| Área: Microbiologia Clinica ( Divisão A ) FENÓTIPO DE RESISTÊNCIA E PESO MOLECULAR DE PLASMÍDEOS OBTIDOS DE BACTÉRIAS GRAM-NEGATIVAS COM OU SEM ESBL ISOLADAS DE AMOSTRAS CLÍNICAS DE PACIENTES ATENDIDOS NA FUNDAÇÃO HEMOAM DO ESTADO DO AMAZONAS Nayanne Cristina Oliveira da Silva Almeida (UFAM); Cristina Motta Ferreira (HEMOAM); Wiliiam Antunes Ferreira (FUAM)
Resumo㰀倀 愀氀椀最渀㴀樀甀猀琀椀昀礀㸀䤀渀琀爀漀搀甀漀㨀 䈀愀挀琀爀椀愀猀 挀漀洀漀 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀䔀猀挀栀攀爀椀挀栀椀愀 挀漀氀椀㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀Ⰰ 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀䬀氀攀戀猀椀攀氀氀愀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀猀瀀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀⸀㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀Ⰰ 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀䔀渀琀攀爀漀戀愀挀琀攀爀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀猀瀀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀⸀Ⰰ 匀攀爀爀愀琀椀愀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀猀瀀⸀Ⰰ 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀倀猀攀甀搀漀洀漀渀愀猀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀猀瀀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀⸀ 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀攀 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀䄀挀椀渀攀琀漀戀愀挀琀攀爀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀猀瀀⸀Ⰰ 琀洀 猀椀搀漀 昀爀攀焀ﰀ攀渀琀攀洀攀渀琀攀 椀猀漀氀愀搀愀猀 搀攀 瀀爀漀挀攀猀猀漀猀 椀渀昀攀挀挀椀漀猀漀猀 栀漀猀瀀椀琀愀氀愀爀攀猀 攀 攀洀 洀甀椀琀漀猀 挀愀猀漀猀Ⰰ 愀瀀爀攀猀攀渀琀愀渀搀漀 爀攀猀椀猀琀渀挀椀愀 愀 愀渀琀椀戀椀琀椀挀漀猀 戀攀琀愀ⴀ氀愀挀琀洀椀挀漀猀Ⰰ 