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DC Field | Value | Language |
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dc.contributor.advisor | Vázquez Morales, José Hernán | es_ES |
dc.contributor.author | Ruilova González, Lizbet Yolanda | es_ES |
dc.date.accessioned | 2013-07-26T14:19:44Z | es_ES |
dc.date.available | 2013-07-26T14:19:44Z | es_ES |
dc.date.issued | 2010-11-11 | es_ES |
dc.identifier.uri | http://dspace.ucuenca.edu.ec/handle/123456789/3948 | es_ES |
dc.description | Se realizó un estudio descriptivo sobre un universo de 54 pacientes. Los datos se obtuvieron de los registros de las historias clínicas y fueron analizados con la ayuda del software Excel y SPSS. Resultados: 31 pacientes (57.4%), fueron de sexo femenino; la edad mínima fue de 34 años, la máxima, de 86 y el promedio de 58.3 ± 11.7. Entre los 45 y 65 años tenían el mayor porcentaje de pie diabético, 34 (63%). Los grados II, III y IV de Wagner fueron los más frecuentes, 50 (92.5%). Los bacilos Gram se aislaron en 35 casos (65%), y de estos la Escherichia coli en 12 (34.3%). En 15 pacientes (28.0%), se identificaron cocos Gram +, y de estos, el Staphylococcus aureus fue el más frecuente 11 (73.3%). Por último, en 4 casos (7.0%) los cultivos fueron negativos. La combinación antibiótica de Ciprofloxacina más Clindamicina fue la más utilizada, 38 pacientes (70.4%). En 33 (89.2%), de 37 casos se encontró los valores de Hemoglobina glucosilada superiores al 7%. En 24 casos (44.4%), se identificó el trauma como factor desencadenante de las lesiones del pie diabético | es_ES |
dc.description.abstract | Objective: To determine the clinical and bacteriological characteristics in diabetic foot patients diagnosed and hospitalized in the Internal Medicine Department of Vicente Corral Moscoso Hospital, from January 2004 to January 2009.- Materials and Methods A descriptive study was conducted over a universe of 54 patients. The data were obtained from the archive of medical records and analyzed with help of Excel and SPSS software.-Results: 31 patients (57.4%) were female; minimum age was 34 years, maximum age was 86 with an average of 58.3 ± 11.7. The larger prevalence of diabetic foot was observed between 45 and 65 years old, with 34 cases (63%). Wagner’s grades II, III and IV were the most frequent 50 (92.5%). Gram’ negative bacilli were isolated in 35 cases (65%) and from those 12 (34.3%) presented Escherichia coli. In 15 patients (28.0%), Gram positive cocci were identified and of these Staphylococcus aureus were the most frequent 11 (73.3%). Finally, 4 cases (7.0%) the cultures were negative. The antibiotic combination of Ciprofloxacin plus Clindamycin was the most used, 38 patients (70.4%). At 33 (89.2%) of 37 cases glycosylated hemoglobin values were found in excess of 7%. At 24 cases (44.4%) trauma was identified as triggering factor for diabetic foot lesions and the majority, 44 patients (81.5%) had a favorable clinical outcome.- Conclusions Wagner’s grades II, III and IV were the most frequent; the Gram negative were isolated more often; the combination of Ciprofloxacin plus Clindamycin was the most widely used therapeutic regimen, almost all the cases had poor metabolic control and clinical outcomes were favorable in the majority | es_ES |
dc.format | application/pdf | es_ES |
dc.language.iso | spa | es_ES |
dc.publisher | Universidad de Cuenca | - |
dc.relation.ispartofseries | MEDMI;30 | es_ES |
dc.rights | openAccess | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/3.0/ec/ | - |
dc.subject | Medicina Interna | es_ES |
dc.subject | Bacteria | es_ES |
dc.subject | Patología | es_ES |
dc.subject | Historia Clínica | es_ES |
dc.subject | Tesis de Especialización en Medicina Interna | es_ES |
dc.subject | Cantón Cuenca | es_ES |
dc.title | Determinación del perfil bacteriológico en pacientes con pie diabético según la clasificación de Wagner, Hospital Vicente Corral Moscoso, Cuenca-Ecuador | es_ES |
dc.type | masterThesis | es_ES |
dc.ucuenca.paginacion | 75 páginas | es_ES |
dc.description.degree | Especialista en Medicina Interna | es_ES |
dc.contributor.assessor | Vintimilla Maldonado, Jaime Rosendo | es_ES |
dc.description.city | Cuenca | es_ES |
dc.cedula.director | 0100320787 | - |
dc.audience | 0103948832 | - |
dc.ucuenca.titulouniforme | DETERMINACIÓN DEL PERFIL BACTERIOLÓGICO EN PACIENTES CON PIE DIABÉTICO SEGÚN LA CLASIFICACIÓN DE WAGNER, HOSPITAL VICENTE CORRAL MOSCOSO, CUENCA-ECUADOR | - |
Appears in Collections: | Tesis Especializaciones |
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File | Description | Size | Format | |
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Tesis.pdf | versión presentada (texto completo) | 423.81 kB | Adobe PDF | View/Open |
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