• Nenhum resultado encontrado

UNIVERSIDADE FEDERAL DE UBERLÂNDIA

N/A
N/A
Protected

Academic year: 2019

Share "UNIVERSIDADE FEDERAL DE UBERLÂNDIA"

Copied!
77
0
0

Texto

(1)

! " # $% %! &'$ %

! ' !$ ! %

'#' !$!# $%

$'"%"! "! ! % '% $ !$ '(%) " *

(2)

! " # $% %! &'$ %

! ' !$ ! %

'#' !$!# $%

$'"%"! "! ! % '% $ !$ '(%) " *

"! " ' + ' %' "!

,! *-$"'%

! " !# $ % &' "

"% ! c

c " )% c * &'

+ % % " , c

-./

! 0-

- ! %

!

1

2 3 4 5

6

(3)

c &' !%* c &' 5 !6

8 9 ./ : : ;<=9$

Surto por Pseudomonas aeruginosa resistente ao imipenem em duas unidades de terapia intensiva de dois hospitais de Uberlândia / Renata Cristina Cezário. - 2008.

=> 0 ?

-? ! % ! 1 2 3 4

-&' 5" 6 @ 3 * A : ! $

grama de Pós-Graduação em Imunologia e Parasitologia Aplicadas.

c % * * 0

1. Infecção hospitalar - Teses. I. Gontijo Filho, Paulo Pinto. II. Uni- versidade Federal de Uberlândia. Programa de Pós-Graduação em Imu- nologia e Parasitologia Aplicadas. III. Título.

? >;>-< ?>;9-8=

(4)

* 4 0 . * # B c * C "% :

B c * ! % , c "D c @ 3

* A : * &' ! 0- - ! % !- 1 2 3 4 : c " %E+ 0 c

!

F-0 " " !% 0 . * # c

c " B c% 5 B6 3 c% , c

3 " c,% c * ' ! @ F' ! % : * *

! 0 - - 7c

-)% + " "* E 0 . * #

B c% 5 B 6 C "% : B c * !

% , c "D c @ 3 * A : *

(5)
(6)

! " #$% & '(#

)*#%+!

* %

# ,

-

% ./

%+! #" ! %0

! #/

% # 1 " #!

! /! * % !2

(7)

3

3

3

3

& % @ : )% " : 7 *

c c " 4 c G

" % " . : c 4 c " 4 " G

" % : 0 & : c 4 : " . G

" % ! 0- - ! % !- 1 2 3 4 c , c : c &'

% G

" 4 c $ ! 0 - - 7c :

c * &' : c &' c , c G

! 0 - B c F %. : ! 0 - - 4 - ! !

0-- 3/* @ c * &' c &' G

! 0- 1 B c @ @, c " G

H " 4 " : : : I : A : J : :

. : @ " c " " " 2 G

H : . * 5 B6 ! +c 4 5 B 6

c * &' " . G

c * # ? % : : B c4 : 1 /%c : 0 : :

E : : %+ 3 : B K: : B c+ : )% : ! %

c @ @, c G

Dc c * # B c * B!: % : c

F "% : " . G

Dc c * # B c * $ 3 : "/ : D : 1 &

" . c * &' )% 0 @ @ G

(8)

-) L C "% : B c * !

@ 3 * A

. L M 0% N

/M 0 c @ N

L M E $F c %"β$ c " N

. L + c @ 3 * A

. L F

./ 0 c&O

/B $P$ c "

. / 0B% N

. L MB% 4N

/ 0 $" c c c N

L M c " 0 c F% @ c N

L M c " ! 4 c F% @ c N

/M N

/! %" c Q @ &' " cA c

/ M!% $0 c 4 N

/F %" cI % 0 I c I " c 4

)# L 3 " R "

L @

L M I c F I N

(9)

1

1 %" 23 c + c " /0 c c + c c 0 c

" " 4

1 %" 4- c + c " /0 c c + c c 0 c

4

9

'& % 23 *% &' " c 0 c

" " % 4 : +

@ "* S T "* S

8-T

'& % 43 3 )U, c 0 # " %. : B $ B $B!

" " " c

4

-8

'& % 53 *% &' " c 0 c

" " % 4 : +

% %* S T$ % %* S

9->

'& % 63! ' c 0 c&' " "

" 0% &' &' c S " % 4 :

+ % %* S T "* S 9- " 7 c% # c

0 c&' c " 0 c 4 " " !31

'& % 73 3 )U, c " " "

% " %. : B $ B $B!

-T

'& % 83 / 0 D c + " "* E "

" "

T;

'& % 93 % " %" / c " % . 0

c " !31

(10)

%,!*% 23 0 c&O " " c

% 4 : % +

@ "* S T "* S 8 5 6 @ "* S T 2% 4 S 9 5 6

;

%,!*% 43 ! 0 , c c

% 4 : + @ "* S T

2% 4 S 9

<

%,!*% 53 ! @ , c c c .

% 4 : % %

T

%,!*% 63 " &' % 0+c #E " c

c . S 0 c % 4

TT

%,!*% 73 ! 0 % c * " c *

@ c . &' " c c " &' "*

4

TT

%,!*% 83 / % @ 0 c 0 c&O c Q

" " " c % 4

T8

%,!*% 93 / "% @ 0 c )% &' 0 c&O

c Q " " " c %

4

T9

%,!*% :3 c + c " # c c / c " c% 8

" " @ 0 c&O " c

(11)

; V V

2 ;

4 < =

5 <

6 = <

632 . <

8-;-;$ @ <

8-;- $ c &' % <

8-;-T$ 0 &O

$ 0 c&' 4

$! %" c Q @ &' " cA c

;

8-;-8$! )% c . &' c c " &' "*

% $ 3

;

634 ;;

8- -;$ ;;

8- - $ % @ "/ 0 c &' ;;

8- -T$ c " ;;

8- -8$ % c * " c * ;

8- -8-;$ 0% ' " ;

8- -9$ c&' 0 + c " % β$ c " ;

8- -9-;$3 # β$ c " c " ;

8- -9- $3 # " %. ;T

8- -9-T$3 # B $β$ c " ;8

635 > > ;9

8-T-;$ E &' + ;9

8-T- $! c c " ;>

636

8-8-;$ 0 " " !% 5!31 6 ;=

8-8- $ E &' R" c ;=

8-8-T$! 1 ;=

8-8-8$ 0 " " % ;

7 "% 1 ;<

8 ; = ;<

9

=-;$F% " " " % %

4 * A

=- $ F 5 6 ;

=-T$ c @ 3 * A 5 6 8

=-8$! )% , c " " " c " $ / + " "* E

T

=-9$ . &' c c " &' "* 4

T

=->$ @ &' % " % c E c 4 T8

=-=$ / 0 " c &' c !31 T9

: T

? @ 8>

2A ; 8=

22

;;-;$3 c4 0 c&' Sc . &' >T

12- >

(12)

F B

3 @ %" % " " )%

c " # c c / c " c% : " % " %

4 * A - : 0 " @ @ > c : 8= c

c @ 3 * A 5 6 ; F 5 6:

@ "* S T 2% 4 S 9: "* S 8: c @ " - 3

. %" % c $c c % 8= c 0 c

5c 6 ; c " " + " 0 c&' 5c 6:

4 5 6: c " /0 c : c + c " # c - "

0 " )% c , c M @ N Dc c

0% ' " : & 0 # ? " $P$ c " 5B 6: " %.

& + " "* E - c " : 0 " . c% %

"* "' 0 % 4 5 6- c $+ c

0 c 4 M N c % %" c c 7 c : 0 4

5 6: * @ &' " cA c : )% @ @ % %" c Q @ &' 5! X6

" "- &' " c 0 @

" 5<8: Y6 c 4 5 6- 0 c&O : ! X

5==: Y6 0 " " % % - " "

" " 5<8: Y6 % , c % " c * : Ec " E

-, c " " " P$ c A" c c % @ @ " : @ &'

. "/ c B 5>>: Y6G 4 $ %&' " %. 5T;: Y6 "

- @ &' " cA c : )% " c &' " " 0 "

0 c 0 c @ )% / "% @ - 3 c 4 5 6

%" c c " "+ c " % " "

0 0 c 4 5 6- c , c %" % c %" c

" D % @ %" " &' 4 . 4 : %

/ c c @ &' 0 c&O 4 )% - "* :

)% O @ Q + c % * # c " % %" ' @ :

* " c " & c c " c%" " 0 c&O % .

," c : ' " )% c " % &O %

-%*%( % B+%(! C % : " "G " $P$ c " : %

(13)

-% * K *I " "$ : Z @

c c " c% " I c Z % " E @ c

% 5 6 Z 4 0 * - Z4 : > Z @ @ ? 8= 0 "

4 c 5 6 0 4 @ 3 * ; 0 " 4

F 5 6: " 4 @ "* S T c * S 9

F "* S 8: c @ I- c $c % I Z c % ? c % 8= c

5 0 c *I 6 ; c 5 " 0 c *I

6 I 4 4 5 6: 4 " c: c c " 4 c

4 @ * c - 4 * c % c * I @ Z I. *I 00%

c4 )% : 4 I c ? " $P$ c " 5B 6: %c * "

% " "* - c4 0 @ " c " 4 4 00[

4 4 5 6 Z c % : I- 4 E$c Z c

@ "* S T: 4 % c 4 * 0 4 4 5 6: Z4 4 *

%*2 c " c4 c @ @ @ $ c %" 5X !6

*I " "$ 4 4 5 6- " S c

4 Z c " 5<8- Y6 4 5 6- 4 %" Z 4

" 0 c 5==- Y6 * 4 % - 4 " 2 I 0 4 " " "$

5<8- Y6 Z 4 " c * : Ec " E - 4

" "$ 4 P$ c " c K c *I " .I" c c @

B 5>>- Y6: 4 4I %c %c * " 5T;- Y6 4 0

- 4 " c4 c @ : c4 "I 4 " " c Z

0 c K 0 c "% @ I - c I 4 4 5 6 Z 4

@ 4 c 4 0 I 0 4 c4 Z 4 4 5 6 Z

0 - 4 4 0 4 % * K 4 " c : %

4 . " 4 %c *I c c c

@ " % 0 c " 0 c )% - 4 % 4 4 )%

4 c 0 4 % 0 " c * " I %c c @ % Z

4 c 0 c I c 0 " *I " c 0 c : 4 c *

0 % 0 % * K

-J \ ] F? % * K: " "$ " $P$

(14)

! "###$ % &!

