{"id":147,"date":"2025-11-02T20:18:25","date_gmt":"2025-11-02T19:18:25","guid":{"rendered":"https:\/\/programaeducacaomedica.medscp.com\/?page_id=147"},"modified":"2026-01-12T10:55:58","modified_gmt":"2026-01-12T09:55:58","slug":"doenca-pneumococica","status":"publish","type":"page","link":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/doenca-pneumococica\/","title":{"rendered":"Doen\u00e7a pneumoc\u00f3cica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"147\" class=\"elementor elementor-147\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eecbac1 e-flex e-con-boxed e-con e-parent\" data-id=\"eecbac1\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e0ee426 e-con-full e-flex e-con e-child\" data-id=\"e0ee426\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2431aa7 elementor-widget elementor-widget-text-editor\" data-id=\"2431aa7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Conte\u00fado Pfizer em parceria com a Medscape.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a72aaaa e-con-full e-flex e-con e-parent\" data-id=\"a72aaaa\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-f3028e0 e-con-full e-flex e-con e-child\" data-id=\"f3028e0\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fac027c elementor-widget elementor-widget-image\" data-id=\"fac027c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"330\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/pfizer-logo-color-01-1024x423.png\" class=\"attachment-large size-large wp-image-10\" alt=\"\" srcset=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/pfizer-logo-color-01-1024x423.png 1024w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/pfizer-logo-color-01-300x124.png 300w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/pfizer-logo-color-01-768x317.png 768w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/pfizer-logo-color-01-1536x634.png 1536w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/pfizer-logo-color-01-2048x845.png 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ff10b1d e-con-full e-flex e-con e-child\" data-id=\"ff10b1d\" 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menu-item-type-post_type menu-item-object-page menu-item-202\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/doenca-pneumococica\/\" class=\"elementor-item\">DOEN\u00c7A PNEUMOC\u00d3CICA<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-201\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/vsr\/\" class=\"elementor-item\">VIRUS SINCICIAL RESPIRAT\u00d3RIO<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-200\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/conclusao\/\" class=\"elementor-item\">CONCLUS\u00c3O<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Alternar men\u00fa\" aria-expanded=\"false\">\n\t\t\t<svg aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open e-font-icon-svg e-eicon-menu-bar\" viewBox=\"0 0 1000 1000\" 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href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/doenca-pneumococica\/\" class=\"elementor-item\" tabindex=\"-1\">DOEN\u00c7A PNEUMOC\u00d3CICA<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-201\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/vsr\/\" class=\"elementor-item\" tabindex=\"-1\">VIRUS SINCICIAL RESPIRAT\u00d3RIO<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-200\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/conclusao\/\" class=\"elementor-item\" tabindex=\"-1\">CONCLUS\u00c3O<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2f82ca6 e-con-full e-flex e-con e-child\" data-id=\"2f82ca6\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eda7237 elementor-widget elementor-widget-image\" data-id=\"eda7237\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"419\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/Medscape_Logo-1024x536.jpg\" class=\"attachment-large size-large wp-image-9\" alt=\"\" srcset=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/Medscape_Logo-1024x536.jpg 1024w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/Medscape_Logo-300x157.jpg 300w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/Medscape_Logo-768x402.jpg 768w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/Medscape_Logo-1536x804.jpg 1536w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/09\/Medscape_Logo-2048x1073.