| Área: Micologia Médica ( Divisão B ) CANDIDEMIA NOSOCOMIAL: EPIDEMIOLOGIA E FATORES DE RISCO EM UM HOSPITAL TERCIÁRIO DO CEARÁ Maria Rozzelê Ferreira Angelo Ferreira Angelo (HGF); Maria do Carmo Vidal Gadelha Lima Vidal Gadelha Lima (LACEN-CE); Maria do Carmo Alves Maciel Alves Maciel (LACEN-CE); Maria da Conceição dos Santos Oliveira Cunha dos Santos Oliveira Cunha (UFC); Francisco Afrânio Cunha Cunha (UFC); Everardo Albuquerque Menezes Albuquerque Menezes (UFC)
Resumo 㰀倀 猀琀礀氀攀㴀∀䴀䄀刀䜀䤀一ⴀ吀伀倀㨀 ⸀㐀㤀挀洀㬀 䴀䄀刀䜀䤀一ⴀ䈀伀吀吀伀䴀㨀 ⸀㐀㤀挀洀∀ 愀氀椀最渀㴀樀甀猀琀椀昀礀㸀㰀䘀伀一吀 昀愀挀攀㴀∀吀椀洀攀猀 一攀眀 刀漀洀愀渀Ⰰ 吀椀洀攀猀Ⰰ 猀攀爀椀昀∀ 猀椀稀攀㴀㐀㸀䄀 昀爀攀焀甀渀挀椀愀 搀攀 椀渀昀攀挀攀猀 栀攀洀愀琀漀最渀椀挀愀猀 瀀漀爀 氀攀瘀攀搀甀爀愀猀 搀漀 最渀攀爀漀 㰀䔀䴀㸀䌀愀渀搀椀搀愀㰀⼀䔀䴀㸀 琀攀洀 愀甀洀攀渀琀愀搀漀 挀漀渀猀椀搀攀爀愀瘀攀氀洀攀渀琀攀Ⰰ 攀猀瀀攀挀椀愀氀洀攀渀琀攀 攀洀 唀渀椀搀愀搀攀猀 搀攀 吀攀爀愀瀀椀愀 䤀渀琀攀渀猀椀瘀愀⸀ 䔀猀瀀挀椀攀猀 搀攀 㰀䔀䴀㸀䌀愀渀搀椀搀愀㰀⼀䔀䴀㸀Ⰰ 琀洀 攀洀攀爀最椀搀漀 挀漀洀漀 椀洀瀀漀爀琀愀渀琀攀猀 瀀愀琀最攀渀漀猀Ⰰ 攀猀琀愀渀搀漀 愀猀猀漀挀椀愀搀愀猀 愀 焀甀愀猀攀 㠀 ─ 搀攀 琀漀搀愀猀 愀猀 椀渀昀攀挀攀猀 昀切渀最椀挀愀猀 㰀䘀伀一吀 挀漀氀漀爀㴀⌀ 㸀渀漀猀漀挀漀洀椀愀椀猀㰀⼀䘀伀一吀㸀Ⰰ 爀攀瀀爀攀猀攀渀琀愀渀搀漀 愀 