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5/11/2018 articulo resistencia bacteriana - slidepdf.com
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ZAUIUVAOEIG JGEVAZIGOG AO AMUGM\GFCZ/
QO TZCJMANG FA UGMQFTQJMIEG/
FZ/ GOVCOIC \GUWQAX @IFGMBCTzclaucz Vivqmgz fa Aolaznafgfau Vzgouniuijmau
Fatgzvgnaovc fa NiezcjicmcbîgQoi|azuifgf fa Am Ugm|gfcz
Fizaeeiõo Q/A/U/8 liogm :1 G|/ Oczva Vam::<.4472 apv/ 6:6<
Am vzgjghc fa io|auvibgeiõo ao tgzva lqa
liogoeigfc tcz am eaovzc faIo|auvibgeicoau Fceaova.Auvqfigovim fa mgLgeqmvgf fa Nafieiog/ Qoi|azuifgf fa AmUgm|gfcz/
©Ectyzib`v/Gbzgfaeiniaovc g Fzg/ Ngzv`g G/ Bcoxçmax(Nf y NU ao Atifanicmcbîg/EIAU Oiegzgbqg) y Fz/ Zglgam G/Eafimmcu (Hala
Fatgzvgnaovc fa Niezcjicmcbîg/Q/A/U/) aouq guauczîg eiaovîlieg y za|iuiõo ezîvieg fam tzauaova vzgjghc fa io|auvibgeiõo/
AUQNAO/Cjhavi|c/ Favazniogz mg aliegeig fa mcu
govijiõviecu fa quc ecnøo ao am vzgvgniaovcfa mgu aolaznafgfau Iolaeeicugu/ Am auvqficviaoa ecnc tzctõuivc io|auvibgz ³ Eqçm au mg
aliegeig emîoieg fa mcu govijiõviecu
favazniogfc tcz tzqajgu fa uaouijimifgf io|ivzc y gtmiegfcu io |i|c ao mcu tgeiaovau gfqmvcu wqa ecouqmvgo tcz Aolaznafgfau Iolaeeicugu- ao qog emîoiegguiuvaoeigm ao Ucygtäobc- fqzgova am tazîcfc fa Hqmic g Fieianjza fa 7992.79903/
Névcfc/ Ua qvimixõ qo fiua÷c`îjzifc eqguiaptazinaovgm eco qoguiboiliegoeig auvgfîuvieg fam 91 ! y qo azzcz fa auvingeiõo 4/41 !/ Mg nqauvzg lqa fa 04 tgeiaovau eco `iuvczig uqbauvi|g faAolaznafgfau Iolaeeicugu tcz Iolaeeiõo fa\igu Qziogzigu- Lgziobcgnibfgmiviu gbqfg-Qmeazgu fa tiam- Cviviu nafig y Aovaziviugbqfg- g mcu eqgmau ua mau gfnioiuvzõgovijiõviecu czgmau a ioyaevgjmau wqafgofc jghc cjuaz|geiõo emîoieg- |aziliegofc tcuvazicznaova am ecovzcm fa egmifgf liuiec.wqiniec fa gmbqocu govijiõviecu wqa vaoîgoqog zautqauvg emîoieg iougviulgevczig/ Uagiumgzco qo vcvgm fa :04 eatgu tgvõbaogu tzioeitgmnaova fa Aue`azie`ig ecmi (Cziog)-Tu/gazqbiocug (Tiam)- Uvgt`ymceceequ gqzaqu(Lgzioba)- Aovazcjgevaz ut (@aeau) yKmajuiammg ut (@aeau)/
Zauqmvgfcu/ Mg uqueatvijimifgfgoviniezcjigog zatczvg wqa am 51 ! auuaouijma y am <1 ! au zauiuvaova/ Mcu tgvõbaocu nçu zauiuvaovau aoecovzgfcu io|ivzc guî ecnc io |i|c uco8 Aue`azie`ig ecmi-Uvgt`ymceceequ gqzaqu y Tu/ gazqbiocugvzgvgfcu eco Taoieimiogu y fazi|gfcu-Gniocbmiecuifcu- Uqmlcognifgu yNgezcmifcu/ Eco qog zautqauvg emîoiegiougviulgevczig fam 60 !/ Ua aoecovzõ qoguaouijimifgf fa <0 ! y qog autaeilieifgffa 50 !/ Zauiuvaoeig g nafiegnaovcu tcz egucu fa :-52 ! y fa lzgeguc vazgtaøviec fa60 !/ Aovza mcu lçzngecu wqa oc eqntmaoeco mgu oczngu fa egmifgf auvço8 TaoieimiogB Jaoxgvîoieg ( Tcvaoeig <2/5< !)-Azivzcnieiog (Tcvaoeig <2/2< !) yVzinavzctio uqmlg ( Tcvaoeig 04/29 !)/ Am tczeaovgha fa eqzgeiõo (1: !- T>4/41) au jghc- guceigfc g mg zauiuvaoeig jgevazigog io|ivzc (<1 !-T>4/41) a io |i|c (:-52!-T>4/41)/ Ua egmeqmg qog vgug fa
Z
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zauiuvaoeig fa :6 egucu p 7444 `gj- vgug falzgeguc vazgtéqviec fa 7: p 7444 egucuoqa|cu eco qog lzaeqaoeig auvingfg fa 14! y lgmvg fa aliegeig fam lçzngec
(:0!-T>4/41)/Ecoemquicoau/ Oc apiuva aliegeig
fa mcu nafiegnaovcu qvimixgfcu ao mg tzaueziteiõo fa govijiõviecu czgmau aioyaevgjmau ao Aolaznafgfau Iolaeeicugu- am tczeaovgha fa eqzgeiõo au jghc/ Mgu tzqajgufa uqueatvijimifgf iofiego wqa mg zauiuvaoeig jgevazigog io |i|c y ao |ivzc nçu mg jghgegmifgf fam lçzngec ecovzijqyao gioezanaovgz mg tza|gmaoeig a ioeifaoeig famgu Aolaznafgfau Iolaeeicugu ao Am
Ugm|gfcz/
Tgmgjzgu emg|a/ Aolaznafgfau Iolaeeicugu-Zauiuvaoeig Jgevazigog- io |i|c a io
|ivzc- Aliegeig fa Govijiõviecu-Zautqauvg Emîoieg/
ALLIEGEY NAFIEGVICOU IO
IOLAEVICQU FIUAGUA
GFNIOIUVAZAF GFQMVU
TGVIAOVU IO EMIOIEGM GUIUVAOEA
UCYGTGOBC/ 7992.7990
JUVZGEV/Cjhaevi|a/ favaznioiob v`a alliegey cl v`agovijicvieu cl ecnnco qua io v`a vzagvnaovcl v`a iolaevicqu fauagua/ V`a uvqfy `gu mika tqztcua io|auvibgva r`ie` iv iu v`a emioiegmalliegey cl v`a eazvgio govijicvieu lcz v`a vauvcl uaouijimivy io |ivzc gof gttmiaf io mi|a iov`a tgviaov gfqmvu v`gv v`ay ecouqmv lcz iolaevicqu fauagua- io g emioiegm guiuvaoeigmio ucygtgobc- fqziob v`a tazicf cl Hqmy vcFaeanjaz cl 7992.7990/
Nav`cf/ I gn quaf g fauibo`yjzif eqguiaptazinaovgm riv` guvgviuviegmuiboiliegoeig cl v`a 91! gof go azzcz cl auvingva 4/41!/ V`a ugntma rgu lzcn 04 tgviaovu riv` uqbbauvi|a `iuvczy cl
iolaevicqu Immoauuau jy Iolaeeico cl |iguqziogzigu- geqva Lgziobcgnifgmiviu- Qmeazgvacl ukio- `gml Cviviu gof geqva Aovaziviu- vcr`ie` gfnioiuvazaf v`an czgm govijicvieu
gof ioyaevgjmau zangioiob mcr emioiegmcjuaz|gvico- |azilyiob v`a ecovzcm cl wqgmivye`aniegm t`yuiwqa cl ucna govijicvieu v`gvv`ay `gf go gouraz emioiegm iougviulgevczigmgvaz co/ V`ay raza iucmgvaf g vcvgm cl :04uvqntu tgvcbaogu ngiomy cl Aue`azie`igecmi (qzioa)- Tu gazqbiocug (ukio)-Uvgt`ymceceequ gqzaqu (t`gzyop)-Aovazcjgevaz [ut^/ (bzcqofu) gof Kmajuiammgut/ (bzcqofu)/
