{"id":96076,"date":"2018-03-11T10:16:13","date_gmt":"2018-03-11T10:16:13","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/antibioterapia-en-las-infecciones-respiratorias-pediatricas-variabilidad-idoneidad-y-coste\/"},"modified":"2018-03-11T10:16:13","modified_gmt":"2018-03-11T10:16:13","slug":"antibioterapia-en-las-infecciones-respiratorias-pediatricas-variabilidad-idoneidad-y-coste","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/pediatria\/antibioterapia-en-las-infecciones-respiratorias-pediatricas-variabilidad-idoneidad-y-coste\/","title":{"rendered":"Antibioterapia en las infecciones respiratorias pediatricas. variabilidad, idoneidad y coste."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Nuria Fern\u00e1ndez Gonz\u00e1lez <\/strong><\/h2>\n<p>Objetivos: describir la variabilidad, idoneidad y coste de las prescripciones antibi\u00f3ticas en las infecciones respiratorias pedi\u00e1tricas adquiridas en la comunidad (ira) en asturias (espa\u00f1a). m\u00e9todos: estudio descriptivo retrospectivo multic\u00e9ntrico de variabilidad en la pr\u00e1ctica cl\u00ednica que eval\u00faa una serie de pacientes pedi\u00e1tricos diagnosticados de ira en los servicios de urgencias de 5 hospitales asturianos y en las consultas de 80 pediatras de centro de salud. La idoneidad de las prescripciones antibi\u00f3ticas se estableci\u00f3 comparando los datos de nuestra serie con est\u00e1ndares de referencia. rsultados: se recogieron datos de 1543 ira pedi\u00e1tricas a los largo de 30 d\u00edas no consecutivos. Se prescribieron antibi\u00f3ticos en el 46% de las ira (bronquiolitis, 9.7%; bronquitis, 43.6%; faringoamigdalitis, 75.5%; ira no especificada, 15.9%; neumon\u00eda, 95.6%; otitis, 89.8%; sinusitis, 85.3%; laringitis, 2.9%). Los antibi\u00f3ticos m\u00e1s pautados fueron amoxicilina (36.8%), amoxicilina\/clavul\u00e1nico (31.2%) y penicilina (8.8%). De acuerdo con los est\u00e1ndares de referencia, el tratamiento prescrito se consider\u00f3 apropiado en el 57.1% de las ira (primera elecci\u00f3n, 37.0%; alternativa v\u00e1lida, 20.1%) e inapropiado en el 42.9%. Los porcentajes de prescripci\u00f3n inapropiada en las diferentes ira fueron: bronquiolitis, 9.7%; bronquitis, 34.9%; faringoamigdalitis, 62.7%; ira no especificada, 15.9%; neumon\u00eda, 14.4%; otitis, 18.1%; sinusitis, 41.2% y laringitis, 2.9%. El coste global de las prescripciones antibi\u00f3ticas fue 8373.2 euros (3.74 euros\/ira diagnosticada).  conclusiones: se observa un empleo excesivo de antibi\u00f3ticos en las ira de probable origen viral. Un importante n\u00famero de ira de potencial origen bacteriano se tratan con antibi\u00f3ticos no suficientemente eficaces o con un espectro m\u00e1s amplio del necesario.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Antibioterapia en las infecciones respiratorias pediatricas. variabilidad, idoneidad y coste.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Antibioterapia en las infecciones respiratorias pediatricas. variabilidad, idoneidad y coste. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Nuria Fern\u00e1ndez Gonz\u00e1lez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 22\/09\/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>Manuel Crespo Hernandez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: seraf\u00edn M\u00e1laga guerrero <\/li>\n<li>Jos\u00e9 Mar\u00eda Eiros bouza (vocal)<\/li>\n<li>Miguel Garcia fuentes (vocal)<\/li>\n<li>alfredo Blanco quiros (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Nuria Fern\u00e1ndez Gonz\u00e1lez Objetivos: describir la variabilidad, idoneidad y coste de las prescripciones antibi\u00f3ticas en las [&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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