{"id":90387,"date":"2018-03-10T00:15:51","date_gmt":"2018-03-10T00:15:51","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-de-riesgo-y-coste-economico-de-la-infeccion-nosocomial-en-un-hospital-de-ambito-comarcal\/"},"modified":"2018-03-10T00:15:51","modified_gmt":"2018-03-10T00:15:51","slug":"factores-de-riesgo-y-coste-economico-de-la-infeccion-nosocomial-en-un-hospital-de-ambito-comarcal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-de-riesgo-y-coste-economico-de-la-infeccion-nosocomial-en-un-hospital-de-ambito-comarcal\/","title":{"rendered":"Factores de riesgo y coste economico de la infeccion nosocomial en un hospital de ambito comarcal"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Hernandez Hernandez Jos\u00e9 Alberto <\/strong><\/h2>\n<p>Objetivos: 1) estudio descriptivo de los episodios de infecci\u00f3n nosocomial (in) en el hospital san jaume de calella durante 2 a\u00f1os, 2) estudio de los factores de riesgo (fr) de las tres in m\u00e1s frecuentes, la infecci\u00f3n de la herida quirurgica (ihq), la infeccion del tracto urinario (itu) y la neumon\u00eda nosocomial (nn) en un hospital de menos de 200 camas y 3) estudio del impacto economico atribuible a la in, mediante dos perspectivas distintas: a)calculo del coste de la prolongaci\u00f3n de la estancia hospitalaria y b) c\u00e1lculo de coste variable.  pacientes y metodo: estudio prospectivo caso-control anidado en una cohorte. el apareamiento fue 1:1 para la ihq y para la itu y de 1:4 para la nn. para el estudio de los fr los controles se aparearon por sexo, edad y fecha de ingreso. Para el estudio del coste economico el apaeramiento fue por sexo, diagnostico principal, procedimento quirurgico principal, edad y fecha de ingreso. Para el estudio de los fr se efectu\u00f3 un analisis univariado y multivariado, utilizando la regresion logistica. Para el estudio del coste economico se utiliz\u00f3 el test de wilcoxon.  resultados: hubo 408 episodios de in, con una incidencia del 3,06%. Los fr asociados fueron: a) en la ihq: cirugia urgente, cirugia abdominal, aplicaci\u00f3n incorrecta de la profilaxis quirurgica, ingreso hospitalario previo y dias de estancia hospitalaria, b) en la itu: sonda vesical y c) en la nn: sonda nasogastrica, inmunosupresion, accidente vascular cerebral actual y dias de estancia hospitalaria. La in supuso una prolongacion de la estancia hospitalaria de 8 dias de mediana, 13 dias para la ihq, 6 dias para la itu y 9 dias para la nn. Ello condicion\u00f3 una ocupaci\u00f3n permanente de 5 camas durante un periodo de 2 a\u00f1os. El coste economico global de la in fue de casi 100 millones de pts., Cuando el c\u00e1lculo se efectu\u00f3 en base a la prolongaci\u00f3n de la estancia y de casi 24 millones de ptas., Cuando el calculo se realizo en base a los cos<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores de riesgo y coste economico de la infeccion nosocomial en un hospital de ambito comarcal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores de riesgo y coste economico de la infeccion nosocomial en un hospital de ambito comarcal <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Hernandez Hernandez Jos\u00e9 Alberto <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/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>Alberto Pahissa Berga<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: francesc Gudiol munt\u00e9 <\/li>\n<li>albert Verdaguer munujos (vocal)<\/li>\n<li>miquel Sabria leal (vocal)<\/li>\n<li>angels Martos rodriguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Hernandez Hernandez Jos\u00e9 Alberto Objetivos: 1) estudio descriptivo de los episodios de infecci\u00f3n nosocomial (in) 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 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":[9,1085,139,967],"tags":[153187,1089,118029,33800,187595,56438],"class_list":["post-90387","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-infecciosas","category-medicina-interna","category-salud-publica","tag-albert-verdaguer-munujos","tag-alberto-pahissa-berga","tag-angels-martos-rodriguez","tag-francesc-gudiol-munte","tag-hernandez-hernandez-jose-alberto","tag-miquel-sabria-leal"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/90387","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=90387"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/90387\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=90387"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=90387"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=90387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}