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1.
Parasitol Res ; 122(7): 1499-1507, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37093300

RESUMO

The helminth fauna present in the gut contents of Iberian adders, Vipera seoanei (Squamata: Viperidae), were characterised and analysed in respect to biological and eco-geographic factors that may affect the occurrence and diversity of helminths in this species. A total of 317 samples of preserved stomachs and intestines, covering the distributional range of V. seoanei, were examined. Similar to other Vipera species from the Iberian Peninsula, the helminth fauna was also impoverished in V. seoanei, but unlike other Vipera species from Central and East Europe, helminths were mostly found in adult vipers, and occurred in vipers located at the periphery of the species range, characterised by low elevation, high temperature and precipitation levels, and abundant pastures.


Assuntos
Helmintos , Viperidae , Animais , Viperidae/parasitologia , Helmintos/isolamento & purificação
2.
J Helminthol ; 93(5): 616-628, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30231945

RESUMO

Despite the advances of molecular tools, new nematode species are still described mainly based on morphological characters. Parapharyngodon and Thelandros are two genera of oxyurids with unclear related taxonomic histories. Here we use morphological characters (linear measurements and categorical variables) and genetic information (18S rRNA, 28S rRNA and COI partial gene sequences) to confirm the relationships between representatives of these two genera and to determine whether they can be discriminated morphologically. Genetic results confirm the existence of two main clades, mostly congruent with Parapharyngodon and Thelandros genera but with several discordances. Thelandros is polyphyletic, with two of the species analysed (T. filiformis and T. tinerfensis) being part of the Thelandros clade, but with a third one (T. galloti) falling within the Parapharyngodon clade. Regarding the Parapharyngodon clade, P. cubensis, P. scleratus and Parapharyngodon sp. from Mexico form congruent lineages, while most P. echinatus samples cluster in another group, with one exception. Interestingly, P. micipsae samples are scattered across the Parapharyngodon clade, suggesting that they were misidentified or rather represent alternative morphotypes of other species. Morphological analysis identified the length of the tail, number of caudal papillae, position of the nerve ring, presence of caudal alae and length of the lateral alae as reliable characters to distinguish between Parapharyngodon and Thelandros genetic clades. Our study highlights the current taxonomic inconsistency in these groups, mainly derived from the exclusive use of morphological data. As such, we advocate for the routine implementation of molecular data in nematode taxonomic studies.


Assuntos
Oxyuroidea/classificação , Filogenia , Animais , DNA de Helmintos , Feminino , Lagartos/parasitologia , Masculino , México , Oxiuríase/parasitologia , Oxyuroidea/anatomia & histologia , RNA Ribossômico 18S/genética , RNA Ribossômico 28S/genética , Análise de Sequência de DNA
3.
Phys Chem Chem Phys ; 18(11): 7632-40, 2016 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-26376836

RESUMO

A comprehensive Raman resonance scattering study of ZnSxSe1-x (ZnSSe) solid solutions over the whole compositional range (0 ≤ x ≤ 1) has been carried out using 325 and 455 nm excitation wavelengths. The Raman scattering intensities of LO ZnS-like and ZnSe-like phonon modes, corresponding to pure S and Se vibrations, respectively, are revealed to be significantly enhanced when excited with 325 nm excitation in the case of S vibrations, and with 455 nm in the case of Se vibrations. This behavior is explained by the interaction of the excitation photons with the corresponding S or Se electronic states in the conduction band, and further confirmed by first principles simulations. These findings advance the fundamental understanding of the coupling between the electronic transitions and photons in the case of Raman resonance effects, and provide inputs for further studies of lattice dynamics, especially in the case of chalcogenide materials. Additionally, the coexistence of modes corresponding to only S vibrations and only Se vibrations in the ZnSSe alloys makes these results applicable for the compositional assessment of ZnSSe compounds.