'(() * + ,

-)(. / 01 2

- , 02 02 3

-02 3 4 5 67 8 02

02 3 ! 9 : ;<+ '(('$ 9&&< '((= *

+ / 01

> "(. / 01 02 / 01

? "'. @ "(. A 7.

"B 6. C& D E +! "##B$ E D && "##B$ 4<&& C '((F *

02 @ ?

0 , 02 8 ?

0

-@ 02 3 , 02 /

@ 8 2

, / G / 02

! '(('$ < < '((F$ 9 '((F$ &< ! '((= *

H+ 4 ! I +4 ! '((F /

-/ 8 ; G

- / 01 * ! H+ + /

! I ++ ! 02

(15)

/ 01 A G

! "### * + 8 8

? 6) B. / 02 @ '7 ).

? '" #. ! 9 '(("$ C ::9 '(() *

9 , / @

/ 01 2 J , >

, K /

L9 + '((" $ 49&&9; +< '(('$ <+; '((F$

4 ED < < '((6 * 2 ?

2 J 2 2 / A

L9 + '(("8$ L< ! '((" * 9 ? @

02 / 8 ? /@ L<+ 9+ "###$

M '((6$ C C '((B *

/ 01 2 ?

/ 8

8 / 02 J

1 E9&

"###$ L C <&E '(('$ 9!4< '((6$ E N E '((6$ 4 ; +

'(() * + L J / / 1

$ 2

8 02 3 * ; &9! '((6$ M 5 ! C

'(()G8 4 +< '((B *

< O @ 8

/ - , 02 @

(16)

K / 02 8

J / @ ;<<!!9+! '((F$ E '((B *

J @

J - 8 , / 01

P 8 QG , 8

/ 02 8 J @ /

E9& "###$ C % '((($ & 59 E< 9 '(('$ <!!<& +

E + 9+;<& '(() *

9 02 - J @ G 02 /

R * 9 , / 2

/ R / @

9 8 9!4

2 > 8 > @

, > @ 0 8 βG

3 - 02 8 βG 8

, 8 ; %9 9E + "##($ & 59 E< 9 "##)$ N +

'(() * < βG , βG

9!L& H β /

8 + C < "##)$ 4 EL%9 4 < C '((F$ & 59 E< 9 '(('$

< S 9 * '((F * 9 , / J - βG 3

8 8 βG / + C <

"##)$ 4 EL%9 4 < C '((F$ & 59 E< 9 '(('$ < S 9 * '((F *

+ A 02 E GβG EL&

βG 3 3

(17)

% ! '(()$ E9+ 9! '((= *

2 8 P E4 5 E 5 !4EG" !2

4 ; E H; I ! EG" H! I % &! * '(()$ E9+ 9! '((= *

/ - , ? EL& 2

T 9 ! +

? 02 J <!!<& + E + 9+;<&

'(()$ % ! '(() *

+ L / 02 EL& '((" 8

2 E4G" !4EG" E9+ 9! '((= * 0 !4EG"

L / 1 ?/

P !2 4 4 ? L ? : 4 8 E 2 ; &9!

'((F$ 4 +< '((B$ ; !4 9 < '((B * ! '((6 M U

'((6 > J 6# (. )# (. / , 6( ).

6# (. 0

EL& 8 !4E 8 / 1 L *

A / G J @

? - 02 8 8 > / 02

02 > 2 @ 8 >

< - > 2 8 8 / > , / @

H + G I + @ "' $

E > LG< E E > G< N E >; G< E >NC E >VD E >9:G

< + 2 / > - J ! %9 M9 '((F *

< / > 8 8 E > LG< E 3

8 βG 3 / / @

8 / ? G

(18)

J 8 8 J

02 8 A /

8

> J 8 & 59 E< 9 %<< :< '((($ % &!

'(() 4 M9 '((6 *

0 8

2 8 02 ,

- 2 0 A

4 9 !<+ '(('$ : ; 9 9 <GE9+ 9! '(() 8 / 01

49&&9; +< '(('$ C< '((6$ < 9;

'((6$ : ; 9 9 <GE9+ 9! '(() * ! 02 8

>

L @ + 9 '(()$ C& D E +!G

5 + 9 9 ; C& D E +! '((=

@ / 01 02

@ / 01

49&&9; +< '(('$ 4 9 !<+ '(('$ : ; 9 9 <GE9+ 9! '(() *

, 02

P 8 L9++9C<5 "##= 4 G4

/ 02 + H W / 4 W + I 4 % +;

"##F$ 9+ 9 ! "##= / / 02 H

: & 4 W I :&4 +< "##= /

H4 : ; 9 IG4:;9 % +; "##F$ L9++9C<5

"##= *

0 / J / 2

(19)

> / 02

/ / & 59 E< 9

'(('$ : ; 9 9 <GE9+ 9! '(() E9+ 9! '((=

2 / 01 J J

9 '((F J / 01 >

L<+ 9+ "###$ M L< + '((= * 9 ? 2

/ A 02 L9 + '((" *

2 / / ?

@ : 8 3

, F(. L

(20)

CA A

J / 01

/ 1 L 02

8 3 , ?

8 G / X P / J

8 X J @ / 01

/

(21)

<LN9 5< ;9 &

8 3

02 / 02 / G

@ *

<LN9 5<! 9!49 Y: <!

"G / / 02

, 02 *

'G , J , 02 02

/@ > 2 / A 01 G

G : *

FG J 8 0 /

J P 9!L& , EL& 0 @ 8

> !

6G / ,

GQG ? / / 02

(22)

CA

CA

A A A A A A

< / , @ : 8 3

G : , 02 / J @

? )(F ! ! , L

@ J ? ")( * G

2 @ G A ")

L "F *

C

: , G@ /

BB

67 02 G : /

! L L / J 8 R

8 / 02 8 '((F*

G@ / / 02

L @

8 K'((F O K'(() 8 K'((F 8 K'((6 *

4 / Z6B G /

, Z"''

@ / 01 J

(23)

?/ @ 8

? J $ / 8 *

!"#$%& '&()*+,-,./ / 02 @ / 02 2 ?

8 02 2 / G 67

02 ; E9 "#77$ ;<++9 '((6 *

"01& *, ,((&#*,2, 3 4" +*-,$%& 1"#5 *#, 6 A 7/ / 02 G

67 02 3 O 8 @

8 9&&< "##)$ < &&9 * "##7 *

< 8 / 01

/ , & 8 E 8 L

/ / ? & 8 E 8

: 8 3 *

8 A 2" C 9A &( AC " C A A

A A )&. ,".0:* &(, , 2" A 2& C

: , J , 01 /

G : @ O K'((6 8 K'(()*

, 02 / / 0 @

2 / 02 <+; '((F * 02

8 / , 2 / A

01 , 02 81 01 /@ ,

> 8 8

(24)

?/ @ 2

/ , 8 *

C CA C ;< CA

C A

@ /

2 / A /@

/ , J >@ H [ 8 I

8 E 8 T E 8 4

: 8 3 G E4G : 8 H W ! W L

!L \ : <]

*

C = " CA 2"

J 8

/ 02 / T 4 : <]

8 02 FB<

'6 C !C ; && ; + "### *

R / / P 02

G > > 02 <> 02 : 02

* 'B7)F

/ , C !C ; && ; + "### *

CA<

R / 8 HL / I L

\ : <] "). 8 G FB< '6 2

(25)

2" C A ,&( A C A

"(+" 2" *!0(%& "1 A:,./ / 8 T

H W ! W I ! G : <]

8 FB<

'6 * F ) R / ) & !L 8 G FB

02 - 02 2 ( ) E :

" '>"(7

: K &$ / /@

T EX G E G : <]

>@ H [ 8I 8

/ * < 8 / 8 /@

G 8 02 FB '6 H"

+ &! '((6 * < 8

9 <+]

/ , P , F(^ / , F(^ / > F(^ /

F(^ / > )^ "(^ "(^ "(^

G , 8 "(K"((^ > L F(( * 2 / ,

'B7)F*

> C CA 2" A A A 2" ββββ

AC A A

> " ?+*)& 6@ -,#+,1,(" 2" "()"#+.& ,1)-*,2&7/

J - / , K - / / 8

02 02 9!L&* 9 E /

8 9 <+]

P / , F(^ / > F(^ , "(^

> ? 3 "(K"((^ / F(^ 3 '(

8 + &! '((68 * 8 02 '6

FB_ 8 02 , 8 02 ? 02

/ 02 9!L&* /

(26)

> " ?+*)& A1)C * 20A*2,// 8 > 02 H

I / 02 , * 4 E / ,

2 8 ( ) E : 8 02

/ F(^

8 P 9 <+]

/ , F(^ / > F(^ / > F(^

` , 8 "(K"((^ / X ')

/ * 8 '6 FB / ,

0 8 ,

/ , 8 02 a '( ? , 8 *

2 / , 'B7)F

(27)

25 mm

> " &+B)& "+,-&ββββ -,#+,1,("/ 8 J

-/ , K / 8 $

8 / , 01 ' ? G R 'GE4 ? G G

G ? 9 "(^ / ,

F(^ C % '((( * / 8 !L 2 /

8 FB_ 02 - ( ) E : /

H4 I E >@ H [ 8I 8

/ * : / , F(^ "(^

') G/ , $ 8 G

/ / Fµ& ? R 'GE4 8 FB<

'6

* < 8 / 9 )(( E "(µ& 0

X "( "(^ / , F(^ * 02

, 8 02 0 8 02

/ , F(^ "(^ , 0 GβG

(28)

'B7)F 4GF"# G * ; G

+ :9!4 *

C A A A A A C A

D+.,$%& 2,( ).&+"B ,(

> 02 @ 8 > 8 / 8

/ J / @ - 0 GQG *

8 ? 4 > '( R

/ ) & HEX G L I E L 8 FB_ '6

/ , E "##) / 01 * 02 ' &

/ / 8 H / I , 8 - / 02 B*(((>

"( * < 8 / * < / " &

H! W / I ! ! +5 <;9+]

"(. /

8 / 02 B*((( > "( 8

(29)

/ * / ?

