{"id":8387,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/factores-de-riesgo-para-la-infeccion-de-la-herida-operatoria-en-cirugia-vascular-estudio-prospectivo\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"factores-de-riesgo-para-la-infeccion-de-la-herida-operatoria-en-cirugia-vascular-estudio-prospectivo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-de-riesgo-para-la-infeccion-de-la-herida-operatoria-en-cirugia-vascular-estudio-prospectivo\/","title":{"rendered":"Factores de riesgo para la infeccion de la herida operatoria en cirugia vascular. estudio prospectivo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rodrigo Silva Boabaid <\/strong><\/h2>\n<p>Se estudia prospectivamente la frecuencia de infeccion postquirurgica en 186 intervenciones practicadas a 169 pacientes (155 varones y 14 mujeres) con edad entre 35 y 95 a\u00f1os. Los criterios de inclusion fueron: (a) cirugia arterial directa con colocacion de bypass por enfermedad obliterante o aneurismatica de los sectores aortoiliaco y femoropopliteo (170 intervenciones); (b) amputacion de los miembros inferiores por isquemia irreversible pero sin lesiones ulceradas (16 intervenciones). Se estudiaron 34 varizbles pre, per y postoperatorias. Las repercusiones de la infeccion sobre el coste de la hospitalizacion tambien se analizaron. Los resultados se estudiaron mediante analisis univariado, bivariado y multivariado. Veinte de las 186 (10,8%) intervenciones evolucionaron con infeccion de la herida. En dos casos (1,2%) la infeccion afecto al injerto vascular. Los germenes mas frecuentemente aislados fueron:  staphylococcus spp., Pseudomonas aeruginosa y staphylococcus epidermidis. Las variables que se asociaron a infeccion fueron: la indicacion de la intervencion por isquemia irreversible, las amputaciones de la extremidad inferior, el tratamiento con insulina, el recuento de leucocitos preoperatorio, los niveles de albumina, los recuentos pre y postoperatorios de plaquetas, y el antecedente de una cirugia previa durante el mismo ingreso. Las variables numero de plaquetas preoperatorio y cirugia previa tuvieron valor predictivo mediante regresion logistica multiple. La infeccion condiciono un aumento de la estancia hospitalaria de unas 3,6 veces, y un incremento de los gastos con la hospitalizacion del 53,7%.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores de riesgo para la infeccion de la herida operatoria en cirugia vascular. estudio prospectivo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores de riesgo para la infeccion de la herida operatoria en cirugia vascular. estudio prospectivo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rodrigo Silva Boabaid <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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 Monreal Bosch<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Salva Miquel <\/li>\n<li>Evaristo Feliu Frasnedo (vocal)<\/li>\n<li>Vicens Ausina Ruiz (vocal)<\/li>\n<li> Callejas Perez Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rodrigo Silva Boabaid Se estudia prospectivamente la frecuencia de infeccion postquirurgica en 186 intervenciones practicadas a 169 [&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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