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Pregunta PICO

P: paciente de sexo femenino, post quirúrgica
I: hemoleucograma
C: hemocultivo
O: diagnóstico de septicemia

¿En un paciente de sexo femenino de 47 años de edad, con antecedentes de colecistectomía y presunto diagnóstico de sepsis, es más eficaz realizar un hemoleucograma en comparación a un hemocultivo, para confirmar dicho diagnóstico?

Estrategia de búsqueda:

www.tripdatabase.com

post surgical sepsis AND (blood culture AND full blood count) AND specific diagnosis

1. Interleukin-6 for diagnosis of sepsis in critically ill adult patients [Cochrane Protocol]

Revisión sistemática en curso.. los autores son: Daniel Molano Franco, Ingrid Arevalo-Rodriguez, Marta Roqué i Figuls, Javier Zamora

Cambiamos una palabra clave:

post surgical sepsis AND (blood culture AND full blood count) AND precisiondiagnosis

51 resultados, aplicamos como filtro

Evidence-based Synopses

1 resultado

1. Technologies for the Inactivation/Reduction of Pathogens in Blood Products

Este informe fue preparado por el Sr. Ben Ellery , la Sra Linda Mundy , Sr. Vineet Juneja , profesor Annette
Braunack - Mayer y la Sra Tracy Merlin desde la unidad de escaneado Horizonte, Adelaida Tecnología de la Salud
Evaluación , Disciplina de Salud Pública , Mail Drop DX 650 545, Universidad de Adelaide , Adelaide ,
Australia del Sur , 5005 fue supervisado por HealthPACT

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Pregunta P.I.C.O.

¿En un paciente femenino de 47 años con artralgia, astenia y derrame pericardio, es eficaz el tratamiento con Hidroxicloroquina comparado con  Antinflamatorio no esteroide para disminuir dolores articulares y mejorar el funcionamiento cardiaco?

Estrategia de Búsqueda:

·         Mujer adulta : female adult

·         Tratamiento: therapy

·         Artralgia: arthralgia

1,399 results for “female adult and therapy arthralgia”

Reformulación de la búsqueda

·         derrame pericardio: pericardial effusion

·         A.I.N.E.S.: nonsteroidal anti-inflammatory

14 results for “female adult and therapy arthralgia pericardial effusion and nonsteroidal anti-inflammatory”

1.       Systemic lupus erythematosus

Clinical Practice Guidelines Portal2014

http://www.racgp.org.au/download/Documents/AFP/2013/Oct/201310apostolopoulos.pdf

2.       Treatment of TB/HIV coinfection

British HIV Association2011

http://www.bhiva.org/documents/Guidelines/TB/hiv_954_online_final.pdf

3.       Dermatologic Manifestations of Pulmonary Disease (Overview)

eMedicine.com2014

http://emedicine.medscape.com/article/1094030-overview

4.       Rheumatoid Arthritis (Overview)

eMedicine.com2014

http://emedicine.medscape.com/article/331715-overview

5.       Rheumatic Fever (Overview)

eMedicine Pediatrics2014

http://emedicine.medscape.com/article/1007946-overview

6.       Rheumatic Heart Disease (Overview)

eMedicine Pediatrics2014

http://emedicine.medscape.com/article/891897-overview

7.       Hereditary Periodic Fever Syndromes (Overview)

eMedicine Pediatrics2014

http://emedicine.medscape.com/article/952254-overview

8.       Systemic Lupus Erythematosus (Treatment)

eMedicine Emergency Medicine2014

http://emedicine.medscape.com/article/809378-treatment

9.       HIV management in Australasia - a guide for clinical care

Clinical Practice Guidelines Portal2009

https://www.som.uq.edu.au/media/418950/hiv_aus_guide.pdf

10.   Update of the clinical practice guideline for the management of rheumatoid arthritis in Spain. [Spanish Society of Rheumatology]

info@guidelines.gov (NGC)2012

https://www.guideline.gov/summaries/summary/36829/

11.   Guideline Summary: Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease (2nd edition). [RHDAustralia]

info@guidelines.gov (NGC)2012

https://www.guideline.gov/summaries/summary/38928/

12.   Pericarditis

Merck Manual (18th Edition)2013

http://www.msdmanuals.com/en-gb/professional/cardiovascular-disorders/pericarditis/pericarditis

13.   Pain in Multiple Joints

Merck Manual (18th Edition)2013

http://www.msdmanuals.com/en-gb/professional/musculoskeletal-and-connective-tissue-disorders/pain-in-and-around-joints/pain-in-multiple-joints