4.
J Helminthol ; 90(2): 144-51, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26821706

RESUMO

Populations of the lizard Darevskia rudis (Bedriaga, 1886) from northern Anatolia were examined for intestinal parasites in adult specimens. One cestode, Nematotaenia tarentolae López-Neyra, 1944 and four nematode species, Spauligodon saxicolae Sharpilo, 1962, Skrjabinelazia hoffmanni Li, 1934, Oswaldocruzia filiformis (Goeze, 1782) and Strongyloides darevskyi Sharpilo, 1976, were found. Three of these nematodes, S. saxicolae, S. hoffmanni and S. darevskyi are suggested to be part of a module in the network of Darevskia spp. and their parasites. Only one, S. darevskyi, was identified as a Darevskia spp. specialist. The very low infection and diversity parameters are indicative of the depauperate helminth communities found in this lacertid lizard, falling among the lowest within the Palaearctic saurians. Nevertheless these values are higher than those found in parthenogenetic Darevskia spp. Interpopulation variation in the intensity of S. saxicolae and N. tarentolae is attributable to local changes in ecological conditions. On the other hand, parasite abundance and richness increased in the warmer localities, while the effect of lizard sex and size on infection was negligible. The structure of these helminth communities in D. rudis are compared with those observed in other European lacertid lizards.


Assuntos
Helmintíase Animal/parasitologia , Helmintos/classificação , Enteropatias Parasitárias/veterinária , Lagartos/parasitologia , Animais , Feminino , Helmintíase/epidemiologia , Helmintíase/parasitologia , Helmintíase Animal/epidemiologia , Enteropatias Parasitárias/epidemiologia , Enteropatias Parasitárias/parasitologia , Masculino , Turquia/epidemiologia
5.
J Evol Biol ; 27(8): 1631-43, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24890975

RESUMO

Male dimorphism has been reported across different taxa and is usually expressed as the coexistence of a larger morph with exaggerated male traits and a smaller one with reduced traits. The evolution and maintenance of male dimorphism are still poorly understood for several of the species in which it has been observed. Here, we analyse male dimorphism in several species of reptile parasitic nematodes of the genus Spauligodon, in which a major male morph (exaggerated morph), which presents the traditional male morphological traits reported for this taxon, coexists with a minor morph with reduced morphological traits (i.e. reduced genital papillae) resembling more closely the males of the sister genus Skrjabinodon than Spauligodon major males. Because of the level of uncertainty in the results of ancestral state reconstruction, it is unclear if the existence of male dimorphism in this group represents independent instances of convergent evolution or an ancestral trait lost multiple times. Also, although the number of major males per host was positively correlated with the number of females, the same did not hold true for minor males, whose presence was not associated with any other ecological factor. Nevertheless, the existence of male dimorphism in Spauligodon nematodes is tentatively interpreted as resulting from alternative reproductive tactics, with differences in presence and number of individuals as indicators of differences in fitness, with the lower numbers of minor males per host likely maintained by negative frequency-dependent selection.


Assuntos
Adaptação Biológica/genética , Evolução Biológica , Nematoides/anatomia & histologia , Filogenia , Répteis/parasitologia , Animais , Sequência de Bases , Aptidão Genética , Funções Verossimilhança , Masculino , Modelos Genéticos , Dados de Sequência Molecular , Nematoides/genética , Seleção Genética , Análise de Sequência de DNA , Especificidade da Espécie
6.
Phys Rev Lett ; 109(20): 202501, 2012 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-23215474

RESUMO

Classical novae are important contributors to the abundances of key isotopes, such as the radioactive (18)F, whose observation by satellite missions could provide constraints on nucleosynthesis models in novae. The (17)O(p,γ)(18)F reaction plays a critical role in the synthesis of both oxygen and fluorine isotopes, but its reaction rate is not well determined because of the lack of experimental data at energies relevant to novae explosions. In this study, the reaction cross section has been measured directly for the first time in a wide energy range E(c.m.)~/= 200-370 keV appropriate to hydrogen burning in classical novae. In addition, the E(c.m.)=183 keV resonance strength, ωγ=1.67±0.12 µeV, has been measured with the highest precision to date. The uncertainty on the (17)O(p,γ)(18)F reaction rate has been reduced by a factor of 4, thus leading to firmer constraints on accurate models of novae nucleosynthesis.

