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2. Guía de Terapéutica Antimicrobiana del Área Aljarafe, 3ª edición

Author

Acosta García, Héctor, Aibar Remón, Carlos, Alcázar, Francisco Javier, Alonso, Maria Teresa, Alvarado Fernández, Dolores, Anaya Ordóñez, Sonia, Anguis, Juan Ignacio, Aspíroz Sancho, Carmen, Aznar Martín, Javier, Beltrán Calvo, Carmen, Benavente, Regina Sandra, Bernabeu Wittel, José, Bravo Escudero, Carmen, Campa, Azucena de la, Campo Gracia, Angel del, Campos, Juan Miguel, Cansino Romero, Francisco Javier, Carlos Gil, Ana M., Cantudo Cuenca, M. Dolores, Catalán, José Manuel, Chavez Caballero, Mónica, Corbi Llopis, Rosa, Corral Baena, Susana, Cots, Josep María, Cruces Jiménez, José Miguel, Cruz Navarro, Natalio, Cuétara, Marisol, Cueto, Marina de, Delgado de la Cuesta, Juan, Domínguez Cruz, Javier, Domínguez Jiménez, Mª Carmen, Espín, Beatriz, Espinosa Calleja, Ricardo, Expósito García, Sebastián, Fernández Moyano, Antonio, Fernández Urrusuno, Rocío, Flores Dorado, Macarena, Franco Alvarez de Luna, Francisco, Franco Márquez, M. Luisa, Galván Banqueri, Mercedes, Garabito Sánchez, M. José, García Estepa, Raúl, García Jiménez, Emilio, García López, José Luis, García Moreno, Mercedes, García Sánchez, Cristina, García de la Vega Sosa, Manuel, Garrido Arce, Macarena, Gilaberte Calzada, Yolanda, Huguet, Montse, Jiménez Pavón, Maria Luisa, Giménez Júlvez, Teresa, Gómez Gómez, Maria José, Gómez Vázquez, Ana, Guerrero Casas, Aurora, Hernández, Francisco Javier, Jiménez Vizcaino, Beatriz, Laureano Zarza, Miguel, Lepe Jiménez, José Antonio, Llor, Carles, López Cerero, Lorena, Manzano, M. Carmen, Marmesat, Francisco, Martín Grutmancher, Fernando, Martín Márquez, Fátima, Martínez Granero, Mercedes, Martínez-Gil Pardo de Vera, Cristina, Martínez Roda, M. José, Mata Martín, Ana, Merino de la Torre, Esther, Millán Cantero, Helena, Molina Linde, Juan Máximo, Montero Balosa, M. Carmen, Montes Sánchez, María del Carmen, Muñoz Yribarren, Cristina, Olivencia Pérez, Miguel, Palacios Baena, Zaira R., Olmedo Rivas, Cinta, Palma Morgado, Daniel, Pascual Hernández, Álvaro, Pascual de la Pisa, Beatriz, Pereira Delgado, Consuelo M., Pérez Pérez, Pastora, Pérez Santos, M. Jesús, Periáñez Párraga, Leonor, Pinilla Cordero, Sonia, Poyato, Manuel, Praena Segovia, Julia, Ramírez Arcos, Mercedes, Reinosa Santiago, Alfredo, Retamar Gentil, Pilar, Rigueira, Ana, Robustillo Cortés, M. de las Aguas, Rodríguez Baño, Jesús, Rodríguez Benjumeda, Luis Miguel, Rodríguez Pappalardo, Vicente, Roldán Valenzuela, Andrés, Romero García, Ana, Rosario Lozano, M. Piedad, Ruiz Pérez de Pipaón, Maite, Sabalete Moya, Trinidad, Sánchez Fernández, Norma, Sánchez Moreno, María, Santos Lozano, José Manuel, Serrano Martino, Carmen, Solís de Dios, Miguel, Suárez Barrenechea, Anabel, Taboada Prieto, Salomé, Toro López, M. Dolores, Trueba Lawand, Araceli, Valera Rubio, Marta, Vázquez Florido, Antonio, Yanes Martín, Jaime, [Acosta García,H, Carlos Gil,AM, Galván Banqueri,M, García Estepa,R,Molina Linde,JM, Robustillo Cortés,MA, Rosario Lozano,MP, Sabalete Moya,T, Valera Rubio,M] Agencia de Evaluación de Tecnologías Sanitarias