"( ' 8 * < /

/ B*(((> "( 8 / ,

*

."),.& " #&..*2, 2& :"- 2" )&-*,#.*-,1*2,

< "6. / 8

L "( 0 $ / 0

B µ& 2 8 > "( '(( U L E UG

+5 <;9+]

G *P "(B67G("( A 0 B µ& 2

F( 6=( U E UG +5 <;9+]

G *P & )=## 0 '( µ&

8 * : ,

'B7)F / 02 8

8 G > 2

> 2 , < E$ !4E

J @ J * XJ

0 / / / 02 * 9

/ 8 - / 6(

=( '(( 5$ / L K 02

J , 02 8 * < 8

/ 8 @ , C< C "

]

(30)

A<

C

A

"1 CA A 6 < 7

: / 02 + , $

4:;9 '6 "7

(= L* ? / 8

/ @ 02 GQG * 4

8 L 02 @ J

8 X $ G@

8 @ *

D+.,$%& 2& A :" E1*#&

8

/ ) & L 8 FB '6 02

/ > * @ " ) &

/ / 8 H /I / ' "'*(((

6 * / )((µ& 4 5 "( E "*(E +

/ 8 * < H I / '((µ& 4 5 ")(µ&

/ / 8 H /I 8 G - 67<

)

"( @8 *

."),.& 2& :"- 2" ,:,.&("

9 ")(µ& " ). 4 /

8 * < / / 02

(31)

W $ ( ). L O )7 G + 02 / '(µ K &

8 6 ) FB<

* / @ 2 9 / 8 @

2 9! 9 # ". C 8 G

@ "7G'6 )(<

* < / ) , "F &

2 9 "> "(E B )$" E 9 7*( F( * *

A / "((µ& 2 "> > FB<

F( * 9

02 / 8 @ 2 / F( , 02 ! $

G 8 02 8 ? "7 '( FB<

* : ")( &

". 4 L9 ( )> ( 7# E $ ( 7# T L $ ( ') 9

7*( *

-"+.&!&."(" "1 #,1)& )0-(,2&

/ / , ; + 4 , G

2 L9 ( )> "6<

'( ) '( ") "

, G "=6 5 *

/ 8 @ "µ K & F(

? F( / / / 4 *

< 1 4:;9 / 8 J

8 8 / 8

@ / / 0 J 8 9+<59

"##) *

/ - R

(32)

> A C C 2, 8 A

< O / 8 J b 4

: 8 3 "7#K(6 > * < / ,

8 *

F A = A CA

< / H! 6*) /

% [ I <4D ; "##F 9 G / 2 )*( 9 + '((( *

< V'

9> : / , 01

! / 0 * < / 02

, 02 K / 02 / , 02

? / c ( ()$ ? @ /

(33)

G A

G 0.+& )&. ,".0:* &(, ."(*(+" +" ,& *1*)" "1 "1 ( 2" ,20-+& 2" 2&*(

'&()*+,*(

< G@ / BB

67 02

G : * 9 / ! L L

/ J 8 R 8 /

02 8 '((F "G: 6 *

@

/ , > L* / / / @

02 8 - 4 5 - / J

A 2 *

G@ / =B =7 =. 6=K=B

: 6 F" F. '"K=B L

/ *

9 / 01 8 " / / X B( =.

/ 02 ? "" B. / 02 @ 7 7. @ A 7 7. *

5 / G 02 8 "( =. 6 7.

/ 02 A L "6 7. = B. *

< / - / XJ

(34)

,H"-, * / 01

L @ 8 K(F

8 K(6 L 8 K(F O K()

d 4 / +Z=7 .

L K!

= 7 7

4

67 B( =

/* ?

7 "" B

/* @ A

= 7 7 =7 "(( ( ) "( = F6 B' F ) "( = F = B 6B =# " L " 6 7 "6 == = F "6 F F "6 F '" F( "

d G : 8 3 L G !

G &()*+,- , +, C,+,.* , 6 7

@ ?/ @ '" /

2 S " 8 G @

=( B" 6. > =' (. 0 8 R

0 8 / X "# (. #) '. 8 02

(35)

80,2.& @ ?/ @ /

L

4 ! > 0

8 d

/ 02 4 ddd 9 02

" E BB @ 3 5 5E !5 e8

' E + + dd 5 5E <

F : B6 4< 4 5 5E !5 e8

6 E B= E 4 5 5E !5 e8

) E =( + 4 5 5E !5 +

= E =B + 4 5 5E !5 e8

B : 6# + 4 5 5E !5

7 : =F 4< 4 5 5E !5 e8

# E 76 / 4 5 5E !5 !+9 e8

"( E 7# + 4 5 5E !5 e8

"" : =) 5 4 5 5E !5 !+9 e8

"' E + + 4 5 5E !5 e8

"F E == + 5 5E !5 +

"6 : )# 4 8 5 5E !5 +

") E B6 + 3 5 5E !5 +

"= E )= + 5 !5 +

"B E B# + 4 5 5E !5 +

"7 : B6 4< 4 5 5E !5 e8

"# E B6 4< 5 4 5 5E !5 !<; e8

'( : 7) 4 ! 5 5E !5

'" : + + 4 5 5E !5 +

d 4G 8 / $ 5 G 8 $ 4< G 0 8 R $ E G / ? $

dd G / 02 ?

ddd 5 G $ 5E G 5 02 3 $ !5 G ! !<;G ! < ? + G 2 / *

8 02 /

L 0 H I : "*

== B. @ , 8 K'((F / K'((6* <

(36)

*:0., 8 02 3 H I /

L @ 8 K(F 8 K(6*

J

8 P / > / > / > / ,

` , 8 8 > *

<

J / 8 / @ 02 02

, EL& , P 02 EL&GE4 EL&G

9 7) B. #( ). , 6B B. : ' *

0 1 2 3 4 5 6 2 " ) , # *" +" ( & 4 I J 2 " A I J K, I J !" 4 I J 1 , .I J , H .I J 1 , *I J K0 I J K0 -I J , : & I J (" +I J ".B&2&

(37)

*:0., : XJ / , EL&G9 EL&GE4

L*

G &()*+,- 2" C-B *#,( 2, *4".(*2,2" "2".,- 2" H".-5 2*, 6A7

G@ / =7 B. 6=K=B

/ 01 *

@ ?/ @ / 2 S '

3 P =( B# (.

#' ). * 02 3

/ *

47,7%

9 0,5 % 85,7 %

0 2 4 6 8 10 12 14 16 18 20

& 2" A A1)C * 20A*2,

A A

(38)

Quadro 2. Características demográficas e clínicas dos pacientes infectados por P.

aeruginosa resistente ao imipenem internados na UTI do hospital (A).

4 ;J d / 02 4 dd 9 02

" : BF 4 5 5E !5 e8

' : 6F 4 5 5E

F E =6 4 5 5E !5

6 E 6B 4 4 5 5E !5 e8

) E "# + ! 5 5E !5 e8

= E )' + 4 5 5E !5 e8

B E 6F !L A 5 5E !5

7 : )= 5 5 5E !5 e8

# E BB 4 5 5E !5 e8

"( : 6( & 4 ! 4 5 5E

"" E )" + A 5 5E !5 e8

"' : 67 + 4 5 5E !5 e8

"F E '" + A 5 !5 9+<

"6 E =# +9< 5 !5

") E 6= + 4 5 5E !5 e8

"= : F7 &9 4 5 5E !5 e8

"B E + 4 E 4 5 5E !5

"7 E )= 4 5 5E !5 e8

"# : =7 4< 4 5 5E !5 e8

'( : 6F 4 E 4 5 5E !5

'" : )B 4 5 5E !5 e8

'' E )# + 4 5 5E !5 e8

'F : #7 + ! 5 9+< 9 e8

'6 : =) 4 E ! 5 5E !5 e8

') E '= 4 E 4 5 5E !5

'= : )' 4 5 5E !5 e8

'B E 6' 4 E 4 5 5E !5

'7 : )= + 4 5 5E !5 e8

'# E )F 5 9+< 5E !5

F( E 6) + 5 !5 e8

F" E =) + 4 5 5E !5 e8

F' : )7 + 4 5 5E !5 e8

FF E )) 4 5 5E !5 !+; e8

F6 E =( 4 4 5 5E !5 !+; 9+< f8

F) E )F +9<4& ! 4 5 5E !5

F= E B' + 4 5 5E !5

FB : )= + 4 5 5E !5 !+; !+9

F7 E )' 4 E 4 5 5E !5 !+; !+9

(39)

C& +* 0,$%& 2, L0,2.&

4 ! > d / 02 4 dd 9 02

6( E FF 4 E 4 5 5E !5 9+< <<! <E

6" : "7 + 4 5 5E !5 e8

6' E 6" ! 4 5 5E !5 e8

6F E =) 4 5 5E !5 e8

66 E )) + ! 5 5E !5

6) : F# + 5 !5 5E e8

6= E 6) + ! 5 5E !5 !+; e8

6B E )6 + 4 5 5E !5 e8

d 4 8 / $ 5 G 8 $ 4< G 0 8 R $ G

$ E G / ? G / J $ G / J R $ &9 G

$ 4 E G4 $ ! G @ / J $ G $

dd 5 G $ 5E G 5 02 3 $ !5 G ! $ !+9G ? 9 G $

+ G 2 / *

8 02 / 8 2 /

F 0 J > @ O

O K'((6 / O K'(() *

*:0., 8 02 /

@ 8 K'((FG

8 K'(() 0 1 2 3 4 5 6 K

(F K(F ,K(F

O

K

(6

/

K( 6 K(6

8

K

(6 K(6

O

K

(6

O

K(6 K

(6 K(6 K(6 K(6 ,K(6

O

K()

/

K

() K()

8 K( ) K () O K() O K () K () K() K()

4 @

+

(40)

+ 8 G 02

/ 01 02

G@ @ 8 K'((F O K'(()$ ?