7.
J Helminthol ; 86(2): 237-40, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22555048

RESUMO

A survey of the gastrointestinal helminth communities of a population of Chalcides sexlineatus Steindachner, a small skink endemic to Gran Canaria island (Canary Archipelago, Spain), was conducted to determine the prevalence, abundance and species diversity of intestinal parasites in these reptiles. Only three parasite species were found, one cestode, Oochoristica agamae Baylis, 1919 and two nematodes, Parapharyngodon micipsae (Seurat, 1917) and Pharyngodonidae gen. sp. Helminth infracommunities of C. sexlineatus showed low values of abundance and species richness and diversity, being more similar to the helminth community of Tarentola boettgeri boettgeri (Steindachner) rather than those of Gallotia stehlini (Schenkel), both syntopic with the sampled host.


Assuntos
Biodiversidade , Cordados/parasitologia , Helmintos/classificação , Helmintos/isolamento & purificação , Animais , Feminino , Trato Gastrointestinal/parasitologia , Masculino , Espanha
8.
Appl Radiat Isot ; 185: 110221, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35427836

RESUMO

The possible damaging effects on human health of inhaled radon and its decay products are of interest to workers and the public. In particular, radon in thermal environments often occurs in high concentrations. Therefore, investigations and remedial actions are important to reduce activity concentration values and associated risk. This work concerns the analysis of two surveys of radon gas activity concentration carried out in 2006/2007 and 2019/2020 at twenty thermal spas on the island of Ischia (Italy). Annual measurements were carried out in workplaces located in the basement and ground floor using passive CR-39 detectors. In the spas involved in both surveys, the effectiveness of the remedial actions, implemented by the owners, was assessed obtaining an average percentage reduction of 74%. Considerations were made about the annual effective dose, and the location of the spas taking into account the geological setting of the volcanic nature of the island.


Assuntos
Poluentes Radioativos do Ar , Poluição do Ar em Ambientes Fechados , Exposição Ocupacional , Monitoramento de Radiação , Radônio , Poluentes Radioativos do Ar/análise , Poluição do Ar em Ambientes Fechados/análise , Humanos , Itália , Exposição Ocupacional/análise , Monitoramento de Radiação/métodos , Radônio/análise
9.
Microsc Microanal ; 17(5): 728-51, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21906418

RESUMO

The present work shows results on elemental distribution analyses in Cu(In,Ga)Se2 thin films for solar cells performed by use of wavelength-dispersive and energy-dispersive X-ray spectrometry (EDX) in a scanning electron microscope, EDX in a transmission electron microscope, X-ray photoelectron, angle-dependent soft X-ray emission, secondary ion-mass (SIMS), time-of-flight SIMS, sputtered neutral mass, glow-discharge optical emission and glow-discharge mass, Auger electron, and Rutherford backscattering spectrometry, by use of scanning Auger electron microscopy, Raman depth profiling, and Raman mapping, as well as by use of elastic recoil detection analysis, grazing-incidence X-ray and electron backscatter diffraction, and grazing-incidence X-ray fluorescence analysis. The Cu(In,Ga)Se2 thin films used for the present comparison were produced during the same identical deposition run and exhibit thicknesses of about 2 µm. The analysis techniques were compared with respect to their spatial and depth resolutions, measuring speeds, availabilities, and detection limits.

10.
Radiat Environ Biophys ; 49(3): 359-63, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20364264

RESUMO

Radiation assessment and protection in space is the first step in planning future missions to the Moon and Mars, where mission and number of space travelers will increase and the protection of the geomagnetic shielding against the cosmic radiation will be absent. In this framework, the shielding effectiveness of two flexible materials, Kevlar and Nextel, were tested, which are largely used in the construction of spacecrafts. Accelerator-based tests clearly demonstrated that Kevlar is an excellent shield for heavy ions, close to polyethylene, whereas Nextel shows poor shielding characteristics. Measurements on flight performed onboard of the International Space Station and of the Foton-M3 capsule have been carried out with special attention to the neutron component; shielded and unshielded detectors (thermoluminescence dosemeters, bubble detectors) were exposed to a real radiation environment to test the shielding properties of the materials under study. The results indicate no significant effects of shielding, suggesting that thin shields in low-Earth Orbit have little effect on absorbed dose.