洀攀猀洀漀 愀焀甀攀氀攀猀 挀漀洀 椀渀椀戀椀搀漀爀攀猀 搀攀 戀攀琀愀氀愀挀琀愀洀愀猀攀⸀ 倀攀猀焀甀椀猀愀猀 爀攀氀愀琀愀洀 焀甀攀 攀猀琀愀 爀攀猀椀猀琀渀挀椀愀 琀攀洀 爀攀氀愀漀 挀漀洀 攀渀稀椀洀愀猀 搀攀渀漀洀椀渀愀搀愀猀 䔀匀䈀䰀猀 ⠀戀攀琀愀氀愀挀琀愀洀愀猀攀 搀攀 攀猀瀀攀挀琀爀漀 攀猀琀攀渀搀椀搀漀⤀ 瀀爀攀猀攀渀琀攀猀 琀愀渀琀漀 攀洀 瀀氀愀猀洀搀攀漀猀 焀甀愀渀琀漀 攀洀 挀爀漀洀漀猀猀漀洀漀猀⸀ 伀戀樀攀琀椀瘀漀㨀 䤀搀攀渀琀椀昀椀挀愀爀 愀 爀攀猀椀猀琀渀挀椀愀 愀 愀渀琀椀戀椀琀椀挀漀猀 攀 瀀攀猀漀 洀漀氀攀挀甀氀愀爀 搀攀 瀀氀愀猀洀搀攀漀猀 攀砀琀爀愀搀漀猀 搀攀 戀愀挀琀爀椀愀猀 最爀愀洀ⴀ渀攀最愀琀椀瘀愀猀 䔀匀䈀䰀 瀀漀猀椀琀椀瘀愀猀 椀猀漀氀愀搀愀猀 搀攀 愀洀漀猀琀爀愀猀 挀氀渀椀挀愀猀 搀攀 瀀愀挀椀攀渀琀攀猀 愀琀攀渀搀椀搀漀猀 搀愀 䘀甀渀搀愀漀 䠀䔀䴀伀䄀䴀⸀ 䴀愀琀攀爀椀愀氀 攀 䴀琀漀搀漀㨀 䄀猀 愀洀漀猀琀爀愀猀 昀漀爀愀洀 挀漀氀攀琀愀搀愀猀 搀攀 㜀㌀ 瀀愀挀椀攀渀琀攀猀 搀攀 愀洀戀漀猀 漀猀 猀攀砀漀猀 愀琀攀渀搀椀搀漀猀 漀甀 椀渀琀攀爀渀愀搀漀猀 渀漀 䠀䔀䴀伀䄀䴀 攀 愀猀 戀愀挀琀爀椀愀猀 椀猀漀氀愀搀愀猀 愀 瀀愀爀琀椀爀 搀攀 洀攀椀漀猀 搀攀 挀甀氀琀甀爀愀 瀀愀搀爀漀渀椀稀愀搀漀猀⸀ 倀漀猀琀攀爀椀漀爀洀攀渀琀攀Ⰰ 昀漀爀愀洀 猀甀戀洀攀琀椀搀漀猀 愀 琀攀猀琀攀猀 搀攀 猀甀猀挀攀琀椀戀椀氀椀搀愀搀攀猀 ⠀䔀琀攀猀琀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀 昀愀挀攀㴀䄀爀椀愀氀㸀글㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀⤀ 挀漀洀㨀 琀攀琀爀愀挀椀挀氀椀渀愀Ⰰ 挀椀瀀爀漀昀氀漀砀愀挀椀渀愀Ⰰ 椀洀椀瀀攀渀攀洀Ⰰ 挀攀昀琀愀稀椀搀椀洀愀Ⰰ 挀攀昀漀砀椀琀椀渀愀Ⰰ 挀氀漀爀愀渀昀攀渀椀挀漀氀 攀 愀洀椀挀愀挀椀渀愀⸀ 䄀猀 䔀匀䈀䰀猀 瀀漀猀椀琀椀瘀愀猀 昀漀爀愀洀 猀甀戀洀攀琀椀搀愀猀 攀砀琀爀愀漀 瀀氀愀猀洀椀搀椀愀氀 瀀漀爀 氀椀猀攀 愀氀挀愀氀椀渀愀 瀀愀爀愀 挀愀爀愀挀琀攀爀椀稀愀漀 搀漀猀 爀攀猀瀀攀挀琀椀瘀漀猀 瀀攀猀漀猀 洀漀氀攀挀甀氀愀爀攀猀⸀ 䄀 椀搀攀渀琀椀昀椀挀愀漀 搀攀猀猀愀猀 䔀匀䈀䰀猀 昀漀爀愀洀 昀攀椀琀愀猀 愀渀琀攀爀椀漀爀洀攀渀琀攀 瀀漀爀 䘀攀爀爀攀椀爀愀 攀 挀漀氀猀⸀Ⰰ ㈀ 㤀 ⠀渀漀 瀀甀戀氀椀挀愀搀漀⤀⸀ 刀攀猀甀氀琀愀搀漀猀㨀 䐀漀猀 㜀㌀ 瀀愀挀椀攀渀琀攀猀 攀猀琀甀搀愀搀漀猀 㔀㌀Ⰰ㐀㈀─ 攀爀愀洀 搀漀 猀攀砀漀 洀愀猀挀甀氀椀渀漀 攀 㐀㘀Ⰰ㘀─ 昀攀洀椀渀椀渀漀⸀ 䐀愀猀 愀洀漀猀琀爀愀猀 挀漀氀攀琀愀搀愀猀Ⰰ 椀猀漀氀漀甀ⴀ猀攀 㜀 戀愀挀琀爀椀愀猀㨀 㜀Ⰰ㜀─ 攀爀愀洀 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀倀猀攀甀搀漀洀漀渀愀猀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀猀瀀瀀 攀 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀匀攀爀爀愀琀椀愀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀猀瀀瀀⸀Ⰰ Ⰰ㠀─ 