{"id":82266,"date":"2000-01-01T00:00:00","date_gmt":"2000-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/endocarditis-infeccionsa-estudio-prospectivo-en-los-anos-90-en-un-hospital-general\/"},"modified":"2000-01-01T00:00:00","modified_gmt":"2000-01-01T00:00:00","slug":"endocarditis-infeccionsa-estudio-prospectivo-en-los-anos-90-en-un-hospital-general","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/endocarditis-infeccionsa-estudio-prospectivo-en-los-anos-90-en-un-hospital-general\/","title":{"rendered":"Endocarditis infeccionsa: estudio prospectivo en los a\u00f1os 90 en un hospital general."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Mensalvas Ruiz Ana Isabel <\/strong><\/h2>\n<p>Se han estudiado prospectivamente los casos de endocarditis infecciosa (e.I) en el hospital gregorio mara\u00f1\u00f3n desde marzo de 1994 a octubre de 1996. La incidencia de e.I ha sido de 6,4 casos\/100.000 habitantes\/a\u00f1o (109 casos en 101 pacientes). Ochenta pacientes eran hombres y 29 mujeres. la edad media fue 50 a\u00f1os y el 35% de los pacientes ten\u00edan m\u00e1s de 60 a\u00f1os. El 48% de las e.I fueron sobre v\u00e1lvulas naturales, el 36% de los pacientes eran adictos a drogas y el 16,5% de los pacientes ten\u00edan pr\u00f3tesis valvulares. El 22% de las e.I fueron adquiridas en el hospital.  la mayor\u00eda de los casos fueron de presentaci\u00f3n aguda. La fiebre, las manifestaciones respiratorias, la insuficiencia card\u00edaca y las embolias (pulmonares y en el sistema nervioso) fueron las principales manifestaciones cl\u00ednicas.  s. Aureus caus\u00f3 el 45% de los casos y streptococcus sop el 15,6%.  los nuevos criterios diagn\u00f3sticos de durack fueron m\u00e1s sensibles que los cl\u00e1sicos, no rechazaron ninguno de los casos confirmados por cirug\u00eda o autopsia.  el ecocardiograma transtor\u00e1cico diagnostic\u00f3 el 50% de los episodios y el ecocardiograma transesof\u00e1gico el 84%. Este \u00faltimo fue m\u00e1s \u00fatil para diagnosticar las complicaciones y las e.I en ancianos, sobre pr\u00f3tesis y las nosocomiales.  las v\u00e1lvulas afectadas fueron: tric\u00faspide (37,6%), mitral (26%) y a\u00f3rtica (19%). el 25,7% de los pacientes fallecieron. Los factores asociados a un peor pron\u00f3stico en el an\u00e1lisis multivariable fueron la insuficiencia card\u00edaca (risk ratio 5,29), la e.I sobre pr\u00f3tesis de aparici\u00f3n precoz (rr 4,68) y el fracaso renal agudo (rr 3,55). la mortalidad no fue superior en pacientes ancianos ni en los sometidos a tratamiento quir\u00fargico en la fase aguda.  el 85% de los pacientes adictos a drogas eran vih-positivos. Los pacientes con m\u00e1s inmunodepresi\u00f3n presentaron enfermedades oportunistas.#<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Endocarditis infeccionsa: estudio prospectivo en los a\u00f1os 90 en un hospital general.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Endocarditis infeccionsa: estudio prospectivo en los a\u00f1os 90 en un hospital general. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Mensalvas Ruiz Ana Isabel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/2000<\/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>Emilio Bouza Santiago<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Prieto prieto <\/li>\n<li>ramon Perez maeztu (vocal)<\/li>\n<li>Jes\u00fas Fort\u00fan abete (vocal)<\/li>\n<li> Blazquez garrido rosa m. (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mensalvas Ruiz Ana Isabel Se han estudiado prospectivamente los casos de endocarditis infecciosa (e.I) en el hospital [&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":[932,155,9,139,597],"tags":[97900,5227,69919,3474,175088,23856],"class_list":["post-82266","post","type-post","status-publish","format-standard","hentry","category-cardiologia","category-ciencias-clinicas","category-ciencias-medicas","category-medicina-interna","category-microbiologia-clinica","tag-blazquez-garrido-rosa-m","tag-emilio-bouza-santiago","tag-jesus-fortun-abete","tag-jose-prieto-prieto","tag-mensalvas-ruiz-ana-isabel","tag-ramon-perez-maeztu"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/82266","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=82266"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/82266\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=82266"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=82266"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=82266"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}