Trabajos de Titulación - Sede Azogues - Medicina
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Examinando Trabajos de Titulación - Sede Azogues - Medicina por Asesores "Arias Peláez, María Cristina"
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- ÍtemAcceso AbiertoDiagnóstico y actualización del manejo de la leptospirosis anictérica, mediante una revisión sistemática(Universidad Católica de Cuenca., 2024) Arichábala Coronel, Gisela Alexandra; Arias Peláez, María Cristina; 0302478318Background: Leptospirosis is a zoonotic condition transmitted through ingesting water or soil contaminated with urine from infected animals such as dogs, pigs, horses, rodents, and cattle, among others. The most susceptible populations include farmers, veterinarians, and individuals working in sewers. It manifests symptoms similar to flu-like processes, such as fever, headache, and myalgias. Over 500,000 cases of leptospirosis are documented annually, with a prevalence ranging from 0.1 to 1 case per 100,000 people in temperate climates and from 10 to 100 per 100,000 in warm climates. In Ecuador, its prevalence is 1 per 100,000 inhabitants. According to reports, Ecuador's region most affected by leptospirosis is the Coastal Region. Objective: To develop an analysis of scientific articles associated with the diagnosis and the updated management of aseptic leptospirosis through a systematic review. Method: A systematic review study was conducted and developed to analyze scientific articles within the context of the PRISMA 2020 statement. The research employed digital databases, including PubMed, Web of Science, Cochrane Library, UpToDate, Elsevier, SciELO, Biomed, and national and international repositories. Expected Results: The compiled information from scientific articles permitted the identification of the proper diagnostic techniques for this condition and the updated management that can be applied in primary healthcare facilities.
- ÍtemAcceso AbiertoInfecciones cutáneas secundarias a una hiperhidrosis focal primaria y su tratamiento.(Universidad Católica de Cuenca., 2024) Cruz Bravo, Carlos Andrés; Arias Peláez, María Cristina; 0302395991Introduction: Primary focal hyperhidrosis is characterized by excessive sweating in specific body areas, such as the palms of the hands, the soles of the feet, the armpits, and the craniofacial region. Constant sweating can lead to skin maceration, increasing susceptibility to bacterial, fungal, and viral infections. Objective: To determine the skin infections secondary to primary focal hyperhidrosis and their treatment. Methodology: A literature review was conducted on scientific databases such as Scopus, Taylor & Francis, UpToDate, and PubMed. Results: Secondary infections to focal hyperhidrosis include fungal, bacterial, and viral infections. Management consists of antifungal medications, antibiotics, and ablative therapy, respectively. Clotrimazole 1% is used twice daily for 2-4 weeks for dermatophytosis mainly caused by Trichophyton rubrum (70%). In punctate keratolysis, the main agent is Corynebacterium spp. (92.2%-100%), treated with erythromycin 4% every 12 hours for 2-3 weeks. Warts caused by HPV frequently subtypes 1, 2, and 4 (80%) are treated with salicylic acid 17%-50% daily for 6-12 weeks. Keywords: hyperhidrosis, infectious skin diseases, sweat, treatment.
- ÍtemAcceso AbiertoManejo clínico y abordaje terapéutico de la mordedura de serpiente en pacientes de edad avanzada(Universidad Católica de Cuenca., 2024) Minchala Avecicha, José Andrés; Arias Peláez, María Cristina; 0302163738Snakebites are common in tropical areas, affecting people of all ages, with elderly individuals being particularly at risk. Effective clinical management involves continuous monitoring and follow-up, as the prognosis for recovery depends on the patient's clinical condition. Objective: To describe the clinical management and therapeutic approach to snakebites in elderly patients. Methodology: This research is a descriptive and qualitative literature review. A comprehensive search was conducted on Elsevier, PubMed, UpToDate, Google Scholar, SciELO, ScienceDirect, Oxford Academy, and Research Gate databases. The 30 most relevant scientific articles published in the last five years, according to the eligibility criteria, were selected using the PRISMA 2020 guidelines. Results: Among the 30 selected papers, 90% of snakebites were caused by the Vipiridae family. The first-line treatment in 70% of cases involved antivenom serum, while 60% did not recommend prophylactic antibiotics. Conclusions: The physical examination is fundamental to distinguish the type of accident presented by the patient and the stage in which it is due to the effect of the venom of the Vipiridae family. The first choice treatment is based on using antiphonic serum, analgesia with Paracetamol, and avoiding prophylactic antibiotics. Keywords: snake bite, ophidian accident, treatment, management