Assuntos
Internacionalidade , Proteção Radiológica/instrumentação , Voo Espacial , Radiometria
11.
Syst Parasitol ; 75(1): 75-9, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20012520

RESUMO

In Iberian and Canarian lizards, haemogregarines have been recorded infecting erythrocytes, but most of the records correspond to mature gametocytes. We analysed blood smears from 75 specimens of Podarcis bocagei (Seoane) and 33 specimens of P. carbonelli (Pérez-Mellado) from localities of north-western Portugal. We found haemogregarines in 74.7% of P. bocagei and 69.7% of P. carbonelli. Our observations show characteristics of the haemogregarines other than the morphology of the mature gametocytes. In histological sections of the liver of four hosts latent cysts with sporozoites and meronts with merozoites were detected. Both traits have been described as typical of the genera Hepatozoon Miller, 1908 and Hemolivia Petit, Landau, Baccam & Lainson, 1990. We suggest that not only P. bocagei and P. carbonelli from Portugal but other species of Iberian and Canarian lacertids might also be infected by species belonging to one or both genera.


Assuntos
Coccídios/classificação , Coccídios/crescimento & desenvolvimento , Coccidiose/veterinária , Eritrócitos/parasitologia , Estágios do Ciclo de Vida , Lagartos/parasitologia , Animais , Coccídios/isolamento & purificação , Coccidiose/parasitologia , Interações Hospedeiro-Parasita , Fígado/parasitologia , Portugal , Especificidade da Espécie
12.
Appl Radiat Isot ; 166: 109310, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32814306

RESUMO

The interest in the measurement of thoron (220Rn) activity concentration in air has recently increased, with the attention for the development of standards useful for the calibration of measuring instruments. Due to its short half-life (55.8 s), consolidated techniques for the realization and the use of controlled atmospheres of radon (222Rn) are not effective in the case of thoron. New adequate methodology are required. A method for the measurement of the thoron reference activity based on the direct detection of the alpha particles produced by the decay of 220Rn, from natural samples containing 232Th, is here proposed. The possibility of observing an acceptable spectrum is entrusted to the realization of measurement chambers small enough to reduce as much as possible the energy loss of the alpha particles before they reach the Silicon detector. Such a chamber was realized and used with a known thoron atmosphere in a controlled environment. The experimental results are compared with those obtained from the simulation with the Monte Carlo method: (i) the alpha spectra coming directly from thoron atoms exhibit similar shape with a linear trend plus an exponential trend on the left side of the 220Rn peak, depending from the distance between source and detector; (ii) the corresponding 220Rn detection efficiency values are compatible considering the uncertainties. An investigation was conducted to study the shape of the 220Rn spectra vs the different volume of chambers, through Monte Carlo simulations. The results show: (i) the linear part of the spectra shape goes to reduce with the increasing of the height of the chamber; (ii) the 220Rn detection efficiency decreases with the increasing of the height of the chamber.

13.
Radiat Prot Dosimetry ; 191(2): 154-159, 2020 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-33125480

RESUMO

The most used passive detectors for Radon measurement are the CR39s, both for the good stability of the material and for the practicality of use. But, commercial reading systems are expensive and not always fast. The aim of the present work was the development of a method for a rapid, efficient and economic evaluation of the result of the indoor Radon measurement performed with CR39 detectors. The analysis and acquisition of detector images were performed using a photo scanner and the free ImageJ software. Several groups of CR-39 detectors were exposed, developed and analysed. Calibration curve was obtained in a wide range of exposure values (200-12 000 kBq·h·m -3) to allow the procedure to be applied in all possible measurement environments. Furthermore, a statistical study was carried out on the shape and size of nuclear tracks after chemical development. The dependence of the track size on Radon exposure was effective in showing the trace saturation effect as well.