ZAUQMV/ V`a uqueatvijimivygoviniezcjigog zatczvu v`gv v`a 51! iv iuuaouivi|a gof v`a <1! iu zauiuvgov/ V`a ncuvzauiuvgov tgvcbaou cttcuiob io |ivzc gu rammgu io mi|a iu8 Aue`azie`ig ecmi-Uvgt`ymceceequ gqzaqu gof Tu/gazqbiocugvziaf riv` taoieimmiou gof fazi|af-Gniocbmiecuifcu- Uqmlcognifgu gofNgezcmifcu/ Riv` go gouraz emioiegmiougviulgevczig cl v`a 60!/ iv rgu guaouijimivy cl <0! gof g autaeilieivy cl
50!/ Zauiuvgoea vc nafiegvicou lcz eguau cl :/52! gof cl v`azgtaqvie lgimqza cl 60!/v`ay Javraao v`a fzqbu v`gv fco"v lqmlimm v`aocznu cl wqgmivy gza8 B taoieimmio jaoxgvioie (tcraz <2/5<!)- azivzcnieiog(tcraz <2/2<!) gof vzinavzctio uqmlg(tcraz 04/29!)/ V`a tazeaovgba cl eqza(1:!- T> 4/41) iu qofaz- guuceigvaf riv` v`azauiuvgoea jgevazigm [o |ivzc (<1! /T> 4/41)-mi|a io (:-52!- T> 4/41)/ G zgva cl zauiuvgoea cl :6 p eguau iu egmeqmgvaf 7444
`gj- zgva cl v`azgtaqvie lgimqza cl 7: p 7444oar eguau riv` g lzawqaoey auvaanaf cl v`a14! gof mgekiob alliegey cl v`a fzqbu(:0!- T> 4/41)/
ECOEMQUICO/ Alliegey cl v`anafiegvicou quaf io v`a tzauezitvico cl czgmgovijicvieu fcauo"v apiuv gof ioyaevgjmau ioiolaevicqu fauagua- v`a tazeaovgba cl eqza iuqofaz/ V`a vauvu cl uqueatvijimivy iofiegvav`gv v`a jgevazigm zauiuvgoea mi|a io gof io
G
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|ivzc jqv v`a mcrazu wqgmivy cl v`a fzqbuv`ay ecovzijqva vc ioezagua v`a tza|gmaoeiggof ioeifaoea cl v`a iolaevicqu fauagua ioAm Ugm|gfcz/
RCZFU KAYU/ Iolaevicqu immoauuau/Jgevazigm zauiuvgoea mi|a io gof io |ivzc-Alliegey cl govijicvieu- emioiegm Gouraz/
IOVZCFQEEICO
o oqauvzc aecuiuvang mcu gbaovau
jgevazigocu viaoao gmbqog zauiuvaoeig ao tgzva egqugfg tcz am quc iofiueziniogfc aioaliegx fa mcu govijiõviecu- mc wqa g tazuabaoazg qo tzcjmang g Ugmqf Tøjmieg/(7)
@iuvõziegnaova g oi|amnqofigm ua `g aoecovzgfc ao lcznguiuvançvieg qog zauiuvaoeig fa mguaolaznafgfau gzvieqmgfcu g mcu *ncfcu faaolazngz y fa ncziz *fa mcu uazau |i|cu/Auvcu auvqficu iovaovgo tcz aougycu emîoiecugjczfgz am tzcjmang jghc am tqovc fa |iuvg
ncocegqugm- au faeiz gbaova. fzcbg- uioauvingz mg finaouiõo y ngboivqf auvzqevqzgmwqa ioeifao ao am tzcjmang- `geao wqa am`cutafazc uag nçu uqueatvijma a ioezanaovamgu vgugu fa nczji.nczvgmifgf ao mgu eilzguauvgfîuviegu fam Nioiuvazic fa ugmqf/
Am tazlim fa Ugmqf aoMgviocgnézieg jçuiegnaova uqu iofiegfczauAtifanicmõbiecu uco mgu aolaznafgfauZautizgvczigu Gbqfgu; mgu aolaznafgfauFigzzaiegu Gbqfgu y mgu fa Vzgouniuiõo
uapqgm- mcu eqgmau uibqao ceqtgofc mgu tzinazgu fiax egqugu fa ecouqmvg apvazog aomcu uaz|ieicu fa Ugmqf/ Am gjczfgha ao am qucfa nafifgu tza|aovi|gu tgzg ecovzcmgz mguaolaznafgfau iolaeeicugu oqa|gu yanazbaovau- oc `g egqugfc am intgevcautazgfc ao mg ”Ugmqf Tgzg vcfcu ao am g÷c:444„/ Am tazlim fa ugmqf ao Am Ugm|gfcz ua`g ngovaoifc fqzgova féegfgu- oc `g`gjifc g|goeau uiboiliegvi|cu ao fiunioqiz mg ioeifaoeig y tza|gmaoeig fa mgu
Aolaznafgfau Iolaeeicugu/ Tgzg 7992Uabøo am Nioiuvazic fa Ugmqf Tøjmieg yGuiuvaoeig Uceigm ao Am Ugm|gfcz ua zatczvgqog vgug fa Nczjimifgf p 744-444 `gj fa
Iolaeeicoau Zautizgvczigu Gbqfgu fa:7-411114/4; vgug Tgzguiviunc iovauviogm6100/4 ; Figzzag 6775/7 ; Oaqncoîg7<07/7; aovza cvzcu/ (:)Mgu AolaznafgfauIolaeeicugu Jgevazigogu ao Ugmqf Tøjmieguioc ua tza|iaoao c ua vzgvgo gfaeqgfgnaovac viaoao ngm figboõuviec ao am oi|am I y II- tgugo gm oi|am III fa gvaoeiõo @cutivgmgzig-mc eqgm gqnaovg mcu ecuvcu `cutivgmgzicu y amziaubc fam tgeiaova ao ncziz gm oc uaz vzgvgfc aliegxnaova ao am tzinaz oi|am fa
gvaoeiõo/Gevqgmnaova mg mivazgvqzg
nqofigm tqjmieg vgjmgu auvgfîuviegu ucjzaniezcczbgoiuncu zauiuvaovau g favazniogfcvitc fa lçzngec (5-6) - tazc ao tgîuau famvazeaz nqofc ioemqyaofc g oqauvzc tgîu-vcfg|îg ua clazvg y fangofg gm ecouqnciooaeaugzic fa éuvcu/
Mg zauiuvaoeig fa mcu gbaovaulzaova g mgu Aolaznafgfau Iolaeeicugu- aufajifg oc ucmc g mgu egzgevazîuviegu
io`azaovau fam gbaova ecnc mg fa tcuaaz tmçunifcu c uaezavgz aoxingu- uioc vgnjiéogm gjquc ioecovzcmgfc fa mcu lçzngecu mceqgm mgu `gea ionqoau y zauiuvaovau gmvzgoulczngz am tzioeitic gevi|c fam lçzngec-ao faugzzcmmgz naegoiunc fa falaoug tzcticu c gfwqizifcu- y tcz aofavzgounivizmc baoéviegnaova g oqa|guautaeiau/ (1-<)
Ao Am Ugm|gfcz ua bguvgo 764nimmcoau fa ecmcoau goqgmau ao am ecouqnc
fa vcoamgfgu fa nafiegnaovcu- tzauezivcuao auvgjmaeiniaovcu fa ugmqf y emîoiegu tzi|gfgu eco éolguiu ao am gzuaogm fagovijiõviecu/ Oc apiuvao auvqficu ao am tgîuucjza am ecovzcm fa egmifgf fanafiegnaovcu wqa gmazvao g mg tcjmgeiõoquqgzig/ Am auvqfic tgzva fa mg `itõvauiu wqa8”Mg zautqauvg emîoieg fa qo tgeiaova gmgfnioiuvzgz qo govijiõviec io |i|c filiaza zautaevc g uq vaofaoeig `geig mguaouijimifgf jgevazigog io |ivzc/„
A
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1
Tgzg 7990 am Eaovzc fa
Falaoug fam Ecouqnifcz ao qog aoeqauvgzagmixgfg ecoemqya wqa am 02 ! fa mg
Tcjmgeiõo Qzjgog ” vcng mc wqa ezaaeco|aoiaova tgzg vzgvgz mg aolaznafgf„/ Qo96! fa mcu ecouqnifczau gfwqiaza gmbøolçzngec uio zaeavg néfieg/ Gm ncnaovcgevqgm apiuvao 2< mgjczgvczicu wqîniecuogeicogmau wqa clazvgo nafiegnaovcu wqaamgjczgo- :67 fzcbqazîgu wqa fiuvzijqyao tzcfqevcu ogeicogmau y apvzgohazcu- guîecnc 757< lgzngeigu g oi|am ogeicogm wqauio ecovzcm fa uqtaz|iuiõo tcz am EcouahcUqtazicz fa Ugmqf Tøjmieg `geao
