{"id":91989,"date":"2018-03-11T10:10:53","date_gmt":"2018-03-11T10:10:53","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficiencia-deltratamiento-antibiotico-de-la-infeccion-urinaria-en-atencion-primaria\/"},"modified":"2018-03-11T10:10:53","modified_gmt":"2018-03-11T10:10:53","slug":"eficiencia-deltratamiento-antibiotico-de-la-infeccion-urinaria-en-atencion-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/eficiencia-deltratamiento-antibiotico-de-la-infeccion-urinaria-en-atencion-primaria\/","title":{"rendered":"Eficiencia deltratamiento antibi\u00f3tico de la infecci\u00f3n urinaria en atenci\u00f3n primaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Almendro Candel <\/strong><\/h2>\n<p>La infecci\u00f3n del tracto urinario (itu) es el segundo motivo de consulta de causa infecciosa en atenci\u00f3n primaria (ap), por detr\u00e1s de las infecciones respiratorias, y uno de los primeros en la indicaci\u00f3n de terapia antibi\u00f3tica. Adem\u00e1s es la enfermedad m\u00e1s com\u00fan del aparato urinario. \tentre los pa\u00edses desarrollados del mundo, espa\u00f1a es uno de los mayores consumidores de antibi\u00f3ticos, con una alta preValencia de resistencias, sobre todo en especies causantes de infecciones extrahospitalarias. \tpara conseguir un uso racional de los antibi\u00f3ticos en las itu es recomendable conocer la etiolog\u00eda m\u00e1s probable y el patr\u00f3n de sensibilidad a los antibi\u00f3ticos de los pat\u00f3genos m\u00e1s com\u00fanmente implicados.         en este trabajo se concluye que el coste medio global por proceso de itu es de 13,43 \u00e2,\u00ac, lo cual supone un gasto 6,13 \u00e2,\u00ac por encima de lo que deber\u00eda representar en caso de haber usado el antibi\u00f3tico y la pauta recomendados por las gu\u00edas de pr\u00e1ctica cl\u00ednica (gpc). El ahorro medio potencial por proceso de forma global es de 6,13 \u00e2,\u00ac y llega a 8,45 \u00e2,\u00ac en el caso de la itu simple. El coste del tratamiento farmacol\u00f3gico se incrementa adicionalmente con el coste que supone la realizaci\u00f3n de urocultivos innecesarios en la itu simple. \t \tser\u00eda recomendable la difusi\u00f3n actualizada de forma peri\u00f3dica de los perfiles microbiol\u00f3gicos y de resistencias a antimicrobianos del laboratorio de referencia, junto con las recomendaciones de tratamiento renovadas de las gpc y de los grupos de consenso del \u00e1mbito geogr\u00e1fico de trabajo, con el fin de mejorar la eficiencia en la pr\u00e1ctica cl\u00ednica diaria, corrigiendo los h\u00e1bitos incorrectos y la inercia terap\u00e9utica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficiencia deltratamiento antibi\u00f3tico de la infecci\u00f3n urinaria en atenci\u00f3n primaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficiencia deltratamiento antibi\u00f3tico de la infecci\u00f3n urinaria en atenci\u00f3n primaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Almendro Candel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/02\/2009<\/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>Fernando Quirce Andres<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Esta\u00f1 yago <\/li>\n<li>Jorge Navarro p\u00e9rez (vocal)<\/li>\n<li>domingo Orozco beltran (vocal)<\/li>\n<li>elias Ruiz rojo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Almendro Candel La infecci\u00f3n del tracto urinario (itu) es el segundo motivo de consulta de causa [&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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