0000000001251119
AUTHOR
Roberto Jimenez
Un docente revolucionario para la formación artística (decolonial) contemporánea
Resumen: Cualquier propuesta curricular implica la consonancia entre las estructuras educativas (alumno, maestro, escuela, personal administrativo y comunidad) y para el logro, es imprescindible una responsabilidad compartida, nadie menos o más que otro; sin embargo, el papel que representa el docente es trascendental, dado que como mediador es en quien, por lo regular, recae gran parte de la responsabilidad de que el engranaje entre todos los elementos funcione y, específicamente, que los contenidos educativos acordados se cumplan cabalmente. Desde el campo de la instrucción artística (formal o informal) la figura del docente debe evaluarse también bajo estas expectativas de cambio; la dis…
Poor timing and failure of source control are risk factors for mortality in critically ill patients with secondary peritonitis
PURPOSE: To describe data on epidemiology, microbiology, clinical characteristics and outcome of adult patients admitted in the intensive care unit (ICU) with secondary peritonitis, with special emphasis on antimicrobial therapy and source control. METHODS: Post hoc analysis of a multicenter observational study (Abdominal Sepsis Study, AbSeS) including 2621 adult ICU patients with intra-abdominal infection in 306 ICUs from 42 countries. Time-till-source control intervention was calculated as from time of diagnosis and classified into 'emergency' ( 6 h). Relationships were assessed by logistic regression analysis and reported as odds ratios (OR) and 95% confidence interval (CI). RESULTS: The…
Antimicrobial Lessons From a Large Observational Cohort on Intra-abdominal Infections in Intensive Care Units
Severe intra-abdominal infection commonly requires intensive care. Mortality is high and is mainly determined by disease-specific characteristics, i.e. setting of infection onset, anatomical barrier disruption, and severity of disease expression. Recent observations revealed that antimicrobial resistance appears equally common in community-acquired and late-onset hospital-acquired infection. This challenges basic principles in anti-infective therapy guidelines, including the paradigm that pathogens involved in community-acquired infection are covered by standard empiric antimicrobial regimens, and second, the concept of nosocomial acquisition as the main driver for resistance involvement. I…