{"id":89607,"date":"2018-03-10T00:14:50","date_gmt":"2018-03-10T00:14:50","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/reacciones-adversas-medicamentosas-en-el-sa%c2%adndrome-de-inmunodeficiencia-adquirida\/"},"modified":"2018-03-10T00:14:50","modified_gmt":"2018-03-10T00:14:50","slug":"reacciones-adversas-medicamentosas-en-el-sa%c2%adndrome-de-inmunodeficiencia-adquirida","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/reacciones-adversas-medicamentosas-en-el-sa%c2%adndrome-de-inmunodeficiencia-adquirida\/","title":{"rendered":"Reacciones adversas medicamentosas en el s\u00edndrome de inmunodeficiencia adquirida"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jenaro Hern\u00e1ndez Pe\u00f1a <\/strong><\/h2>\n<p>1,- la preValencia real de la alergia medicamentosa en pacientes con infecci\u00f3n por el vih que requieren ingreso hospitalario es del 20,6%, tasa sensiblemente inferior a la sugerida por la historia cl\u00ednica.  2,- el valor predictivo positivo de la historia cl\u00ednica para el diagn\u00f3stico de la hipersensibilidad\/tolerancia a un f\u00e1rmaco es del 65,6%. Por ello, siempre que no exista una contraindicaci\u00f3n espec\u00edfica para su realizaci\u00f3n, debe hacerse una prueba de tolerancia oral controlada simple ciego para confirmar el probable diagn\u00f3stico inicial de alergia medicamentosa.  3,- los medicamentos etiol\u00f3gicamente relacionados con las ram diagnosticadas con certeza son los siguientes:  sulfadiazina    32,2%         isoniazida      7,5%  zidovudina      18,2%         betalact\u00e1micos  1,65%  rifampicina     16,3%         pirazinamida    1,2%  tmp.Smx          9,65%        etambutol       0,96%  otros medicamentos que, utilizados con menor frecuencia en el tratamiento de los pacientes vih (+), van a ser causa de ram en este colectivo de individuos con diversa preValencia son los siguientes:  clindamicina      17,86%      foscarnet   7,5%  zalcitabina       14,8%       didanosina  7,5%  dapsona           14,7%       quinolonas  5%  4,- con la excepci\u00f3n de las dos situaciones a las que nos referimos a continuaci\u00f3n, no se ha demostrado ninguna relaci\u00f3n del diagn\u00f3stico de hipersensibilidad\/intolerancia medicamentosa ni de la gravedad potencial de las manifestaciones cl\u00ednicas indicativas de la misma con los siguientes factores analizados:  * antecedentes personales de atopia de los pacientes. El 19% de los individuos integrantes de nuestra poblaci\u00f3n muestral contaba con antecedentes personales at\u00f3picas.  * dosis y v\u00edas de administraci\u00f3n de los f\u00e1rmacos relacionados.  * edad, situaci\u00f3n inmunitaria y enfermedades asociadas al complejo diagn\u00f3stico del sida padecidas por los pacientes.  * n\u00famero de f\u00e1rmacos tomados simult<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Reacciones adversas medicamentosas en el s\u00edndrome de inmunodeficiencia adquirida<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Reacciones adversas medicamentosas en el s\u00edndrome de inmunodeficiencia adquirida <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jenaro Hern\u00e1ndez Pe\u00f1a <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/03\/2001<\/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 \u00e1lvarez Cuesta<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li>Francisco Parras v\u00e1zquez (vocal)<\/li>\n<li>Rafael Laguna mart\u00ednez (vocal)<\/li>\n<li>Javier Cuesta herranz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jenaro Hern\u00e1ndez Pe\u00f1a 1,- la preValencia real de la alergia medicamentosa en pacientes con infecci\u00f3n por 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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