EPIDEMIOLOGIA DE PNEMONIAS ASSOCIADAS A VENTILAÇÃO MECÂNICA (PAV) POR PSEUDOMONAS AERUGINOSA EM UMA UNIDADE DE TERAPIA INTENSIVA DE ADULTOS DE UM HOSPITAL UNIVERSITÁRIO BRASILEIRO.

Luiz Fernando Barbaresco (UFU); Munick Paula Guimarães (UFU); Patricia M. S. Almeida (UFU); Geraldo Batista Melo (UFU); Paulo P. Gontijo Filho (UFU)

਀㰀倀 愀氀椀最渀㴀樀甀猀琀椀昀礀㸀倀渀攀甀洀漀渀椀愀 愀猀猀漀挀椀愀搀愀  瘀攀渀琀椀氀愀漀 洀攀挀渀椀挀愀 ⠀倀䄀嘀⤀  愀 椀渀昀攀挀漀 栀漀猀瀀椀琀愀氀愀爀 洀愀椀猀 昀爀攀焀ﰀ攀渀琀攀 攀洀 甀渀椀搀愀搀攀猀 搀攀 琀攀爀愀瀀椀愀 椀渀琀攀渀猀椀瘀愀 攀 㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ䤀琀愀氀椀挀㸀倀猀攀甀搀漀洀漀渀愀猀 愀攀爀甀最椀渀漀猀愀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀 漀 瀀爀椀渀挀椀瀀愀氀 愀最攀渀琀攀 攀琀椀漀氀最椀挀漀⸀ 䘀漀椀 爀攀愀氀椀稀愀搀漀 甀洀 攀猀琀甀搀漀 搀攀 挀漀漀爀琀攀 瀀爀漀猀瀀攀挀琀椀瘀漀 攀洀 瀀愀挀椀攀渀琀攀猀 挀漀洀 倀䄀嘀 瀀漀爀 㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ䤀琀愀氀椀挀㸀倀⸀ 愀攀爀甀最椀渀漀猀愀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀攀洀 甀洀愀 唀吀䤀 愀搀甀氀琀漀 洀椀猀琀愀 搀攀 ㄀㔀 氀攀椀琀漀猀Ⰰ 渀漀 䠀漀猀瀀椀琀愀氀 搀攀 䌀氀渀椀挀愀猀 搀愀 唀渀椀瘀攀爀猀椀搀愀搀攀 䘀攀搀攀爀愀氀 搀攀 唀戀攀爀氀渀搀椀愀Ⰰ 渀漀 瀀攀爀漀搀漀 搀攀 猀攀琀攀洀戀爀漀 搀攀 ㈀　　㠀  樀愀渀攀椀爀漀 搀攀 ㈀　　㤀⸀ 伀 搀椀愀最渀猀琀椀挀漀 昀漀椀 爀攀愀氀椀稀愀搀漀 挀漀洀 戀愀猀攀 攀洀 挀爀椀琀爀椀漀猀 挀氀渀椀挀漀猀 攀 甀洀愀 愀瘀愀氀椀愀漀 焀甀愀渀琀椀琀愀琀椀瘀愀 搀攀 愀猀瀀椀爀愀搀漀 琀爀愀焀甀攀愀氀Ⰰ 猀攀渀搀漀 漀 瀀漀渀琀漀 搀攀 挀漀爀琀攀 挀漀渀猀椀搀攀爀愀搀漀 瀀漀猀椀琀椀瘀漀 㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀匀礀洀戀漀氀㸀☀最琀㬀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀㄀　㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㄀ 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀㰀䘀伀一吀 猀椀稀攀㴀㄀ 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀㰀匀唀倀㸀㘀 