{"id":81951,"date":"2018-03-10T00:05:55","date_gmt":"2018-03-10T00:05:55","guid":{"rendered":""},"modified":"2018-03-10T00:05:55","modified_gmt":"2018-03-10T00:05:55","slug":"neumanias-bacterianas-graves-de-adquisicion-comunitaria-en-pacientes-con-infeccion-por-el-virus-de-la-inmunodeficiencia-humana-factores-asociados-a-la-mortalidad-y-desarrollo-de-un-sistema-pronostico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/neumanias-bacterianas-graves-de-adquisicion-comunitaria-en-pacientes-con-infeccion-por-el-virus-de-la-inmunodeficiencia-humana-factores-asociados-a-la-mortalidad-y-desarrollo-de-un-sistema-pronostico\/","title":{"rendered":"Neumanias bacterianas graves de adquisicion comunitaria en pacientes con infeccion por el virus de la inmunodeficiencia humana. factores asociados a la mortalidad y desarrollo de un sistema pron\u00f3stico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Elisa Cordero Mat\u00edas <\/strong><\/h2>\n<p>Introducci\u00f3n y objetivos: las neumanias bacterianas (nbac) son una causa frecuente de morbilidad y mortalidad en las pacientes con infecci\u00f3n por el vih. En los pacientes inmunocompetentes existen unos criterios de gravedad universalmente aceptados para las neumanias bacterianas de adquisici\u00f3n comunitaria(nac) (american thoracic society 1993). Sin embargo en los pacientes con pacientes con infecci\u00f3n for el vih estos no han sido validados. El objetivo de este estudio ha sido analizar los factores pron\u00f3sticos de las nbac en pacientes con infecci\u00f3n por el vih y determinar si los criterios de gravedad establecidos son v\u00e1lidos para esta poblaci\u00f3n.  material y m\u00e9todos:estudio prosprectivo y multic\u00e9ntrico de casos consecutivos de base poblacional hospitalaria. Periodo de estudio:1\/2\/96-31\/1\/97. Criterios de inclusi\u00f3n:a)infecci\u00f3n por el vih, b)hospitalizaci\u00f3n en \u00e1reas de adultos, c) nac como motivo de ingreso. Se consider\u00f3 una neumon\u00eda como grave cuando cumpl\u00eda alguno de los criterios de la ats(1993) modificados.  resultados:se incluyeron 759 nac(355 nbac), lleg\u00e1ndose a un diagnostico etiol\u00f3gico en 190 casos (53.5%):streptococcus pneumoniae(74 casos, 38,9%), pseudomonas aeruginosa(34 casos, 17,8%),haemophilus influenzae(26 casos,13,6%), rhodococcus equi(12 casos,6,3%),staphylococcus areus(11 casos,5,8%),streptococcus viridans(8 casos, 4,2%),mycoplasma pneumoniae(8 casos,4,2%),klebsiella pneumoniae(5 casos,2,6%), escherichia coli(4 casos, 2,1%),coxiella burnetii(3 casos,1,5%), otros (8 casos). 214 nbac fueron consideradas graves. La mortalidad de las nbac graves fue superior a las de las no graves(13.1% vs 3,5%,p=0,002.Or 4,4 ic95% 1,8-14,9). Se asociaron a la se asociaron a la mortalidad de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neumanias bacterianas graves de adquisicion comunitaria en pacientes con infeccion por el virus de la inmunodeficiencia humana. factores asociados a la mortalidad y desarrollo de un sistema pron\u00f3stico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neumanias bacterianas graves de adquisicion comunitaria en pacientes con infeccion por el virus de la inmunodeficiencia humana. factores asociados a la mortalidad y desarrollo de un sistema pron\u00f3stico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Elisa Cordero Mat\u00edas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/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>Manuel Conde Herrera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Dom\u00ednguez rojas <\/li>\n<li>\u00c1lvaro Pascual hern\u00e1ndez (vocal)<\/li>\n<li>paloma Ortega molina (vocal)<\/li>\n<li> Muniain ezcurra Miguel angel (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Elisa Cordero Mat\u00edas Introducci\u00f3n y objetivos: las neumanias bacterianas (nbac) son una causa frecuente de morbilidad [&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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