SURTO POLIMICROBIANO DE PNEUMONIA ASSOCIADA A VENTILAÇÃO MECANICA (PAV) POR PSEUDOMONAS AERUGINOSA EM UMA UNIDADE DE TERAPIA INTENSIVA DE ADULTOS DE UM HOSPITAL UNIVERSITARIO BRASILEIRO

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

਀㰀倀 愀氀椀最渀㴀氀攀昀琀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刀漀洀愀渀㸀攀猀琀 愀猀猀漀挀椀愀搀愀  猀甀爀琀漀猀 栀漀猀瀀椀琀愀氀愀爀攀猀 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⸀ 唀猀甀愀氀洀攀渀琀攀 瀀漀爀 愀洀漀猀琀爀愀猀 洀甀氀琀椀爀攀猀椀猀琀攀渀琀攀猀⸀ 伀 攀猀琀甀搀漀 爀攀氀愀琀愀 甀洀 猀甀爀琀漀 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Ⰰ 挀愀爀愀挀琀攀爀椀稀愀搀漀 瀀攀氀愀 瀀愀爀琀椀挀椀瀀愀漀 搀攀 愀洀漀猀琀爀愀猀 搀攀 洀甀氀琀椀爀攀猀椀猀琀攀渀琀攀猀 攀 猀甀猀挀攀瀀琀瘀攀椀猀 愀漀猀 愀渀琀椀洀椀挀爀漀戀椀愀渀漀猀⸀ 伀猀 攀瀀椀猀搀椀漀猀 搀攀 倀䄀嘀 昀漀爀愀洀 搀攀昀椀渀椀搀漀猀 瀀漀爀 挀爀椀琀爀椀漀猀 氀愀戀漀爀愀琀漀爀椀愀椀猀 攀 挀氀渀椀挀漀猀㬀 爀攀愀氀椀稀漀甀ⴀ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☀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㄀　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刀漀洀愀渀㸀㘀 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⸀ 一漀猀 瀀爀椀洀攀椀爀漀猀 洀攀猀攀猀 搀攀 攀猀琀甀搀漀 昀漀爀愀洀 爀攀氀愀琀愀搀漀猀 甀洀愀 洀搀椀愀 洀攀渀猀愀氀 搀攀 　㌀ 挀愀猀漀猀 搀攀 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Ⰰ 挀漀渀琀甀搀漀Ⰰ 攀洀 渀漀瘀攀洀戀爀漀 昀漀椀 搀攀琀攀挀琀愀搀漀 甀洀 愀甀洀攀渀琀漀 猀椀最渀椀昀椀挀愀渀琀攀 ⠀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 㰀䘀伀一吀 昀愀挀攀㴀匀礀洀戀漀氀㸀☀氀琀㬀 㰀⼀䘀伀一吀㸀㰀⼀䤀㸀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　Ⰰ　㔀⤀ 渀漀 琀漀琀愀氀 搀攀 瀀愀挀椀攀渀琀攀猀 椀渀昀攀挀琀愀搀漀猀Ⰰ 猀攀最甀椀搀漀 搀攀 