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-89d3520 e-con-full e-flex e-con e-parent\" data-id=\"89d3520\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-97d0766 e-flex e-con-boxed e-con e-child\" data-id=\"97d0766\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e3e1c32 elementor-widget elementor-widget-heading\" data-id=\"e3e1c32\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Doen\u00e7a pneumoc\u00f3cica:<br> lidando com mais sorotipos \u2014 dois olhares, uma agenda comum<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fe19eb7 e-flex e-con-boxed e-con e-parent\" data-id=\"fe19eb7\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-c55b7d4 e-con-full e-flex e-con e-child\" data-id=\"c55b7d4\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-af15c44 elementor-widget elementor-widget-heading\" data-id=\"af15c44\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Participantes: Prof. Dr. Marco S\u00e1fadi,<br>\nProf. Dr. Daniel Jarovsky, Prof. Dr. Ot\u00e1vio Rizzi Coelho Filho<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-db7c1ba e-con-full e-flex e-con e-child\" data-id=\"db7c1ba\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c88ea2c elementor-widget elementor-widget-image\" data-id=\"c88ea2c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJ0eXBlIjoidmlkZW8iLCJ2aWRlb1R5cGUiOiJ2aW1lbyIsInVybCI6Imh0dHBzOlwvXC9wbGF5ZXIudmltZW8uY29tXC92aWRlb1wvMTEzMjgxMTIyMj9oPTVlZjhmYzY0NjcjdD0ifQ%3D%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"451\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/11\/Video-doenca-pneumococica.png\" class=\"attachment-large size-large wp-image-208\" alt=\"\" srcset=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/11\/Video-doenca-pneumococica.png 808w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/11\/Video-doenca-pneumococica-300x169.png 300w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/11\/Video-doenca-pneumococica-768x433.png 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ebd7974 elementor-widget elementor-widget-text-editor\" data-id=\"ebd7974\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A doen\u00e7a pneumoc\u00f3cica (DP) continua a ser uma causa signi\ufb01cativa de morbimortalidade global, com impacto cl\u00ednico e econ\u00f4mico substancial. \u00c0 medida que avan\u00e7amos na compreens\u00e3o da sua epidemiologia e da imunologia das vacinas, torna-se claro que a estrat\u00e9gia de preven\u00e7\u00e3o deve ser integrada, abrangendo desde a inf\u00e2ncia at\u00e9 a idade adulta e os grupos de risco mais vulner\u00e1veis \u00e0s complica\u00e7\u00f5es da doen\u00e7a.<br \/><br \/>A introdu\u00e7\u00e3o das vacinas pneumoc\u00f3cicas conjugadas (PCVs) em programas de imuniza\u00e7\u00e3o em lactentes reduziu de forma relevante as diversas formas de doen\u00e7a pneumoc\u00f3cica causadas por sorotipos vacinais, contribuindo tamb\u00e9m para redu\u00e7\u00e3o de taxas de incid\u00eancia da doen\u00e7a em grupos et\u00e1rios n\u00e3o vacinados, incluindo adultos de maior idade \u2013 prote\u00e7\u00e3o indireta (herd effect) \u2013 \u00e0s custas da redu\u00e7\u00e3o nas taxas de coloniza\u00e7\u00e3o pelos sorotipos vacinais entre as crian\u00e7as vacinadas e, desta forma, reduzindo as taxas de transmiss\u00e3o a outros grupos et\u00e1rios. Com o tempo, por\u00e9m, observou-se ascens\u00e3o r\u00e1pida de sorotipos n\u00e3o-vacinais, sobretudo em adultos, limitando o impacto destes programas e impulsionando a evolu\u00e7\u00e3o para vacinas pneumoc\u00f3cicas de maior val\u00eancia, contemplando os novos sorotipos prevalentes implicados no aumento de taxas de doen\u00e7a.<br \/><br \/>Entre os sorotipos vacinais observou-se que o sorotipo 3 possui um mecanismo particular de produ\u00e7\u00e3o de c\u00e1psula que o torna mais resistente \u00e0 depura\u00e7\u00e3o imune e menos imunog\u00eanico do que outros sorotipos vacinais, mantendo-se como importante causa de pneumonia e DP (doen\u00e7a pneumoc\u00f3cica) invasiva em crian\u00e7as e adultos. Al\u00e9m disso, apesar de inclu\u00eddo nas PCV7\/PCV13, o sorotipo 4 (com variante capsular) tem sido implicado em surtos de DP (doen\u00e7a pneumoc\u00f3cica) invasiva entre adultos que vivem em condi\u00e7\u00f5es prec\u00e1rias. A persist\u00eancia desses sorotipos em indiv\u00edduos de alto risco pode tamb\u00e9m re\ufb02etir fatores do hospedeiro que prejudicam a produ\u00e7\u00e3o de anticorpos e\/ou a depura\u00e7\u00e3o bacteriana mediada por anticorpos.<br \/><br \/>Estas li\u00e7\u00f5es aprendidas com as PCVs mostram a necessidade de aten\u00e7\u00e3o ao comportamento da doen\u00e7a pneumoc\u00f3cica e seus sorotipos, aliada a uma rigorosa vigil\u00e2ncia epidemiol\u00f3gica. Em cen\u00e1rios de substitui\u00e7\u00e3o expressiva de sorotipos, o ganho adicional de vacinas com val\u00eancias maiores no calend\u00e1rio infantil pode controlar a transmiss\u00e3o e sustentar a queda nas taxas de incid\u00eancia na popula\u00e7\u00e3o.