洀愀椀漀爀 挀愀甀猀愀 搀攀 昀甀渀最攀洀椀愀⸀ 䌀愀渀搀椀搀攀洀椀愀 愀 焀甀愀爀琀愀 挀愀甀猀愀 洀愀椀猀 挀漀洀甀洀 搀攀 椀渀昀攀挀漀 渀愀 挀漀爀爀攀渀琀攀 猀愀渀最ﰀ渀攀愀 攀洀 栀漀猀瀀椀琀愀椀猀 琀攀爀挀椀爀椀漀猀Ⰰ 攀 猀甀愀 漀挀漀爀爀渀挀椀愀 琀攀洀 猀椀搀漀 愀猀猀漀挀椀愀搀愀 愀 愀氀琀愀猀 琀愀砀愀猀 搀攀 洀漀爀琀愀氀椀搀愀搀攀⸀ 伀 愀甀洀攀渀琀漀 渀愀 瀀爀攀瘀愀氀渀挀椀愀 搀攀 挀愀渀搀椀搀攀洀椀愀猀 攀渀瘀漀氀瘀攀 瘀爀椀漀猀 昀愀琀漀爀攀猀 搀攀 爀椀猀挀漀⸀ 伀 漀戀樀攀琀椀瘀漀 搀攀猀猀攀 攀猀琀甀搀漀 愀瘀愀氀椀愀爀 愀 攀瀀椀搀攀洀椀漀氀漀最椀愀 攀 漀猀 昀愀琀漀爀攀猀 搀攀 爀椀猀挀漀 焀甀攀 攀猀琀漀 攀渀瘀漀氀瘀椀搀漀猀 渀漀 搀攀猀攀渀瘀漀氀瘀椀洀攀渀琀漀 搀愀猀 挀愀渀搀椀搀攀洀椀愀猀 渀愀 唀吀䤀 搀攀 甀洀 䠀漀猀瀀椀琀愀氀 吀攀爀挀椀爀椀漀 搀漀 䌀攀愀爀⸀ 㰀匀吀刀伀一䜀㸀䴀攀琀漀搀漀氀漀最椀愀㰀⼀匀吀刀伀一䜀㸀㨀㰀匀吀刀伀一䜀㸀 㰀⼀匀吀刀伀一䜀㸀吀爀愀琀愀ⴀ猀攀 搀攀 甀洀 攀猀琀甀搀漀 漀戀猀攀爀瘀愀挀椀漀渀愀氀 挀愀猀漀 挀漀渀琀爀漀氀攀Ⰰ 昀漀爀愀洀 愀渀愀氀椀猀愀搀愀猀 愀猀 栀椀猀琀爀椀愀猀 挀氀渀椀挀愀猀 搀攀 搀漀椀猀 最爀甀瀀漀猀 搀攀 瀀愀挀椀攀渀琀攀猀Ⰰ 挀漀洀 攀 猀攀洀 挀愀渀搀椀搀攀洀椀愀Ⰰ 椀渀琀攀爀渀愀搀漀猀 渀愀 唀吀䤀 搀漀 䠀漀猀瀀椀琀愀氀 䜀攀爀愀氀 搀攀 䘀漀爀琀愀氀攀稀愀 渀漀 瀀攀爀漀搀漀 搀攀 搀攀稀攀洀戀爀漀 搀攀 ㈀ 㜀 愀 樀愀渀攀椀爀漀 搀攀 ㈀ 㤀 昀漀爀愀洀 愀渀愀氀椀猀愀搀漀猀 漀猀 猀攀最甀椀渀琀攀猀 昀愀琀漀爀攀猀㨀 椀搀愀搀攀Ⰰ 猀攀砀漀Ⰰ 甀猀漀 搀攀 愀渀琀椀戀椀琀椀挀漀猀Ⰰ 挀漀爀琀椀挀漀爀琀攀爀椀搀攀猀Ⰰ 焀甀椀洀椀漀琀攀爀瀀椀挀漀猀 攀 栀攀洀漀搀攀爀椀瘀愀搀漀猀Ⰰ 挀椀爀甀爀最椀愀猀Ⰰ 愀 瀀爀攀猀攀渀愀 搀攀 挀愀琀攀琀攀爀攀猀Ⰰ 瘀攀渀琀椀氀愀漀 洀攀挀渀椀挀愀Ⰰ 愀氀椀洀攀渀琀愀漀 瀀愀爀攀渀琀攀爀愀氀Ⰰ 栀攀洀漀搀椀氀椀猀攀Ⰰ 渀攀甀琀爀漀瀀攀渀椀愀 攀 挀漀氀漀渀椀稀愀漀⸀ 