de Andalucía. [Aibar Remón,C] Departamento de Microbiología, Medicina Preventiva y Salud Pública. Universidad de Zaragoza. Servicio de Medicina Preventiva y Salud Pública. Hospital Clínico Universitario Lozano Blesa. Zaragoza. [Alcázar,FJ,Campa,A, Campo Gracia,A, Cantudo Cuenca,MD, Catalán,JM, Chavez Caballero,M, Corral Baena,S, Delgado de la Cuesta,J, Espinosa Calleja,R, Expósito García,S, Fernández Moyano,A, Franco Márquez,ML, Garabito Sánchez,MJ, Garrido Arce,M, Gómez Vázquez,A, Hernández,FJ, Martín Márquez,F, Martínez Roda,MJ, Mata Martín,A,Merino de la Torre,E, Millán Cantero,H, Muñoz Yribarren,C, Olivencia Pérez,M, Olmedo Rivas,C, Pereira Delgado,CM, Poyato,M, Ramírez Arcos,M, Serrano Martino,C, Taboada Prieto,S, Trueba Lawand,A] Hospital San Juan de Dios del Aljarafe, Bormujos, Sevilla. [Alonso,MT, Aznar Martín,J, Bernabeu Wittel,J, Corbi Llopis,R, Cruz Navarro,N, Domínguez Cruz,J, Espín,B, García Sánchez,C, Gómez Gómez,MJ, Lepe Jiménez,JA, Praena Segovia,J, Ruiz Pérez de Pipaón,M, Vázquez Florido,A] Hospital Universitario Virgen del Rocío, Sevilla. [Alvarado Fernández,D, Cueto,M, López Cerero,L, Palacios Baena,ZR, Pascual Hernández,A, Retamar Gentil,P, Rodríguez Baño,J, Toro López,MD] Hospital Universitario Virgen Macarena, Sevilla. [Anaya Ordóñez,S] UGC Farmacia Granada Intercentros. [Anguis,JI, Beltrán Calvo,C, Bravo Escudero,C, Campos,JM, Cruces Jiménez,JM, Fernández Urrusuno,R, García de la Vega Sosa,M, Jiménez Pavón,ML, Guerrero Casas,A, Jiménez Vizcaino,B, Laureano Zarza,M, Marmesat,F, Martínez Granero,M, Montero Balosa,MC, Montes Sánchez,MC, Pascual de la Pisa,B, Pinilla Cordero,S, Reinosa Santiago,A, Rodríguez Benjumeda,LM, Rodríguez Pappalardo,V, Roldán Valenzuela,A, Romero García,A, Sánchez Fernández,N, Solís de Dios,M, Yanes Martín,J] Distrito Sanitario Aljarafe-Sevilla Norte, Servicio Andaluz de Salud, Sevilla. [Aspíroz Sancho,C] Hospital Royo Villanova, Zaragoza. [Benavente,RS, Domínguez Jiménez,MC] Área de Gestión Sanitaria de Osuna, Sevilla. [Cansino Romero,FJ] Residencia Geriátrica Montetabor. Bollullos de la Mitación, Sevilla. [Cuétara,M] Servicio de Microbiología del Hospital Severo Ochoa de Leganés, Madrid. [Flores Dorado,M] Área de Gestión Sanitaria Norte de Cádiz, Cádiz. [Franco Alvarez de Luna,F] Hospital de Ríotinto, Huelva. [García López,JL, Suárez Barrenechea,A] Servicio de Microbiología, Hospital Virgen de Valme, Sevilla. [García Moreno,M] Residencia de Mayores de la Junta de Andalucía Huerta Palacio. Dos Hermanas, Sevilla. [Gilaberte Calzada,Y, Giménez Júlvez,T] Hospital Miguel Servet, Zaragoza. [Huguet,M] Residencia CER Espartinas, Espartinas, Sevilla. [Martínez-Gil Pardo de Vera,C] Area de Gestión Sanitaria Norte de Jaén, Jaén. [Palma Morgado,D, and Santos Lozano,JM] Distrito Sevilla, Sevilla. [Pérez Pérez,P] Observatorio para la Seguridad del Paciente. Agencia de Calidad Sanitaria de Andalucía. Sevilla. [Pérez Santos,MJ] Servicio Microbiología. Hospital de Ronda. Málaga. [Periáñez Párraga,L] Hospital Son Espases, Palma Mallorca. [Regueira,A] Hospital San Agustín, Avilés, Asturias. [Sánchez Moreno,M] Area de Gestión Sanitaria Sur de Sevilla, Sevilla.