<br \/><br \/><strong>O olhar para o paciente adulto:<\/strong><br \/><br \/>A DP (doen\u00e7a pneumoc\u00f3cica) no adulto est\u00e1 associada a desfechos graves, incluindo hospitaliza\u00e7\u00e3o, mortalidade e sequelas funcionais e cognitivas. Evid\u00eancias recentes mostram que a pneumonia pneumoc\u00f3cica est\u00e1 associada a um aumento signi\ufb01cativo de eventos cardiovasculares agudos, como infarto do mioc\u00e1rdio e acidente vascular encef\u00e1lico, especialmente nos primeiros 30 dias ap\u00f3s a infec\u00e7\u00e3o. Cortes de pacientes com pneumonia comunit\u00e1ria demonstram piora funcional e cognitiva sustentada, refor\u00e7ando que a preven\u00e7\u00e3o da pneumonia em idosos \u00e9 fundamental para evitar desfechos graves e complica\u00e7\u00f5es.<br \/><br \/>Estudos observacionais e meta-an\u00e1lises indicam que a vacina\u00e7\u00e3o pneumoc\u00f3cica, especialmente com vacinas conjugadas como a PCV20, est\u00e1 associada \u00e0 redu\u00e7\u00e3o de hospitaliza\u00e7\u00f5es por pneumonia, eventos card\u00edacos e mortalidade geral em idosos.<br \/><br \/>A vacina\u00e7\u00e3o pneumoc\u00f3cica \u00e9 recomendada como estrat\u00e9gia complementar na preven\u00e7\u00e3o cardiovascular, especialmente em popula\u00e7\u00f5es de alto risco, como pacientes com doen\u00e7as cr\u00f4nicas (diabetes, DPOC, cardiopatias). O American College of Cardiology recomenda a imuniza\u00e7\u00e3o pneumoc\u00f3cica em pacientes com doen\u00e7a coronariana cr\u00f4nica, destacando o impacto na redu\u00e7\u00e3o de eventos cardiovasculares e mortalidade.<br \/><br \/>Vacinas conjugadas de maior val\u00eancia (PCV15, PCV20, PCV21) aprovadas pelo FDA e recomendadas pelo Advisory Committee on Immunization Practices (ACIP) dos EUA ampliam a prote\u00e7\u00e3o contra sorotipos circulantes, contribuem para o controle da resist\u00eancia antimicrobiana e reduzem a carga sobre os sistemas de sa\u00fade. A substitui\u00e7\u00e3o de sorotipos \u00e9 esperada e exige ajuste din\u00e2mico das estrat\u00e9gias vacinais.<br \/><br \/>Vinte anos de PCVs mudaram a hist\u00f3ria da doen\u00e7a pneumoc\u00f3cica. A substitui\u00e7\u00e3o de sorotipos n\u00e3o \u00e9 um fracasso da estrat\u00e9gia, mas um sinal de que devemos seguir ajustando o alvo. A resposta \u00e9 din\u00e2mica: val\u00eancias maiores quando necess\u00e1rio, aloca\u00e7\u00e3o por risco\/idade, simplicidade operacional e ponte pediatria\u2013adulto. Assim, prevenimos hospitaliza\u00e7\u00f5es, mortalidade e, potencialmente, eventos cardiovasculares \u2014 uma agenda comum para toda a vida.<br \/><br \/>A atualiza\u00e7\u00e3o constante das vacinas, o monitoramento epidemiol\u00f3gico e a integra\u00e7\u00e3o da imuniza\u00e7\u00e3o em estrat\u00e9gias mais amplas de preven\u00e7\u00e3o s\u00e3o fundamentais para maximizar o impacto na sa\u00fade p\u00fablica. Como m\u00e9dicos, temos o papel de liderar essa agenda, assegurando que a vacina\u00e7\u00e3o pneumoc\u00f3cica seja reconhecida n\u00e3o apenas como uma medida contra infec\u00e7\u00f5es, mas como um pilar da medicina preventiva moderna.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4adeec elementor-widget elementor-widget-text-editor\" data-id=\"a4adeec\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Refer\u00eancias bibliogr\u00e1\ufb01cas:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-abf0d32 elementor-widget elementor-widget-text-editor\" data-id=\"abf0d32\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ol>\n \t<li>Ladhani SN, Collins S, Djennad A, et al. Rapid increase in non-vaccine serotypes causing invasive pneumococcal disease in England and Wales, 2000\u221217: a prospective national observational cohort study. Lancet Infect Dis. 2018 Apr;18(4):441\u2212451. doi: 10.1016\/S1473\u22123099(18)30052\u22125.\n<\/li>\n \t<li>Campling J, Vyse A, Liu HH, et al. A review of evidence for pneumococcal vaccination in adults at increased risk of pneumococcal disease: risk group de\ufb01nitions and optimization of vaccination coverage in the United Kingdom. Expert Rev Vaccines. 2023 Jan-Dec;22(1):785\u2212800. doi: 10.1080\/14760584.2023.2256394.\n<\/li>\n \t<li>LaFon D. Evaluation of efficacy and effectiveness across the pneumococcal conjugate vaccine era, Human Vaccines &#038; Immunotherapeutics, 2025. 21:1, 2491855, DOI: 10.1080\/21645515.2025.2491855\n<\/li>\n \t<li>Ozisik, L. The New Era of Pneumococcal Vaccination in Adults: What Is Next? Vaccines 2025, 13, 498.\nhttps:\/\/doi.org\/10.3390\/vaccines13050498.\n<\/li>\n \t<li>Marra F, Zhang A, Gillman E, et al. The protective effect of pneumococcal vaccination on cardiovascular disease in adults: A systematic review and meta-analysis. Int J Infect Dis. 2020 Oct;99:204\u2212213. doi: 10.1016\/j.ijid.2020.07.038.