ioezanaovgz g uq |ax mg eqmvqzg fagqvcnafiegeiõo/
Aovza mcu cjhavi|cu tmgovagfcufam auvqfic- lqazco8 Favazniogz mg aliegeigfa mcu govijiõviecu fa quc ecnøo ao amvzgvgniaovc fa mgu aolaznafgfauiolaeeicugu- Favazniogz mg uaouijimifgf io
|ivzc fa mcu govijiõviecu ao mgu jgevazigugiumgfgu fa uaezaeicoau iolaeeicugu y uqzautqauvg emîoieg io |i|c/ Ifaoviliegz egqugu guceigfgu g mg zauiuvaoeig jgevazigog/
NGVAZIGMAU Y NAVCFC
Eco am tzctõuivc faifaoviliegz am alaevc tzcfqeifc tcz mguqueatvijimifgf fa gbaovau jgevazigocu ylçzngecu ucjza mgu uaezaeicoau iolaeeicuguao tgeiaovau wqa ecouqmvgo ao qog emîoiegguiuvaoeigm ao Ucygtgobc ( qjiegfg g 2 knfa Ugo Ugm|gfcz - eco qog Tcjmgeiõo ?744-444 `gj)/ Ua qvimixõ tgzg am auvqfic qofiua÷c `ijzifc eqguiaptazinaovgm /
Ao am tzauaova auvqfic uacjvq|c qo oi|am fa ecoligoxg fam 91! (:fau|igeicoau uvgofgzf)- y qo azzcz faauvingeiõo fa qo 4/41 !- fa tczeaovgha 1-</eco T>14 ! tgzg qog nqauvzg oc gmagvczigfa o>04 uqhavcu/
Ua tmgovagzco fcu `itõvauiu gmioieic fa mg io|auvibgeiõo8 @c Oqmg8 mgzautqauvg emîoieg fa qo tgeiaova gm tzauezijiz qo govijiõviec io |i|c filiaza zautaevc g
uq vaofaoeig `geig mg uaouijimifgf jgevazigogio |ivzc/ @7 fa Io|auvibgeiõo8 Mgzautqauvg emîoieg fa qo tgeiaova gm tzauezijiz qo govijiõviec io |i|c ocfiliaza zautaevc g uq vaofaoeig `geig mguaouijimifgf jgevazigog io |ivzc/
Tgzg uamaeeicogz mg nqauvzg faauvqfic-ua eqntmiazco mcu uibqiaovauzawqiuivcu fa ioemquiõo8 7/ Zauifg aoUcygtgobc ;:/ Wqa ecouqmva ao mg emîoieg ;5/@iuvczig uqbauvi|g g qog iolaeeiõo ao ambzqtc fa auvqfic ;6/ Uag tgeiaova gfqmvc; 1/Mauiõo tcz tzinazg |ax; </ Geatvgz aovzgz ao am auvqfic; 2/ Uabqiz iofiegeicoaunéfiegu; 0/ Zagmixgz eqmvi|cu uabøoiofiegeiõo néfieg/; 9/ Oc `gjaz zaeijifcvzgvgniaovcu tza|icu; y 74/ \gmczgeiõo faeqgfzc emîoiec gm ioieic- fqzgova y fautqéufam tazicfc fa auvqfic/ Mcu ezivazicu faapemquiõo uco8 Oc eqntmiz eco mcuzawqiuivcu govaziczau- quc fa nafiegnaovcu tza|icu c tmgovgu nafieiogmau- fiuecu|aoeifcu fa mgu tzqajgu fa uqueatvijimifgf-lgzngecu |aoeifcu- tgeiaovau bzg|au yaolaznafgfau ecoecnivgovau/ Mg nqauvzgauvgjg ecolczngfg tcz fcu bzqtcu fa mcueqgmau g :1 tgeiaovau ua mau faocnioõ egucu(uco mcu wqa viaoao mg aolaznafgfIolaeeicug tcz eqgfzc emîoiec ecntmavc y uaiovaz|iaoa eco lçzngecu) y g 11 ecovzcmau(uco mcu gtgzaovanaova ugocu tazcecouqmvgo y oc ngoiliauvgo emîoiegnaovaaolaznafgf ua mau fg qo tmgeajc)/ Ua mauzagmixõ eqmvi|c fa mauiõo Tcz egfg eguc uauamaeeicogzõo : ecovzcmau- eqntmiaofcezivazicu fa uamaeeiõo qoilcznau ecnc8zauifg ao ucygtgobc- vaoazg mg niung afgfnçu c naocu fcu g÷cu- uaz fam niunc uapc-oc vaoaz govaeafaovau fa aolaznafgfaubzg|au- oc vaoaz aolaznafgfau iolaeeiicugu-oc aolaznafgf ecoecnivgova- geatvggfnioiuvzgz tmgeajc- geatvgz tgzvieitgz ao amauvqfic// Gbzqtçofcmcu tcuvazicznaova aoqog vgjmg vavzgeõzieg :p:/
Ua zagmixgzco mcu uibqiaovauauvqficu87/ Auvqficu io |ivzc/
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Ua qvimixgzco fcu nqauvzguecntgzgvi|gu8 7/Nqauvzg fa 04 tgeiaovaugfqmvcu- wqa ecouqmvgzco ao mg emîoieg tcz mauicoau fa lgzioba (54)- cziog (:1)- tiam (1)-
`aeau (71)- cîfcu (1)/ Ua mau zagmixõ eqmvi|cfa mauiõo tcz am névcfc fa auvgofgzixgfc fafilquiõo tgzg fauegzvgz c ecolizngz gbaova jgevazigoc y goçmiuiu tcuvazicz fa mcuzauqmvgfcu cjvaoifcu/ :/ Mg cvzg nqauvzglqa fa ::4 eqmvi|cu tgzg cjvaoaz iolczngeiõo gfieicogm ao favazniogz amecntczvgniaovc fa mg eatg y lzaeqaoeig aoam quc fa govijiõviecu uabøo am govijicbzgngy ecntgzgzmcu eco am bzqtc fa auvqfic/ Ua tzceafiõ tcuvazicznaova g emguiliegzmgu ao
qog vgjmg goviniezcjigog/:/ Auvqficu io |i|c/
Ao mg zaecmaeeiõo fa mcufgvcu ua tzceafiõ ao fcu lguau8 Tzinazglgua8 ua uamaeeicoõ uabøo ezivazic faioemquiõo g 04 tgeiaovau/ Ua amgjczõ mg`iuvczig emîoieg- ué figboõuviec mgaolaznafgf y ua ma ioieiõ vzgvgniaovcauvçofgz eco govijiõviec uabøo eqmvi|c y tzauaoeig fa aolaznafgf/ Ua qvimixgzcogovijiõviecu czgmau a ioyaevgjmau apiuvaovau
ao tmgxg- eco mgu uibqiaovau fcuiu8Eitzclmgpgeioc :14 nb |/c/: |#f-Azivzcnieiog 7.: bz |/c/ fi|/ e#< `zu-Emczgolaoiecm 7 bz |/c/ e#< `zu- Vavzgeiemiog7.: bz |/c f/- Baovgnieiog 5.1 nb#Kb# fîgin e#0 `zu- Gnikio 71 nb#Kb# fîg in-Gncpieimiog 7-1 bz figzicu |/c/ ao 5 fõuiu-Gntieimiog 144nb 7.6 bz figzicu |/c/ e#<`zu- Taoieimiog B 7 gnt/ 7/: nimm Q qogfõuiu- Ealgfzcpim 7 bz/ |/c/ E#7: `zu-Vzinavzctio uqmlg lczva 7<4#044 |/c/ e# 7:
`zu- Fiemcpgeimiog :14 nb |/c/e#< `zu-Navieimiog <.74 bz f/ In/ y Lqzgofgoviog14.744 nb |/c/ e#< `zu/ Ua cjuaz|g gm tgeiaova qvimixgofc `chg fa ecvahc- ua a|gmøcmg alieiaoeig fam lçzngec tcz cjuaz|geiõoemîoieg y ua ecntgzgzco zauqmvgfcu/ G mcuecovzcmau ucmgnaova ua mau cjuaz|õ tazc uioiovaz|aoeiõo/ Uabqofg Lgua8 ua fic maevqzg tcz uabqofg |ax gm govijicbzgng wqa ua`gjîg gze`i|gfc ao am aptafiaova emîoiec tgzg a|gmqgz oqa|c vzgvgniaovc g mcu egucu
