{"id":86607,"date":"2018-03-10T00:11:16","date_gmt":"2018-03-10T00:11:16","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-bactriemias-y-fungemias-en-el-hospital-de-segovia-anos-1990-1994\/"},"modified":"2018-03-10T00:11:16","modified_gmt":"2018-03-10T00:11:16","slug":"estudio-de-bactriemias-y-fungemias-en-el-hospital-de-segovia-anos-1990-1994","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-bactriemias-y-fungemias-en-el-hospital-de-segovia-anos-1990-1994\/","title":{"rendered":"Estudio de bactriemias y fungemias en el hospital de segovia. a\u00f1os 1990-1994"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pablo Carrero Gonz\u00e1lez <\/strong><\/h2>\n<p>La baceteriana sigue siendo uno de los principales problemas de la patolog\u00eda infecciosa. El inter\u00e9s para realizar este estudio fue conocer el modelo de presentaci\u00f3n y desarrollo de la bacteriemia en nuestro medio, con  el prop\u00f3sito de prevenir y tratar mejor esta entidad.  se trata de un estudio prospectivo, tipo de cohorentes cl\u00ednicas sin ning\u00fan tipo de intervencci\u00f3n. El periodo de estudio abarc\u00f3 desde 1990 hasta 1994. Se dise\u00f1\u00f3 un protocolo previo para la recogida de datos que inclu\u00eda datos sociodemogr\u00e1ficos, epidemiol\u00f3gicos, microbiol\u00f3gicos y cl\u00ednicos. Las fuentes de informaci\u00f3n fueron el laboratorio de microbiolog\u00eda cl\u00ednica, que proporcionaba diariamente los resultados positivos de los hemocultivos procesados, y la historia cl\u00ednica del paciente.  durante el periodo de estudio se procesaron 14298 hemocultivos, de los que 2591 (18,1%) resultaron positivos, 2092 (14,6%) se consideraron cl\u00ednicamente significativos, y 499 (2,5%) se consideraron contaminaciones. En total se estudiaron 522 episodios de bacterimia verdadera correspondientes a 473 pacientes. Se calcul\u00f3 una tasa de incidencia de 9,5 episodios para cada mil ingresos hospitalarios.  la adquisici\u00f3n de bacteriemia fue extrahospitalaria en un 58,3% e intrahospitalaria en un 41,75, los servicios m\u00e9dicos atendieron doble n\u00famero de pacientes que los servicios quir\u00fargicos. Los or\u00edgenes m\u00e1s frecuentes fueron: nefrourol\u00f3gico (28,85), abdominal (22,8%) y respiratorio (14,6%). La mayor incidencia,por grupos de edad, se acumul\u00f3 a partir de los setenta a\u00f1os. Los microorganismos que se aislaron con mayor frecuencia fueron escherichia coli (32,7%) y de staphylococcus aureus (12,8%).El 83% de los pacientes evolucion\u00f3 a la curaci\u00f3n.  este estudio epidemiol\u00f3gico confirma que la incidencia del proceso varia seg\u00fan las caracter\u00edsticas del hospital y el nivel asistencial que presta. se encontraron diferencias etiol\u00f3gicas seg\u00fan el lugar de adquisici\u00f3n de bacte<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de bactriemias y fungemias en el hospital de segovia. a\u00f1os 1990-1994<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de bactriemias y fungemias en el hospital de segovia. a\u00f1os 1990-1994 <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pablo Carrero Gonz\u00e1lez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/09\/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>Mar\u00eda Beltr\u00e1n Dub\u00f3n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Prieto prieto <\/li>\n<li> Sanz p\u00e9rez Jos\u00e9 vicente (vocal)<\/li>\n<li>isabel Cour b\u00f3veda (vocal)<\/li>\n<li>Fernando Chavez s\u00e1nchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pablo Carrero Gonz\u00e1lez La baceteriana sigue siendo uno de los principales problemas de la patolog\u00eda infecciosa. El [&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":[17426,155,9,597,967],"tags":[181726,5686,3474,6146,41496,23298],"class_list":["post-86607","post","type-post","status-publish","format-standard","hentry","category-alcala","category-ciencias-clinicas","category-ciencias-medicas","category-microbiologia-clinica","category-salud-publica","tag-fernando-chavez-sanchez","tag-isabel-cour-boveda","tag-jose-prieto-prieto","tag-maria-beltran-dubon","tag-pablo-carrero-gonzalez","tag-sanz-perez-jose-vicente"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/86607","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=86607"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/86607\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=86607"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=86607"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=86607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}