{"id":83890,"date":"2018-03-10T00:08:03","date_gmt":"2018-03-10T00:08:03","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-la-poblacion-bacteriana-endobronquial-en-la-enfermedad-pulmonar-obstructiva-cronica-epoc-aplicacion-del-cepillo-bronquial\/"},"modified":"2018-03-10T00:08:03","modified_gmt":"2018-03-10T00:08:03","slug":"estudio-de-la-poblacion-bacteriana-endobronquial-en-la-enfermedad-pulmonar-obstructiva-cronica-epoc-aplicacion-del-cepillo-bronquial","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-poblacion-bacteriana-endobronquial-en-la-enfermedad-pulmonar-obstructiva-cronica-epoc-aplicacion-del-cepillo-bronquial\/","title":{"rendered":"Estudio de la poblaci\u00f3n bacteriana endobronquial en la enfermedad pulmonar obstructiva cr\u00f3nica (epoc). aplicaci\u00f3n del cepillo bronquial"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antoni Rosell Gratac\u00f3s <\/strong><\/h2>\n<p>La caracterizaci\u00f3n de la poblaci\u00f3n bacteriana de las vias respiratorias bajas de los pacientes con enfermedad pulmonar obstructiva cr\u00f3nica (epoc) a partir del esputo, tanto en fase estable como en fase de agudizaci\u00f3n, tiene que interpretarse con cautela por la inherente contaminaci\u00f3n orofaringea de la muestra. Por este motivo se ha intentado buscar m\u00e9todos alternativos como la aspiraci\u00f3n transtraqueal o las t\u00e9cnicas fibrobroncosc\u00f3picas como el cepillo protegido (cp), aunque ambos dise\u00f1os y aplicaciones fueran en principio destinadas para diagn\u00f3stico bacteriano de la neumon\u00eda. Con esta \u00faltima t\u00e9cnica se desarrollaron dos estudios que posteriormente fueron publicados (mons\u00f3, rosell, bonet ae al; risk factors for lower bacterial colonization in chronic bronchitis, en j eur respir 1999; 13:338-92 y mons\u00f3, ruiz, roseel, et al. Bacterial infection in chronic obstructive pulmonary disease. A stduy of stable and exacerbated outpatinets using the protected specimen brusch, en am j resp crit care med 1995; 152: 1316-20).  en el primero de ellos se describen los factores de riesgo de 41 pacientes con bronquitis cr\u00f3nica (fev1 74%, de 23%) detect\u00e1ndose a partir de un modelo de regresi\u00f3n log\u00edstica que el tabaquismo activo presenta un or de 9,8 (ic 95: 1,1 a 83,2); as\u00ed mismo, en un subgrupo de 18 pacientes se obtiene una segunda muestra con lo que se deriva que la concordancia cualitativa es del 72,2% y la cuantitativa s\u00f3lo del 47,4%. En el segundo de los estudios se aplica la t\u00e9cnica del cepillo bronquial en dos muestras de pacientes con epoc, una en fase de estabilidad y otra en fase de agudizaci\u00f3n, similares en cuanto a datos demogr\u00e1ficos, historia de tabaquismo y de funci\u00f3n respiratoria (fev1 en pacientes estables 51%, de 23% y en pacientes agudizados 43% de 14).  los resultados microbiol\u00f3gicos arrojan un resultado de cultivos positivos en el primer grupo del 25% y de los agudizados del 51%, detectando as\u00ed mismo como la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la poblaci\u00f3n bacteriana endobronquial en la enfermedad pulmonar obstructiva cr\u00f3nica (epoc). aplicaci\u00f3n del cepillo bronquial<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la poblaci\u00f3n bacteriana endobronquial en la enfermedad pulmonar obstructiva cr\u00f3nica (epoc). aplicaci\u00f3n del cepillo bronquial <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antoni Rosell Gratac\u00f3s <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 24\/03\/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>Eduard Mons\u00f3 Molas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: miquel Vilardell tarres <\/li>\n<li>jordi Dorea sargatal (vocal)<\/li>\n<li>Antonio Torres mart\u00ed (vocal)<\/li>\n<li>jordi Roig cutillas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antoni Rosell Gratac\u00f3s La caracterizaci\u00f3n de la poblaci\u00f3n bacteriana de las vias respiratorias bajas de los pacientes [&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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