{"id":81639,"date":"2018-03-10T00:05:33","date_gmt":"2018-03-10T00:05:33","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/sepsis-relacionada-con-cateter-en-recien-nacidos\/"},"modified":"2018-03-10T00:05:33","modified_gmt":"2018-03-10T00:05:33","slug":"sepsis-relacionada-con-cateter-en-recien-nacidos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/sepsis-relacionada-con-cateter-en-recien-nacidos\/","title":{"rendered":"Sepsis relacionada con cateter en reci\u00e9n nacidos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Merelo Perez <\/strong><\/h2>\n<p>Dada que la catererizaci\u00f3n venosa central se ha convertido en una pr\u00e1ctica com\u00fan en la medicina moderna y el riesgo de complicaciones infecciosas debidas al cat\u00e9ter enlas unidades de cuidados intensivos neonatales es cada vez mayor hemos realizado un prospectivo en 221 rn ingresados en el hmi de m\u00e1laga en los que se haninsertado 378 cat\u00e9ter venosos centrales en el periodo comprendido entre julio 1997 y abril 1998 para conocer la incidencia de colonizaci\u00f3n y s\u00e9psis relacionada con cat\u00e9ter src, complicaciones locales, g\u00e9rmenes implicados e identificar gactores de riesgo para la ocrurrencia de src, considerando un grado de error del 5% y utilizando los estad\u00edsitcos de centralizaci\u00f3ny dispersi\u00f3n mas habituales para el estudio descriptivo, t de student y chi cuadrado para la parte inferencial y una regresi\u00f3n log\u00edstica m\u00faltiple rlm para establecer un modelo de probabilidad para la src.  resultados: se encontr\u00f3 una incidencia de colonizaci\u00f3n de cat\u00e9teres umbilicales de 7,46% no se identific\u00f3 ninguna src umbilical.Se encontr\u00f3 una incidencia de colonizaci\u00f3n de cat\u00e9teres epicutaneo-cava cec de 10,7% y de src de 5,72%.  los g\u00e9rmenes mas fecuentemente aislados (seg\u00fan t\u00e9cnica de maki) fueron gram-positivos, en su mayor\u00eda, estafilococos epidermidis. Obtuvimos un bajo porcentaje de complicaciones locales, siendo la flebitis y la salida accidental las mas frecuentes. Resultaron ser factores de riesgo par src p 0,05: el bajo peso al nacer, menor edad gestacional, mayor edad del rn en el momento de insertar el cat\u00e9ter, mayor tiempo  de permanencia del mismo y el administrar nutrici\u00f3n parenteral. Realizados distintos jpuntos de corte e introducidos los distintos par\u00e1metros, considerados factores de riesgo, en una rlm se obtuvo una probalilidad de padecer src que aumentaba desde pr\u00e1cticamnte o cuando no estaban presentes ning\u00fan factor de riesgo hasta un 57% cuando conicid\u00edan todos los factores de riesgo considerados.  concl<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Sepsis relacionada con cateter en reci\u00e9n nacidos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Sepsis relacionada con cateter en reci\u00e9n nacidos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Merelo Perez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/12\/1999<\/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> Garcia Del Rio Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jose Lopez Sastre <\/li>\n<li>Antonio Medina Soto (vocal)<\/li>\n<li>Francisca Rius D\u00edaz (vocal)<\/li>\n<li>Eduardo Narbona Lopez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Merelo Perez Dada que la catererizaci\u00f3n venosa central se ha convertido en una pr\u00e1ctica com\u00fan en [&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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