{"id":156,"date":"2025-11-02T20:57:09","date_gmt":"2025-11-02T19:57:09","guid":{"rendered":"https:\/\/programaeducacaomedica.medscp.com\/?page_id=156"},"modified":"2026-01-12T11:08:32","modified_gmt":"2026-01-12T10:08:32","slug":"vsr","status":"publish","type":"page","link":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/vsr\/","title":{"rendered":"VSR"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"156\" class=\"elementor elementor-156\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-91e02c0 e-flex e-con-boxed e-con e-parent\" data-id=\"91e02c0\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-31bf712 e-con-full e-flex e-con e-child\" data-id=\"31bf712\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a2d5591 elementor-widget elementor-widget-text-editor\" data-id=\"a2d5591\" 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-312f950 e-con-full e-flex e-con e-parent\" data-id=\"312f950\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-06622b2 e-con-full e-flex e-con e-child\" data-id=\"06622b2\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4fa873a elementor-widget elementor-widget-image\" data-id=\"4fa873a\" 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-d293079 e-con-full e-flex e-con e-child\" data-id=\"d293079\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-38c515e elementor-nav-menu__align-center elementor-nav-menu--stretch 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elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-38c515e\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-205\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/\" class=\"elementor-item\">BEM-VINDO<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-204\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/introducao\/\" class=\"elementor-item\">INTRODU\u00c7\u00c3O<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-203\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/covid-19-pos-pandemia\/\" class=\"elementor-item\">COVID-19: P\u00d3S-PANDEMIA<\/a><\/li>\n<li class=\"menu-item 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\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M104 333H896C929 333 958 304 958 271S929 208 896 208H104C71 208 42 237 42 271S71 333 104 333ZM104 583H896C929 583 958 554 958 521S929 458 896 458H104C71 458 42 487 42 521S71 583 104 583ZM104 833H896C929 833 958 804 958 771S929 708 896 708H104C71 708 42 737 42 771S71 833 104 833Z\"><\/path><\/svg><svg aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close e-font-icon-svg e-eicon-close\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M742 167L500 408 258 167C246 154 233 150 217 150 196 150 179 158 167 167 154 179 150 196 150 212 150 229 154 242 171 254L408 500 167 742C138 771 138 800 167 829 196 858 225 858 254 829L496 587 738 829C750 842 767 846 783 846 800 846 817 842 829 829 842 817 846 804 846 783 846 767 842 750 829 737L588 500 833 258C863 229 863 200 833 171 804 137 775 137 742 167Z\"><\/path><\/svg>\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-38c515e\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-home menu-item-205\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/\" class=\"elementor-item\" tabindex=\"-1\">BEM-VINDO<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-204\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/introducao\/\" class=\"elementor-item\" tabindex=\"-1\">INTRODU\u00c7\u00c3O<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-203\"><a href=\"https:\/\/programaeducacaomedica.medscp.com\/index.php\/covid-19-pos-pandemia\/\" class=\"elementor-item\" tabindex=\"-1\">COVID-19: P\u00d3S-PANDEMIA<\/a><\/li>\n<li class=\"menu-item 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\" 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-0ab2ed4 e-con-full e-flex e-con e-child\" data-id=\"0ab2ed4\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bc3cf33 elementor-widget elementor-widget-image\" data-id=\"bc3cf33\" 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\">V\u00edrus Sincicial Respirat\u00f3rio: Antes, uma doen\u00e7a da inf\u00e2ncia. Hoje, uma amea\u00e7a sazonal em todas as idades<\/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>\nProfa. Dra. Cecilia Roteli, Profa. Dra. Rosemeri Maurici<\/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%3DeyJ0eXBlIjoidmlkZW8iLCJ2aWRlb1R5cGUiOiJ2aW1lbyIsInVybCI6Imh0dHBzOlwvXC9wbGF5ZXIudmltZW8uY29tXC92aWRlb1wvMTEzMjgxNzQ1Nz9oPWUzY2E4N2M4ZTEjdD0ifQ%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-VSR.png\" class=\"attachment-large size-large wp-image-207\" alt=\"\" srcset=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/11\/Video-VSR.png 808w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/11\/Video-VSR-300x169.png 300w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/11\/Video-VSR-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>O v\u00edrus sincicial respirat\u00f3rio (VSR) \u00e9 uma das principais causas de infec\u00e7\u00e3o do trato respirat\u00f3rio inferior (ITRI) em lactentes e um importante agente de doen\u00e7a respirat\u00f3ria em adultos mais velhos. Estimativas globais indicam que, em crian\u00e7as &lt;5 anos, o\u00a0v\u00edrus sincicial respirat\u00f3rio (VSR) esteve associado a aproximadamente 101.400 \u00f3bitos