{"id":97750,"date":"2009-04-12T00:00:00","date_gmt":"2009-04-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/epidemiologa%c2%ada-molecular-de-la-tuberculosis-en-almeria\/"},"modified":"2009-04-12T00:00:00","modified_gmt":"2009-04-12T00:00:00","slug":"epidemiologa%c2%ada-molecular-de-la-tuberculosis-en-almeria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/epidemiologa%c2%ada-molecular-de-la-tuberculosis-en-almeria\/","title":{"rendered":"Epidemiolog\u00eda molecular de la tuberculosis en almer\u00eda"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M\u00aa Angeles Lucerna M\u00e9ndez <\/strong><\/h2>\n<p>La tuberculosis sigue siendo en el siglo xxi una de las enfermedades infecciosas m\u00e1s importantes. Desde el a\u00f1o 2000 almer\u00eda presenta la incidencia m\u00e1s alta de tuberculosis de andaluc\u00eda (tasa de 27.7 por 100000 en 2008).  en los \u00faltimos 10 a\u00f1os se ha empezado a disponer de m\u00e9todos moleculares para tipificar cepas de mycobacterium tuberculosis. Con ello se han determinado agrupamientos de similitud gen\u00e9tica, que se interpretan como infecciones producidas por transmisi\u00f3n reciente; obteniendo de esta forma una informaci\u00f3n novedosa sobre la epidemiolog\u00eda de la enfermedad. en el periodo 2003-2007, se realiz\u00f3 un estudio poblacional en almer\u00eda donde se incluyeron todos los pacientes con cultivo positivo al mycobacterium tuberculosis en alguna muestra cl\u00ednica, mediante las t\u00e9cnicas rflp-is6110 y spoligotyping. Para el an\u00e1lisis se dispuso de 426 cepas.  la epidemiolog\u00eda molecular permiti\u00f3 definir grupos de alto riesgo de desarrollar la enfermedad (aut\u00f3ctonos de determinados tramos de edad) y el hallazgo de nuevas rutas de transmisi\u00f3n. Se encontr\u00f3 que m\u00e1s de la cuarta parte de los casos podr\u00eda atribuirse a transmisi\u00f3n reciente; en el resto, la enfermedad se desarrollar\u00eda por reactivaci\u00f3n de una infecci\u00f3n tuberculosa latente. los for\u00e1neos no se relacionaron con agrupamientos ni con la diseminaci\u00f3n de cepas m\u00e1s resistentes. Los agrupamientos mixtos indicaban transmisi\u00f3n cruzada entre poblaci\u00f3n nativa y extranjera, sobre todo, por contactos en lugares de ocio. La proporci\u00f3n de casos aut\u00f3ctonos secundarios suger\u00eda que la tuberculosis se contagiaba principalmente dentro del colectivo inmigrante, y que \u00e9ste no constituir\u00eda un importante mecanismo de transmisi\u00f3n para los nativos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Epidemiolog\u00eda molecular de la tuberculosis en almer\u00eda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Epidemiolog\u00eda molecular de la tuberculosis en almer\u00eda <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M\u00aa Angeles Lucerna M\u00e9ndez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/12\/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>contreras Pelayo Rodr\u00edguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: blas Gil extremera <\/li>\n<li>tesif\u00f3n Parr\u00f3n carre\u00f1o (vocal)<\/li>\n<li>Fernando Yelamos rodriguez (vocal)<\/li>\n<li>raquel Rios fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M\u00aa Angeles Lucerna M\u00e9ndez La tuberculosis sigue siendo en el siglo xxi una de las enfermedades infecciosas [&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":[9,1085,1086],"tags":[3355,22126,57027,200154,51611,22250],"class_list":["post-97750","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-infecciosas","category-epidemiologia","tag-blas-gil-extremera","tag-contreras-pelayo-rodriguez","tag-fernando-yelamos-rodriguez","tag-ma-angeles-lucerna-mendez","tag-raquel-rios-fernandez","tag-tesifon-parron-carreno"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/97750","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=97750"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/97750\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=97750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=97750"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=97750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}