{"id":90362,"date":"2018-03-10T00:15:46","date_gmt":"2018-03-10T00:15:46","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/bacteriemias-por-pseudomonas-aeruginosa-epidemiologa%c2%ada-factores-de-riesgo-y-pronostico-e-influencia-del-tratamiento-antibiotico-en-la-evolucion-estudio-prospectivo\/"},"modified":"2018-03-10T00:15:46","modified_gmt":"2018-03-10T00:15:46","slug":"bacteriemias-por-pseudomonas-aeruginosa-epidemiologa%c2%ada-factores-de-riesgo-y-pronostico-e-influencia-del-tratamiento-antibiotico-en-la-evolucion-estudio-prospectivo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/bacteriemias-por-pseudomonas-aeruginosa-epidemiologa%c2%ada-factores-de-riesgo-y-pronostico-e-influencia-del-tratamiento-antibiotico-en-la-evolucion-estudio-prospectivo\/","title":{"rendered":"Bacteriemias por pseudomonas aeruginosa: epidemiolog\u00eda, factores de riesgo y pron\u00f3stico e influencia del tratamiento antibi\u00f3tico en la evoluci\u00f3n. estudio prospectivo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Alcantara Villar <\/strong><\/h2>\n<p>Introducci\u00f3n  pseudomonas aeruginosa es una causa cada vez m\u00e1s frecuente de bacteriemia, representando del 10 a 20% de las sepsis por gram. Negativos. Su mortalidad supera el 30%.  objetivos  analizar las carcter\u00edsticas cl\u00ednicas y epidemiol\u00f3gicas, factores de riesgo y pron\u00f3stico, as\u00ed como la influencia del tratamiento antibi\u00f3tico en la evoluci\u00f3n de las bacteriemias por p. Aeruginosa.  material y m\u00e9todos  estudiamos de forma prospectiva y observacional 211 casos consecutivos de bacteriemia por p. Aeruginosa, ocurridos en el hospital universitario virgen de la arrixaca de murcia, entre enero de 1992 y diciembre de 1998. los pacientes ten\u00edan hemocutlivos positivos par ap. Aeruginosa y cl\u00ednica de sepsis. Para el estudio de los factores de riesgo, se analiz\u00f3 un grupo de 100 pacientes consecutivos durante el peri\u00f3do de estudio sin infecci\u00f3n. se analiz\u00f3 el pron\u00f3stico de las patolog\u00edas de base, los antecedentes, la situaci\u00f3n cl\u00ednica indical del paciente, los focos de origen, las complicaciones y el tipo de tratamiento. Los controles cl\u00ednicos  y microbiol\u00f3gicos se realizaron basalmente, tras el tratamiento y un mes despu\u00e9s. Se realiz\u00f3 an\u00e1lisis estad\u00edstico con el test de la x2 de pearson.  resultados  de los 211 casos, un 73% era hombres, siendo la media de edad de 56.5 a\u00f1os. La adquisici\u00f3n nosocomial representaba el 88% de los casos. El 46% de los pacientes pertenec\u00edan a servicios de alto riesgo, el 26% a mi y el 28% a cirug\u00eda. La estancia media de 40,4 ad\u00edas. Las patolog\u00edas de base \u00fatlimamente fatal  representaba el 82%, las r\u00e1pidamente fatales el 6% y las no fatales un 12%. Los antecedentes m\u00e1s frecuentes fueron las manipulaciones instrumentales (88%), infecciones (43%), antibi\u00f3ticos (46%), esteroides (22%), citost\u00e1ticos (12%) y cirug\u00eda (45%). La situaci\u00f3n cl\u00ednica inicial fue cr\u00edtica en el 16%, mala en el 69% y regular en el 15%. El recuento leucocitario mostraba leucocitossis en un 63%, recuento<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Bacteriemias por pseudomonas aeruginosa: epidemiolog\u00eda, factores de riesgo y pron\u00f3stico e influencia del tratamiento antibi\u00f3tico en la evoluci\u00f3n. estudio prospectivo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Bacteriemias por pseudomonas aeruginosa: epidemiolog\u00eda, factores de riesgo y pron\u00f3stico e influencia del tratamiento antibi\u00f3tico en la evoluci\u00f3n. estudio prospectivo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Alcantara Villar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/05\/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>Joaquin Gomez Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda no Valdes chavarri <\/li>\n<li>Miguel Gobernado serrano (vocal)<\/li>\n<li>francesc Gudiol munt\u00e9 (vocal)<\/li>\n<li>Manuel Canteras jordana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Alcantara Villar Introducci\u00f3n pseudomonas aeruginosa es una causa cada vez m\u00e1s frecuente de bacteriemia, representando del 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