甀洀 搀攀挀爀猀挀椀洀漀 猀椀最渀椀昀椀挀愀渀琀攀⸀ 伀 攀猀琀甀搀漀 攀瘀椀搀攀渀挀椀漀甀 焀甀攀 漀猀 昀愀琀漀爀攀猀 愀猀猀漀挀椀愀搀漀猀 猀椀最渀椀昀椀挀愀渀琀攀洀攀渀琀攀 瀀漀爀 愀渀氀椀猀攀 甀渀椀瘀愀爀椀愀搀愀 挀漀洀 漀猀 瀀愀挀椀攀渀琀攀猀 椀渀昀攀挀琀愀搀漀猀 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刀漀洀愀渀㸀搀甀爀愀渀琀攀 漀 猀甀爀琀漀 昀漀爀愀洀㨀 漀猀 琀攀洀瀀漀猀 搀攀 瘀攀渀琀椀氀愀漀 洀攀挀渀椀挀愀 攀 搀攀 椀渀琀攀爀渀愀漀 渀愀 甀渀椀搀愀搀攀⸀ 䌀漀洀 琀愀砀愀 搀攀 㐀Ⰰ㌀㄀ 倀䄀嘀 ⼀ ㄀　　　 瀀愀挀椀攀渀琀攀猀 搀椀愀 渀漀 瀀攀爀漀搀漀 愀渀琀攀爀椀漀爀 瀀愀爀愀 ㄀㌀Ⰰ㌀ 倀䄀嘀⼀ ㄀　　　 瀀愀挀椀攀渀琀攀猀 搀椀愀☀渀戀猀瀀㬀 渀漀 洀猀 攀瀀椀搀洀椀挀漀⸀ 䄀搀椀挀椀漀渀愀氀洀攀渀琀攀Ⰰ 昀漀椀 瘀攀爀椀昀椀挀愀搀愀 甀洀愀 昀爀攀焀ﰀ渀挀椀愀 洀愀椀漀爀 搀攀 瀀愀挀椀攀渀琀攀猀 挀漀洀 挀漀氀漀渀椀稀愀漀 搀攀 漀爀漀昀愀爀椀渀最攀Ⰰ 猀攀渀搀漀 㘀㈀─ 渀漀 瀀攀爀漀搀漀 攀瀀椀搀洀椀挀漀 瘀攀爀猀甀猀 ㌀㄀─ 攀 㐀㄀─ 渀漀猀 瀀攀爀漀搀漀猀 攀渀搀洀椀挀漀猀 愀渀琀攀爀椀漀爀 攀 瀀漀猀琀攀爀椀漀爀Ⰰ 爀攀猀瀀攀挀琀椀瘀愀洀攀渀琀攀⸀ 伀 猀甀爀琀漀 昀漀椀 瀀漀氀椀洀椀挀爀漀戀椀愀渀漀 攀渀瘀漀氀瘀攀渀搀漀 愀洀漀猀琀爀愀猀 猀甀猀挀攀瀀琀瘀攀椀猀 愀漀猀 愀渀琀椀洀椀挀爀漀戀椀愀渀漀猀 ⠀㘀㘀Ⰰ㜀─⤀ 攀 洀甀氀琀椀爀攀猀椀猀琀攀渀琀攀猀 ⠀㌀㌀Ⰰ㌀─⤀Ⰰ 椀渀挀氀甀椀渀搀漀 爀攀猀椀猀琀渀挀椀愀 愀漀猀 挀愀爀戀愀瀀攀渀洀椀挀漀猀⸀ 䄀氀洀 搀椀猀猀漀Ⰰ 昀漀爀愀洀 爀攀挀甀瀀攀爀愀搀愀猀 愀洀漀猀琀爀愀猀 愀 瀀愀爀琀椀爀 搀愀猀 洀漀猀 搀攀 搀漀椀猀 瀀爀漀昀椀猀猀椀漀渀愀椀猀 搀攀 猀愀切搀攀 渀漀 瀀攀爀漀搀漀 攀瀀椀搀洀椀挀漀⸀ 준 爀攀氀愀琀愀搀漀 甀洀 猀甀爀琀漀 挀漀爀爀攀猀瀀漀渀搀攀渀搀漀 愀 猀攀椀猀 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Ⰰ 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刀漀洀愀渀㸀椀渀挀氀甀椀渀搀漀 愀洀漀猀琀爀愀猀 猀甀猀挀攀瀀琀瘀攀椀猀 攀 洀甀氀琀椀爀攀猀椀猀琀攀渀琀攀猀 愀漀猀 愀渀琀椀洀椀挀爀漀戀椀愀渀漀猀Ⰰ 挀甀樀愀猀 瘀椀愀猀 搀攀 琀爀愀渀猀洀椀猀猀漀 昀漀爀愀洀 愀猀 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⸀ 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☀渀戀猀瀀㬀倀猀攀甀搀漀洀漀渀愀猀 愀攀爀甀最椀渀漀猀愀Ⰰ 匀甀爀琀漀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