\n<\/li>\n<li>Kobayashi M, Leidner AJ, et al. Expanded Recommendations for Use of Pneumococcal Conjugate Vaccines Among Adults Aged \u226550 Years: Recommendations of the Advisory Committee on Immunization Practices &#8211; United States, 2024. MMWR Morb Mortal Wkly Rep. 2025 Jan 9;74(1):1\u22128. doi: 10.15585\/mmwr.mm7401a1.\n<\/li>\n<\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4f5732a e-con-full e-flex e-con e-child\" data-id=\"4f5732a\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3207aab elementor-widget elementor-widget-heading\" data-id=\"3207aab\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><ol> <li>Qual das alternativas expressa de forma mais correta os benef\u00edcios esperados da vacina\u00e7\u00e3o pneumoc\u00f3cica conjugada (PCV) em adultos\/idosos?\n<\/li><\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-04aeb1d e-con-full e-flex e-con e-child\" data-id=\"04aeb1d\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5577f9a elementor-button-align-start centered-radio-text elementor-widget elementor-widget-form\" data-id=\"5577f9a\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Siguiente&quot;,&quot;step_previous_label&quot;:&quot;Anterior&quot;,&quot;step_type&quot;:&quot;none&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" id=\"formulario_doenca_pneumococica\" name=\"Formulario doen\u00e7a pneumococica\" aria-label=\"Formulario doen\u00e7a pneumococica\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"147\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"5577f9a\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Doen\u00e7a pneumoc\u00f3cica\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"147\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-doenca_pneumocociica_respuesta_a elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"A) A vacina\u00e7\u00e3o reduz sintomas da doen\u00e7a, mas n\u00e3o h\u00e1 evid\u00eancias de mundo real do impacto em hospitaliza\u00e7\u00f5es, mortalidade ou eventos cardiovasculares.\" id=\"form-field-doenca_pneumocociica_respuesta_a-0\" name=\"form_fields[doenca_pneumocociica_respuesta_a]\"> <label for=\"form-field-doenca_pneumocociica_respuesta_a-0\">A) A vacina\u00e7\u00e3o reduz sintomas da doen\u00e7a, mas n\u00e3o h\u00e1 evid\u00eancias de mundo real do impacto em hospitaliza\u00e7\u00f5es, mortalidade ou eventos cardiovasculares.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-doenca_pneumocociica_respuesta_b elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"B) A vacina\u00e7\u00e3o com PCV confere prote\u00e7\u00e3o apenas contra DP invasiva, sem efeito sobre pneumonia comunit\u00e1ria ou desfechos subsequentes.\" id=\"form-field-doenca_pneumocociica_respuesta_b-0\" name=\"form_fields[doenca_pneumocociica_respuesta_b]\"> <label for=\"form-field-doenca_pneumocociica_respuesta_b-0\">B) A vacina\u00e7\u00e3o com PCV confere prote\u00e7\u00e3o apenas contra DP invasiva, sem efeito sobre pneumonia comunit\u00e1ria ou desfechos subsequentes.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-doenca_pneumocociica_respuesta_c elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"C)\tA vacina\u00e7\u00e3o est\u00e1 associada \u00e0 redu\u00e7\u00e3o de hospitaliza\u00e7\u00f5es por pneumonia, mortalidade geral e eventos cardiovasculares em idosos, possivelmente por evitar a descompensa\u00e7\u00e3o in\ufb02amat\u00f3ria p\u00f3s-pneumonia; sociedades cardiol\u00f3gicas passaram a recomendar imuniza\u00e7\u00e3o em doen\u00e7a coronariana cr\u00f4nica.\" id=\"form-field-doenca_pneumocociica_respuesta_c-0\" name=\"form_fields[doenca_pneumocociica_respuesta_c]\"> <label for=\"form-field-doenca_pneumocociica_respuesta_c-0\">C)\tA vacina\u00e7\u00e3o est\u00e1 associada \u00e0 redu\u00e7\u00e3o de hospitaliza\u00e7\u00f5es por pneumonia, mortalidade geral e eventos cardiovasculares em idosos, possivelmente por evitar a descompensa\u00e7\u00e3o in\ufb02amat\u00f3ria p\u00f3s-pneumonia; sociedades cardiol\u00f3gicas passaram a recomendar imuniza\u00e7\u00e3o em doen\u00e7a coronariana cr\u00f4nica.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-doenca_pneumocociica_respuesta_d elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"D) Em locais com programas de imuniza\u00e7\u00e3o pedi\u00e1tricos, com elevadas coberturas, n\u00e3o h\u00e1 necessidade de implementa\u00e7\u00e3o de vacina\u00e7\u00e3o de idosos ou de adultos com comorbidades.\" id=\"form-field-doenca_pneumocociica_respuesta_d-0\" name=\"form_fields[doenca_pneumocociica_respuesta_d]\"> <label for=\"form-field-doenca_pneumocociica_respuesta_d-0\">D) Em locais com programas de imuniza\u00e7\u00e3o pedi\u00e1tricos, com elevadas coberturas, n\u00e3o h\u00e1 necessidade de implementa\u00e7\u00e3o de vacina\u00e7\u00e3o de idosos ou de adultos com comorbidades.