㰀匀吀刀伀一䜀㸀刀攀猀甀氀琀愀搀漀猀 攀㰀⼀匀吀刀伀一䜀㸀 㰀匀吀刀伀一䜀㸀搀椀猀挀甀猀猀漀㰀⼀匀吀刀伀一䜀㸀㨀 䔀渀琀爀攀 漀猀 瀀愀挀椀攀渀琀攀猀 攀猀琀甀搀愀搀漀猀 㐀 愀瀀爀攀猀攀渀琀愀爀愀洀 挀愀渀搀椀搀攀洀椀愀Ⰰ 搀椀猀琀爀椀戀甀搀愀猀 搀愀 猀攀最甀椀渀琀攀 昀漀爀洀愀㨀 㰀䔀䴀㸀䌀⸀ 瀀愀爀愀瀀猀椀氀漀猀椀猀㰀⼀䔀䴀㸀 㔀 ─ ⠀㈀ ⼀㐀 ⤀Ⰰ 㰀䔀䴀㸀䌀⸀ 琀爀漀瀀椀挀愀氀椀猀㰀⼀䔀䴀㸀 㰀䔀䴀㸀㐀 ─㰀⼀䔀䴀㸀 ⠀㘀⼀㐀 ⤀Ⰰ 㰀䔀䴀㸀䌀⸀ 愀氀戀椀挀愀渀猀㰀⼀䔀䴀㸀 ─ ⠀㐀⼀㐀 ⤀⸀ 䔀洀 爀攀氀愀漀 椀搀愀搀攀 漀猀 瀀愀挀椀攀渀琀攀猀 挀漀洀 椀搀愀搀攀 ☀最琀㬀㘀 愀渀漀猀 愀 挀愀渀搀椀搀攀洀椀愀 昀漀椀 洀愀椀猀 瀀爀攀瘀愀氀攀渀琀攀⸀ 伀 猀攀砀漀 洀愀猀挀甀氀椀渀漀 昀漀椀 漀 洀愀椀猀 昀爀攀焀甀攀渀琀攀 㔀㔀─⸀ 伀猀 昀愀琀漀爀攀猀 搀攀 爀椀猀挀漀 挀氀愀猀猀椀挀愀洀攀渀琀攀 搀攀猀挀爀椀琀漀猀 瀀愀爀愀 愀 挀愀渀搀椀搀攀洀椀愀 ⠀甀猀漀 搀攀 挀愀琀攀琀攀爀 瘀攀渀漀猀漀 挀攀渀琀爀愀氀Ⰰ 猀漀渀搀愀 瘀攀猀椀挀愀氀Ⰰ 瘀攀渀琀椀氀愀漀 洀攀挀渀椀挀愀Ⰰ 琀爀愀琀愀洀攀渀琀漀 挀漀洀 愀渀琀椀戀椀琀椀挀漀猀Ⰰ 挀漀爀琀椀挀漀椀搀攀猀 焀甀椀洀椀漀琀攀爀瀀椀挀漀猀Ⰰ 栀攀洀漀搀攀爀椀瘀愀搀漀猀⤀ 昀漀爀愀洀 猀攀洀攀氀栀愀渀琀攀猀 攀洀 愀洀戀漀猀 漀猀 最爀甀瀀漀猀⸀ 䐀攀渀琀爀攀 漀猀 昀愀琀漀爀攀猀 搀攀 爀椀猀挀漀 愀 渀攀甀琀爀漀瀀攀渀椀愀 ⠀ 瀀㴀 Ⰰ 㐀㤀⤀ 攀 愀 挀漀氀漀渀椀稀愀漀 瀀爀瘀椀愀 ⠀瀀 ☀氀琀㬀 Ⰰ ⤀ 昀漀爀愀洀 漀猀 焀甀攀 愀瀀爀攀猀攀渀琀愀爀愀洀 爀攀猀甀氀琀愀搀漀猀 猀椀最渀椀昀椀挀愀琀椀瘀漀猀⸀ 䔀猀琀攀 爀攀猀甀氀琀愀搀漀 洀漀猀琀爀愀 焀甀攀㰀䈀㸀 瘀㰀⼀䈀㸀爀椀漀猀 瀀爀漀挀攀猀猀漀猀 瀀愀琀漀氀最椀挀漀猀Ⰰ 昀椀猀椀漀氀最椀挀漀猀 漀甀 琀爀愀甀洀琀椀挀漀猀 瀀漀搀攀洀 昀愀挀椀氀椀琀愀爀 愀 挀漀氀漀渀椀稀愀漀 攀 瀀漀猀琀攀爀椀漀爀 椀渀昀攀挀漀 搀漀 栀漀猀瀀攀搀攀椀爀漀 瀀漀爀 㰀䔀䴀㸀䌀愀渀搀椀搀愀 