Subjects
Uso de la información científica en la toma de decisiones en salud, Administración del Tratamiento Farmacológico, Usos terapéuticos, Toma de decisiones clínicas, Terapéutica, Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics [Medical Subject Headings], Guía de tratamiento antimicrobiano, Andalucía, Health Care::Health Services Administration::Organization and Administration::Decision Making, Organizational [Medical Subject Headings], Publication Type::Publication Formats::Guideline::Practice Guideline [Medical Subject Headings], Guía de práctica clínica, Health Care::Health Care Facilities, Manpower, and Services::Health Services::Pharmaceutical Services::Medication Therapy Management [Medical Subject Headings], Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Anti-Infective Agents [Medical Subject Headings], Antiinfecciosos, Antimicrobianos, Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses [Medical Subject Headings]
Abstract

Coordinadora: Rocío Fernández Urrusuno. Co-coordinadora: Carmen Serrano Martino. Estas guías son un recurso indispensable en los Programas de Optimización de Antibióticos (PROA). No sólo constituyen una herramienta de ayuda para la toma de decisiones en los principales síndromes infecciosos, proporcionando recomendaciones para el abordaje empírico de dichos procesos, sino que son el patrón/estándar de referencia que permitirá determinar la calidad o adecuación de los tratamientos realizados. Las guías pueden ser utilizadas, además, como herramienta de base para la formación y actualización en antibioterapia, ya que permiten mantener actualizados los conocimientos sobre las nuevas evidencias en el abordaje de las infecciones. Por último, deberían incorporar herramientas que faciliten el proceso de toma de decisiones compartidas con el paciente. El objetivo de esta guía es proporcionar recomendaciones para el abordaje de las enfermedades infecciosas más prevalentes en la comunidad, basadas en las últimas evidencias disponibles y los datos de resistencias de los principales patógenos que contribuyan a mejorar la calidad de la prescripción de antimicrobianos. Yes

Published
2018

3. Disfunción eréctil de origen estructural peneano

Author

Cruz Navarro, Natalio

Subjects
Diabetes, Enfermedad de La Peyronie, Mecanismo veno-oclusivo o córporo-venoclusivo, Disfunción eréctil, Complianza, Disfunción eréctil primaria, Venous occlusive or corporo-venous occlusive mechanism, Priapismo, Prótesis, Erectile dysfunction, Priapism, La Peyronie disease, Uretra, Compliance
Abstract

La delicada armonía con la que los diferentes elementos del pene funcionan se puede ver alterada por diferentes patologías que dañan su estructura. Los fallos estructurales del pene condicionan un fracaso de este evento hemodinámico, y una disfunción eréctil que suele ser severa, resistente al tratamiento médico y generalmente irreversible. La pérdida de complianza en el tejido eréctil un drenaje anómalo de éste o las alteraciones severas en la geometría del pene son los mecanismos fisiopatológicos más frecuentes de estas disfunciones. Entre sus posibles causas figuran, entre otras, la enfermedad de La Peyronie, el priapismo, la diabetes, los traumatismos peneanos y la infiltración de los cuerpos cavernosos por algún proceso inflamatorio o neoplásico. The delicate harmony by which the various elements in the penis work may be altered by different pathologies that damage its structure. Structural anomalies in the penis cause a failure of the hemodynamic event and erectile dysfunction, which is usually severe, resistant to medical treatment and generally non reversible. The most frequent physiopathologic mechanisms of these dysfunctions are loss of compliance in the erectile tissue, abnormal drainage, or severe alterations of penile geometry. Among possible etiologies are La Peyronie disease, priapism, diabetes, penile trauma, infiltration of corpora cavernosa by an inflammatory or neoplasic processes, and others.

Published
2010

6. [Fundamentals and principles of grafts and flaps].

Author

Cruz-Navarro N and León-Dueñas E

Subjects
Follow-Up Studies, Foreskin transplantation, Foreskin ultrastructure, Humans, Hypospadias surgery, Male, Mouth Mucosa transplantation, Mouth Mucosa ultrastructure, Mucous Membrane transplantation, Mucous Membrane ultrastructure, Organ Specificity, Postoperative Care methods, Postoperative Complications, Preoperative Care methods, Scrotum, Skin ultrastructure, Skin Transplantation methods, Transplantation, Autologous, Transplantation, Heterotopic, Urinary Bladder, Wound Healing physiology, Plastic Surgery Procedures methods, Surgical Flaps blood supply, Urethral Stricture surgery, Urologic Surgical Procedures, Male methods
Abstract

Reconstructive surgery of large urethral stenosis and the management of congenital anomalies such as hypospadias and epispadias require covering large cutaneous and mucosal defects with different techniques. The objective of this work is to define the main differences between tissues to be transferred and to study the principles that must govern the management of the various flaps and grafts used for these techniques. We analyze the anatomical and physiological features that may be key to understand the success and possible failures of these procedures, and we review technical details that must accompany in every case, not only during the operation, but also during the preoperative and postoperative period. We conclude stating that grafts (mainly oral and preputial mucosa) and flaps are increasingly used for the repair of urethral stenosis. Grafts must be prepared adequately in the back table and thinned to the maximum, and also be fixed properly, to guarantee their immobility until neovascularization is assured.