02 + G 0 ? /

H I / G@ 8 K'((6 @

(41)

*:0., 4 2 / 02

/ 02 02 K @

8 K'((F 8 K'(()* & A / 02

/ + ? 4:;9

A C

D

E

E

F G

A1

A A2

A

A A

C

D

(42)

/ 01

B) (. / 8

8 > L 8 ' *

,H"-, 4 / J

@ 8 K(F 8 K()

d M G , E G ;9+G 9:G / 4\ / > &95G / > MG / , 4 MG \ , 8 E4G E9 G 4 LG 4 > L*

< / @ 02 9!L& , EL& /

, F7 / G J / 9!L&

@ / * 9 G > 2 , /

8 F( (. J > 2 @

BF B. '7KF7 8 > > 2 , * 02 EL& /

9 =( ). 'FKF7 , 02 8

E4 )' =. '(KF7 / )*

8 d .

M E ;9+ 9: 4 &95 M 4 M 4 L

E4 66 F# 77 = F6 BB F 6" #F " F7 == F 6( #( # 6" #F " F6 BB ' F= =" = ( ( (

E9 F F "(( ( " FF F " FF F ' == = " FF F ' == = " FF F ( ( ( ( ( (

(43)

0 5 10 15 20 25

No de isolados MBL-MPA

MBL-EDTA AmpC induzida

te

s

te

s

f

e

n

o

p

ic

o

s

*:0., >* : XJ

, EL&G9 EL&GE4

G "(L0*(, 2" ."(*(+M #*, ,& *1)" "1 )&. 1"#, *(1& 2" )".2, 2" )&.* ,( , N-*("

2,( ).&+"B ,( 2" 1"1H., , "D+". ,

0 @ 8 >

/ / "6 (. ! !G4 ;9

/ / /

@ 'B7)F 8 0 @

> 6) U /

8 8 > > 2 J E *

02 8 G 0 @ 8 > > 2

6) U "6 (. 'K"6

@ 6# U 6K"6 '# (.

@ < E : = *

(44)

'6 # F) " 6B ' =( 6 B7 # "(# ) "B( #

O A > F G

PQJ

>QJ

PQJ

>QJ

*:0., F ? / @ 8 > / 4 2 8 > 44E

"P @ $ 'P $ FP

"BK G : 6P FK G : )P

(45)

G > C&-& *A,$%& 2" ),#*" +"( " #& +,1* ,$%& ,1H*" +,- )&. ,".0:* &(, , 2&

'&()*+,- 6A7

< J , 02 02

/ , O K(6 8 K() J

8 ) * '((6 / , J

6F )F 6. 'FK6F , 8 K

F) (. ")K6F / 02 6F 6. "(K'F ,

G 8 / * + / ,

'7 / G B B. ,

/ * + , '(() / XJ

, 02 / "F F. , /

*

,H"-, 4 J ,

4 @ d 4

/ . , .

" G"#K('K(6 ") = 6( ( 7 '= B

' G'FK(FK(6 "6 ) F) B 7 '" (

F G'6K(6K(6 "6 6 '# ( B 6F (

6 G'BK"(K(6 "F " B B " B B

) G")K"'K(6 ") ( ( ( ( ( (

= G ("K(6K() ") ' "F F 6 '= B

B G ("K(#K() ") ( ( ( ( ( (

"(" "7 "B 7 '7 'B B

d Z A

+2 / 0 2 / A

01 G * + /

(46)

,H"-, 02 /@ >

4 @ ! /@

8 d . d .

" G"#K('K(6 ")K" == B "'K6 FF F ' G'FK(FK(6 "6K' "6 F "(K' '( ( F G'6K(6K(6 "6K" B " "FK' ") F 6 G'BK"(K(6 "FK( ( ( "(K" ( ( ) G")K"'K(6 ")K( ( ( =K( ( ( = G ("K(6K() ")K( ( ( 7K( ( ( B G ("K(#K() ")K( ( ( "(K( ( ( "("K6 6 ( ="K# "6 7

d Z A K A

+ 6" - , 02

02 8 J =) #. 'BK6"

8 =B 6. > > 8 ) *

,H"-, > 4 / 8 8

, 02 02 8

> / QG 3 3

/ P EL&G )B B. 6= ". 9 E4

, G "# '.* 8

, 02 Z'7.

8

Z"F . Z6" .

, "B =( B # =# ' '= =F 6

') 7# # "F "(( ( 67 #' B

; 'F 7' " "( )' = 6F 7( 6

/ > "B =( B # =# ' '= =F 6

/ , "= )B " "( B= # '= =F 6 / > "= )B " "( B7 # '= =) # "B =( B "( B= # 'B =) # & / > "B =( B "( B= # 'B =) )

E ") )F = # =# ' '6 )7 )

4 ` , 8 "B =( B = 6= " 'F )= (

(47)

G F 4"(+*:,$%& 2& (0.+& )&. 1"*& 2& "(+02& #,(& D #& +.&-" & '&()*+,- 6A7

< / / / ? c ( ()

/ 02 / P a=( , 02

a B 5 0 02 3 02 3 a B

8 / 02

8 J 8 = *

,H"-, F* ? / / 01

-: 4

/ Z6B .

+2 / Z"'' .

% < dd #).ddd

;J : E

"B F= ' F( =F 7

=' )( 7

=( 6# ' ( "' ( =) ( F#G" 7#

a =( "" 'F 6 )( 6" ( ( () " 7) " ('GF F=

, 02

a B 66 #F = F "= 6 c( ((" ( 'B ( "6G( )F 8

8 (F = ( (B ) B " (( " (7 ( 6"G' 7# @ (F = ( 'B '' ( ( (' ( F' ( ""G( #) ! (' 6 ' (( ( ( ( (B F B" ' 7#G6 B= 4

F( =F 7 ""( #( ' c( ((" ( FB ( '6G( )B "' ') ) FF 'B ( ( ##) ( #6 ( )6G" =) 5 02 3 5E 6B "(( ( 7( "" ) c( ((" B #' ' ((GF" F(

5E

a B 6( 7)*" "6 "" ) c( ((" ( "( ( (6G( '' "' ') ) '' "7 ( ( F7" " F= ( 7(G' FF '7 )# ) F( '6 = c( ((" ' 7' " BFG6 =( 8

a ' '7 )# = 67 F# F ( (7 " )# ( #7G' )# / FK6g 02 F( =6 ( 67 F# F ( ((B ' (= " 'FGF 66 8 J '' 6= 7 (6 F*' c( ((" 6 76 F 'BGB "= S () "( = (B ) B ( "6 " #) ( #)G6 (' 5 "F 'B = "6 "" ) ( ("# ' (" " 'FGF '7

% c ( ()$ dd< G< $ ddd #)G / 0 *

< 02 3 aB c ( (("$ < B '$ #). " 'G"F B

(48)

"# " / / 8 / 01

? 8 B *

,H"-, G ? / 02 / 01

-G

: % < dd #).

ddd

5E a B ( ((" B ' " 'G"F B

( (' 6 ' BG"# "

( (' ' B ' BG"# "

% c ( () dd< G< $ ddd #)G / 0 *

G G A N-*(" 2& )".!*- 2" 1,#&."(+.*$%& 2& #. A 2" ,".0:* &(,

: '6 /

02 + 4:;9$ "7

L * : P H I

6= (. / $ HLI ') (. H I / / F

H I H9I H:I H;I ' "

(49)

*:0., F ? , /

+ 4:;9*

8 7 '6

/ 01 , 01 * :

/ J / L* 0 E / /

!

G : / 8 @ * <

/ , / / "(

(50)

,H"-, R @ '6 GQG

/ 01 G : !

< 49 : & 9 9! ! 9+

& '

/ 02 K , 02

4 0 < < E

4 / 4:;9

M M :< 4E 4 ;9 E4 E9 4 4K M 4<&

,

"G G : "(K""K'((F / 02 +2 H I ! ! 4

'G G : =K"K'((6 / 02 < E H I ! 4

7K ! ''K"K'((6 / 02 < E H I ! 4

"'K ! "'K'K'((6 / 02 < E H I ! 4

"BK ! )K)K'((6 / 02 H I ! 4

F"G G : "7K7K'((6 / 02 H I ! ! +

F'G G : 7K"(K'((6 / 02 +2 H I ! ! +

""G G : "7KFK'((6 / 02 H "I ! ! + '(G G : '#K6K'((6 / 02 +2 H "I ! ! ! ! + =G G : '"K"K'((6 / 02 < E H 'I ! +

"7K ! =KBK'((6 / 02 H 'I ! 4

"6K ! "FKFK'((6 / 02 +2 HLI ! 4

67K G : 'FKFK'((6 , 02 +2 HLI ! ! +

'"G G : #K)K'((6 / 02 HLI ! ! +

'6G G : F(K)K'((6 / 02 +2 HL"I ! ! +

#K ! 'FK"K'((6 / 02 +2 H I ! 4

"6K G : "#K'K'((6 / 02 +2 H I ! ! ! ! 4 F7K G : ""K6K'(() / 02 < H I ! ! 4 "BK G : '6K6K'((6 , 02 < H I ! ! +

F=K G : ""K'K'(() / 02 H I ! ! +

FBK G : '"K'K'(() / 02 < E H9I ! +

6(K G : "K)K'(() / 02 +2 H9"I ! ! +

F6K G : '7K"K'(() / 02 +2 H:I ! ! +

(51)

R

C

: / 02

L =7

* < ? G

@ 01 8 02 / A

8 / $

*

"(. / 01 2

? / 01 5 + 9+ "##)$

N<+9! '((6 * / 02 / X 02

3 4 5 3 / 01 @

? A 8 / !49+ 9 "##=$ ! "###$

; &9! '(("

9 8 / 01 O J ?