eco zautqauvg emîoieg iougviulgevczig/ Uaqvimixõ mg vgjmg vavzgeczieg :p: tgzgecntgzgz zauqmvgfcu/5/ Goçmiuiu wqîniec fa lçzngecu/
Ua io|auvibõ auvgfc lîuiecwqîniec fa gmbqocu govijiõviecu wqazauqmvgzco ioaliegeau tgzg |aziliegz uqecovzcm fa egmifgf- a|gmqgofc tcuvazicznaova zautqauvg emîoieg fam tgeiaova y ua ecntgzgzco zauqmvgfcu/
Zaectimgeiõo fa mgIolczngeiõo8 Ua amgjczõ qo tzcvcecmc wqaioemqyazg iolczngeiõo emîoieg- apçnaoau famgjczgvczic- ecovzcm fa egmifgf fam lçzngec/Ua zagmixõ `iuvczig emîoieg fa mcu tgeiaovau
gvaofifcu ao mg emîoieg guiuvaoeigm- `chg faecvahc- apçnaoau fa mgjczgvczic emîoiec ylgzngecmcbiec/
Ecouifazgeicoau éviegu yecolifaoeigmifgf 8 Mg iolczngeiõo cjvaoifgfam tzauaova vzgjghc- viaoa ecnc tzaniuglqofgnaovgm mg évieg tzclauicogm y mg auvzievgecolifaoeigmifgf ao mg ifaoviliegeiõo fa mcu tzcfqevcu ecnazeigmau/ Cvzc gutaevcintczvgova g ecouifazgz au mg évieg aozautavgz g mcu tgeiaovau wqa lczngzco tgzva
fam auvqfic y bgzgovixgz uq ecolifaoeigmifgf/Ao uq goçmiuiu ua qvimixõ mg
auvgfîuvieg fauezitvi|g ao am quc fa vgjmgu ybzçliegu a Iolazaoeigm ao am quc fa mg|gzigoxg- e`i eqgfzgfc- Ecalieiaova ”W„ faWqaofgm- zgxõo v - ecalieiaova t`i- vgjmgu:p:- Cffu zgvic/ Ziaubc Zamgvi|c yGvzijqijma/ Tzqajgu fa uqueatvijimifgfgoviniezcjigog y mg qvimixgeiõo fa tzcbzgngu fa uclvrgza ecnc Atifgv :/4 -niezcuclvrczf </4/
ZAUQMVGFCU
7/Zauqmvgfcu io |ivzc/Ao mg Vgjmg I ua viaoa wqa fa
mgu :44 eatgu giumgfgu ao MgjczgvczicEmîoiec eczzautcofa g Uv`gt`ymceceequgqzaqu (5< !)- Aue`azie`ig ecmi- (:9 !)-
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Aovazcjgevaz- (:2 !)/ Kmajuiammg ut-(4/49!)y am Tu/gazqbiocug/(4/41!)/ Uabøoam govijicbzgng tzauaovgo uaouijimifgf gmgbaova ao uq czfao- uco8 Eitzclmcpgeioc-
Gnikio- Ealgfzcpim eco alaevcu jgevazieifgu- am zauvc tzauaovg eiazvgzauiuvaoeig fam gbaova jicmõbiec (<1 !-T>4/41)/ Ua tqafa cjuaz|gz wqa io |ivzc mguqueatvijimifgf goviniezcjigog zatczvg wqaam 51 ! au uaouijma y wqa am <1 ! fa mgueatgu au zauiuvaova/
Ao mg vgjmg II cjuaz|gncuwqa uabøo mg lzaeqaoeig fam govijiõviec yeatg giumgfg- mcu govijiõviecu wqa tzauaovgongzegfg uaouijimifgf uco8 Gnikio-
Eitzclmcpgeiog- Ealgfzcpim - Oavzcnieiog yEmczgolaoiecm/ Fa mg nqauvzg fa 04 tgeiaovau g mcu wqa ua mau ao|iõ mg tzqajg fauqueatvijimifgf ucmgnaova 17 zauqmvgzco tcuivi|cu (<5 !) y :9 zauqmvgzco oabgvi|cu(5<!)/ Mgu eatgu giumgfgu tzioeitgmnaovalqazco8 Auvgt`ymceceequ gqzaqu (72 eatgu)-Aue`azie`ig ecmi (:: eatgu)- Aovazcjgevaz ut(0 eatgu) y Kmajuiammg ut (6 eatgu)/ Ao amgovijicbzgng ua aoecovzõ ao lzaeqaoeig mcuuibqiaovau govijiõviecu8 Gnikio (71!)-
Gncpieimiog (0!)- Gntieimiog (75!)-Eitzclmcpgeiog (76!)- Emiofgnieiog (5!)-Emczgolaoiecm (7:!)- Fiemcpgeimiog (5!)-Ealgfzcpim(74!)- Lculcnieiog (6!)-Baovgnieiog (9!)- Mioecnieiog (6!)-Navieimiog (5!) / Ua tqafa cjuaz|gz wqa tcz lzaeqaoeig uabøo govijicbzgng mcugovijiõviecu uaouijmau g Uvgt`ymceceequgqzaqu uco8 Eitzclmcpgeioc- Ealgfzcpim;Aue`azie`ig ecmi eco Gnikio-Eitzclmcpgeioc y Ealgfzcpim; Aovazcjgevaz
ut eco Gnikio- Baovgnieiog; y Kmajuiammgut eco Eitzclmcpgeioc y Ealgfzcpim/:/ Zauqmvgfcu io |i|c/
Ao mg vgjmg III- I\ y \Cjuaz|gncu wqa `gy qo vauv uaouijma- nqy tcec autaeiliec- fa jghc |gmcz tzafievi|cfam vauv tcuivi|c y fa tcec |gmcz tzafievi|cfam vauv oabgvi|c; uio anjgzbc ocvgncu wqa tcz qo eguc `gy : ecovzcmau- iofiegofc qog tza|gmaoeig fam 57 !- au faeiz fa egfg 744 tazucogu apgniogfgu 57 auvgjgo aolazngu/
Tcz mc vgovc mg uaouijimifgf au ibqgm g <0!;iofiegofc am <0! fa mcu wqa vaoîgo mgaolaznafgf auvgjgo ifaoviliegfcu ecnc tcuivi|cu g 72 tazucogu y am 5:! fa mcu wqa
vaoîgo mg aolaznafgf lqazcoioeczzaevgnaova ifaoviliegfcu ecncoabgvi|cu g 0 tazucogu/
Mg Autaeilieifgf au ibqgm g50!; tcz ecouibqiaova am 50! fa mcu wqa ocvaoîgo mg aolaznafgf lqazco ifaoviliegfcuecnc oabgvi|cu g :7 tazucogu y wqa am <:!fa mcu wqa oc vaoîgo mg aolaznafgf lqazcoioeczzaevgnaova ifaoviliegfcu ecnc tuivi|cug 56 tazucogu/
Am E`i eqgfzgfc lqa fa 4/:0
iofiegofc wqa fajîgncu fa geatvgz mg`itõvauiu oqmg y zae`gxgz mg `itõvauiu faio|auvibgeiõo- mg filazaoeig cjuaz|gfg oc auauvgfiuviegnaova uiboiliegvi|g/ Tczwqa aoauva eguc mg nqauvzg au tawqa÷g y ua fajaqvimixgz cvzg tzqajg fa uiboiliegoeig/ Uaecoemqya wqa mg filazaoeig fa mg zautqauvgemîoieg fa gmbøo lçzngec filiaza fa mgaoecovzgfg ao mgu tzqajgu fauqueatvijimifgf/ Uio anjgzbc am e`ieqgfzgfc oc iofieg ngboivqf fa guceigeiõo
egqugm/Am Ecalieiaova fa eczzamgeiõo
au fa 4/9< iofiegofc wqa apiuvîg vgnjiéoqog eczzamgeiõo tcuivi|g/
Mg Zgxõo fa tzcjgjimifgf faaoecovzgz qo zauqmvgfc tcuivi|c gm quc fa qogovijiõviec aliegx lqa fa 7 wqa ao mcuiofi|ifqcu ao wqa ua `gjîg fauegzvgfc mgaolaznafgf/
Am Ziaubc Zamgvi|c (ZZ) lqafa 7/:: iofieg wqa mcu tgeiaovau wqa vaobgo
mg jgevazig y ecouqngo gmbøo govijiõviec-viaoao 7-: |aeau mg tzcjgjimifgf faaolazngz wqa mcu oc aptqauvcu gm lgevcz faziaubc- au faeiz apiuva qog guceigeiõo tcuivi|g aovza am lgevcz y am alaevc/ Fa cvzglczng mgu tazucogu wqa viaoao mg jgevazigviaoao 7-:: |aeau uqtazicz fa uabqiz aolaznc tcz gmbqog aolaznafgf iolaeeicugvcngofc gmbøo lçzngec wqa gwqammcu wqaoc auvgjgo aolazncu/
