-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
1/86
LEGIONELLA
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
2/86
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
3/86
Citoplasma ADNPared celular Membrana
celular
Ribosomas
Flagelo
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
4/86
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
5/86
Características
Bacilos Gram –
Tienen flagelos y fimbriasProteína : MIP (potenciador infectividad
del Macrófago)
Legiolisina fosfolipasa C.
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
6/86
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
7/86
Patogenia
Patógeno intracelular.
Ingresa por inhalación fagosoma:multiplicación activa de bacteria
bronconeumonía-neumonía.Otros. Riñón, bazo, etc.
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
8/86
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
9/86
Clínica
Infec. Subclínicas
Enf, Legionarios:L. Pneumophila
Fiebre de PontiacInfecciones extrapulmonares:
piel
Nefritis pericarditisAbsceso. Peritonieal.
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
10/86
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
11/86
Epidemiología
Microorganismo . ubicuos
- Relacionado al ambiente
- Factores de amplificación,
- Mecanismos de diseminación
- Factores de virulencia- Susceptibilidad del huésped
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
12/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
13/86
Diagnóstico
Método directo
Detección de Ag por Inmunofluorescencia.
Detección de á nucleicos.Aislamiento: BCYE
Método indirecto serológicos
Inmunofluorencia . Indirecta Elisa.
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
14/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
15/86
Rayos x de tórax - Legionella
Consolidación dellóbulo superior
Rayos X normales
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
16/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
17/86
Tratamiento
Eritromicina
Rifampicina
Azitromicina
Claritromicina
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
18/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
19/86
PSEUDOMONA
AURUGINOSA
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
20/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
21/86
Morfologia
BACILOS GRAM NEGATIVOS 1-3, 0, 5-
1 umCAPA POLISACÁRIDA LIMO.
FLAGELO POLAR
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
22/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
23/86
Determinantes de patogenecidad
FACTORES CELULARES
ACTIVIDAD BIOLÓGICA
Fimbrias (pili) Adherencia al epitelio
Flagelo Movilidad, invasividad
Polisacárido envoltura Adherencia, toxicidad neutrófilos
Exopolisacárido mucoide
(alginato)
Adherencia, forma biopelicula, inhibefagocitosis, reduce actividadantibióticos
LPS (lípido A) Efecto endotoxina: fiebre, hipotensión,
leucopenia, shock
Antígeno O Protege a la bacteria del complemento
Proteínas shock térmico Adaptación al estrés bacteriano, laayuda a sobrevivir, induce respuestahuésped
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
24/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
25/86
FACTORES EXTRACELULARES
Proteasas (elastasa,proteasa alcalina).
Adherencia tisular, invasividad, necrosis,degradan IgG e IgA
Exotoxina A
Bloquea síntesis proteica, necrosis tisular,citotóxica (macrófagos), invasividad,leucocitosis. Induce formación Ac. Anti-toxinaA.
Exoenzima SR
Necrosis pulmonar, invasividad, diseminaciónhemática
Citotoxina Toxicidad letal para leucocitos
Fosfolipasas
Efecto membrana, hemólisis, flogógenas
Ferripioquelina (fpq)
Captación de hierro
Pioverdina
Captación de hierro
Piocianina
Lesiona epitelio, dificulta función ciliar, y
asociada fpq libera radicales OH
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
26/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
27/86
Cuadros Clínicos
Infecciones deltracto respiratorio
Infeccionesurinarias
Infeccionesosteoarticulares
Infeccionesoculares
Infecciones óticas
Infeccionescutáneas
Bacteriemias
EndocarditisInfeccionesmeníngeas
Infeccionesgastrointestinales
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
28/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
29/86
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
30/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
31/86
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
32/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
33/86
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
34/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
35/86
Diagnostico microbiológico
Aislamiento
Identificación
Tipado: serotipia, biotipia, genotipia
Sensibilidad de los antimicrobianos
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
36/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
37/86
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
38/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
39/86
Tratamiento
Carboxipenicilinas
cefalosporinas de 3 y 4 generación:
Ceftazidima cefepima ceppirona.
Batalactámico + aminoglicosido.