㰀⼀匀唀倀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀唀䘀䌀⼀洀䰀⸀ 唀洀愀 昀椀挀栀愀 挀漀洀 搀愀搀漀猀 挀氀渀椀挀漀猀 攀 攀瀀椀搀攀洀椀漀氀最椀挀漀猀 昀漀椀 瀀爀攀攀渀挀栀椀搀愀⸀ 䄀 愀洀漀猀琀爀愀最攀洀 搀攀 洀漀猀 搀漀猀 瀀爀漀昀椀猀猀椀漀渀愀椀猀 搀攀 猀愀切搀攀Ⰰ 挀漀氀漀渀椀稀愀漀 搀攀 漀爀漀昀愀爀椀渀最攀Ⰰ 猀甀瀀攀爀昀挀椀攀猀Ⰰ 愀爀 攀 琀漀爀渀攀椀爀愀猀 昀漀椀 漀戀琀椀搀愀 洀攀搀椀愀渀琀攀 攀洀瀀爀攀最漀 搀愀 琀挀渀椀挀愀 搀攀 椀洀瀀爀攀猀猀漀 攀 甀猀漀 搀攀 猀眀愀戀⸀ 伀 挀甀氀琀椀瘀漀 瀀爀椀洀爀椀漀 昀漀椀 昀攀椀琀漀 攀洀 最愀爀 瀀猀攀甀搀漀洀漀渀愀猀㬀 愀猀 愀洀漀猀琀爀愀猀 椀搀攀渀琀椀昀椀挀愀搀愀猀 瀀漀爀 洀攀椀漀 搀攀 琀攀猀琀攀猀 昀攀渀漀琀瀀椀挀漀猀 挀氀猀猀椀挀漀猀⸀ 伀猀 搀愀搀漀猀 昀漀爀愀洀 愀渀愀氀椀猀愀搀漀猀 瀀漀爀 琀攀猀琀攀猀 搀攀 焀甀椀ⴀ焀甀愀搀爀愀搀漀 攀 䔀砀愀琀漀 搀攀 䘀椀猀挀栀攀爀Ⰰ 挀漀洀 猀漀昀琀眀愀爀攀 䔀瀀椀ⴀ椀渀昀漀Ⰰ 瘀攀爀猀椀漀渀 㔀⸀　⸀ 䄀 瀀攀猀焀甀椀猀愀 漀戀琀攀瘀攀 愀瀀爀漀瘀愀漀 搀漀 挀漀洀椀琀 搀攀 琀椀挀愀 攀洀 瀀攀猀焀甀椀猀愀 猀漀戀 漀 渀⸀먀㌀㘀㔀⼀　㠀⸀ 一漀 琀漀琀愀氀 昀漀爀愀洀 攀渀瘀漀氀瘀椀搀漀猀 㤀㈀ 瀀愀挀椀攀渀琀攀猀 攀洀 甀猀漀 搀攀 瘀攀渀琀椀氀愀漀 洀攀挀渀椀挀愀 瀀漀爀 洀愀椀猀 搀攀 㐀㠀栀Ⰰ 漀渀搀攀 㐀㜀 ⠀㔀㄀─⤀ 愀瀀爀攀猀攀渀琀愀爀愀洀 倀䄀嘀Ⰰ 搀漀猀 焀甀愀椀猀 ㄀㠀 ⠀㌀㠀Ⰰ㈀─⤀ 搀漀猀 挀愀猀漀猀 昀漀爀愀洀 瀀漀爀 㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ䤀琀愀氀椀挀㸀倀⸀ 愀攀爀甀最椀渀漀猀愀㬀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀挀漀洀 甀洀 琀攀爀漀 搀攀 愀洀漀猀琀爀愀猀 爀攀猀椀猀琀攀渀琀攀猀 愀漀猀 挀愀爀戀愀瀀攀渀洀椀挀漀猀⸀ 伀猀 昀愀琀漀爀攀猀 搀攀 爀椀猀挀漀 愀猀猀漀挀椀愀搀漀猀 愀 攀猀琀攀猀 挀愀猀漀猀 昀漀爀愀洀㨀 甀猀漀 搀攀☀渀戀猀瀀㬀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀匀礀洀戀漀氀㸀☀最琀㬀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀吀䔀㄀㘀䔀㔀　　㠀琀　　㸀 㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀　㌀ 愀渀琀椀洀椀挀爀漀戀椀愀渀漀猀 攀 琀爀愀甀洀愀⸀ 䄀搀椀挀椀漀渀愀氀洀攀渀琀攀Ⰰ 最渀攀爀漀 洀愀猀挀甀氀椀渀漀 攀 椀搀愀搀攀☀渀戀猀瀀㬀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀匀礀洀戀漀氀㸀☀最琀㬀 㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀㘀　 愀渀漀猀Ⰰ 挀漀洀漀爀戀椀搀愀搀攀猀 ⠀搀椀愀戀攀琀攀猀Ⰰ 挀愀爀搀椀漀瀀愀琀椀愀猀 攀 渀攀漀瀀氀愀猀椀愀⤀Ⰰ 琀攀洀瀀漀 搀攀 瀀攀爀洀愀渀渀挀椀愀 渀愀 甀渀椀搀愀搀攀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀匀礀洀戀漀氀㸀 ☀最琀㬀 㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀　㜀 搀椀愀猀 攀 甀猀漀 搀攀 挀愀爀戀愀瀀攀渀洀椀挀漀猀Ⰰ 昀漀爀愀洀 洀愀椀猀 昀爀攀焀ﰀ攀渀琀攀猀 攀洀 瀀愀挀椀攀渀琀攀猀 挀漀洀 倀䄀嘀 瀀漀爀 㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ䤀琀愀氀椀挀㸀倀猀攀甀搀漀洀漀渀愀猀 愀攀爀甀最椀渀漀猀愀⸀ 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀䄀 愀洀漀猀琀爀愀最攀洀 搀攀 愀爀 攀瘀椀搀攀渀挀椀漀甀 愀 瀀爀攀猀攀渀愀 搀攀 搀攀猀琀攀 洀椀挀爀漀爀最愀渀椀猀洀漀 攀洀 琀爀猀 漀挀愀猀椀攀猀Ⰰ 漀渀搀攀 昀漀椀 爀攀氀愀琀愀搀愀 愀 瀀爀攀猀攀渀愀 搀攀 　㄀ 愀洀漀猀琀爀愀 爀攀猀椀猀琀攀渀琀攀 愀漀 椀洀椀瀀攀渀攀洀 攀 洀攀爀漀瀀攀渀攀洀⸀ 䌀漀渀琀甀搀漀Ⰰ 愀猀 挀漀氀攀琀愀猀 搀攀 昀漀渀琀攀猀 愀洀戀椀攀渀琀愀椀猀 昀漀爀愀洀 渀攀最愀琀椀瘀愀猀⸀ 䐀甀爀愀渀琀攀 漀 瀀攀爀漀搀漀 搀攀 攀猀琀甀搀漀 昀漀椀 挀漀渀猀琀愀琀愀搀漀 甀洀 猀甀爀琀漀 挀愀甀猀愀搀漀 瀀漀爀 攀猀琀攀 最攀爀洀攀Ⰰ 焀甀愀渀搀漀 愀 挀漀渀琀愀洀椀渀愀漀 搀愀猀 洀漀猀 昀漀椀 瘀攀爀椀昀椀挀愀搀愀 攀洀 搀漀椀猀 瀀爀漀昀椀猀猀椀漀渀愀椀猀 搀攀 猀愀切搀攀 攀 愀 昀爀攀焀ﰀ渀挀椀愀 搀攀☀渀戀猀瀀㬀挀漀氀漀渀椀稀愀漀 搀攀 漀爀漀昀愀爀椀渀最攀 搀漀猀 瀀愀挀椀攀渀琀攀猀 愀甀洀攀渀琀漀甀 搀攀 ㌀㄀ 瀀愀爀愀 㘀㈀─ 渀漀 瀀攀爀漀搀漀⸀ 㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ䤀琀愀氀椀挀㸀倀⸀ 愀攀爀甀最椀渀漀猀愀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 昀愀挀攀㴀吀椀洀攀猀ⴀ刀漀洀愀渀㸀昀漀椀 漀 瀀爀椀渀挀椀瀀愀氀 愀最攀渀琀攀 搀攀 倀䄀嘀 挀漀洀 ㄀⼀㌀ 搀愀猀 愀洀漀猀琀爀愀猀 爀攀猀椀猀琀攀渀琀攀猀 愀漀 椀洀椀瀀攀渀攀洀Ⰰ 挀漀洀 愀瀀爀攀猀攀渀琀愀攀猀 攀渀搀洀椀挀愀猀 攀 攀瀀椀搀洀椀挀愀猀 搀甀爀愀渀琀攀 漀 瀀攀爀漀搀漀 搀攀 漀戀猀攀爀瘀愀漀Ⰰ 猀攀洀 瀀愀爀琀椀挀椀瀀愀漀 攀瀀椀搀攀洀椀漀氀最椀挀愀 搀攀 昀漀渀琀攀猀 愀洀戀椀攀渀琀愀椀猀Ⰰ 漀渀搀攀 愀猀 洀漀猀 昀漀爀愀洀 愀 瘀椀愀猀 搀攀 琀爀愀渀猀洀椀猀猀漀⸀㰀⼀倀㸀㰀⼀䘀伀一吀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☀渀戀猀瀀㬀䔀倀䤀䐀䔀䴀䤀伀䰀伀䜀䤀䄀Ⰰ 䘀䄀吀伀刀䔀匀 䐀䔀 刀䤀匀䌀伀Ⰰ 倀䄀嘀Ⰰ 唀吀䤀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