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Am Ziaubc Gvzijqijma (ZG)lqa fa 4/4< iofieg wqa am iofiea vcvgm faaolazngzua tcz qog aolaznafgf iolaeeicugao tgeiaovau wqa viaoao mg jgevazig y
ecouqngo qo govijiõviec au fa 4/55- amziaubc gvzijqijma au fa 4/4< aolazngz- aufaeiz wqa am tczeaovgha fa ziaubc gvzijqijmafa aolazngz au fa 70 !/
Mg Fauibqgmfgf zamgvi|g(CZ) lqa fa 7/57 iofiegofc wqa mgu tazucogu fam auvqfic wqa vaoîgo mg jgevazigvaoîgo mg tzcjgjimifgf 7-57 |aeau ngycz faaolazngzua c ecovioqgz aolazncu ecogmbqog aolaznafgf iolaeeicug wqa mgu wqaoc vaoîgo mg jgevazig/ Au faeiz mg
tzcjgjimifgf fa aoecovzgz g qo iofi|ifqcaolaznc vzgvgfc eco qo govijiõviec au 7-57|aeau nçu lzaeqaova ao mcu egucu wqa ao mcuecovzcmau/
Am !ZGT lqa fa 4/9:iofiegofc wqa qo iofi|ifqc gfqmvc fa mgecnqoifgf ao Ucygtgobc vaoîg mg tzcjgjimifgf fa 7 fa ecovioqgz aolazncvzgvgfc eco gmbøo govijiõviec/ Mg tzctczeiõofa gfqmvcu wqa ecouqmvgzco ao mg emîoiegguiuvaoeigm lqa fam 5 ! wqa am zauvc fa mg
ecnqoifgf/ Am Ecalieiaova W fa Wqaofgm
lqa fa 4/76- iofiegofc qog eczzamgeiõo tcuivi|g aovza am lçzngec y zautqauvg emîoieg/ Oc `gy filazaoeig auvgfîuvieg uiboiliegvi|g/
Mg zgxõo v lqa fa 4/<9 aunaocz wqa mg zgxõo v egmeqmgfg fa 7/9<- tcz mc wqa geatvgncu mg `itõvauiu oqmg yzae`gxgncu mg `itõvauiu fa io|auvibgeiõo-iofiegofc wqa mcu egucu uiboiliegvi|gnaovaviaoao naocu zautqauvg emîoieg wqa mcu
ecovzcmau/Ao mg vgjmg \I ua viaoa wqa am
<6 ! uq ecofieiõo emîoieg gm tzauezijiz qofavazniogfc govijiõviec- am tgeiaova uibqaibqgm uio eqzgzua/ Cjuaz|gncu wqa fa mcu tgeiaovau wqa ecouqmvgo tcz ” fcmcz fabgzbgovg„- ”gzfcz tgzg cziogz„- ”egmaovqzg„-”fcmcz fa cîfcu„ y ”figzzag„- lqazcovzgvgfcu eco qo govijiõviec ucmgnaova g mcuegucu tcuivi|cu y eco tzauaoeig faaolaznafgf - uabøo tzqajg fa
uqueatvijimifgf- ua aoecovzõ wqa8Fa mcu 2 tgeiaovau ( :0 !) wqa ecouqmvgo tcz ”fcmcz fa bgzbgovg„ y figboõuviegfcu ecoLgziobcgnibfgmiviu gbqfg- vzgvgfcu eco qo
govijiõviec-ecnc8Vzinavzctio uqmlg-Azivzcnieiog- Emczgolaoiecm c Taoieimiog tzcegîoieg- 6 vaoîgo emîoiegnaova qogzautqauvg ugviulgevczig y 5 vaoîgoemîoiegnaova qog zautqauvg iougviulgevczig/
Fa mcu 9 tgeiaovau (5<!) wqaecouqmvgo tcz ” gzfcz tgzg cziogz„ uafigbocuviego eco Iolaeeiõo fa \îguQziogzigu vzgvgfcu eco qo govijiõviec-ecnc8Baovgnieiog- Vavzgeiemiog- Lqzgofgviog-Vzinavzctio Uqmlg- Eitzclmcpgeiog c
Gncpieimiog- 6 vaoîgo emîoiegnaova qogzautqauvg ugviulgevczig y 1 vaoîgoemîoiegnaova qog zautqauvg iougviulgevczig/
Fa mcu : tgeiaovau (0!) wqaecouqmvgo tcz ”fcmcz fa cifcu„ yfigbocuviegfcu eco Cviviu nafig vzgvgfcueco Fiemcpgeimiog c Eitzclmcpgeiog - 7 vaoîgemîoiegnaova qog zautqauvg ugviulgevczig y 7emîoiegnaova vaoîg qog zautqauvgiougviulgevczig/
Fa mcu 1 tgeiaovau (:4!) wqa
ecouqmvgo tcz ”figzzag„ y figbocuviegfcueco Aovaziviu gbqfg vzgvgfcu eco qogovijiõviec-ecnc8 Emczgolaoiecm-Gntieimiog- Vzinavzctio uqmlg c Ealgfzcpim-5 vaoîgo qog zautqauvg emîoieg ugviulgevczig y: vaoîgo qog zautqauvg iougviulgevczig/
Fa mcu : tgeiaovau (0 !) wqaecouqmvgo tcz ”`azifg iolaevgfg„ yfigbocuviegfcu eco Qmeazg fa nianjzcuiolaziczau vzgvgfcu iofi|ifqgmnaova ecoGnikio c Eitzclmcpgeiog- 7 vaoîg zautqauvg
ugviulgevczig y 7 vaoîg qog zautqauvgiougviulgevczig/
Aoecovzgofc qog filazaoeigeqgmivgvi|g ao am ziaubc fa ecntmiegzua yqog filazaoeig eqgovivgvi|g fam 60 ! fazautqauvg iougviulgevczig / Mg zauiuvaoeigvcvgm io |i|c (o>:1) aoecovzgfg tcz tczeaovgha fa egucu lqa fa :-52 !- mc eqgmintmieg wqa fa egfg 7444 aolazncu oqa|cuy uio vzgvgniaovc tza|ic :6 tgeiaova vaofzçozauiuvaoeig/ Ui am ziaubc fa lzgeguc
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vazgtéqviec au fa 7-: ! - ua autazgzîgaoecovzgz 7: lzgegucu tcz egfg 7444 egucuoqa|cu fa aolaznafgfau iolaeeicugu - ecoqog lzaeqaoeig auvingfg fa 14 !/
Ao mg bzçlieg 7 cjuaz|gncuwqa emîoiegnaova tcuv vzgvgniaovc ao mcu tzinazcu wqioea fîgu ua viaoa wqa mgzautqauvg emîoieg ao aliegeig fam lçzngeceqyg cteiõo fa qvimixgz gmbøo lçzngecIovazogeicogm mg tzcjgjimifgf fa eqzgzua au geczvc tmgxc/
Ao mg vgjmg \II y bzçliec : uaviaoa wqa mg eczzamgeiõo aovza mgu fcu zaevgufa nioincu eqgfzgfcu cjvaoifcu uco8P>7/52 + 5/17 Y y Y> 4/60 + 4/75 P/
Iofiegofc qog zamgeiõo fizaevg aovza amlçzngec y mg zautqauvg emîoieg fam tgeiaova/5/ Zauqmvgfc goçmiuiu wqiniec falçzngecu/
Ao mg vgjmg \III y Bzçlieg 5 Uacjuaz|g wqa fa mgu 0 nqauvzgu ucmgnaova 5eqntmao am zgobc fa tcvaoeig auvgjmaeifc(QUT PPIII)/
FIUEQUICO
Am ngycz tczeaovgha fa uqueatvijimifgfgoviniezcjigog uaouijmau g aolaznafgfauIolaeeicugu au gmvc ao mcu govijiõviecu eco tzctiafgfau jgevazieifgu y wqa ua ecvixgo aoam nazegfc g ecuvcu gmvcu/ Mgu eatgu jgevazigogu tzauaovgo io |ivzc qoglzaeqaoeig fa 51/4 ! fa uaouijimifgf lzaovag qo favazniogfc govijiõviec- y wqa am zauvcam <1/ ! uco zauiuvaovau/ (t>4/41)/ Amauvqfic fanqauvzg ngzegfg filazaoeigeqgmivgvi|g ao am fg÷c g mg ugmqf y