Assuntos
Poluentes Radioativos do Ar , Poluição do Ar em Ambientes Fechados , Monitoramento de Radiação , Radônio , Poluentes Radioativos do Ar/análise , Poluição do Ar em Ambientes Fechados/análise , Partículas alfa , Polietilenoglicóis , Radônio/análise
14.
Appl Radiat Isot ; 163: 109239, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32561065

RESUMO

This paper reports the analysis of soil 222Rn data recorded over 7-years in the volcanic caldera of Campi Flegrei (Naples-Italy). The relationship between Radon activity concentration and several geophysical, geochemical and meteorological parameters, influencing the gas emissions, is estimated by the Artificial Neural Network (ANN) method. The analysis goals are: the estimation (replication) of the Radon time series from influencing parameters, the forecasting of an unknown part of it, and the search for anomalies. Results prove: (i) the effectiveness of the ANN method; (ii) Radon follow the periods of agitation of the caldera, demonstrated by the comparison with previous works using different methods.

15.
Appl Radiat Isot ; 160: 109140, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32351231

RESUMO

The present work concerns a detailed analysis of Radon time series to differentiate endogenous from exogenous phenomena which provide anomalous signals. Two-year data from two sites in Czech Republic and in Italy are analyzed in order to contribute to the prevention of natural hazards. A new hybrid forecasting method is implemented and tuned for the identification of Radon anomalies in the time series. It is based on the combination of Multiple Linear Regressions, Empirical Mode Decomposition and Support Vector Regression methods that decompose the signal and analyze the components to distinguish the variations due to Radon originated in depths from those due to environmental parameters. The possible correlations with fumarolic tremors in the Italian site and the faults microdisplacements in the Czech site have been studied, as well as with the earthquakes that have influence on two studied areas. Results show that: (i) the used method is very effective considering the calculated statistical uncertainties; (ii) the outer temperature is the main influencing Radon driving force; (iii) the extracted Radon anomalies due to endogenous phenomena are well correlated with fault displacements, fumarolic tremors, and with earthquakes under a characteristic delay time for each area; (iv) significant correlations among earthquake magnitude and depth with fault displacement and fumarolic tremor are found.

16.
Appl Radiat Isot ; 166: 109385, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32979758

RESUMO

Studies concerning 222Rn emission from soils are growing interest in the Earth Sciences, due to the gas potential as a tracer of natural phenomena. This paper presents a study of radon monitoring in two sites of Campi Flegrei caldera (Neaples, Italy) during the period July 1, 2011-December 31, 2017. This area was characterized by several phases of volcanic unrest. A hybrid method based on Multiple Linear Regression + Remote Radon Estimation method + Singular Spectrum Analysis (MLR + RRE + SSA) is developed for the trend extraction and the identification of anomalies in the time series of 222Rn. The results are compared with several routinely used geo-indicators of the caldera unrest. The comparisons show strong correlation among the signals. The present study proves the 222Rn is a potential indicator of the evolution of a volcanic crisis.

17.
Sci Rep ; 10(1): 9551, 2020 06 12.
Artigo em Inglês | MEDLINE | ID: mdl-32533027

RESUMO

This is a seven-year study (1/7/2011-31/12/2017) of radon monitoring at two sites of Campi Flegrei caldera (Neaples, Southern Italy) that in the last 70 years experienced repeated phases of volcanic unrest. The sites are equipped with devices for radon detection, based on the spectrometry analysis of the α-particles of radon daughters. A hybrid method, as combination of three known methods, is applied for the identification of residuals (anomalies) and trends of the time series of Radon. The results are compared with the following indicators of current caldera unrest: the tremor caused by the major fumarolic vent registered by a seismic station; the cumulative of background seismicity; the maximum vertical deformation acquired by GPS networks during the current phase of uplift; the temperature-pressure of the hydrothermal system estimated based on gas geo-indicators. The comparisons show strong correlation among independent signals and suggest that the extension of the area affected by current Campi Flegrei crisis is larger than the area of seismicity and of intense hydrothermal activity from which the radon stations are 1-4 km away. These results represent an absolute novelty in the study of a such calderic area and mark a significant step forward in the use and interpretation of the radon signal.

