{"id":97555,"date":"2018-03-11T10:18:07","date_gmt":"2018-03-11T10:18:07","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/infeccion-quirurgica-en-un-hospital-de-tercer-nivel-epidemiologia-y-factores-de-riesgo\/"},"modified":"2018-03-11T10:18:07","modified_gmt":"2018-03-11T10:18:07","slug":"infeccion-quirurgica-en-un-hospital-de-tercer-nivel-epidemiologia-y-factores-de-riesgo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cordoba\/infeccion-quirurgica-en-un-hospital-de-tercer-nivel-epidemiologia-y-factores-de-riesgo\/","title":{"rendered":"Infeccion quirurgica en un hospital de tercer nivel. epidemiolog\u00eda y factores de riesgo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Aurora Llanos Mendes <\/strong><\/h2>\n<p>Antecedentes y objetivos: la infecci\u00f3n quir\u00fargica (ili) es una de las localizaciones m\u00e1s frecuentes de la infecci\u00f3n hospitalaria y constituye una importante amenaza a la seguridad del paciente. Nuestros objetivos fueron estimar la magnitud de la de la ili en un hospital de tercer nivel, as\u00ed como describir sus caracter\u00edsticas epidemiol\u00f3gicas y determinar los factores de riesgo asociados a la infecci\u00f3n quir\u00fargica. material y m\u00e9todo: estudio de cohortes prospectivo sobre 14.455 pacientes ingresados en unidades quir\u00fargicas durante los a\u00f1os 2001 y 2004. Se calcularon la incidencia acumulada (ia), cruda y ajustada por el \u00edndice nnis y densidad de incidencia (di) de la infecci\u00f3n. Se realiz\u00f3 un an\u00e1lisis multivariable de regresi\u00f3n de cox para identificar los factores de riesgo asociados a la ili. resultados: la ia de ili fue 3,5 por 100 intervenciones y la di de 2,8\/1000 pacientes intervenidos-d\u00eda. Urolog\u00eda y cirug\u00eda pedi\u00e1trica tuvieron las tasas de ili m\u00e1s elevadas, mientras que oftalmolog\u00eda y neurocirug\u00eda obtuvieron las menores. En el an\u00e1lisis multivariante se identificaron los siguientes factores de riesgos de ili: cirug\u00eda abierta [rdi = 2,44], anestesia general [rdi = 1,37], la cirug\u00eda urgente [rdi = 1,37], exceso de duraci\u00f3n de la intervenci\u00f3n [rdi = 1,46] y la cirug\u00eda contaminada [rdi = 1,79]. Los procedimientos con mayor riesgo de infecci\u00f3n fueron: las intervenciones realizadas sobre la piel [rdi = 7,72] y la pr\u00f3tesis de cadera [rdi = 7,409]. conclusiones: la cifras de ili fueron similares a las obtenidas en los diferentes sistemas de vigilancia de nuestro entorno. El presente estudio ha documentado la importancia de factores relacionadas con el acto quir\u00fargico, cuyo conocimiento permitir\u00e1 el desarrollo estrategias que permitan reducir la ili.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Infeccion quirurgica en un hospital de tercer nivel. epidemiolog\u00eda y factores de riesgo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Infeccion quirurgica en un hospital de tercer nivel. epidemiolog\u00eda y factores de riesgo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Aurora Llanos Mendes <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/11\/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>crehuet Navajas Fernandez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: sebastian Rufian pe\u00f1a <\/li>\n<li>Ana Mar\u00eda Pelayo orozco (vocal)<\/li>\n<li>Jorge  daniel Gomez aracena (vocal)<\/li>\n<li>aurora Bueno cavanillas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Aurora Llanos Mendes Antecedentes y objetivos: la infecci\u00f3n quir\u00fargica (ili) es una de las localizaciones m\u00e1s frecuentes [&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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