J 8 J 8

02 3 9!4< '((6$ E N E

'((6$ 4 ; + '(()$ M 5 ! C '((= * <

02 0 B( =. - 02

3 G ? "" B. @

7 7. A 7 7. * 4 5 2 >

> 5 '(() 9 M U

'((= L , '((B / XJ

4 5 6' F. =( (. )= (.

01 J * 9 02 8 HLI /

(52)

* < G@ 4 5

8 / L @ / 02

2 *

J /

L< ! '(("$ ; LL '(('$ 9!4< '((6 4 ; + '(()$

C C '((B L ; &9! '((" M 5 ! C '(() *

02 2

8 8 > 8

> E9& "###$ <!!<& + E + 9;<& '(()

J *

< G 8 K(F

8 K(6 L /

01 / 02 * + 02

@ 02 8 K'((6

O K'(() / K'(()* 5 / G

02 8 / A

02 *

J 02 3 8 2

2 4 9 !<+ '((' > 8

/ @ K 02 ,

? 02 8

$ , , 02 @

E ;<% ++ "##)$ E< 9 '((7 * 02 / 02

02 A

2 , 0 ? , 2

(53)

4 9 !<+ '((' * J /

8 9 ++ ! '((6 8 L

49&&9; +< '(('$ : ; 9 9 <GE9+ 9! '(() * 5?

J / 01 0 A

/ 1 L

: ; 9 9 <GE9+ 9! '(() / 02

! 9 "##F$ "### :<+!9 '((= * +

8 3 / H I*

+ L / 02

+ / H I 02

O O K '((6*

9 / H I 6 L

B J / 02 4 2

*

+ L 8 / 8 / HLI H I

0 K'((6 O K'((6 $ / /

0 K'((6 HLI / K'((6 8 K'(() H I

/ J *

< / 4:;9 H I / / K'((6

8 K'(() 4:;9

/ 02 / *

< / H I , 0 K'((6

/ / 02 / *

< / 4:;9 H9I / K'(() /

(54)

4:;9 H: ;I / , 02 / 02

*

0 , / , 8

> )( (. $ > 8

8 J E< 9 '((7

++ ! '((6 O 8 J

@ J < '((7

8 @ 02 J *

3 8 , L9 +

'((" 9!4< '((6 2 * < / L

/ / 02 ? 8

2 /

J 8 2 @ 5 & < '((B *

9 / a =( 0 9:9M '((6

+<h9 '(() M 5 ! C '(()8

4 5 9&&< '((=

/ 01 @ E '((B G / 01

* + =( L /

/ X $ 02 3

/ 8 *

S 02 / 01

8 , 02 0 J

2 "###$ < '((6 +<h9 '(()

2 / +<h9

(55)

/ 01 >

M U '(() 02 , ; ! *

, 02

02 3 8 / /

/ 01 > !

'(('$ < '((6$ &< ! '((= *

, 02 ? J

< &&9 "##7$ :< &9M '((= 8

/ &< ! '((= @ !

'(('$ &< ! '((= ! '(('$ +<h9 '(()

/ +<h9 '(() * 9 8 J

/ / / /

? ?

a B 02 / - / 01

QG 3

< '((6$ :< &9M '((=$ +<h9 '(() M 5 !C

'(()8 &< ! '((=

J P QG 3

@ / , 02

8 @ / 01

; &9! '(("$ + 9 '((F$ & ; <&& '((6$

M 5 ! C '((6$ & + E + '(()$ +<h9 '(()$ &< !9 '((B *

J 01 / 01

&< !9 '((B8 02 8 J / 02

(56)

+< E ++ '((' , 02

, 8 > / 01

&95 + "###$ E9& "###$ <!!<& +

E +; 9;<& '(() / 02 J G

& 59 E< 9 '(("$ <!!<& + E +; 9;<& '(()

> > J <!!<& +

E +; 9;<& '(()

!9+ D > J

6# (. L FB 7. @ &

! 9 '((6 * / XJ J / 01

/ #) =. 8

> *

J 8 ?

-0 ? O ? 2

J " & 59 E< 9

'(('$ 94 9 '((B$ S 99+ + L ! '((B * J βG 3

02 βG 8

9!L& EL& +< E ++ 4< 9& '(('$ <!!<& + E + 9;<&

'(() * 02 8 8

8 > > 2 8 8 / > 8 J

8 & 59 E< 9 '(('$ S 99+ + L ! '((B *

9!L& 2 βG / X /

# & 59 E< 9 "##)$ 94 9 '((B

A / J

@ @ J ,

(57)

< S 9 '((" 49&&9; +< '((' * 9 2

/ 0 9!L& *

/ 8 9!L& J

, / > G i

/ XJ "B F. ! '((F '( (.

< '(() '' (. L N99 '((7 * 02 /

/@ , 02 @ O /

++9 N + '(() * 9 /

/ , N '(()

FB (. / *

02 GQG J

8 J 8 QG 3

& 59 E< 9 %<< :< '((($ % &! '(()$ E9+ 9! '((= * 9

, 2 / "

/ 02 8 % &! '(()$ E9+ 9! '((= *

02 EL& >

/ 8 J

&<EL '(('$ &99 '((F * > QG

/ @ /

/ 8 P E4 ! E 5 E ; E !4E

& 59 E< 9 %<< :< '((($ % &! '(()$ E9+ 9! '((=

8 01 ?/ & 9 "###$ <&9E +

'(('$ ! + 9 '((6 *

EL& / 01

J J ; &9! '((F$

(58)

'((=$ +; '((B * + L ? 0 /

'( (. =( (. ; &9! '((F$ E ; & 9! '(()$ M 5 ! C

'(() * 9 J 8 3

> #( (. / , EL&

/ ; &9! '((F$ ! 9 '(()$

5 9 '(() / , * M U '((= 8

J 8 3

EL& / 02 ; ! *

+ L ; '((F EL& !4EG"

/ 1 , L * !

8 '(() 8 J EL& E4G" 5 EG"

!2 4 *

J 8 J 8 ? 02

> 2 < / J 8 >

J Cj &9 "###$ & 59 E< 9 '((' * 9

> 2 , - 02 8 8

/ > E > LG< E / 02 QG 3 8 J

/ J * "6 8

-/ G J < 7= (. "'K"6

0 8 / @ 6# C

@ < E '# (. 6K"6

02 8 8 / > E > LG< E

(59)

P C

C

G@ 02

L G 02

* 4 ? G / /

c( () 02 P 02 3 aB

02 * > / =( (.

/ > / 8 @

J *

J ?

- 02 GQG 0

E , *

<8 G @

@ H I G@ "'

L O O '(()*

< 2 ,

- 8 > 2 ? 2 2

/ A * 02

/ J @

? @ *

9 / 02 2

02 ? 02

(60)

J

S C A

< =

CA T

&< ! 5* + 5<+G59+9M !* !9 ;E +G ; D* L & !* E9& D*

E G ( U / * A

+*1*#.&H*,-A:" +( , 2 C'"1&+'".,)U % *)( *" *6FG67 '((=*

&4 9* 5<!! * 5 / * A ,-( C-*

*#,-*#.&H*&-&:U , 2 A +*1*#.&H*,-(Q& *) *B *B""GB"B '((=*

+ 9 !! N<+9! + ; &9! ! 9 !* /

8 & E

P ) W / !9+ D 8 ! 4 "##BG'((" *

&0. ,- &! A +*1*#.&H*,- C'"1&+'".,)UQ<>/ *)' G"6(G"6"* '((F

C % Y., ! L +* ! L D E C* C <C % * D ; * : N %

* ;< < E* / GQG G ;

8 8W * &0. ,- C-* *#,- &! *#.&H*&-&:U% * *F7 *"

*6(G6F '(((

< !* L & E* QG 8 / C U *

2*, "2*#* " "(,.#'Qi *"'' *''6G'FF '(()

9 * E + < !* L< &<! E* ! E C< ! * :: * E9+ 9! E* <4& ! & 4* ! 9 * &95D 9* &95 + !* + / 8W

!"#+*& C& +.&- &()*+,- )*2"1*&-&:U ! *'( *# *='(G='F "###*

L9 C! 59* &< 9+M<+ +E* 8 U

P 8 U * A1".*#, &0. ,- &! !"#+*& C& +.&-Q

! *'F *F#=GF#7 "##)*

L9++9C<5 * <& +; * <N9+ D L* L9+ M<+ E%* k LD +*

/ 8 W / / 4 / W

/ 8 * &0. ,- C-* *#,- &! *#.&H*&-&:U* % *F6 * " * '('G'(6 "##=*

(61)