eqgovivgvi|g ao mgu Tzqajgu fauqueatvijimifgf goviniezcjigog y goçmiuiuwqîniec fa nafiegnaovcu/ Ecovzguvgofc mg`itõvauiu oqmg fa oc aoecovzgz filazaoeigu gmqvimixgz qo govijiõviec uaouijma io |ivzc wqa io |i|c-mc eqgm au lgmuc y minivg amoønazc zafqeifc fa govijiõviecu zauqmvaouaouijmau y aliegeau tgzg qog autaeia jgevazigog/ Fa uabqiz guî mg vgug fazauiuvaoeig uazç fa :6 egucu tcz egfg 7444aolazncu y mg vgug fa lzgeguc vazgtéqviec
uazç fa 7: lzgegucu tcz egfg 7444 aolazncuoqa|cu/
Aovza mcu lgevczau fa ziaubc tcvaoeigm ao mgu aolaznafgfau iolaeeicugu-
ua ifaoviliegzco mcu uibqiaovau8 oc eqzgzua(14 !-t>4/41)- zauiuvaoeig jgevazigog (<1!- t>4/41)- jghg auecmgzifgf fam tgeiaova(<4 !-t>4/41)- falieiaovau `çjivcu`ibiéoiecu (64 !-t>4/45)- gqvcnafiegeiõo(04 !-t>4/46)- ngm ugoagniaovc jçuiec (54!-t>4/46)- ngm egmifgf fam govijiõviec(:0!-t>4/4:)/ Tcuvazicz gm ecovzcm fa egmifgfua iovaz|ioc oqa|gnaova g mcu tgeiaovau wqavaoîgo zautqauvg iougviulgevczig- ua egnjiõfa egug ecnazeigm tazc oc am ocnjza
baoéziec g mcu uibqiaovau8 Vzinavzctio uqmlg-Azivzcnieiog- y Taoieimiog B- am zauvc oc uamau gtmieõ ecovzcm fa egmifgf tcz uaz auvqficu egzcu/ Ua cjuaz|õ wqa am 24 !nahczõ y wqa am 54 ! uibqiõ ibqgm( T>4/41)/
Mgu jgevazigu viaoao ecncecntcoaova gfançu fa mgu czbgoamgu- qoguauvzqevqzgu mmgngfgu Tmçunifcu- mc wqa maecoliazao tzctiafgfau fa vzgoulazaoeig ao mgzauiuvaoeig g mcu govijiõviecu- mc wqaceguicog eatgu nçu zauiuvaovau/ Auvc fajifc
g wqa mcu lgevczau ifaoviliegfcu ecnc *Z* y*L* uco egtgeau fa uqlziz zaecnjiogeiõobaoévieg (2) / Mgu eatgu jgevazigogu wqaecoviaoao aoxingu wqa ncfiliego g mculçzngecu tcz geavimgeiõo y lculczimgeiõo fgo tcz zauqmvgfc mg ioaliegeig fam govijiõviec-cjuaz|gfc nçu lzaeqaovanaova ao jgevazigubzgnoabgvi|gu/ Mcu vzau vitcu fazaecnjiogeiõo baoévieg fa mgu jgevazigunçu lzaeqaovau uco8 7/ Vzgoulczngeiõo ;:/Ecohqbgeiõo; y 5/ Vzgoufqeeiõo/ Aovza
mcu naegoiuncu tzcticu fa mgu jgevazigu-wqa qvimixgo tgzg uq zauiuvaoeig- auvço8 7/Nqvgeiõo; :/ Gmvazgeiõo navgjõmieg; 5/Miucbaoixgeiõo eco jgevaziclgbc/; 6/Tzcfqeeiõo fa vcpiogu/; 1/ Autczqmgeiõo /(0.74)
Ao mcu zauqmvgfcu fam goçmiuiuuintma ua cjuaz|õ wqa mg tazuiuvaoeig fa mgAolaznafgf Iolaeeicug au fajifg gm ngm qucy egmifgf fam nafiegnaovc (:0 !-T>4/41)nçu mg zauiuvaoeig jgevazigog (<1
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!-T>4/41)/ Mg ngyczîg fa mcu auvqficuemîoiecu auvço cziaovgfcu g mg qvimixgeiõo famcu nafiegnaovcu- ao fcu gzagu 8 Auvqficueqgmivgvi|cu- ao mg egmifgf lgzngecmõbieg au
faeiz ui mg fceqnaovgeiõo `g uifc uqlieiaovaao uq aliegeig y mg egmifgf vazgtaøvieg ao uqiofiegeiõo lzaova g qog aolaznafgfiolaeeicug y Auvqficu eqgovivgvi|cu gmecouqnc fa lçzngecu wqa taznivao `geaz ecntgzgeicoau aovza iouvivqeicoau c tgîuau/Uq lqaova fa fgvcu au czibiogfg famnazegfc fa |aovgu/ Auvcu auvqficu tqafaouaz øvimau ao favazniogz egmifgf fam tzcfqevc- tgzg auvingz mg tza|gmaoeig fa mguaolaznafgfau y ao auvqficu fa
lgzngec|ibimgoeig/ (77) Mcu io|auvibgfczau `go
mcbzgfc ifaoviliegz am gbaova zautcougjma faqog iolaeeiõo- tcz nafic fa qogu tzqajgummgngfgu fa uqueatvijimifgf goviniezcjigog; tzqajgu tgzg favazniogz mg gevi|ifgf jgevazieifg; tzqajgu tgzg fancuvzgz mgaliegeig vazgqtaøvieg aovza cvzgu- mc wqa tazniva ifaoviliegz g uq |ax am govijicbzgngautaeiliec tgzg egfg jgevazig/ (7:.72)
Ao mcu auvqficu
Iovazogeicogmau ua `g aoecovzgfc zauiuvaoeigg mcu uibqiaovau lçzngecu8 Zauiuvaoeig gmgu Taoieimiogu y fazi|gfcu8 Mgu jgevaziguqvimixgo mg aoxing taoieimiogug cJavgmgevgngug y nafigfg tcz vzgoulazaoeigfa tmçunifcu-uco8 Aue`azie`ig ecmi-Ugmncoammg- U`ibqammg- @anct`ymqu ut-Tuaqfcncog ut- Kmajuiammg ut/-Uvgt`ymceceequ ut- Aovazcjgevaz ut/Zauiuvaoeig g mcu Gniocbmiecuifcu8 Mgu jgevazigu wqa tzcfqeao mg aoxing GGE
iogevi|g mcu gniocbmiecuifcu- aovza ammcu8Aue`azie`ig ecmi- Aovazcjgevaz ut- Kmajuiammgut- Tuaqfcncogu ut/ y Uvgt`ymceceequgqzaqu/Zauiuvaoeig gm Emczgolaoiecm 8 Mgu jgevazigu wqa tcuaao mg aoxingemczgolaoiecmgeavimvzgoulazgug ezagozauiuvaoeig- vgmau ecnc8 Uvgt`ymceceequgqzaqu- Aovazceceequ ut/- Tu/ gazqbiocug/Zauiuvaoeig g Vzinavzctio Uqmlg8 Ua ezagzauiuvaoeig tczwqa mgu jgevazigu tcuaao tmçunifcu y aoxing fi`ifzclcmgvczafqevgug-
aovza mgu tzioeitgmau- auvço8 Aue`azie`igecmi- Tu/ gazqbiocug- Uvgt`ymceceequ gqzaqu/Zauiuvaoeig g Ealgmcutcziogu8 Aovza mgu jgevazigu wqa tcuaao mg aoxing
ealgmcutcziogug- auvço8 Aovazcjgevaz ut yTuaqfcncogu ut/- A/ ecmi- Kmajuiammg ut/Zauiuvaoeig g mgu Wqiocmcogu8 Aovza mgu jgevazigu zauiuvaovau g mg eitzclmcpgeiogauvço8 mcu Aovazceceequ ut- Uvgt`ymceceequgqzaqu- Tu/ gazqbiocug/ (70.51)
Ao Am Ugm|gfcz oc ua `gozagmixgfc io|auvibgeicoau uqlieiaovau- wqa taznivgo ecoceaz mcu zauqmvgfcu fa ecovzcmfa egmifgf fa mcu tzioeitgmau lçzngecuqvimixgfcu ao mgu Aolaznafgfau Iolaeeicugu
tcz Ugmqf Tøjmieg ao mcu auvgjmaeiniaovcufa ugmqf/ Uio anjgzbc ua oaeauivg g tcuvaziczi zagmixgz gmagvczignaova ui jiao ocg vcfcu mcu govijiõviecu ao tmgxg- `geaz ecovzcm fa egmifgf fam govijiõviec lzaova g mgaptcuieiõo fa qog eatg jgevazigog yecntmanaovgz am eqmvi|c eco am ecovzcm faegmifgf y mg aliegeig jquegfg ao qo jiao gmegtivgm `qngoc/
