{"id":85063,"date":"2018-03-10T00:09:29","date_gmt":"2018-03-10T00:09:29","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/bacteriemias-en-pediatria-estudio-etiologico-clinico-y-evolutivo-de-las-bacteriemias-en-la-edad-pediatrica-en-el-hospital-general-universitario-gregorio-maranon\/"},"modified":"2018-03-10T00:09:29","modified_gmt":"2018-03-10T00:09:29","slug":"bacteriemias-en-pediatria-estudio-etiologico-clinico-y-evolutivo-de-las-bacteriemias-en-la-edad-pediatrica-en-el-hospital-general-universitario-gregorio-maranon","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/bacteriemias-en-pediatria-estudio-etiologico-clinico-y-evolutivo-de-las-bacteriemias-en-la-edad-pediatrica-en-el-hospital-general-universitario-gregorio-maranon\/","title":{"rendered":"Bacteriemias en pediatria. estudio etiologico, clinico y evolutivo de las bacteriemias en la edad pediatrica en el hospital general universitario gregorio mara\u00f1on."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Elena Smersu Zajc <\/strong><\/h2>\n<p>Durante un peri\u00f3do de 12 a\u00f1os, desde 1985 a 1996, se han estudiado todos los hemocultivos llegados al laboratorio de microbiolog\u00eda, pertenecientes a pacientes de edad pedi\u00e1trica. Se analizaron el n\u00famero de hemocultivos obtenidos, las bacteriemias significativas por paciente y los microorganismos asilados. Al mismo tiempo se revisaron a trav\u00e9s de las historias cl\u00ednicas, 531 episodios de bacteriemia significativa en pacientes de 0 a 17 a\u00f1os. a lo largo dele studido, el n\u00famero de extracciones ha mostrado un aumento significativo.  el porcentaje de extracciones positivas ha sido del 4,9% de todas las realizadas durante el periodo y el porcentaje de hemocultivos contaminados fue del 14,1%. La incidencia de ba cteriemia significativa global ha sido de 7,7\/1,00 ingresos, aumentando en forma minifiesta hasta 12,6\/1,000 ingresos en el a\u00f1o 1996.  en nuestro hospital, el 51,4% de las bacteriemias sonproducidas por microorganismos gram negativos, el 43,6% son debidas a microorganismos gram positivos y el resto se reparte entre hongos (3,8%) y anaerobios (1,2%). enterococus spp. Encabeza la lista de microorganismos productores de bactriemia significativa (13,2%), asoci\u00e1ndose en el 33,6% a abacteriemia polimicrobiana. le siguen en orden de frecuencia s. Aureus (10,7%), e. Coli (9,8%), n. meningitidis (9,5%), s. Pneumoniae (7%) y salmonella no thypi (6,2%).  entre las caracter\u00edsticas epidemiol\u00f3gicas y cl\u00ednicas destacamos el predomino comunitario (61,6%), la enfermedad de base no fatal (63,6%), los factores predisponentes (44,3%) siendo los principales el cat\u00e9ter endovenoso (75,7%) y la antibioticoterapia previa (74,5%). En el 69% de los episodios se pudo determinar la puerta de entrada, predominando el tracto digestivo (23,9%), seguido por el cat\u00e9ter endevoso (17,7%). El 83,2% de los pacientes presentaron fiebre y el 19,7% shock s\u00e9ptico. La leucopenia, granulocitopenia, cid e hiporfibrinogenemia fueron hallazgos infrecuentes (menos de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Bacteriemias en pediatria. estudio etiologico, clinico y evolutivo de las bacteriemias en la edad pediatrica en el hospital general universitario gregorio mara\u00f1on.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Bacteriemias en pediatria. estudio etiologico, clinico y evolutivo de las bacteriemias en la edad pediatrica en el hospital general universitario gregorio mara\u00f1on. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Elena Smersu Zajc <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/06\/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>candido Masa vazquez (vocal)<\/li>\n<li> Gomez campedra Jos\u00e9 Antonio (vocal)<\/li>\n<li> Montes libois m. alejandra (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Elena Smersu Zajc Durante un peri\u00f3do de 12 a\u00f1os, desde 1985 a 1996, se han estudiado todos [&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":[155,35,9,278,597,161],"tags":[21679,179329,5227,179330,3474,179331],"class_list":["post-85063","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-de-la-vida","category-ciencias-medicas","category-microbiologia","category-microbiologia-clinica","category-pediatria","tag-candido-masa-vazquez","tag-elena-smersu-zajc","tag-emilio-bouza-santiago","tag-gomez-campedra-jose-antonio","tag-jose-prieto-prieto","tag-montes-libois-m-alejandra"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/85063","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=85063"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/85063\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=85063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=85063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=85063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}