L9 + V* < 59 9M E* 4 D * L &5 D 4* &<+ *

P 8 8 W W , /

*C-* *#,- *#.&H*&-&:U , 2 !"#+*& 4 *B *B(=GB(7 '((" *

L9 + V* < 59 9M E* &<+ * L< &&< * 49&& 9 ;*

:&< < * b& ! N4* 9 W W , /

* +" (*4" C,." "2*#* "QL '(("8*

L N99 + 4 L ! ; !9+ E 4 / 8

QG G W *

2*, &0. ,- &! "2*#,- *#.&H*&-&:UQ *'' *" 7#G#( '((7*

L +;9+ 9!* L<+ < ! !* < & 4* * E W

/ / G W <P"'

8 U / * &0. ,- C-* *#,- &! *#.&H*&-&:UQ%

*F6 * F''=GF''# "##=*

L<+ 9+ ENE* L9 ;E +! NN* !49 N9 * ! <LL9 +; 99*

/ W W / ,

/ / *A1".*#, &0. ,- "()*.,+&.U C.*+*#,- C,." "2*#* "Q

+ [ D U *"=( *"'"'G"'"# "###*

L< ;9! &: * < & * ;<+ N< : & < 44* 2 ? , 02

2 02 ? > / 02 ? *

A ,*( 2& V C& :."((& * "*.& 2" !"#+&-&:*, 8 3 '((=*

L C <&E ; ++ 9! CN9&!L9 ; LL !E G9 !9+ +* 8 U /

G [ U /

* !"#+*& C& +.&- &()*+,- )*2"1*&-&:U ! *'F *G66"G

66= '(('*

< L % +; ! + M D 9+ E* U / /

/ * &0. ,- &()*+,- !"#+*&

*)B *""'G""7 '((6*

E9& D* < &&9 +* 9& <4 &<! ;E* ! E * 9 / 8 G

( / U [ // G

*A +*1*#.&H*,- A:" +( , 2 C'"1&+'".,)U % *6F *"FB#G

(62)

5 & < * L 8

? L * '((B* 02

E 4 G J L

: 8 3 8 3 *)(*

! + 9 E* E9+ 9! 9* % &! * ; &9! * N<+9! +* 9

/ > G 8 G ;9!G" / L , P

/ !9+ D 8 *A +*1*#.&H*,- A:" +( , 2

C'"1&+'".,)UQ% * 67 *= *'F66G'F6) '((6*

! 9 N* : ;<+ ND* 5 G A1".*#, &0. ,-

C.*+*#,-C,." "2*#* "QL *"=) *7=BG#(F '(('*

4 +< 5 9 55* :<+!9 9&* +;9& C* : 9 ! :!* 5 9 9+ 9

4* > / G WG /

8 !4E L , , W* *#.&H*,- .0:

"(*(+, #" ! *"F *"6'G"6= '((B*

9!4< E*4* %<< :< +* ! + & * C :E ++ E*9* <+ N* ;&<59 N* 59&9M N * ! l9 * 9 & 9 E* & 59 E< 9 E**

< 8 U / 8 G 5 EG7 βG

W 8 &0. ,- &! C-* *#,- *#.&H*&-&:UQ

% * * 6' *"" *)(#6G)"(" '((6*

<LL9+ + E* 9+ E* N<+C9 ! E* %< 9 ! 9:E* 5 +99 < 9 E*

! <LL9 +; 99* < 8 U / W /

8 , * &0. ,- &()*+,- !"#+*& ( * FF *=FGB( "##=*

<4D ; ! !<: * "##F* ) * 6*)*

< 9! 4 E ! & * 5 &&b! N* 9&&< N* && 4* 4 / W

P 'B W

W* !"#+*& C& +.&- , 2 &()*+,- )*2"1*&-&:U *'' B'(GB'" '(("*

9 + ;* 9 G / 5 2 )*(P [ 8 /

(63)

9:9M * : LL <G49 D 4* L< M ;9! +* ;< LD * E E * m!

N4* !< < * U / / G

/ * &0. ,- &! &()*+,- !"#+*& Q& *)B *'(#G'"= '((6*

94 9 :* 4< ;& N9+ * &9 &9 S * <&& M 9 < 5 & + 4*

E E / 8 ; 9> * C-* *#,- *#.&H*&-&:U

"4*"W( & * '( * " * B#\""6 '((B*

94& +< * 9+ ! <* 4< 9& &* < S 9 * +<+L<:: * LD& L*

+< E EE 4* 5 9+ N&* ! 9&9+! EN* E , /

/ 8 G * &0. ,- &! C-*

*#,-*#.&H*&-&:U % *6F F *""#7G"'(6 '(()*

< S 9 N * & MM < :* E <! + 9 ;* <+ <&< * <!!<& + ;E*

E G 49 G" > G G8 G

5 EG' G8 G * 1".:* : !"#+*&0( *(",("( *B *) *#"(G#"" '(("

L< ! 5* 4 + * E9&<+ E* E9&<+ L* + 9 * : ;< * S 9+ +

* + 8 U / 4"'P 9/ W /

/ G U W W / βG * &0. ,- &! C-*

*#,-*#.&H*&-&:UQ% * F# **= *'(B'G'(B7 '(("*

++9 %* E* N * + * / 8 8

8 U > W / /

/ * &0. ,- &!

C-* *#,- *#.&H*&-&:UQ% *6F "' )#6)G)#6# '(()*

: ; 9 9 <GE9+ 9! E* ! + < !* E9&&<G! E4 < N&* <!<G&9n< !* <4& ! & 4* +9 4 59 ; GC ::9 *

L , * !".1"2,2"( !"##B&(,( *#.&H*&-&:B,

C-* B#,Q9 *'F *B *6('G6() '(()*

:<+!9 9&* 5 9 55* 4 +< * 5 9+ 9 4* 9 / V58

8 LG6 /

(64)

:< &9M E L* : 9 9 E4* E< 9 : & < * E<! E * U /

/ W / G / , G

L , * !"#+*& C& +.&- &()*+,- )*2"1*&-&:U *'B *# *#("G#(= '((=*

:<! 9 * ! +9 : * * 0.&)",

&0. ,- &! C-* *#,- *#.&H*&-&:U , 2 !"#+*&0( *(",("( *"B *BFGBB "##7*

; &9! * N<+9! +* + ;9 N* 9++ 9 E4 & . , /

P 8 8 W

W 8 !9+ D 8 ! 4 "##BG"###*

C-* *#,- &! !"#+*& ( *(",("( ! *F' *' *"6=G")) '(("*

; &9! * * E9+9M9! &* * ! &L9 !* ! 9 *!*

L , / 8 G !4E

GβG * &0. ,- &! A +*1*#.&H*,- C'"1&+'".,)U & *)' *=##GB('

'((F*

; &9! < 9! 4& 5 & + < ! E9&< ! ! &5 : 9 9

:* 8 G 4 8 U /

* .,A*-*, &0. ,- &! !"#+*&0( *(",("(* !2 4 * 7 *6 *'=BGB"

'((6*

; E9 N!* N 5 ! % * 9E< *;* ; 9! N* E* / /

/ "#77*A1".*#, &0. ,- !"#+*& C& +.&-Q" *+ , "= "'7G"6( "##7*

; !4 9 < 4L* E +! :* M 5 ! C 4* L &* < / 8 !4EG"

8 E4G" / GβG / /

W W / 4 L , * '" .,A*-*, &0. ,- &!

*#.&H*&-&:UQ! F7 "(7G"(# '((B*

; LL 4* L * E<< 9 &< 9 N* C & C %* & 5 E< 9

E* 4 &94< E:* %<< :< +* + 8 U / 8 G

[ 8 E4 8 E4GBA +*1*#.&H*,- A:" +( , 2 C'"1&+'".,)U

(65)

; %9 9E + L & EL9 4 <! & 5 ! + ; < LD +*

/ W / 8 W G

/ 8 W GβG * &0.

,-A +*1*#.&H*,- C'"1&+'".,)UQ& *'= *'6BG')# "##(*

;<<!!9+! * ! 8 W / G G

P / 9 ED! W * C-* *#,- *#.&H*&-&:U , 2

!"#+*& L *# **# *#7(G#7F '((F*

;< L !*&* L &9 N*;* L& C&<% +* * 9 W /

/ * P ;< L !*&* L &9 N*;* L& C&<% +* !"#+*&0(

*(",("( 4 P %* L* ! W "##'* *"F *#=G"(=*

; : :*E* E + 9* W / 8

* +". ,+*& ,- &0. ,- &! A +*1*#.&H*,- A:" +(Q+ *F# *'#="G'#=F

'(((*

! !E N< +!<+ NT L E <; E ++ E * U

/ / G , * C-*

!"#+*& ( *(",("(Q *+"2 +,+"(Q *F6 *F6(G6) '(('*

< S 9 * L9 + V* C< &9 * <&<+ * 4&b! < 4* ;

W / A

+*1*#.&H*,-A:" +( , 2 C'"1&+'".,)U ! * 6B *= *"77BG"7#6 '((F*

+; D +; ! & 9 &9 & D +; N % +; N * E

W / 8 G W G8 G

[ *- - ! *)# *' *'""G'"=

'((B*

N<+9! +* 9! 4 + &* : ! ! 9 * ! 9 !* /

W G / *

ED ! "###G'((F * *,: &(+*# *#.&H*&-&:U , 2 !"#+*&0(

*(",(" ! *6# *'""G'"= '((6*

N + * E T E * ; b 9M <* 5 & * 4b 9M N&* <& 59 ** E

(66)

