La infeccion respiratoria de origen hospitalario en una unidad de cuidados intensivos. Epidemiologia y antibioterapia
Respiratory infection of hospital origin in an intensive care unit. Epidemiology and antibiotherapy
* Médico adjunto del Servicio de Medicina Preventiva. Prof adjunto de Microbiología. Ciudad Sanitaria La Paz. Madrid
** Alumno de la Facultad, becario en el Departamento. Ciudad Sanitaria La Paz. Madrid
*** Profesor adjunto de Medicina Preventiva y Social. Ciudad Sanitaria La Paz. Madrid
Aguado Matorros
Servicio de Cuidados Intensivos, Ciudad Sanitaria La Paz. Madrid
Rey Calero
Servicio de Medicina Preventiva. Sección Epidemiología, Ciudad Sanitaria La Paz. Madrid
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"apellidos" => "Armas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0020" ] ] ] 2 => array:3 [ "nombre" => "María" "apellidos" => "del Carmen González" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Médico adjunto del Servicio de Medicina Preventiva. Prof adjunto de Microbiología. Ciudad Sanitaria La Paz. Madrid" "etiqueta" => "*" "identificador" => "aff0015" ] 1 => array:3 [ "entidad" => "Alumno de la Facultad, becario en el Departamento. Ciudad Sanitaria La Paz. Madrid" "etiqueta" => "**" "identificador" => "aff0020" ] 2 => array:3 [ "entidad" => "Profesor adjunto de Medicina Preventiva y Social. Ciudad Sanitaria La Paz. Madrid" "etiqueta" => "***" "identificador" => "aff0025" ] ] ] 1 => array:3 [ "autoresLista" => "Aguado Matorros" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Aguado" "apellidos" => "Matorros" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cuidados Intensivos, Ciudad Sanitaria La Paz. Madrid" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "autoresLista" => "Rey Calero" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Rey" "apellidos" => "Calero" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Preventiva. Sección Epidemiología, Ciudad Sanitaria La Paz. Madrid" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Respiratory infection of hospital origin in an intensive care unit. Epidemiology and antibiotherapy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio clínicobacteriológico prospectivo encaminado a determinar, por una parte, el índice de infección respiratoria de origen hospitalario en una Unidad de Cuidados Intensivos y por otra, la eficacia de la profilaxis terapéutica antibiótica.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se eligieron 100 pacientes al azar, con una única característica común: permanencia en la Unidad un minino de cuatro días.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El diagnóstico de infeccón respiratoria de origen hospitalario es del 30%. Está claramente relacionado con los días de estancia e intubación de más de cinco días.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">No encontramos relación entre la edad del paciente y probabilidad de contraer infección. El contraer la infección en la Unidad supone un grave riesgo (71% de mortalidad).</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La profilaxis antibiótica es ineficaz en la lucha contra la infección respiratoria en la Unidad. (47% de los pacientes con profilaxis la contrajeron).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">En el 56% de los casos de infección respiratoria aparecidos en la Unidad, la terapéutica antibiótica no ocasionó una respuesta clínica favorable.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The aut have made a prospective clinical, bacteriological study desigpital origin in an Intensive Care Unit, and on the other, the efficacy of antibiotic therapeutic prophylaxis.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">One hundred patients were selected at random with only one characteristic in common: a stay in the Unit of at least four days.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The diagnosis of respiratory infection of hospital origins is of 30%. It is clearly related to the length of the stay and intubation of more than It is clearly related to the length of the stay and itubación of more than fivedays.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The authors found no relation between the age of the patient and the probability of being infected. Being infected in the Unit carries a grave risk (71% mortality).</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Antibiotic prophylaxis is not efective in the fight against respiratory infection in the Unit. (47% of the patients with prophylaxis were infected).</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">In 56% of the cases of respiratory infection that appeared in the unit, antibiotic therapy did not produce a favorable clinical response.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current National Patterus. United States" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.V. Bennett" 1 => "W.E. Scheckler" 2 => "D.G. Mari" 3 => "P.S. Brachman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1970" "editorial" => "Proc. 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| 2018 February | 6 | 9 | 15 |
| 2018 January | 4 | 3 | 7 |
| 2017 December | 7 | 8 | 15 |
| 2017 November | 5 | 8 | 13 |
| 2017 October | 9 | 6 | 15 |
| 2017 September | 4 | 10 | 14 |
| 2017 August | 8 | 7 | 15 |
| 2017 July | 3 | 3 | 6 |
| 2017 June | 13 | 32 | 45 |
| 2017 May | 9 | 7 | 16 |
| 2017 April | 5 | 6 | 11 |
| 2017 March | 5 | 12 | 17 |
| 2017 February | 4 | 4 | 8 |
| 2017 January | 5 | 6 | 11 |
| 2016 December | 5 | 7 | 12 |
| 2016 November | 15 | 10 | 25 |
| 2016 October | 15 | 15 | 30 |
| 2016 September | 14 | 6 | 20 |
| 2016 August | 13 | 6 | 19 |
| 2016 July | 14 | 5 | 19 |
| 2016 June | 17 | 11 | 28 |
| 2016 May | 12 | 2 | 14 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 9 | 2 | 11 |
| 2016 February | 6 | 3 | 9 |
| 2016 January | 19 | 9 | 28 |
| 2015 December | 22 | 14 | 36 |
| 2015 November | 20 | 3 | 23 |
| 2015 October | 7 | 2 | 9 |
| 2015 September | 2 | 0 | 2 |
Show all