Published
2014

7. [Bladder augmentation and urinary diversion in kidney transplant candidates].

Author

Argüelles Salido E, Barrero Candau R, Torrubia Romero FJ, Cruz Navarro N, Leal Arenas J, and Montañés Medina P

Subjects
Adolescent, Adult, Child, Humans, Kidney Transplantation, Middle Aged, Retrospective Studies, Urinary Bladder surgery, Urinary Bladder Diseases surgery, Urinary Diversion methods
Abstract

Objectives: Kidney transplantation (KT) is the treatment of choice for patients with end stage renal disease (ESRD). 6% of the patients develop ESRD due to congenital or acquired lower urinary tract anomalies, which sometimes imply the need of an additional surgical procedure to make the patient suitable for transplantation., Methods: We review 6 cases of KT receptors (three of them pediatric) to whom some kind of reconstruction of the lower urinary tract with bowel was performed over the last 10 years., Results: Most frequent etiologies: neurogenic bladder (3), small and contracted bladder after genitourinary tuberculosis, urethral valves, and transitional cell carcinoma with radical cystoprostatectomy and bilateral nephrectomy. Surgical techniques: Bladder augmentation with colon (3), Bricker's defunctionalized ileal loop (2), and Goodwin 's ileal bladder augmentation; all of them were performed between 8 and 147 months before transplant., Complications: UTI in 2 patients. Recurrent stenosis of the ileal loop in one patient who required endoscopic balloon dilation and stent placement in the stenotic segment with poor results and finally requiring loop reconstruction. Another patient developed stenosis of the ureteroneocystostomy anastomosis and reimplant was performed. All of them had good outcome. One case had a subacute kidney rejection episode with good response to steroids. No graft was lost. Current serum creatinine values are between 0.69 and 2.6., Conclusions: The use of bowel in patients with pathologic bladders is as safe method to allow these patients to receive a kidney transplant when bladder rehabilitation has not been possible with conservative measures.

Published
2004

8. [Arterial priapism in a prepuberal patient. Conservative treatment].

Author

Rodríguez Corchero J, García Merino F, Cruz Navarro N, Barrero Candau R, Argüelles Salido E, and Borrero Fernández J

Subjects
Arteries, Child, Humans, Male, Penis blood supply, Priapism etiology, Priapism therapy
Abstract

Objectives: To report the case of a 7-year-old patient with high flow priapism solved with conservative treatment., Methods: We performed history and physical examination, complementary tests including general blood tests (serum ions, hemogram and coagulation tests), peripheral blood smear, Doppler ultrasound and selective arteriography which led to the diagnosis of high flow priapism. Due to the absence of arteriovenous fistula conservative treatment was chosen., Results: Patient improved clinically after five days, with penile detumescence and spontaneous erections were preserved., Conclusions: Conservative treatment is a valid option in patients with arterial priapism, mainly in those cases in whom performing embolization of a small fistula seen on arteriography is not possible or when such AV communication is not demonstrated.

Published
2004

9. [Glands necrosis caused by necrotizing granulomatous arteritis].

Author

Congregado Ruiz B, Medina López RA, Cruz Navarro N, Forrubia Romero FJ, Leal Arenas J, and Montañés Medina P

Subjects
Aged, Humans, Male, Necrosis, Penile Diseases etiology, Penile Diseases pathology, Vasculitis complications
Abstract

Objective: To report a case of necrosis of the glans penis caused by necrotizing granulomatous arteritis, an uncommon form of presentation of this vasculitis that basically affects the upper and lower respiratory tracts and glomerulus. Furthermore, it produces ocular inflammatory lesions and in 50% of the cases skin lesions. The mean age at presentation is around 40 years and affects both males and females in the same proportion., Methods: A 68-year-old male consulted for pain and change in the color of the penis he had noted two months earlier, and gradually increasing difficulty in voiding. Patient examination revealed a hard necrotic lesion in the distal two thirds of the penis with secondary stenosis of the meatus. We review the literature on the different forms of presentation of this condition and the differential diagnosis of ischemic penile lesions., Results/conclusions: In patients with an ischemic lesion of the glans penis, we must consider among other causes iatrogenic lesions, use of constricting devices, gangrenous pyoderma and diseases of small vessels. According to the literature, penile involvement due to necrotizing granulomatous arteritis is uncommon.

Published
2002

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