* A +*1*#.&H*,- A:" +( , 2 C'"1&+'".,)U ! * 6# *"" *6BFFG6BF7 '(()*

C ::9 ! +; <4& ! & ! E4 < N ! C ; E 9 +9 4

E9+ 9! $ ED! L M & ; < 4* 8 8 W / ; G

8 L , P ED! 4 L , '((F* .,A*-*, &0.

!"#+*& ( *(",("(Q!2 4 *# *F *'"=G'6 '(()*

C C + ; ! E ; ; C C ! +9E< <

D E + C E C % +< ; N + C M % ! E E< C*

8 [ 8 U / 8 G

* &0. ,- &! &()*+,- !"#+*& Q& *=) *" *)6G)B '((B*

C !C &* ; && ; + 4 * P E D 4 * L <+ E * 4: &&9 E * 9E+<59 : * D<&C9+ * , 0,- &! C-* *#,- *#.&H*&-&:U B *

! W / E 8 W % "###* * )"=G)'=*

C& D E +! N* ! / 8 * %9+M9& *4* * ."4" +*&

, 2 #& +.&- &! &(&#&1*,- * !"#+*& ( F * L P % % U "##B* *76"G

7=)*

C& D E +!G5 + 9 L9 ; E:S$ C& D E +! N N%* WG

G P * C-* *#,- *#.&H*&-&:U , 2

!"#+*& 4 * "' ! * " *#G") '((=*

C< % +; ; !+; & * / E4G"G

[ ! * &0. ,- C-* *#,- &! *#.&H*&-&:U* % *6' *""

*)FB7G7( '((6*

Cj &9 944 !: D &C 49 m 9 N * . /

0 1 " N L W*

! 5*"7" '( =F((G=F() "###

& ; <&& * <+ + 9 * E<+ GL ; + * <&M + &* ;<EL :* L9 M * 9 & 9* ; <+9 9 :* <!!<& + ;E* 9

8 G [ G8 G

9 * 1".:* : !"#+*&0( *(",("( ! *"( *F *)F)G)F7

(67)

& + E + ! &5 + NC L ! S &9 N* 9 / /

/ 8 G # * &0. ,- C-* *#,- &!

*#.&H*&-&:U % *6F *"" * )=F#G)=6" '(()*

& 9 & < E& E MM <& < + ;& ; E <! + 9 ;

:<+ + <!!<& + ;E* , / 8 5 E [ G

8 G8 G / *

A +*1*#.&H*,- A:" +( , 2 C'"1&+'".,)UQ% *6F *B *")76G")#( "###*

&99 C &99 %; D ;D < N <+; D$ C< 9 + + <+% 9 ! 59 && + 9 <: + E <L & 9! ! + 9 ; < 4*5 EG E4G W

G8 G G * * C *

1".:* : !"#+*&0( *(",("( ! *# *B *7=7G7B" '((F*

&95 + !* L <+9 * 49+o< N* ! + <! E5* E + < !* 9 *

E + S 9 9 * <! !:* W / /

8W G 4 8 8 *

C-* *#,- !"#+*& *(",("( ! *'7 *) *"((7G"("" "###*

& 59 E< 9 E* L 8 * A24, #"( * D)".*1"

+,-"2*#* " , 2 *&-&:UQ ! *F#( *')G6B "##)*

& 59 E< 9 *E* %<< :< +* 8 P 8 [ p C0.." +

)* *& * *#.&H*&-&:U 9 F 67#G6#) '(((*

& 59 E< 9 *E* E / 8 (

< [ pC-* *#,- !"#+*& *(",("(Q ! Q *F6 *=F6G=6( '(('*

&< !9 4* N * E &&9 * 4 9& +* ; 59! N* E + & * / /

[ W / U / / [

8 G * !"#+*& C& +.&- &()*+,- )*2"1*&-&:U !

'7 *7 *#)#G#=) '((B *

&< !9 4 N * &<E 9! < L* ! +< ;&* 4 G , 8 /

/ P / > G / W*

(68)

&< ;9 NE* 4 < C &N* / 8 G >

9 8 * &0. ,- A +*1*#.&H*,- C'"1&+'".,)U

<>/ * '7 * "=BG"B' "##"*

&<EL ;., & MM < :., < S 9 N ., < E&., 49 && E., <&Y .,

E <! + 9 ;* <!!<& + ;E* <+ <&< * + / 8W

G / 5 EG" G8 G *

&0. ,- C-* *#,- *#.&H*&-&:UQ% *6( *"" *6()"G6()) '(('*

E ;<% + N9* E9 < C L* / 9 W

E 8 W* P E D 4 * L <+ 9N* 4: &&9 E * 9+<59 : * D<&C9+

* 9 * , 0,- &! C-* *#,- *#.&H*&-&:U 4* *P !E 4 % "##) * "7'G

"7#*

E ; & 9! 5* & +! C* E ; & 9! E* E GQG

/ 49 L , * .,A*-*, &0. ,- &!

*#.&H*&-&:U ! *F= *"'FG"') '(()*

E N E !* C LD* * L9 D +* % && +! * !! + * 9 &9! <+ N*

L + 9 N*4* 8 U / G

& &0. ,- &! &()*+,- !"#+*& *)7 *' *"=(G"=" '((6*

E D && ;* + P * !"#+*& *(",("(

C-* *#,- &.+' A1".*#, *""$ *6'B "##B*

E * 49 9 4* ; &9! * E9+9M9! & * & ; * !< M

NE * 9 E<+ EL* : < * %9D !L* L / [ GβG

P W 8 W

* A +*1*#.&H*,- A:" +( , 2 C'"1&+'".,)U % *)( *" *F77GF#(

'((B*

E ! +* ! C ; % 9* < D !* < 8 8 /

* A +*1*#.&H*,- A:" +( , 2

(69)

E MM <& < + ;& ; 4 <& 4 & 9 & < E&

<!!<& + ;E :<+ + * 8 G W W, G8 G

0.&)", &0. ,- &! C-* *#,- *#.&H*&-&:U X !"#+*&0( *(",("( ; W *"7 *= *6))G6)= "###*

E9+ 9! 9 ! + 9 E 4 ;+ ; &9! * E GQG *

&. ,- .,(*-"*.& ,+&-&:*, "2*#, ,H&.,+&.*,-Q N *6' *' *"(FG"F '((=*

E< 9 E * 8 / 02

02 @ ? >

? 8 *

'((7* 6 *((".+,$%&7 E 4 G

J L : 8 3 8 3 )"*

+ <+ & <EE 99 :< & + & & L< < D ! + ! + &! *

4 / ! 8 U ! 8 W ! E'G 7

*'6 *" + &! '((6 *

+ <+ & <EE 99 :< & + & & L< < D ! + ! + &! *

! / W / 9!L& # #

! E'G 7 *'6 *" + &! '((68*

+ <+ & +<!< <E & +:9 <+! ! 59 && + 9 ++ ! !W W / N W "##' N '((6 < 8 '((6*A1".*#,

&0. ,- !"#+*& C& +.&-Q+ [D U* * F' *6B(G67) '((6*

+ C < * / 8 W 8 8 G 8 *

',.1,#&-&:U '".,)"0+*#( 9 * 'B * "#BG'F" "##)*

+< EE & +< E < 9 < E !< 9&& <*

8 W P 8 W / 8 * *,: &(+*#

*#.&H*&-&:U , 2 !"#+*&0( *(",(" *') *" *'BGFF "##=*

+< E ++ 4 ; L9 E*9> G 8 G

A +*1*#.&H*,- A:" +( , 2 C'"1&+'".,)U % *6' *' *"'7G"F"

"##7*

+< E ++ 4 4< 9& &*9 8 ; G 8 *C-*

(70)

+< b ! + E 9G<& 59 E4 49&&9; +< :&4 E< 9 LE* U

/ / / G !4E E GQG

* A +*1*#.&H*,- A:" +( , 2 C'"1&+'".,)U % *6# * F==FGF==B

'(()*

+<!< <E & 4 <;9+! 9! ! + 9 ! 59 && + 9 +4 ! ! W ; *

8 G/ ; G 8 /

/ "##6 '((" * ,+*& ,- "2*#* " &0. ,- C'* ,Q 7F * F7)G F#( '((F*

< < C* ! / / , /

* +". ,- "2*#* " N * 6' *"(B'G"(B= '((F*

< 9; L* ; <9+959& N* ! & !M * 9 G

W * !"#+*& C& +.&- , 2 &()*+,- )*2"1*&-&:UQ

! * ') 7')G7F" '((6*

4 ; + &* <& +<+ * E ;& 5 * & L<+ E* < S 9 N * + &9< 9* !4 && E* & L9 ;<& E* <!!<& + ;E* + 8 U

8W G E4G"F G8 G

&0. ,- C-* *#,- *#.&H*&-&:UQ% *6F *7 *F7'6GF7'7 '(()*

4 ED < < 9* & 9 N E! N:* 5 +N C * 4 ; EGL M *

< &&9 N&* L9&&< !* C !! ! +* C L + ! * + 9E<+ *

/ G P

/ 8 [ W C-* *#,- !"#+*& *(",("(Q !

*F7 *=B(G=BB '((6*

4 9 !<+ &* & U / U / / / 8 P '" G

W C-* *#,- !"#+*& *(",("(Q ! *F6 *")=6G")=B '(('*

4 M9 N* <&9E ++ E * 9! 4 + 9 &E* C E +!C %*

M 9 M +<%!C * * 8 5 EG6

/ , 4 "##7G'((" &0.

