{"id":88303,"date":"2018-03-10T00:13:17","date_gmt":"2018-03-10T00:13:17","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infeccion-precoz-en-el-paciente-con-trasplante-hepatico-incidencia-gravedad-factores-de-riesgo-y-sensibilidad-antibiotica\/"},"modified":"2018-03-10T00:13:17","modified_gmt":"2018-03-10T00:13:17","slug":"infeccion-precoz-en-el-paciente-con-trasplante-hepatico-incidencia-gravedad-factores-de-riesgo-y-sensibilidad-antibiotica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/infeccion-precoz-en-el-paciente-con-trasplante-hepatico-incidencia-gravedad-factores-de-riesgo-y-sensibilidad-antibiotica\/","title":{"rendered":"Infeccion precoz en el paciente con trasplante hepatico: incidencia, gravedad, factores de riesgo y sensibilidad antibiotica."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Losada Castillo Isaben M. <\/strong><\/h2>\n<p>Objetivos: estudio descriptivo y an\u00e1lisis de los factores de riesgo del desarrollo de infecci\u00f3n precoz. Estudio de resistencias a quinolonas de los microorganismos aislados.  pacientes y metodos: estudio retrospectivo de infecci\u00f3n precoz en 149 trasplantados hepaticos. Se defini\u00f3 infeccion precoz cuando apareci\u00f3 en los primeros 90 dias del postrasplante. Se subdividi\u00f3 en 1\u00c2\u00ba mes y 2\u00c2\u00ba y 3\u00c2\u00ba mes. Se analizaron variables preoperatorias y postoperatorias. Se estudiaron microorganismos aislados en muestras clinicas del paciente. Se emplearon antibiogramas por diluci\u00f3nen microplaca automatiza y por el metodo de difusi\u00f3n disco-placa.  resultados: la incidencia fue 7301%, 1,18+-0,99 episodios por trasplante. bacterianas (49,7%), criricas (35,5%), fungicas (10,1%) y mixtas (4,51%). las m\u00e1s frecuentes en el 1\u00c2\u00ba mes fueron bacterianas y del 2\u00c2\u00ba y 3\u00c2\u00ba mes viricas (p=0,001). La mortalidad fue del 18,1%, 66,7% atribuida a infeccion. Las infecciones asociadas a mortalidad fueron neumonias y sepsis. Los microorganismo causantes de muerte en las neumonias bacterianas fueron s.Aureus y p.Aeruginosa y en las fungicas aspergillus spp. Y c.Glabrata (mortalidad atribuida 100%). Los microorganismos implicados en mortalidad de las sepsis fueron bacterianas polimicrobianas  y p.Aeruginoa y los hongos aspergillus spp(mortalidad atribuida 100%). Factores de riesgo de infeccion global durante el 1\u00c2\u00ba mes los dias de nutrici\u00f3n pareteral (ntp), de infeccion bacteriana global al sexo femenino y el tiempo de cirugia &gt;5 horas, de infecci\u00f3n bacteriana del 1\u00c2\u00ba mes el rechazo y el tiempo de cirugia &gt;5 horas: de infeccion virica global el estadio de child &gt; de 8 y de infeccion virica del 2\u00c2\u00ba y 3\u00c2\u00ba mes al status seronegativo para cv. En 1278 cultivos se aislo algun microorganismo, 37,6% contaminantes, 32,1% colonizadores y 30,4% causantes de infeccion. el 77,9% cocos gran positivos (549 staphylococcus y 135 enterococcus). los hongos 90.6% levaduriformes y<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Infeccion precoz en el paciente con trasplante hepatico: incidencia, gravedad, factores de riesgo y sensibilidad antibiotica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Infeccion precoz en el paciente con trasplante hepatico: incidencia, gravedad, factores de riesgo y sensibilidad antibiotica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Losada Castillo Isaben M. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/12\/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>mons Mart\u00ednez Cuervas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  jos\u00e9 Picazo de la garza <\/li>\n<li>Antonio Guerrero espejo (vocal)<\/li>\n<li>v\u00edctor S\u00e1nchez turri\u00f3n (vocal)<\/li>\n<li> De vicente lopez Emilio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Losada Castillo Isaben M. Objetivos: estudio descriptivo y an\u00e1lisis de los factores de riesgo del desarrollo de [&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":[2193,155,35,9,141,10,1085,139,278,597],"tags":[4944,14314,3475,184340,14313,30147],"class_list":["post-88303","post","type-post","status-publish","format-standard","hentry","category-antibioticos","category-ciencias-clinicas","category-ciencias-de-la-vida","category-ciencias-medicas","category-cirugia","category-cirugia-de-trasplantes","category-enfermedades-infecciosas","category-medicina-interna","category-microbiologia","category-microbiologia-clinica","tag-antonio-guerrero-espejo","tag-de-vicente-lopez-emilio","tag-juan-jose-picazo-de-la-garza","tag-losada-castillo-isaben-m","tag-mons-Martinez-cuervas","tag-victor-sanchez-turrion"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88303","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=88303"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88303\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88303"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88303"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}