Mcu zauqmvgfcu uabøo am eqmvi|cua aoecovzgzco wqa mcu govijiõviecu
qvimixgfcu faufa am ioieic fa mgu Taoieimiogu(7966)- mg ngyczîg fa mgu eatgu azgouaouijmau; tazc tcuvazicznaova eco amvzgoueqzuc fam viantc auvgu `go ifc ezagofceiazvg zauiuvaoeig gm lçzngec- g vgm bzgfc wqafa qo 744! fa aliegeig `g jghgfc g qog vguggevqgm fam 54 !- aoecovzçofcua eatgunqmvizzauiuvaovau g fi|azucugoviniezcjigocu/ Aovza mcu govijiõviecu fagntmic autaevzc aliegeau ua `go ifaoviliegfc tzioeitgmnaova g mgu Wqiocmcogu-
Ealgmcutcziogu y gmbqocu Gniocbmiecuifcu-am zauvc tcz am quc iofiueziniogfc `go tzctieigfc eatgu zauiuvaovau/ Gm ecntgzgz auvcu zauqmvgfcu eco vgjmgu Iovazogeicogmauaoecovzgncu uinimivqfau aovza amgoviniezcjigoc y mg eatg jgevazigog- ecobzgfcu uiboiliegvi|cu fa zauiuvaoeig g mguTaoieimiogu y fazi|gfcu- mc wqa uqbiaza ocqvimixgzmcu ao mgu iolaeeicoau/
Mg nqauvzg fam vzgjghcfavaznioõ wqa mg afgf tzcnafic fa 5<.67
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g÷cu uco mcu nçu uqueatvijmau fa aolazngz eco ziaubcu tcvaoeigmau fa qvimixgz qog egng`cutivgmgzig g lqvqzc gm uaz ngmfigboõuviegfcu y vzgvgfcu- ao ecovzgtcuieiõo
g mg vauiu fa wqa mgu afgfau apvzangu fa mg|ifg uco mcu fa nçu ziaubc y fa iobzauciovzg`cutivgmgzic/
Mcu lgevczau auvzqevqzgmauecnc mc aecoõniec- uceigm- afqegeicogm- jicmõbiec ioeifao fizaevgnaova g mguqueatvijimifgf fa aolazngz ao mcu bzqtcuavgzacu fa mg tcjmgeiõo/ Mgu AolaznafgfauIolaeeicugu fa ngycz ecouqmvg ucoLgziobcgnibfgmiviu gbqfg egqugfg tcz Uvgt`ymceceequ gqzaqu ao qo 5< ! a
Iolaeeiõo fa \îgu Qziogzigu tcz Aue`azie`ig ecmi am :9 !/ Uqzba mgiovazzcbgova ³ tczwqé gmbqogu tazucogu ucouaouijmau g qo gbaova iolaeeicuc y ao cvzcuuco zauiuvaovau3/ Au tcuijma wqa gm aoecovzgz g qo tgeiaova ” |izbao„ au faeiz gwqam wqaoc ua ma `g gfnioiuvzgfc gmbqog fzcbggoviniezcjigog ecovzg qo favazniogfcgbaova jicmõbiec uag zauiuvaova3 ; uioanjgzbc mcu ncfcu fa vzgouniuiõo fizaevcc iofizaevc `gea wqa ao gmbqogu autaeiau
jgevazigogu ao uq faueaofaoeig vzgounivgouq zauiuvaoeig- eco mg tzcfqeeiõo faaoxingu c vaobg tmçunifcu uag zauiuvaova gmniunc lçzngec y ua ecntczvao ao lczngfilazaova3- au tcuijma wqa mg iovazgeeiõognjiaovgm apvazog c iovazog aovza qog jgevazig fa mg niung autaeia eco cvzgecoliazg zauiuvaoeig3/
Fa `ae`c au tzaceqtgova wqaua eiazoa qog gnaogxg tcvaoeigm aoecovzgzzauvgz mg geeiõo ioaliegx fa mcu
govijiõviecu ao gmbqogu autaeiau; uqngfc gmg minivgeiõo fa io|auvibgeicoauaptazinaovgmau tcz aougycu emîoiecu zauqmvgecuvcuc- eco lgmvg fa egtgeivgeiõo - ngvazig tzing y vaeocmcbîg gfaeqgfg faueqjziz oqa|cu vzgvgniaovcu/ Am zavc auvç y auintcuijma wqa ucmc Ugmqf Tøjmieg aolzaovaam tzcjmang y `azafa g mgu oqa|gubaoazgeicoau ” mg autazgoxg fa |ifg„ ua |agminivgfg a ioezanaova gqo nçu mcuiofiegfczau fa nczji.nczvgmifgf/
Ao eqgovc gm figbzgng fafiutazuiõo y zaevg fa zabzauiõo z>4/9<auvgfiuviegnaova uiboilieg qog guceigeiõo tcuivi|g/ Fa mc govazicz ocu iofieg wqa
apiuva qog guceigeiõo y qog zamgeiõo aovza amecouqnc fa qo lçzngec jqaoc c ngmc ecomg zautqauvg emîoieg fam tgeiaova/ Uaecoemqya wqa mg mioag fa fiutazuiõo ocu fieawqa mcu tgeiaovau wqa `go uifc vzgvgfcu ecogmbøo lçzngec egzc y jqaoc viaoao qogzautqauvg emîoieg nahcz/
Auvgfiuvîegnaova ua fancuvzcwqa mcu fgvcu egmeqmgfcu oc ucoauvgfiuviegnaova `gjmgofc uiboiliegvi|cu yua faeifa geatvgz mg `itúvauiu oqmg- tazc wqa
ao mg zagmifgf apiuva qog filazaoeig|azfgfazg aovza mgu |gzigjmau- aovcoeau uafiea wqa apiuva qo azzcz Javg c azzcz vitc II/Tgzg am eguc ui ua fiea wqa qo tgeiaovaaolaznc gm gfnioiuvzgz qo favazniogfclçzngec ao tzauaoeig fa qog jgevazig tgvcbaog fancuvzgfg tcz qog tzqajg fauqueatvijimifgf oc filiaza g mg aoecovzgfg io|ivzc eqgofc ao zagmifgf filiaza ( azzcz vitcII )- vgm glizngeiõo au nqe`c nçu bzg|a tgzg mcu tgeiaovau- wqa am faeiz wqa |g g
filaziz mg zautqauvg tczwqa mc tqafa mma|gz gmg nqazva ( azzcz vitc I )/ Ao am tzinaz eguc (azzcz vitc II ) mcu tgeiaovau tqafao vaoaz amziaubc fa ncziz tcz ngmg egmifgf famlçzngec- oabmibaoeig fam néfiec c iboczgz mg zauiuvaoeig gm oc `gjaz tzauezivc amnafiegnaovc eczzaevc- niaovzgu wqa ao amuabqofc ( azzcz vitc I ) - gm vcngz ao eqaovgmg apiuvaoeig fa mg zauiuvaoeig fa mg jgevazigeco mg egmifgf fam lçzngec mg zautqauvgemîoieg uazç lg|czgjma ao am uaovifc fa fgz
qog nahcz egmifgf fa gvaoeiõo gm aolaznc/Tgzg wqa mg geeiõo fam
govijiõviec uag aliegx y tza|aoiz mgzauiuvaoeig fajao qugzua eiazvcu ezivazicu-ecnc8 7/Zagmixgz qo govijicbzgng y tzauezijiz gfaeqgfgnaova mg fõuiu famnafiegnaovc tcz Kb#fcuiu y a|ivgz zaeifi|gu c ngm ngoahc/ :/Ao Iolaeeicoaubzg|au fa zçtífg a|cmqeiõo ua zaecniaofgqvimixgz qo lçzngec fa tzauvibic c aliegeig- ya|ivgz ao gmbqog nafifg ” am auectavgxc„
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/5/Vaoaz tzaegqeiõo ao am antmac fagovijiõviecu jgevazieifgu ao tgeiaovauapvzancu fa mg |ifg (Oi÷cu y Vazeazg afgf)/6/Qvimixgz lçzngecu wqa ua `go |iuvc
