{"id":87365,"date":"2018-03-10T00:12:09","date_gmt":"2018-03-10T00:12:09","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/bacteriemia-en-el-hospital-general-de-albacete-estudio-de-los-factores-de-riesgo-y-mortalidad\/"},"modified":"2018-03-10T00:12:09","modified_gmt":"2018-03-10T00:12:09","slug":"bacteriemia-en-el-hospital-general-de-albacete-estudio-de-los-factores-de-riesgo-y-mortalidad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/bacteriemia-en-el-hospital-general-de-albacete-estudio-de-los-factores-de-riesgo-y-mortalidad\/","title":{"rendered":"Bacteriemia en el hospital general de albacete. estudio de los factores de riesgo y mortalidad"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Blanch Sancho Jos\u00e9 Javier <\/strong><\/h2>\n<p>Objetivos  1,- conocer la incidencia y principales caracter\u00edsticas de la bacteriemia en el hospital general de albacete hga.  2,- describier la mortalidad de la bacteriemia en el hga y las variables con ellas relacionadas.  3,- definir un modelo de predicci\u00f3n de riesgo de mortalidad.  4,- aportar recomendaciones que ayuden al cl\u00ednico en el correcto manejo de la bacteriemia.  material y m\u00e9todos  estudio prospectivo de los episodios de bacteriemia verdadera en el hga en pacientes mayores de 7 a\u00f1os durante los a\u00f1os 1991-1995. Para la identificaci\u00f3n de las variables asociadas de manera independiente a la mortalidad, y en base a ellas realizar el modelo predictivo se us\u00f3 la regresi\u00f3n log\u00edstica.  resultados  se estudiaron 1.386 episodios. La incidencia de bacteriemia en el hga fue de 13,28 episodios por cada 1.000 ingresos hospitalarios. La adquisici\u00f3n fue mayoritariamente comunitaria (59%) y los principales focos de origen fueronel tracto urinario (25%), el primario (18%), el respiratorio inferior (12%), la v\u00eda venosa central (11%) y el tracto biliar (10%). Los principales g\u00e9rmenes resonsables fueron, por este orden, e.Coli, s.Aureus, s.Epidermidis, s.Pneumoniae y brucella spp. Las variables que tras an\u00e1lisis multivariante se comportaron como factores independientes de riesgo de muerte fueron la edad, el tipo de germen, el foco de origen de la bacteriemia, la enfermedad subyacente moderda o grave, la presencia de cirrosis, la temperatura inferior a 38\u00c2\u00ba, la presencia de cat\u00e9ter vesical, de v\u00eda venosa perif\u00e9rica, la cifra de leucocitos, la presencia de coma, de shock, un tratamiento antibi\u00f3tico ausente o inadecuado y el desarrollo de complicaciones durante el ingreso. en base a los resultados se reflejan una serie de recomendaciones para la mejor\u00eda del manejo de la bacteriemia, tanto en su prevenci\u00f3n como tratamiento.  conclusiones  1,- la incidencia y principales caracter\u00edsticas de la bacteriemia en el hga so<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Bacteriemia en el hospital general de albacete. estudio de los factores de riesgo y mortalidad<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Bacteriemia en el hospital general de albacete. estudio de los factores de riesgo y mortalidad <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Blanch Sancho Jos\u00e9 Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 16\/11\/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>Manuel Fernandez Guerrero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Oya otero <\/li>\n<li>rogelio Lopez-velez perez (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Aguado Garc\u00eda (vocal)<\/li>\n<li>elisa Martinez alfaro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Blanch Sancho Jos\u00e9 Javier Objetivos 1,- conocer la incidencia y principales caracter\u00edsticas de la bacteriemia en 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 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