14.   Systemic Lupus Erythematosus (SLE)

Merck Manual (18th Edition)2013

http://www.msdmanuals.com/en-gb/professional/musculoskeletal-and-connective-tissue-disorders/autoimmune-rheumatic-disorders/systemic-lupus-erythematosus-(sle)

Reformulación de la búsqueda

·         Hidroxicloroquina: hydroxychloroquinea

5 results for “hydroxychloroquine therapy and nonsteroidal anti-inflammatory and female adult and arthralgia and pericardial effusion”

1.       Systemic lupus erythematosus

Clinical Practice Guidelines Portal2014

http://www.racgp.org.au/download/Documents/AFP/2013/Oct/201310apostolopoulos.pdf

2.       Treatment of TB/HIV coinfection

British HIV Association2011

http://www.bhiva.org/documents/Guidelines/TB/hiv_954_online_final.pdf

3.       Rheumatoid Arthritis (Overview)

eMedicine.com2014

http://emedicine.medscape.com/article/331715-overview

4.       Systemic Lupus Erythematosus (Treatment)

eMedicine Emergency Medicine2014

http://emedicine.medscape.com/article/809378-treatment

5.       Systemic Lupus Erythematosus (SLE)

Merck Manual (18th Edition)2013

http://www.msdmanuals.com/en-gb/professional/musculoskeletal-and-connective-tissue-disorders/autoimmune-rheumatic-disorders/systemic-lupus-erythematosus-(sle)

Reformulación de la búsqueda

·         No en niños: Not childrens

Resultado:

hydroxychloroquine therapy and nonsteroidal anti-inflammatory and female adult and arthralgia and pericardial effusion not children.

Resultado de la busqueda.

1.       Systemic lupus erythematosus

Clinical Practice Guidelines Portal2014

·         http://www.racgp.org.au/download/Documents/AFP/2013/Oct/201310apostolopoulos.pdf

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Pregunta pico: ¿En un paciente de sexo femenino de 47 años de edad, con antecedente de colecistectomía y probable sepsis, es más eficaz realizar un recuento leucocitario en comparación a un hemocultivo, para confirmar el diagnóstico?

# data[].attributes.subject
Pregunta pico: ¿En un paciente de sexo femenino de 47 años de edad, con antecedente de colecistectomía y probable sepsis, es más eficaz realizar un recuento leucocitario en comparación a un hemocultivo, para confirmar el diagnóstico?

# data[].attributes.body
Estrategia de búsqueda: www.tripdatabase.com/

Full blood count and blood culture and full effectiveness and sepsis

423 results for “ Full blood count and blood culture and full effectiveness and sepsis”, by quality

Full blood count and blood culture and full effectiveness and sepsis and diagnosis

348 results for “Full blood count and blood culture and full effectiveness and sepsis and diagnosis”, by quality

Full blood count and blood culture and full effectiveness and sepsis and diagnosis not pregnancy

143 results for “Full blood count and blood culture and full effectiveness and sepsis and diagnosis not pregnancy”, by quality

Full blood count and blood culture and full effectiveness and sepsis and diagnosis not pregnancy not neonatal

88 results for “Full blood count and blood culture and full effectiveness and sepsis and diagnosis not pregnancy not neonatal”, by quality

Full blood count and blood culture and full effectiveness and sepsis and diagnosis not pregnancy not neonatal not cancer

27 results for “Full blood count and blood culture and full effectiveness and sepsis and diagnosis not pregnancy not neonatal not cancer”, by quality

Creemos que el artículo que podría responder nuestra pregunta es el siguiente:

Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.

Autores: R. Phillip Dellinger , MD ; Mitchell M. Levy , MD ; Andrew Rhodes , MB BS ; Djillali Annane , MD ; Herwig Gerlach , MD , PhD ; Steven M. Opal , MD ; Jonathan E. Sevransky , MD ; Charles L. Sprung , MD ; Ivor S. Douglas , MD ; Romano Jaeschke , MD ; Tiffany M. Osborn , MD , MPH ; Mark E. Nunnally , MD ; Sean R. Townsend , MD ; Konrad Reinhart , MD ; Ruth M. Kleinpell , PhD , RN- CS ; Derek C. Angus , MD , MPH ; Clifford S. Deutschman , MD , MS ; Flavia R. Machado , MD , PhD ; Gordon D. Rubenfeld , MD ; Steven A. Webb , MB BS , PhD ; Richard J. Beale , MB BS ; Jean - Louis Vicente , MD , PhD ; Rui Moreno , MD , PhD