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar resposta<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ea6c7c elementor-widget elementor-widget-html\" data-id=\"5ea6c7c\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script>\ndocument.addEventListener('DOMContentLoaded', function() {\n\n  const popups = {\n    'doenca_pneumocociica_respuesta_a': 449, \/\/ ID real del popup A\n    'doenca_pneumocociica_respuesta_b': 449, \/\/ ID real del popup B\n    'doenca_pneumocociica_respuesta_c': 398, \/\/ ID real del popup C\n    'doenca_pneumocociica_respuesta_d': 449  \/\/ ID real del popup D\n  };\n\n  \/\/ Escucha cuando se env\u00eda el formulario\n  jQuery(document).on('submit', '#formulario_doenca_pneumococica', function(event) {\n    \/\/ Evita que el popup se abra antes de que Elementor termine su env\u00edo\n    setTimeout(function() {\n\n      \/\/ Busca cu\u00e1l de los radios fue seleccionado\n      let seleccion = null;\n\n      \/\/ Recorre cada grupo de posibles respuestas\n      for (const key in popups) {\n        const input = document.querySelector(`input[name=\"form_fields[${key}]\"]:checked`);\n        if (input) {\n          seleccion = key;\n          break;\n        }\n      }\n\n      if (!seleccion) {\n        console.warn('\u26a0\ufe0f No se seleccion\u00f3 ninguna respuesta.');\n        return;\n      }\n\n      const popupID = popups[seleccion];\n      console.log('\ud83d\udfe2 Respuesta seleccionada:', seleccion, '\u2192 Mostrar popup ID:', popupID);\n\n      if (window.elementorProFrontend && elementorProFrontend.modules.popup) {\n        elementorProFrontend.modules.popup.showPopup({ id: popupID });\n      } else {\n        console.error('\u274c M\u00f3dulo de popups de Elementor no encontrado.');\n      }\n\n    }, 500); \/\/ Peque\u00f1o retraso para que Elementor procese el env\u00edo\n  });\n\n});\n<\/script>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571451a elementor-widget elementor-widget-heading\" data-id=\"571451a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><ol start=\"2\"> <li>Homem, 72 anos, coronariopata, internado por pneumonia pneumoc\u00f3cica h\u00e1 9 meses. Hist\u00f3rico vacinal: PCV13 h\u00e1 6 anos e vacina polissacar\u00eddica 23V (PPV23) h\u00e1 5 anos. A vigil\u00e2ncia local mostra aumento de 22F\/33F\/8 e persist\u00eancia de sorotipo 3. Qual a melhor estrat\u00e9gia agora?<\/li><\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-98fe34e e-con-full e-flex e-con e-child\" data-id=\"98fe34e\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3453ae1 elementor-button-align-start centered-radio-text elementor-widget elementor-widget-form\" data-id=\"3453ae1\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Siguiente&quot;,&quot;step_previous_label&quot;:&quot;Anterior&quot;,&quot;step_type&quot;:&quot;none&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" id=\"formulario_doenca_pneumococica_2\" name=\"Formulario doen\u00e7a pneumococica_2\" aria-label=\"Formulario doen\u00e7a pneumococica_2\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"147\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"3453ae1\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Doen\u00e7a pneumoc\u00f3cica\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"147\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-doenca_pneumocociica_respuesta2_a elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"A) Repetir a PPV23 para ampliar a prote\u00e7\u00e3o; PCVs n\u00e3o agregam mais benef\u00edcio em adultos maiores de 65 anos.\" id=\"form-field-doenca_pneumocociica_respuesta2_a-0\" name=\"form_fields[doenca_pneumocociica_respuesta2_a]\"> <label for=\"form-field-doenca_pneumocociica_respuesta2_a-0\">A) Repetir a PPV23 para ampliar a prote\u00e7\u00e3o; PCVs n\u00e3o agregam mais benef\u00edcio em adultos maiores de 65 anos.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-doenca_pneumocociica_respuesta2_b elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"B) N\u00e3o h\u00e1 indica\u00e7\u00e3o de realizar qualquer vacina\u00e7\u00e3o neste homem, pois ele j\u00e1 recebeu uma dose de PCV13 e um dose de PPV23.\" id=\"form-field-doenca_pneumocociica_respuesta2_b-0\" name=\"form_fields[doenca_pneumocociica_respuesta2_b]\"> <label for=\"form-field-doenca_pneumocociica_respuesta2_b-0\">B) N\u00e3o h\u00e1 indica\u00e7\u00e3o de realizar qualquer vacina\u00e7\u00e3o neste homem, pois ele j\u00e1 recebeu uma dose de PCV13 e um dose de PPV23.