(71)

49&&9; +< :&4* 9 V9 &E* 5 & < !E;* +< b ! * <& 59 E4* ! E4 < N&E* : 9 ! * :9 9 &4* E + 9& * &9D &%*

E< 9 LE** < / G //

N L , * &0. ,- C-* *#,- *#.&H*&-&:U % * 6( * '6'(G'6'6 '(('*

4: &&9 E %9+ <&& ! N %9+M9& 4 : ! 9& !N +9 L 9 NN

9 % & & * / 8 W W G

/ / W / /

/ [ G 8 * *,: &(+*#

*#.&H*&-&:U , 2 !"#+*&0( *(",("* *') *" *"G7 "##=*

4<<& C E* P E + 9&& ;& L9++9 N9* <& +

* .* #*)-"( , 2 ).,#+*#" &! * !"#+*&0( 2*(",("( 6 * + [ D UP

& $ "##)* *"#7(G'((F*

4<<&9 C* E // > 8

* &0. ,- &-"#0-,. *#.&H*&-&:U *&+"#' &-&:U ![ , *F * '))G'=6 '(("*

4 %L%9 &* 4 < C &* N* 5* [ // > W > W

G A +*1*#.&H*,- A:" +( , 2 C'"1&+'".,)UQ

! *6B *= * "77BG"7#6 '((F*

S 99+ + E L ! C* 8 P QG * C-*

*#,-*#.&H*&-&:U "4*"W( 4 * '( *66(G667 '((B*

9&&< N* &&9; * < ; 9M 5 & ! ;< ; ;<E9M :

;L C 4<L< M 9* U / / G 8W

/ 8 > *A "+'"(*&-&:U !

*"() *B(#GB"6 '((=*

9+ 9 ! + jE& +; D 59 L ; 5 + L9&C E * W /

8W / / W + G/

/ + / * &0. ,- C-* *#,- *#.&H*&-&:*# * F6

(72)

! E* N* 9 % ! N* * &59 * * ; D+9! * + / ! * + <+ & +:9 <+! ! 59 && + 9 !D! 9E + !! * C.*+*#,- C,." "2*#* "Q ! * 'B * 77BG 7#' "###*

9 * E / 8 U / /

A 0,- ., #" A "(+'"(*&-&:U ", *1* : 0 * '' * )66G)6B* '((F*

< & * 5 &9& * 9MT < * &E9 L* ;<+ N< : & < 44*

5 G G / L ,

W P U / W 8 * .,A*-*,

&0. ,- &! !"#+*&0( *(",("( !2 4 *"' *" *7(G7) '((7

<!!<& + ;*E* E +; 9+;<& 9* / /

8W C-* *#,- *#.&H*&-&:U , 2 !"#+*& ( 4

* "" ! 6 "BGF' '(()

M &* <E +; 9M E* * M +* 5 l ! E* 8 [

/ A.#'*4"( &!

"2*#,-"(",.#'Q ! *F) *')"G')B '((6*

M E ; 9 9 < N* <E9 < 4* 9 @ @

? @ * G 8

8 W * "4*(+, C'*-" , 2" !"##*? *'6 *' "F"G"F=

'((B*

! 9 !* 4 ;+ * &9E9 &* L + E+* + 9! * <&& !

N* N<+9! +* 9 W W / W G

/ 8 U * *,: &(+*# *#.&H*&-&:U , 2

!"#+*&0( *(",("( ! * "B "FG"7 "##F*

! 9 !* ; &9! * 4: &&9 E * E9+ 9! 9* M< <& * L *

N<+9! +* 4 / W L , P W /

/ W / !9+ D 8 ! 4 * .,A*-*,

(73)

! 9 !Q N<+9! +Q ; &9! Q ! &5 NLQ 4 ;+ Q !9+ D

4 ; & !9+ D 8 P

& L , / "##B '(("* .,A*-*, &0. ,- &! !"#+*& (

*(",("( !2 4 *7 *" *')GB# '((6*

.

! 9 !* 9 ! <* ! &L9 !* ; &9! * E4 5 E !4E W /

GQG 8W 8 G L ,

C-* *#,- *#.&H*&-&:U , 2 !"#+*& 4 *"" BFGB= '(()*

! %9 M9 * 4* 9// > / 8

8 P [ * <" "+*#( , 2 1&-"#0-,. "(",.#'Q

Brazil, *' *" *67G=' '((F*

! E* E & C * E G 4 8 G

QG / , 8 W

/ + *#.&H*&-&U "++".( England, *''7 *"7"G"7= '((F*

!4 + 9 * 4 / 9 / /

W* 0.&)", &0. ,- C-* *#,- *#.&H*&-&:U !"#+*& *(",("(* * ") '7"G'7) "##=*

9+<59 :* * * [ W /

/ 8 / P [ / *

!"#+*& C& +.&- , 2 &()*+,- )*2"1*&-&:U ! * "7 * 6'=G6F# "##)*

< +; E* 5 + C* ED * ! &E<+ 9 9 4* ! +5 G

+ 9; * & 9 N* * b; +9 L* 9 W / U

/ / * &0. ,- &()*+,- !"#+*& &

* )F *'B6G'7' '((F*

<&9E + E * ! EE E* E 4 D * ; &9! * L 9 9+L N* N<+9!

+* % ! * E , / !4EG" GQG

& P / !9+ D 8 ! * &0. ,- &!

A +*1*#.&H*,- C'"1&+'".,)UQ<>/ *)( * =BFG=B# '(('*

+ 9 4* *$ 4 9 < * &*$ <! !* :*$ <!! :*$ L <+9 $

(74)

8 / G * &0. ,- &! C-*

*#,-*#.&H*&-&:U ! * 6F * B * F6F)GF6FB '(()*

< &&9 N&* ! 9 N 5 ;+ N<&DG; &&< E&* <EL V

<EL 9 E * ; L9 * 5 8W W G

8 * A1".*#, &0. ,- "()*.,+&.U C.*+*#,- C,." "2*#* " !

*")B * ' )F"G)F# "##7*

5 &&b! N E ! & * + @ !".1"2,2"(

!"##B&(,( *#.&H*&-&:B, C-* B#,Q9 *'F !*F *F(GF= '(()*

5 9+ N&$ L N* ! 9 4E* L + +; * E 4!D N%* + <& !G

+< + E * %<&:: E* !49+ 9 * 9EE9 E. /

/ 94 W* A A ! * 'B6 7 * =F#G

=66 "##)*

5 9+ N&* + / G * '" , #"+ 9

*F=" *'(=7G'(BB '((F

M L< + <* C< &9 N9* % +; D* L9 9& * ! 95 9+C< <* % &*

+9 N * &59 D N * / /

W 8 *A ,-( &! C-*

*#,-*#.&H*&-&:U , 2 A +*1*#.&H*,-(Q England, ) "G7 '((=*

M 5 ! C 4* M 4* ;<& + &M* / 8

WG L , !"#+*&

C& +.&- , 2 &()*+,- )*2"1*&-&:UQ ! * ') *7()G7(B '((6*

M 5 ! C 4* ; !4 9 < 4L* E +! :* ;<+o &59! & L &*

< 8 U / 8 G !4EG" GQG

L , * &0. ,- &! , +*1*#.&H*,-C'"1&+'".,)U <>/ *)= *""67G"")" '(()*

M 5 ! C 4* M 4* ;<& + &M* U / / G

P W / [ G ,

(75)

M 5 !C 4* L &* :9 + + 9! N:* E< < & * ;<+o &59! &!*

;<& + &M* / G W

/ GQG G P 8

W*C.*+*#,- C,." England, *"( G"((G""( '((=*

% +; ; % E ! L9 ; E L9 ; 9* 4 8 W 4

,W / 8 *

0#-"*# ,#*2( ."(",.#' 9 * ') *'" * )#F(GF "##F*

% ! <&9E + E 4< 9& & +< E ++ 4* E GQG P

8 / pC-* *#,- *#.&H*&-&:U "4*"W( 4 *"7 *F(=GF') '(()*

% + E9 * :* %9+M9& * 4* && * L &9 E* N* N<+9! * +*

<9LL9& +; L* +* < 8 U / /

8 8 / [ U C-* *#,- !"#+*& *(",("(Q

(76)

A S C

A S C C A C IC 9A

Pqqqqqqqqq +( ? qqqqqqqqqqq& Pqqq , 02 qqqqK / 02 qqqq

2 P qqqqqKqqqqKqqqqqq

/ P + ! @ Pqqqqqqqqqq / J qqqqqKqqqKqqqqqq

+ P qqqqqqqqqqqqqqqqqqqqqqqqqqqqq Pqqqqqqqqqqq > P E :

@ P qqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

qqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

0 8 P qqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

qqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

/ J P qqqqqKqqqqKqqqqqq P qqqqKqqqKqqqqq e8 P qqqqKqqqqKqqq

P ! K+ Pqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

/ 02 P ! K+ !@ Pqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

4 * P !+; !5 5 9 9! qqqqqqqqqqqqqqqqqqq

8 P ! K+ G 4

S K qqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

; ! K+

! PqqqqqqqqqqqqqqqqS Pqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

9 J Pqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

<8 01 P

qqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

qqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

qqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqq

(77)

A C

Referências

Documentos relacionados

O jornal critica também o facto de as televisões, para além das transmissões e emissões especiais, dedicarem grande parte da sua programação televisiva ao casamento

Tabela 2 - Desfechos dos pacientes internados na Unidade de Terapia Intensiva do Hospital de Clínicas da Universidade Federal de Uberlândia antes (Grupo pré-protocolo) e

Diretamente relacionados ao estágio do curso de Nutrição da UFJF, temos as Normas para os Estágios Obrigatórios que disciplinam as atividades desta comissão no âmbito dos

Naturalmente, é preciso conter os desvios significativos que possam ser ditados por comportamentos como resistência às mudanças ou postura comodista em razão das

Vale ressaltar que o PNE guarda relação direta com o Plano de Aceleração do Crescimento (PAC) que tem como objetivo o desenvolvimento econômico e social, além de

Esse segundo eixo de reflexões contribuiu para a compreensão de como esses movimentos se articulam com os processos de educação formal. Partimos do pressuposto

tados, gastrite erosiva, úlcera duodenal, hérnia hiatal - es- tes 3‹diagnosticos representando juntos a metade de todos os diagnósticos feitos, bulboduodenite

Análise de Indicadores de Manutenção dos Berços Aquecidos do Hospital de Clínicas de Uberlândia da Universidade Federal de Uberlândia. Monografia (Graduação em Engenharia