iovaz|aoifcu tcz Ecovzcm fa Egmifgf ygqvczixgfcu tcz Ugmqf Tøjmieg / 1/Antmaczgeicogm fa mcu govijiõviecu/ </ Figboõuviec tzaecx y vzgvgniaovc ctczvqoc/ 2/Afqegeiõo ugoivgzig gm `cutafazc y mgecnqoifgf/ 0/ Tza|aoiz mg ecovgniogeiõognjiaovgm/ 9/ Ncoivczac atifanicmcbiec famgu jgevazigu zauiuvaovau/ 74/Lgzngec|ibimgoeig ecovioqg y uiuvançviegao auvgjmaeiniaovcu fa ugmqf fam tgîu tcz amEcouahc Uqtazicz fa Ugmqf Tøjmieg/ 77/
A|ivgz mg gqvcnafiegeico y apibiz zaeavgnéfieg tgzg mg |aovg fa gmbøo govijiõviec/
Auvcu zauqmvgfcu iofiego wqa ao AmUgm|gfcz ua faja fiutcoaz fa fgvcuauvgfîuviecu fa zauiuvaoeig goviniezcjigogeco auvqficu ecczfiogfcu y zagmixgfcu tcz Mgjczgvczic Eaovzgm y fa Zalazaoeig Ogeicogm- guî ecnc alaevqgz tzqajgu faecovzcm fa egmifgf g mcu lçzngecu y tqjmiegz zauqmvgfcu goqgmau tgzg auvgofgzixgz zabînaoau vazgtéqviecu/
ZALAZAOEIGU7/Bcmf- @/U/ gof Ncammaziob- H/Z / 799</Fzqb V`azgty8 Goviniezcjigm FzqbZauiuvgoea/ 551 (79) 7661.7617:/ GOUGM/ 7996 Goçmiuiu fam Uaevcz Ugmqffa Am Ugm|gfcz/ Iolczna Liogm/ III8 55.525/Kcoango- Gmmao/ Fcramm y cvzcu/ 7900Ececu Bzgntcuivi|cu/ Figbocuviec Niezcj/98 67:.61:6/ Jzqnlivv- R/ Gof @gnimvco- H/N/V/
7902/Tzioeitmau gof tzgeviea cl Goviniezcjigm E`ancv`azgty/ G|azþu Fzqb/:28 7:40.7:51 1/ Ecckuay- Zcjazv/ 7997/ Nae`goiunu cl zauiuvgoea vc goviniezcjigm Gbaovu/ Naf87499.774:</ Ecckuay-Z/E/gofM/Ngycz/7902/Ifaoviliegvico cl govijgevazigm Zauiuvgoea- Nae`goiunu8gf|goeau io mgjczgvczy guugyu/ Goviniezcj/ Oarum/ 68 12.<2
2/ Mgve`ngo- F/U/ 799< Nae`goiunu cl Fiuagua8 Vzgouezitvico. Lgevcz Nqvgvicougof Fiuagua/ Hcqzogm cl Nafieioa/ 556 (7)8 :0.55
0/ Jzqea/ G/ 7996 V`a eammqmgz Jguieu cl ionqoivy :58 7791.7:179/ Gzjaiv- Zcjazv/ 7991/ MgjczgvczyTzceafqzau lcz v`a Atifanimcbie Gogmyuiucl Niezcczbgoiunu/ 728 794.:40-5:4/74/Tabmaz- A/ Uvgogrgy- M/ Gof Utaib`v/V/N/ 7902 Bqifa vc uamaevico cl g UyuvanieGovijgevazigm Gbaov/ Gt/ E/ 8 7646.7675 77/Jcogm- H/ Y Fcniobqax Gmlcouc/ 7995/Lgzngeig @cutivgmgzig/7:/Fcazo- B/ Gof Hcoau/ Z/7997
Goviniezcjigm uqueatvijimivy vauv8Lguvifiqcugof Qoquqgm Jgevazig/G/JgmmcruNiezcjicmcby/77:877:<.77:975/Kizjy- R- Jgqaz G/R/- H/E/ U`azziugof N/ Vqzek / 79<</Govijicvieuqueatvijimivy vauviob jy g uvgofgzfixafuiobma fiuknav`cf/ 618 695.69<76/Kcoango- Gmmao y cvzcu/ 7900/ Tzqajgufa uqueatvijimifgf goviniezcjigog/ 7:8 1<6.<:471/Ogvicogm Ecnnivvaa lcz Emioiegm
Mgjczgvczy Uvgofgzu8Tazlcngoeauvgofgzf lcz goviniezcjigm fiuk uqueatvijimivy vauvu-Tqjmiegvico N:.G5/79067</Ug`n- Fgoiam gof Rgu`iobvco/ G/ 7997/ Govijgevazigm uqueatvijimivy vauv8Fimqvico Nav`cfu/ G//JgmmcruNiezcjicmcby// 7498 7499.774572/ \gofativa- H/ 7995/ Tzqajgu fauqueatvijimifgf g mcu goviniezcjigocu8 20.9170/Jqu`- K/ Gof Uykau/ 790<
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cl gevico cl v`a wqiocmcoa goviniezcjigmgbaovu/ Za|/ Iolaevc/ Fiuagua/ 74 (7) 8 76.:7 :6/@azrgmfv- m gof Raoxam- Z/ 7991/Fyognieu cl `cutivgm. Gfwqiazaf Iolaevico/T/ Nqzzgy/ Niezcjicmcby/7187<9.707:1/ @gzcmf/ E/ 7906/ Gevicou cl Govijicvieu; Nae`goiunu cl JgevazigmZauiuvgoea/Za|/Ueiaoea V`zq.nafig/9.7<:</Kmccu- Rgof Jgooazngo- V/ 7991/Uvgt`ymceceequ gof Niezceceequ/ T/Nqzzgy Niezcjicmcby/ ::8 :0:.:90
:2/Myco- J/Z/ go Ukqzzgy/ 7902/Goviniezcjigm zauiuvaoea cl Uvgt`ymceceequgqzaqu/ Baoavieu jguiu/ Za|/ Niezcjigm/ 17 805.756:0/Mczigo/ \ievcz/ Govijicvieu iomgjczgvczy Nafieioa/ :¨ afiv/ 7995:9/T`immitu- F/N/ 799</ Kmajuiammg toaqncoiga/ Hcqzogm cl Nafieioa/ 551 (79)87652.766554/Zygo- Kaooav`/ 7995/ Tuaqfcncogu ycvzcu jgeimcu bzgnoabgvi|cu ctczvqoiuvgu/ H/
U`azziu/ Niezcji/ ::8 665.61757/U`qmngo- Hcogu/7906/ Go gttzge` vcgovijicvieu qugba/ Za| ueiaoea V`zq.nafig 8:.05:/U`azziu- Hc`o y Tmczfa H/ 7995/Goviniezcjigocu y wqinicvazgtig fa mguIolaeeicoau Jgevazigogu y \iziegu/ Niezcji/758 ::6.:<155/Utiabam- E/ 7900/ Mgjczgvczy favaevicocl `ib` ma|am gniocbmyecuifa zauiuvgoea ioAovazceceequ ut/ H/Emio/
Niezcjicmcby/:<8::24.::2656/Qzjgo- Nayaz- Jazbaz J/ Zge`gmm H/7995/Ocucecnigm c Qzjzagk cl Kmajuiammgiolaevico zauiuvgov vc mgva baoazgvicoeat`gmcutcziou Naf/7798 51551/Q/U/T/ T`gzngectaig OgvicogmLcznqmgzy :5 afiv 7991
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VGJMG IZauqmvgfcu uabøo eqmvi|c io |ivzc/ Tczeaovgha fa Uqueatvijimifgf Niezcjigog /
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• 8 Zauiuvaova 04.744 ! 8 Zauiuvaova 14 ! C8 Uaouijma 04.744 ! .8 Gquaoeig fa fiuec/LQAOVA8 Zauqmvgfc fa mgjczgvczic/ Tzqajgu fa uqueatvijimifgf/ 7992
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VGJMG II/
Zauqmvgfc fa mcu eqmvi|cu gbzqtgfcu tcz eatg zagmixgfcu y lzaeqaoeig fa govijiõviecuao tgeiaovau wqa ecouqmvgo ao Emîoieg Ucygtgobc/ G÷c 7992 O>:1
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VGJMG \I/ Cjuaz|geiõo Emîoieg tcuv vzgvgniaovc/Emîoieg Ucygtgobc/ G÷c 7992/ O>:1
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5/11/2018 articulo resistencia bacteriana - slidepdf.com
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