Estadísticas

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      "titulo" => "Utilidad de la reacción en cadena de la polimerasa (PCR) en el diagnóstico de la meningitis meningocócica"
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      "titulo" => "Bacteriemia por Staphylococcus aureus: análisis de 311 episodios"
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    "titulo" => "Epidemiología de la fiebre Q en la zona norte de Huelva"
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        "resumen" => "<span class="elsevierStyleBold">Objetivo&#58;</span> Conocer la seroprevalencia&#44; incidencia y presentaci&#243;n cl&#237;nica de la fiebre Q aguda en la zona norte de Huelva&#46; <br/> <span class="elsevierStyleBold">Material y m&#233;todos&#58;</span> a&#41; Seroprevalencia&#58; 1&#46;654 sueros recogidos aleatoriamente y estratificados por procedencia&#44; edad y sexo&#46; Metodolog&#237;a de an&#225;lisis&#58; inmunofluorescencia indirecta&#44; ant&#237;geno Coxiella burnetii fase II&#46; Se consideraron positivos aquellos sueros con t&#237;tulos de 80 o superiores&#59; b&#41; Incidencia&#58; estudio prospectivo durante 1996 y 1997 de todos los casos atendidos en el hospital as&#237; como de todos los pacientes remitidos desde los distintos centros de salud&#46; Se defini&#243; como caso agudo de fiebre Q un s&#237;ndrome febril de m&#225;s de 2 d&#237;as de duraci&#243;n con un t&#237;tulo de 320 o superior frente a C&#46; burnetii fase II o seroconversi&#243;n&#44; y c&#41; Presentaci&#243;n cl&#237;nica&#58; se rellen&#243; un protocolo donde se registr&#243; la presencia de fiebre&#44; cefalea&#44; fiebre persistente&#44; neumon&#237;a&#44; hepatitis&#44; etc&#46; <br/> <span class="elsevierStyleBold">Resultados&#58;</span> a&#41; Seroprevalencia&#58; 5&#44;08&#37;&#44; siendo mayor en varones que en mujeres &#40;6&#44;67 frente a 3&#44;63&#37;&#41; aumentando la prevalencia con la edad&#59; b&#41; Incidencia&#58; 21 nuevos casos en 2 a&#241;os&#44; incidencia de 12&#44;70 casos por 100&#46;000 habitantes y a&#241;o&#44; y c&#41; Presentaci&#243;n cl&#237;nica&#58; s&#237;ndrome febril m&#225;s hepatitis en el 100&#37; de los casos&#59; se constataron dos procesos neum&#243;nicos&#59; en 4 pacientes el cuadro cl&#237;nico se acompa&#241;&#243; de fen&#243;menos inmunol&#243;gicos con fiebre persistente&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#58;</span> De los resultados obtenidos en el estudio de prevalencia cabr&#237;a esperar una mayor incidencia de fiebre Q en la zona&#46; Esto nos hace considerar la posibilidad de que la mayor&#237;a de los casos de fiebre Q cursen de forma autolimitada sin requerir asistencia m&#233;dica&#46;"
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        "resumen" => "<span class="elsevierStyleBold">Objective&#58;</span> The aim of the present study is to know the prevalence&#44; incidence and clinical presentation of the acute Q fever in the north of the Huelva district&#46; <br/>Methodology&#58; a&#41; Prevalence&#58; 1&#44;654 serum were randomly collected from the health district and distributed by their origin&#44; age and sex&#46; The methodology used was the indirect inmunofluorescence&#44; Coxiella burnetii phase II as antigen&#46; Were regarded as positives those serum whose tittles were equal or higher to 80&#59; b&#41; Incidence&#58; prospective study of every case treated in hospital during 1996-1997 plus every referred patient from the different &#171;Health Centers&#187;&#46; An acute case of Q fever was established as a feverish syndrome of more than 2 days plus a tittle equal or higher to 320 against C&#46; burnetti phase II antigen&#44; and c&#41; Clinical data&#58; all the patients were clerked and similar form was filled up including the following items&#58; pneumonia&#44; hepatitis&#44; headache&#44; persistent fever&#44; etc&#46; <br/> <span class="elsevierStyleBold">Results&#58;</span> a&#41; Prevalence&#58; it was 5&#46;08&#37;&#44; more frequent in men than in women&#59; b&#41; Incidence&#58; 21 new cases over two years&#44; an incidence of 12&#46;70 cases per 100&#44;000 population&#44; and c&#41; Clinical presentation&#58; feverish syndrome plus hepatitis in 100&#37; of the cases&#44; just two pneumonia were recorded and in 4 cases the clinical picture was associated to immunological symptoms with persistent fever&#46; <br/>Conclusion&#58; A discrepancy between incidence and prevalence has been pointed out which makes us think that the majority of the Q fever cases in this area debute as a self restricted feverish syndrome which does not require specialized treatment&#46;"
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