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
40/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
41/86
Epidemiología
UBICUO
OPORTUNISTA
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
42/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
43/86
Profilaxis y control
1. En el hospital aislamiento
2. Higiene individual. Infección
endógena3. Vigilancia y control de fómites
4. Comité de infecciones: supervisión5. Vacunas: quemados
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
44/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
45/86
KLEBSIELLA
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
46/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
47/86
CARACTERISTICAS
Bacilos Gram-
No móviles
Fermentan lalactosa
Descarboxilanlisina
Forman coloniasmucoides yhúmedas
Dos especies :
K. pneumoniae
K. oxytoca
K. ozaenae
K.rhinoscleromatis
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
48/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
49/86
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
50/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
51/86
MECANISMOS DEPATOGENICIDAD
Cápsula (K)
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
52/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
†KLEBSIELLA
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
53/86
†KLEBSIELLA
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
54/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
Enfermedades
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
55/86
Enfermedades
• Neumonía por aspiración serotipos 1,2.
• Dolor pleurítico. Esputo espeso y sanguinolente. Jalea degrosella.
• Resistente a muchos fármacos. Mortalidad ante 40-60%.
• Infecciones Urinarias: Serotipo 8-9-19-24
• Pielonefritis y cistitis.
K.
Neumoniae
• Rinitis atrófica y ocena.
• Rinitis atrófica: áreas de metaplasia escamosa. Glándulasatróficas.
• Ocena: exudado verdoso maloliente.
K.
Azaenae
• Rinoscleroma
• Inicia con catarro común. Inflamación granulomatosa de víasnasales. Masas tumorales.
• Estudio anatomopatológico, muestra macrófagos espumosos.Células gigantes y bacilos encapsulados.
K.
Rhinoscleromatis
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
56/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
57/86
Tratamiento
Ciprofloxacina
TMP –
SM X
Cefalosporina antiseudomónica detercera generación.
Rifampicina
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
58/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
59/86
HELICOBACTERPYLORI
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
60/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
61/86
Morfología y fisiología
- Bacilo gram Negativo: curvo o Espiralado
- 0.51 um de ancho y 2,5-4 um de largo.
- Tiene 4-6 flagelos unipolares
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
62/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
63/86
Especies del género Helicobacter
Gástricas
No Gástricas
H. Pylori
H. Cinaedi
H. Heilmanii
H. Felis
H. Mustelae
H. NemestrinaeH. acinonyx
H. fennelliae
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
64/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
65/86
Determinantes de PatogenicidadPatogenia
Movilidad
Adhesinas
Ureasa
Citotoxina vacuolante
Otros: Proteína CagA, dismutasa desuperóxido, lipopolisacárido.
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
66/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
67/86
Úlcera Duodenal
Carcinoma olinfoma MALT
Colonización
GastritisÚlcera Gástrica
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
68/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
69/86
Manifestaciones Clínicas
Gastritis aguda.Intoxicaciónalimentaria
Gastritis Crónicasuperficial difusa
Gastritis CrónicaAtrófica
Ulcera Gástrica oDuodenal
AdenocarcinomaGástrico
Linfoma Gástrico
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
70/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
Ó
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
71/86
GASTRITIS CRÓNICA
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
72/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
Ó
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
73/86
GASTRITIS CRÓNICA
____________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
74/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
Ó
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
75/86
GASTRITIS CRONICA ATRÓFICA
____________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
76/86
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
Ó Ó
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
77/86
GASTRITIS CRÓNICA ATRÓFICA
____________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
78/86
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
ó
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
79/86
Diagnóstico
• DIAGNÓSTICO ENDOSCÓPICO DIRECTO- Histológico coloraciones especiales
- Microbiológico. Agar sangre, Agar chocolate, Agar Brucella.
- PCR:• DIAGNÓSTICO ENDOSCÓPICO INDIRECTO
- Prueba de la Ureasa
• DIAGNÓSTICO NO ENDOSCÓPICO
- Detección de anticuerpos contra H Pylori en suero o ensaliva.
- Urea Breath Test
____________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
80/86
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
81/86
____________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
82/86
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
TEST FOR DIAGNOSIS OF HELICOBACTER PYLORI
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
83/86
TEST FOR DIAGNOSIS OF HELICOBACTER PYLORI
TestSensitivity/Specifity
(%) Cost ($)
Endoscopic Test Histology 95/80 – 99 50-100
Special Stains 90/99 200
Culture 60-90/100 150
Ureasa tests 90/95 10
Nonendoscopic Test
Antibody tests
Quantitative ELISA 85-90/85-90 500-100
Qualitative serum 90/90 10-15
Qualitative whole blood
85-90/90
10-15
Urea breath tests C-13 95/95 280
C-14 95/95 60
____________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
84/86
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ___________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
85/86
TratamientoAntibacterianos, bismuto yantiulceroso.
Epidemiología
____________________________________________
-
8/17/2019 15.-Legionella Klesiella Pseudomonas H Pilory
86/86
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________
____________________________________________ ____________________________________________ ____________________________________________