produce tasas de recidiva superiores. Existe escasa evidencia sobre factores favorecedores de recidivas de brucelosis. Los dos \u00fanicos estudios publicados tienen excesivo porcentaje de recidivas debidas al uso de tratamientos experimentales. Adem\u00e1s, no consideran el cumplimento terap\u00e9utico.     el objetivo del presente estudio fue determinar los factores que predisponen a la recidiva en 857 pacientes adultos diagnosticados de brucelosis entre 1982 y 2001 en la unidad de enfermedades infecciosas del hospital carlos haya (m\u00e1laga, espa\u00f1a). Se estudiaron tambi\u00e9n: caracter\u00edsticas cl\u00ednicas de las recidivas, rentabilidad de los m\u00e9todos microbiol\u00f3gicos, y par\u00e1metros anal\u00edticos en su diagn\u00f3stico.     el 83% de los pacientes fue tratado con la pauta terap\u00e9utica de m\u00e1xima efectividad, y la tasa de recidiva fue muy baja (4,5%). Ning\u00fan s\u00edntoma ni hallazgo exploratorio predijo la recidiva. El incumplimiento terap\u00e9utico, la presencia en el episodio inicial de elevaci\u00f3n de alfa-2-globulina s\u00e9rica, trombopenia, o velocidad de sedimentaci\u00f3n globular (vsg) menor de 30 mm. Aumentaron las reca\u00eddas.     la presentaci\u00f3n cl\u00ednica delas recidivas fue m\u00e1s silente que los cuadros iniciales, pero su tasa de complicaciones similar. Los hemocultivos de seguimiento no son eficientes para el diagn\u00f3stico de recidiva. La rentabilidad de la serolog\u00eda es baja. Las alteraciones de los par\u00e1metros de laboratorio ayudan al diagn\u00f3stico. Niveles elevados de transaminasas, gammaglutamiltransferasas, vgs, prote\u00edna-c-reactiva, o adenosina-deaminasa (ada), apoyaron el diagn\u00f3stico de recidiva. El nivel s\u00e9rico de ada fue el par\u00e1metro m\u00e1s \u00fatil. Un nivel de ada mayor de 18 ui\/l y de pcr mayor de 10 mg\/l obtuvo una sensibilidad del 66,7%, y una especialidad del<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudios de las recidivas de brucelosis: una aproximaci\u00f3n a sus aspectos cl\u00ednicos, diagn\u00f3sticos y terape\u00faticos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudios de las recidivas de brucelosis: una aproximaci\u00f3n a sus aspectos cl\u00ednicos, diagn\u00f3sticos y terape\u00faticos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Martos P\u00e9rez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/05\/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>Alfonso Pinedo Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaqu\u00edn Fern\u00e1ndez-crehuet navajas <\/li>\n<li>Jos\u00e9 Hern\u00e1ndez quero (vocal)<\/li>\n<li>Antonio Ordu\u00f1a domongo (vocal)<\/li>\n<li>pedro Valdivieso felices (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Martos P\u00e9rez Las recidivas de la brucelosis humana afectan al 5-10% de los pacientes tratados con 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