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-doenca_pneumocociica_respuesta2_c elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"C) Aplicar PCV20 agora (intervalo \u22651 ano da \u00faltima pneumoc\u00f3cica cumprido) para ampliar cobertura a sorotipos adicionais (8\/10A\/11A\/12F\/15B\/22F\/33F), oferecendo resposta T-dependente e benef\u00edcio program\u00e1tico; n\u00e3o h\u00e1 rotina de nova PPV23 ap\u00f3s PCV20. \" id=\"form-field-doenca_pneumocociica_respuesta2_c-0\" name=\"form_fields[doenca_pneumocociica_respuesta2_c]\"> <label for=\"form-field-doenca_pneumocociica_respuesta2_c-0\">C) Aplicar PCV20 agora (intervalo \u22651 ano da \u00faltima pneumoc\u00f3cica cumprido) para ampliar cobertura a sorotipos adicionais (8\/10A\/11A\/12F\/15B\/22F\/33F), oferecendo resposta T-dependente e benef\u00edcio program\u00e1tico; n\u00e3o h\u00e1 rotina de nova PPV23 ap\u00f3s PCV20. <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-doenca_pneumocociica_respuesta2_d elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"D) Fazer PCV13 agora por se tratar de uma vacina conhecida e agendar PPV23 em 8\u201312 semanas para ampliar a cobertura. \" id=\"form-field-doenca_pneumocociica_respuesta2_d-0\" name=\"form_fields[doenca_pneumocociica_respuesta2_d]\"> <label for=\"form-field-doenca_pneumocociica_respuesta2_d-0\">D) Fazer PCV13 agora por se tratar de uma vacina conhecida e agendar PPV23 em 8\u201312 semanas para ampliar a cobertura. <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Enviar resposta<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-120ae90 elementor-widget elementor-widget-html\" data-id=\"120ae90\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script>\ndocument.addEventListener('DOMContentLoaded', function() {\n\n  const popups = {\n    'doenca_pneumocociica_respuesta2_a': 532, \/\/ ID real del popup A\n    'doenca_pneumocociica_respuesta2_b': 532, \/\/ ID real del popup B\n    'doenca_pneumocociica_respuesta2_c': 398, \/\/ ID real del popup C\n    'doenca_pneumocociica_respuesta2_d': 532  \/\/ ID real del popup D\n  };\n\n  \/\/ Escucha cuando se env\u00eda el formulario\n  jQuery(document).on('submit', '#formulario_doenca_pneumococica_2', function(event) {\n    \/\/ Evita que el popup se abra antes de que Elementor termine su env\u00edo\n    setTimeout(function() {\n\n      \/\/ Busca cu\u00e1l de los radios fue seleccionado\n      let seleccion = null;\n\n      \/\/ Recorre cada grupo de posibles respuestas\n      for (const key in popups) {\n        const input = document.querySelector(`input[name=\"form_fields[${key}]\"]:checked`);\n        if (input) {\n          seleccion = key;\n          break;\n        }\n      }\n\n      if (!seleccion) {\n        console.warn('\u26a0\ufe0f No se seleccion\u00f3 ninguna respuesta.');\n        return;\n      }\n\n      const popupID = popups[seleccion];\n      console.log('\ud83d\udfe2 Respuesta seleccionada:', seleccion, '\u2192 Mostrar popup ID:', popupID);\n\n      if (window.elementorProFrontend && elementorProFrontend.modules.popup) {\n        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data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Participantes<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-359f3dc elementor-widget elementor-widget-text-editor\" data-id=\"359f3dc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>COORDENADOR CIENT\u00cdFICO E MODERADOR<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f147c46 e-con-full e-flex e-con e-child\" data-id=\"f147c46\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-bbe6a15 e-con-full e-flex e-con e-child\" data-id=\"bbe6a15\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4051d75 elementor-widget elementor-widget-image\" data-id=\"4051d75\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"91\" height=\"91\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/foto1_Mesa-de-trabajo-1.png\" class=\"attachment-1536x1536 size-1536x1536 wp-image-69\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ab8e2b5 e-con-full e-flex e-con e-child\" data-id=\"ab8e2b5\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d1585b elementor-widget elementor-widget-text-editor\" data-id=\"7d1585b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><b>Prof. Dr. Marco Aur\u00e9lio S\u00e1fadi<br \/><\/b> <b>CRM 54792 SP<\/b><br \/>Diretor do Departamento de Pediatria da Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo.<br \/>Presidente do Departamento de Infectologia da Sociedade Brasileira de Pediatria<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa36909 elementor-widget elementor-widget-text-editor\" data-id=\"aa36909\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>ESPECIALISTA<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-75e772d e-con-full e-flex e-con e-child\" data-id=\"75e772d\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-f99e6e7 e-con-full e-flex e-con e-child\" data-id=\"f99e6e7\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-193018b elementor-widget elementor-widget-image\" data-id=\"193018b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"91\" height=\"91\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/foto4_Mesa-de-trabajo-1.png\" class=\"attachment-1536x1536 size-1536x1536 wp-image-65\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5c078ed e-con-full e-flex e-con e-child\" data-id=\"5c078ed\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-abbaf44 elementor-widget elementor-widget-text-editor\" data-id=\"abbaf44\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Prof. Dr. Daniel Jarovsky<\/strong><br \/><b>CRM 140688 SP<\/b><br \/>Pediatra e infectologista.<br \/>Vice-Presidente do Departamento de Imuniza\u00e7\u00f5es da Sociedade de Pediatria de S\u00e3o Paulo<br \/>Prof. Instrutor da Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-dc8bba1 e-con-full e-flex e-con e-child\" data-id=\"dc8bba1\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-427614b e-con-full e-flex e-con e-child\" data-id=\"427614b\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-55ccf6a elementor-widget elementor-widget-image\" data-id=\"55ccf6a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"91\" height=\"91\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/foto5_Mesa-de-trabajo-1.png\" class=\"attachment-1536x1536 size-1536x1536 wp-image-66\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f19b971 e-con-full e-flex e-con e-child\" data-id=\"f19b971\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4884b69 elementor-widget elementor-widget-text-editor\" data-id=\"4884b69\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Prof. Dr. Ot\u00e1vio Rizzi Coelho Filho<\/strong><br \/><b>CRM<\/b> <b>109063 SP<\/b><br \/>Professor Associado Livre Docente de Cardiologia da UNICAMP<br \/>Chefe da Disciplina de Cardiologia &#8211; UNICAMP<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c872bf9 elementor-widget elementor-widget-text-editor\" data-id=\"c872bf9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Ver outros conte\u00fados<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<a class=\"elementor-element elementor-element-9e32899 e-con-full e-flex e-con e-child\" data-id=\"9e32899\" data-element_type=\"container\" href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/covid-19-pos-pandemia\/\">\n\t\t\t\t<div class=\"elementor-element elementor-element-096376a elementor-widget elementor-widget-image\" data-id=\"096376a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"354\" height=\"214\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img2_Mesa-de-trabajo-1.png\" class=\"attachment-large size-large wp-image-61\" alt=\"\" srcset=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img2_Mesa-de-trabajo-1.png 354w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img2_Mesa-de-trabajo-1-300x181.png 300w\" sizes=\"(max-width: 354px) 100vw, 354px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1f47ce elementor-widget elementor-widget-heading\" data-id=\"b1f47ce\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">COVID-19: P\u00f3s-Pandemia, \nconvivendo com a endemia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4e4b61 elementor-widget elementor-widget-text-editor\" data-id=\"f4e4b61\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<strong>Moderador: Prof. Dr. Marco S\u00e1fadi<\/strong><br>\nDr. Renato Kfouri<br>\nProf. Dra. Rosana Richtmann\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b560139 elementor-widget elementor-widget-text-editor\" data-id=\"b560139\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/covid-19-pos-pandemia\/\">Ver conte\u00fado&#8230;<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/a>\n\t\t<a class=\"elementor-element elementor-element-958cd43 e-con-full e-flex e-con e-child\" data-id=\"958cd43\" data-element_type=\"container\" href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/vsr\/\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4a840df elementor-widget elementor-widget-image\" data-id=\"4a840df\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"354\" height=\"214\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img4_Mesa-de-trabajo-1.png\" class=\"attachment-large size-large wp-image-63\" alt=\"\" srcset=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img4_Mesa-de-trabajo-1.png 354w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img4_Mesa-de-trabajo-1-300x181.png 300w\" sizes=\"(max-width: 354px) 