{"id":99902,"date":"2018-03-11T10:21:11","date_gmt":"2018-03-11T10:21:11","guid":{"rendered":""},"modified":"2018-03-11T10:21:11","modified_gmt":"2018-03-11T10:21:11","slug":"bacteriemias-por-escherichia-coli-con-betalactamasas-de-espectro-extendido-epidemiologa%c2%ada-factores-predictivos-factores-pronostico-e-influencias-del-tratamiento-antibiotico-en-su-evolucion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/murcia\/bacteriemias-por-escherichia-coli-con-betalactamasas-de-espectro-extendido-epidemiologa%c2%ada-factores-predictivos-factores-pronostico-e-influencias-del-tratamiento-antibiotico-en-su-evolucion\/","title":{"rendered":"Bacteriemias por escherichia coli con betalactamasas de espectro extendido: epidemiolog\u00eda, factores predictivos, factores pron\u00f3stico e influencias del tratamiento antibi\u00f3tico en su evoluci\u00f3n"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ana Mar\u00eda Garcia Hernandez <\/strong><\/h2>\n<p>E. Coli es el microorganismo m\u00e1s frecuentemente implicado en bacteriemias nosocomiales y comunitarias, y el aislamiento de cepas productoras de blee se sit\u00faa en torno al 10% en nuestro pa\u00eds. El papel de estas enzimas como factor de virulencia que aumente por s\u00ed mismo la mortalidad en las bacteriemias por e. Coli no queda claro. Hemos realizado un estudio de an\u00e1lisis de casos de los pacientes con bacteriemia ingresados en nuestro centro durante el per\u00edodo enero 2006-junio 2007. Los factores predictivos que encontramos asociados de forma significativa a infecci\u00f3n por e. Coli con blee fueron el tratamiento antibi\u00f3tico previo con betalact\u00e1micos y la mayor gravedad cl\u00ednica al diagn\u00f3stico medida con el \u00edndice de winston; la adquisici\u00f3n nosocomial y asociada a cuidados sanitarios fueron m\u00e1s frecuentes en el grupo de pacientes con bacteriemias por e. Coli con blee, aunque sin alcanzar diferencia estad\u00edsticamente significativa en el an\u00e1lisis multivariante. Los pacientes con bacteriemia por e. Coli con blee reciben con m\u00e1s frecuencia tratamiento emp\u00edrico inadecuado, sin que este hecho se asocie estad\u00edsticamente con mayor mortalidad en el an\u00e1lisis multivariante. Los principales factores pron\u00f3sticos asociados de forma significativa a mortalidad en los pacientes con bacteriemia por e. Coli fueron la enfermedad de base r\u00e1pidamente fatal, la gravedad cl\u00ednica inicial mala-cr\u00edtica  y la presencia de neoplasia como enfermedad de base. No observamos asociaci\u00f3n estad\u00edstica entre la presencia de blee o el tratamiento em<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Bacteriemias por escherichia coli con betalactamasas de espectro extendido: epidemiolog\u00eda, factores predictivos, factores pron\u00f3stico e influencias del tratamiento antibi\u00f3tico en su evoluci\u00f3n<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Bacteriemias por escherichia coli con betalactamasas de espectro extendido: epidemiolog\u00eda, factores predictivos, factores pron\u00f3stico e influencias del tratamiento antibi\u00f3tico en su evoluci\u00f3n <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ana Mar\u00eda Garcia Hernandez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/03\/2010<\/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>Joaquin Gomez Gomez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alvaro Pascual hern\u00e1ndez <\/li>\n<li>Manuel Canteras jordana (vocal)<\/li>\n<li>ferran Segura porta (vocal)<\/li>\n<li>Jes\u00fas Rodriguez ba\u00f1o (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ana Mar\u00eda Garcia Hernandez E. Coli es el microorganismo m\u00e1s frecuentemente implicado en bacteriemias nosocomiales y comunitarias, [&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":[38249,8235],"tags":[56335,203698,20175,60078,8322,8239],"class_list":["post-99902","post","type-post","status-publish","format-standard","hentry","category-bacterias","category-murcia","tag-alvaro-pascual-hernandez","tag-ana-maria-garcia-hernandez","tag-ferran-segura-porta","tag-jesus-rodriguez-bano","tag-joaquin-gomez-gomez","tag-manuel-canteras-jordana"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/99902","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=99902"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/99902\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=99902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=99902"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=99902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}