{"id":94942,"date":"2009-07-07T00:00:00","date_gmt":"2009-07-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/bacteriemias-por-escherichia-coli-productor-de-beta-lactamasas-de-espectro-extendido-epidemiolga%c2%ada-cla%c2%adnica-y-molecular\/"},"modified":"2009-07-07T00:00:00","modified_gmt":"2009-07-07T00:00:00","slug":"bacteriemias-por-escherichia-coli-productor-de-beta-lactamasas-de-espectro-extendido-epidemiolga%c2%ada-cla%c2%adnica-y-molecular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/enfermedades-infecciosas\/bacteriemias-por-escherichia-coli-productor-de-beta-lactamasas-de-espectro-extendido-epidemiolga%c2%ada-cla%c2%adnica-y-molecular\/","title":{"rendered":"Bacteriemias por escherichia coli productor de beta-lactamasas de espectro extendido: epidemiolgia cl\u00ednica y molecular"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Dolores Navarro Sanchez-ortiz <\/strong><\/h2>\n<p>Escherichia coli productor de beta-lactamasas de espectro extendido (ecblee) es causa importante y creciente de bacteriemia, los pacientes fueron varones de edad avanzada, las patolog\u00edas de base mas frecuentes fueron: diabetes, neoplasias, itu y los origenes mas frecuentes fuerion el urinario y el biliar. casi 1 de cada 5 fueron comunitarios sin relacion previa con los cuidados sanitarios, lo que supone la existencia de infecciones potencialmente graves originadas en la comunidad causadas por bacterias resistentes a los antimicrobianos habitualmente utilizados para esas infecciones. las bacteriemias nosocomiales por ecblee afectaron a pacientes ingresados en \u00e1reas de hospitalizaci\u00f3n convencional y no a \u00e1reas de cr\u00edticos y la patolog\u00eda de base mas frecuente fueron las neoplasias para los casos nosocomiales y la itu para los comunitarios. los antimicrobianos mas activos fueron meropenem, amikacina, y piperacilina\/tazobactam, dos tercios fueron sensibles a amoxicilina\/clavulanico, la resistencia a ciprofloxacino fue muy frecuente. la familia de blee mas frecuentemente producida fue ctx-m (ctx-m-14) seguida de shv (shv-12) la mayoria de las cepas no mostraron relacion clonal. el tratamiento empirico fue apropiado solo en la mitad de los casos. las variables asociadas de manera independiente con mayor mortalidad fueron el tratamiento empirico con cefalosporinas o quinolonas, la presentacion grave (sepsis grave o shock) y el origen no urinario ni biliar. la mortalidad fue baja en pacientes tratados con carbapenemas o beta-lactamicos con inhibidor de beta-lactamasas. los factores de riesgo para bacteriemia por ecblee fueron haber recibido recientemente cefalosporinas o quinolonas y entre los pacientes con bacteriemia por e. Coli, adem\u00e1s el ser seguido en consultas externas y tener una sonda urinaria<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Bacteriemias por escherichia coli productor de beta-lactamasas de espectro extendido: epidemiolgia cl\u00ednica y molecular<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Bacteriemias por escherichia coli productor de beta-lactamasas de espectro extendido: epidemiolgia cl\u00ednica y molecular <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Dolores Navarro Sanchez-ortiz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 07\/07\/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>Jes\u00fas Rodriguez Ba\u00f1o<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel \u00e1ngel Muniain ezcurra <\/li>\n<li>Juan  de dios Colmenero castillo (vocal)<\/li>\n<li>agust\u00edn Mu\u00f1oz sanz (vocal)<\/li>\n<li>german Bou  arevalo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Dolores Navarro Sanchez-ortiz Escherichia coli productor de beta-lactamasas de espectro extendido (ecblee) es causa importante y [&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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