猀瀀瀀㰀⼀䔀䴀㸀⸀ 䐀攀渀琀爀攀 攀猀琀攀猀Ⰰ 漀猀 洀愀椀猀 挀漀洀甀渀猀 猀漀 椀洀甀渀漀猀猀甀瀀爀攀猀猀漀 瀀漀爀 瘀爀椀愀猀 挀愀甀猀愀猀Ⰰ 甀洀愀 搀攀氀愀猀 愀 渀攀甀琀爀漀瀀攀渀椀愀⸀ 䄀 洀愀椀漀爀椀愀 搀漀猀 挀愀猀漀猀 搀攀 挀愀渀搀椀搀攀洀椀愀 愀搀焀甀椀爀椀搀愀 瀀漀爀 瘀椀愀 攀渀搀最攀渀愀Ⰰ 瀀攀氀愀 琀爀愀渀猀氀漀挀愀漀 搀攀 㰀䔀䴀㸀䌀愀渀搀椀搀愀㰀⼀䔀䴀㸀 愀琀爀愀瘀猀 搀漀 琀爀愀琀漀 最愀猀琀爀椀渀琀攀猀琀椀渀愀氀㰀匀唀倀㸀⸀㰀⼀匀唀倀㸀 䔀渀琀爀攀琀愀渀琀漀Ⰰ 椀渀昀攀挀攀猀 栀攀洀愀琀漀最渀椀挀愀猀 瀀漀爀 㰀䔀䴀㸀䌀愀渀搀椀搀愀 猀瀀瀀㰀⼀䔀䴀㸀 琀愀洀戀洀 瀀漀搀攀洀 猀攀爀 愀搀焀甀椀爀椀搀愀猀 瀀漀爀 瘀椀愀 猀愀切搀攀 攀砀最攀渀愀Ⰰ 愀琀爀愀瘀猀 搀漀 挀漀渀琀愀琀漀 搀愀猀 洀漀猀 搀攀 瀀爀漀昀椀猀猀椀漀渀愀椀猀 䄀 瀀爀攀搀漀洀椀渀渀挀椀愀 搀攀 㰀䔀䴀㸀䌀⸀ 瀀愀爀愀瀀猀椀氀漀猀椀猀㰀⼀䔀䴀㸀 挀漀渀猀椀搀攀爀愀搀漀 愀最攀渀琀攀 搀攀 椀渀昀攀挀攀猀 攀砀最攀渀愀猀 瀀漀爀 猀攀爀 挀愀瀀愀稀 搀攀 挀漀氀漀渀椀稀愀爀 愀 瀀攀氀攀Ⰰ 瀀爀椀渀挀椀瀀愀氀洀攀渀琀攀 愀猀 洀漀猀 搀攀 瀀爀漀昀椀猀猀椀漀渀愀椀猀 搀愀 猀愀切搀攀⸀ 㰀匀吀刀伀一䜀㸀䌀漀渀挀氀甀猀漀㰀⼀匀吀刀伀一䜀㸀㨀 一漀 爀攀昀攀爀椀搀漀 栀漀猀瀀椀琀愀氀 愀 渀攀甀琀爀漀瀀攀渀椀愀 攀 愀 挀漀氀漀渀椀稀愀漀 猀漀 椀洀瀀漀爀琀愀渀琀攀猀 昀愀琀漀爀攀猀 瀀爀攀搀椀猀瀀漀渀攀渀琀攀猀 搀攀 挀愀渀搀椀搀攀洀椀愀⸀㰀⼀䘀伀一吀㸀㰀⼀倀㸀
㰀倀 挀氀愀猀猀㴀眀攀猀琀攀爀渀 猀琀礀氀攀㴀∀䴀䄀刀䜀䤀一ⴀ䈀伀吀吀伀䴀㨀 挀洀∀㸀㰀䈀刀㸀㰀⼀倀㸀㰀⼀昀漀渀琀㸀㰀⼀瀀㸀㰀戀爀㸀㰀戀㸀倀愀氀愀瘀爀愀猀ⴀ挀栀愀瘀攀㨀 㰀⼀戀㸀☀渀戀猀瀀㬀䌀愀渀搀椀搀攀洀椀愀Ⰰ 䔀瀀椀搀攀洀椀漀氀漀最椀愀Ⰰ 一漀猀漀挀漀洀椀愀氀㰀⼀琀搀㸀㰀⼀琀爀㸀㰀⼀琀愀戀氀攀㸀㰀⼀琀爀㸀㰀⼀琀搀㸀㰀⼀琀愀戀氀攀㸀㰀⼀戀漀搀礀㸀㰀⼀栀琀洀氀㸀
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