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀䈀⸀ 挀攀瀀愀挀椀愀㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀Ⰰ 㔀Ⰰ㠀─ 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀䬀氀攀戀猀椀攀氀氀愀 㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀猀瀀瀀 攀 㐀㜀Ⰰ ─ 㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䤀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀䔀⸀挀漀氀椀㰀⼀䤀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀㰀䘀伀一吀 猀椀稀攀㴀㈀ 昀愀挀攀㴀䄀爀椀愀氀㸀⸀ 伀 愀渀琀椀戀椀漀最爀愀洀愀 洀漀猀琀爀漀甀 爀攀猀椀猀琀渀挀椀愀 搀攀 㠀㠀Ⰰ㈀─ 瀀愀爀愀 琀攀琀爀愀挀椀挀氀椀渀愀Ⰰ 㜀 Ⰰ㔀─ 愀 挀椀瀀爀漀昀氀漀砀愀挀椀渀愀Ⰰ 㘀Ⰰ ─ 愀 挀攀昀琀愀稀椀搀椀洀愀Ⰰ 㔀Ⰰ㠀─ 愀 挀攀昀漀砀椀琀椀渀愀 攀 挀氀漀爀愀渀昀攀渀椀挀漀氀 攀 㔀Ⰰ㤀─ 瀀愀爀愀 愀洀椀挀愀挀椀渀愀⸀ 伀 昀攀渀琀椀瀀漀 瀀愀爀愀 䔀匀䈀䰀 瀀漀猀椀琀椀瘀漀 昀漀椀 搀攀 㜀 Ⰰ㠀─ 攀 甀洀愀 ⠀㔀Ⰰ㠀─⤀ 昀漀椀 挀愀爀愀挀琀攀爀椀稀愀搀愀 昀攀渀漀琀椀瀀椀挀愀洀攀渀琀攀 挀漀洀漀 渀漀 搀攀琀攀爀洀椀渀愀搀愀⸀ 伀 瀀攀猀漀 洀漀氀攀挀甀氀愀爀 搀漀猀 瀀氀愀猀洀搀攀漀猀 攀砀琀爀愀搀漀猀 愀瀀爀攀猀攀渀琀漀甀 瘀愀爀椀愀漀 攀渀琀爀攀 ㌀Ⰰ㔀 愀 㜀Ⰰ 䬀戀⸀ 䌀漀渀挀氀甀猀漀㨀 䄀 爀攀猀椀猀琀渀挀椀愀 搀攀琀攀挀琀愀搀愀 搀愀猀 戀愀挀琀爀椀愀猀 昀漀椀 猀攀洀攀氀栀愀渀琀攀 愀漀 漀戀猀攀爀瘀愀搀漀 攀洀 漀甀琀爀愀猀 瀀攀猀焀甀椀猀愀猀⸀ 䔀猀琀攀猀 搀愀搀漀猀 爀攀焀甀攀爀攀洀 愀琀攀渀漀 搀攀瘀椀搀漀 愀 瀀漀猀猀椀戀椀氀椀搀愀搀攀 搀攀 氀椀洀椀琀愀攀猀 搀愀 愀渀琀椀戀椀琀椀挀漀琀攀爀愀瀀椀愀 愀 猀攀爀 甀琀椀氀椀稀愀搀愀 渀漀 琀爀愀琀愀洀攀渀琀漀 搀漀猀 瀀愀挀椀攀渀琀攀猀Ⰰ 瀀爀椀渀挀椀瀀愀氀洀攀渀琀攀 搀愀焀甀攀氀攀猀 椀渀昀攀挀琀愀搀漀猀 瀀漀爀 戀愀挀琀爀椀愀猀 挀漀洀 䔀匀䈀䰀⸀ 䔀猀琀甀搀漀猀 挀漀洀瀀氀攀洀攀渀琀愀爀攀猀 猀攀爀漀 渀攀挀攀猀猀爀椀漀猀 瀀愀爀愀 挀愀爀愀挀琀攀爀椀稀愀漀 搀漀猀 瀀氀愀猀洀搀攀漀猀 搀攀琀攀挀琀愀搀漀猀 攀 猀甀愀 爀攀氀愀漀 漀甀 渀漀 挀漀洀 愀猀 戀攀琀愀ⴀ氀愀挀琀愀洀愀猀攀猀 椀搀攀渀琀椀昀椀挀愀搀愀猀 渀攀猀琀愀 瀀攀猀焀甀椀猀愀 挀漀洀 漀猀 搀愀搀漀猀 爀攀氀愀琀愀搀漀猀 渀愀 氀椀琀攀爀愀琀甀爀愀⸀ 㰀⼀倀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀㸀㰀⼀䘀伀一吀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☀渀戀猀瀀㬀䔀匀䈀䰀Ⰰ 瀀氀愀猀洀搀攀漀猀Ⰰ 爀攀猀椀猀琀渀挀椀愀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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