100vw, 354px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9b03bb elementor-widget elementor-widget-heading\" data-id=\"b9b03bb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">V\u00edrus Sincicial Respirat\u00f3rio: \nAntes, uma doen\u00e7a da inf\u00e2ncia. \nAgora, uma amea\u00e7a sazonal em \ntodas as idades<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6bc84b4 elementor-widget elementor-widget-text-editor\" data-id=\"6bc84b4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Moderador:<\/strong> Prof. Dr. Marco S\u00e1fadi<br \/>Profa. Dra. Cecilia Roteli-Martins<br \/>Profa. Dra. Rosemeri Maurici<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-92a60db elementor-widget elementor-widget-text-editor\" data-id=\"92a60db\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/vsr\/\">Ver conte\u00fado&#8230;<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/a>\n\t\t<a class=\"elementor-element elementor-element-7388602 e-con-full e-flex e-con e-child\" data-id=\"7388602\" data-element_type=\"container\" href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/conclusao\/\">\n\t\t\t\t<div class=\"elementor-element elementor-element-db74108 elementor-widget elementor-widget-image\" data-id=\"db74108\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"354\" height=\"214\" src=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img5_Mesa-de-trabajo-1.png\" class=\"attachment-large size-large wp-image-64\" alt=\"\" srcset=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img5_Mesa-de-trabajo-1.png 354w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img5_Mesa-de-trabajo-1-300x181.png 300w\" sizes=\"(max-width: 354px) 100vw, 354px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b79a6b elementor-widget elementor-widget-heading\" data-id=\"1b79a6b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conclus\u00e3o<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83ff619 elementor-widget elementor-widget-text-editor\" data-id=\"83ff619\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>Coordenador cient\u00edfico:<\/strong> Prof. Dr. Marco S\u00e1fadi<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a241b7 elementor-widget elementor-widget-text-editor\" data-id=\"0a241b7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/conclusao\/\">Ver conte\u00fado&#8230;<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-43ada08 e-flex e-con-boxed e-con e-parent\" data-id=\"43ada08\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-600b206 e-con-full e-flex e-con e-child\" data-id=\"600b206\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5e4a213 elementor-widget elementor-widget-text-editor\" data-id=\"5e4a213\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>As opini\u00f5es e pontos de vista expressos n\u00e3o representam necessariamente a vis\u00e3o da Medscape, seus editores, consultores ou anunciantes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ac5baf4 e-con-full e-flex e-con e-child\" data-id=\"ac5baf4\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-881bef1 elementor-align-right elementor-widget elementor-widget-button\" data-id=\"881bef1\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Privacy Statement<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d199eed elementor-align-right elementor-widget elementor-widget-button\" data-id=\"d199eed\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Terms of Use<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d47c445 elementor-align-right elementor-widget elementor-widget-button\" data-id=\"d47c445\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Contact us<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Conte\u00fado Pfizer em parceria com a Medscape. Doen\u00e7a pneumoc\u00f3cica: lidando com mais sorotipos \u2014 dois olhares, uma agenda comum Participantes: Prof. Dr. Marco S\u00e1fadi, Prof. Dr. Daniel Jarovsky, Prof. Dr. Ot\u00e1vio Rizzi Coelho Filho A doen\u00e7a pneumoc\u00f3cica (DP) continua a ser uma causa signi\ufb01cativa de morbimortalidade global, com impacto cl\u00ednico e econ\u00f4mico substancial. \u00c0 medida [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-147","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/pages\/147","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/comments?post=147"}],"version-history":[{"count":37,"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/pages\/147\/revisions"}],"predecessor-version":[{"id":635,"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/pages\/147\/revisions\/635"}],"wp:attachment":[{"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/media?parent=147"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}