18.
Radiologia ; 51(2): 171-5, 2009.
Artigo em Espanhol | MEDLINE | ID: mdl-19272621

RESUMO

OBJECTIVE: To evaluate the usefulness of detecting at MRI an ovarian vascular pedicle or prominent vessels between the uterus and large tumors for determining whether masses originate in the ovary or uterus. MATERIAL AND METHODS: We reviewed MRI studies from 80 patients with histologically confirmed pelvic masses greater than 7cm in diameter. We evaluated the presence of gonadal veins draining the tumors and the presence of vessels between the surface of the lesion and the uterus. RESULTS: We detected gonadal veins draining the pelvic masses in 36 of the 43 tumors originating in the ovaries (84%); we detected vessels between the uterus and the pelvic mass in 30 of the 37 tumors that originated in the uterus (81%). The sensitivity, specificity, and positive and negative predictive values for the presence of gonadal veins draining the lesion were 84%, 95%, 95%, and 83%, respectively, for ovarian masses, and 81%, 91%, 88%, and 85%, respectively, for vessels between the uterus and the mass in subserous myomas. CONCLUSION: Evaluating the venous drainage of pelvic tumors is very useful in cases in which it is not easy to establish the origin of the tumor.


Assuntos
Imageamento por Ressonância Magnética , Neoplasias Ovarianas/irrigação sanguínea , Neoplasias Ovarianas/diagnóstico , Neoplasias Uterinas/irrigação sanguínea , Neoplasias Uterinas/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Estudos Retrospectivos , Veias , Adulto Jovem
19.
J Helminthol ; 82(4): 301-3, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18492303

RESUMO

Spiroxys ankarafantsika, sp. nov. is described from Madagascar in two species of freshwater turtles, Pelusios castanoides and Pelomedusa subrufa. Spiroxys ankarafantsika differs from other species of the genus in having pseudolabial teeth only on the median lobes and no other cuticular prominences, a smooth cuticular collar, deirides as cervical minute spine-like projections, and a gubernaculum without tubes. This is the first record of a nominal species of the genus Spiroxys from the Ethiopian region.


Assuntos
Enteropatias Parasitárias/veterinária , Infecções por Spirurida/veterinária , Spirurina/classificação , Tartarugas/parasitologia , Animais , Feminino , Madagáscar , Masculino , Spirurina/anatomia & histologia , Spirurina/isolamento & purificação
20.
Rev Esp Quimioter ; 2018 Dec 04.
Artigo em Espanhol | MEDLINE | ID: mdl-30512080

RESUMO

OBJECTIVE: Bacteremia caused by Klebsiella pneumoniae carbapenemase-producing strains (Kp-KPC) is associated with high mortality. The hypothesis of our work is that there was an increase in the levels of resistance to different antimicrobials in Kp-KPC isolated from bacteremia. METHODS: Retrospective and descriptive study in two periods: Period 1 (P1) 2010-2014 and period 2 (P2) 2015-2016. We included patients ≥18 years old with bacteremia caused by Kp-KPC in a General Hospital. We defined active drug (AD) if it was in vitro susceptible and in the case of meropenem if it had a MIC ≤ 8 mg/L in combination treatment. RESULTS: Fifty episodes of bacteremia caused by Kp-KPC were analyzed in 45 patients. (P1: 21 and P2: 29). The following variables were similar in both periods: median age (53 vs. 52 years); male sex (45 vs. 62%); site of infection: primary bacteremia (52 vs.45%), bacteremia associated with catheter (24 vs.17%), and other (24 vs. 38%). During P2 there was a significant increase in colistin resistance (28 vs. 69%) (p <0.01), an increase in MIC to meropenem ≥ 16 mg/L (74 and 97%) (p = 0.02), and decrease in tigecycline resistance (29 vs. 4%) (p = 0.02). The overall mortality was 40 in P1 and 32% in P2 (p=0.7). There was not difference in mortality when the definitive treatment was with an active antimicrobial vs. two active antimicrobials, as well as between the different antimicrobials used. CONCLUSIONS: There was a significant increase in bacteremia caused by Kp-KPC and the level of colistin resistance and MIC to meropenem. Overall mortality was high in both periods.

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