em 2019 (2% de todas as mortes infantis), com 46% ocorrendo nos primeiros 5 meses de vida; anualmente, ocorrem cerca de 33 milh\u00f5es de epis\u00f3dios de ITRI por\u00a0v\u00edrus sincicial respirat\u00f3rio (VSR) e 3,6 milh\u00f5es de hospitaliza\u00e7\u00f5es nessa faixa et\u00e1ria. A maioria dos \u00f3bitos em pa\u00edses de baixa e m\u00e9dia renda ocorre na comunidade, sem que haja a possibilidade de acesso a cuidados hospitalares. Em lactentes, a primo-infec\u00e7\u00e3o costuma ocorrer j\u00e1 no primeiro ano de vida; per\u00edodo de alta vulnerabilidade para as formas mais cr\u00edticas de doen\u00e7a, particularmente quando a infec\u00e7\u00e3o ocorre nos primeiros meses de vida. A sazonalidade \u00e9 marcante em pa\u00edses com climas temperados (picos no outono\u2013inverno por ~5 meses) e mais vari\u00e1vel em regi\u00f5es subtropicais e equatoriais. Al\u00e9m do impacto agudo imediato (bronquiolite\/pneumonia, hipoxemia, com necessidade de hospitaliza\u00e7\u00f5es, suporte ventilat\u00f3rio e admiss\u00f5es em unidades de terapia intensiva), a ITRI por\u00a0v\u00edrus sincicial respirat\u00f3rio (VSR) em in\u00edcio de vida associa-se ainda a desfechos respirat\u00f3rios de longo prazo (sibil\u00e2ncia recorrente, poss\u00edvel fun\u00e7\u00e3o pulmonar comprometida).<br \/><br \/><strong>Preven\u00e7\u00e3o em lactentes: vacina\u00e7\u00e3o materna e anticorpos monoclonais de a\u00e7\u00e3o prolongada.<\/strong><br \/><br \/>A OMS (SAGE\/2024;\u00a0Positioning Statement 2025) recomenda a incorpora\u00e7\u00e3o das novas estrat\u00e9gias de preven\u00e7\u00e3o nos lactentes por duas vias: (1) vacina\u00e7\u00e3o materna contra o v\u00edrus sincicial respirat\u00f3rio (vacina RSVpreF) durante a gesta\u00e7\u00e3o, visando transfer\u00eancia transplacent\u00e1ria de anticorpos; e\/ou (2) uso de anticorpos monoclonais de a\u00e7\u00e3o prolongada administrados ao lactente logo ao nascer. O objetivo prec\u00edpuo das estrat\u00e9gias de imuniza\u00e7\u00e3o n\u00e3o \u00e9 impedir infec\u00e7\u00e3o, mas sim reduzir as formas sintom\u00e1ticas da doen\u00e7a e suas complica\u00e7\u00f5es (incluindo os desfechos mais graves como a hospitaliza\u00e7\u00e3o, ITRI grave, \u00f3bito).<br \/><br \/>No mundo real, diversos estudos realizados em pa\u00edses que incorporaram estas estrat\u00e9gias de imuniza\u00e7\u00e3o comprovaram a efetividade e a seguran\u00e7a tanto da vacina\u00e7\u00e3o materna como dos anticorpos monoclonais de a\u00e7\u00e3o prolongada para preven\u00e7\u00e3o de doen\u00e7a em lactentes, com redu\u00e7\u00e3o dram\u00e1tica das taxas de hospitaliza\u00e7\u00e3o tanto entre os beb\u00eas cujas m\u00e3es foram vacinadas como em beb\u00eas imunizados com uma dose dos anticorpos monoclonais.<br \/><br \/>Neste contexto, a decis\u00e3o do Minist\u00e9rio da Sa\u00fade do Brasil pela incorpora\u00e7\u00e3o da vacina\u00e7\u00e3o materna do\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR) a partir de novembro de 2025 representa um importante passo no controle das formas graves de doen\u00e7a causada pelo\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR) nos rec\u00e9m-nascidos e lactentes jovens, com expectativa de redu\u00e7\u00e3o de hospitaliza\u00e7\u00f5es, admiss\u00f5es em UTIs, sequelas e mortalidade relacionadas \u00e0 infec\u00e7\u00e3o pelo\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR)\u00a0nos primeiros meses de vida. Essa medida sinaliza o fortalecimento das pol\u00edticas nacionais de imuniza\u00e7\u00e3o e alinhamento com evid\u00eancias recentes que demonstram efic\u00e1cia e seguran\u00e7a da vacina\u00e7\u00e3o materna contra o\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR), com a perspectiva concreta de reduzir desigualdades em sa\u00fade e promover maior equidade para todos os beb\u00eas brasileiros.<br \/><br \/><strong>Carga da doen\u00e7a pelo\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR)\u00a0em idosos e evid\u00eancia de efetividade da vacina\u00e7\u00e3o para preven\u00e7\u00e3o de desfechos graves.<\/strong><br \/><br \/>Em adultos com idade \u2265 60 anos, dados epidemiol\u00f3gicos recentes indicam que o\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR)\u00a0\u00e9 hoje reconhecidamente uma causa relevante de doen\u00e7a respirat\u00f3ria, sobretudo naqueles com mais de 70 anos e em adultos que vivem em presen\u00e7a de comorbidades pulmonares, cardiovasculares, metab\u00f3licas, situa\u00e7\u00f5es de imunossupress\u00e3o, doen\u00e7as renais, hep\u00e1ticas, entre outras. Nestes grupos a infec\u00e7\u00e3o pelo\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR)\u00a0aumenta o risco de ITRI, hospitaliza\u00e7\u00e3o, complica\u00e7\u00f5es cardiovasculares e morte, com carga compar\u00e1vel \u00e0 da in\ufb02uenza, com o agravante de n\u00e3o dispormos de antivirais espec\u00ed\ufb01cos para o tratamento. No Brasil encontram-se j\u00e1 dispon\u00edveis vacinas (RSVPreF3 e RSVpreF), que demonstraram e\ufb01c\u00e1cia consistente contra ITRI por\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR). Evid\u00eancias de mundo real mostram que a vacina\u00e7\u00e3o contra o\u00a0v\u00edrus sincicial respirat\u00f3rio (VSR)\u00a0neste grupo et\u00e1rio foi protetora, com uma efetividade de cerca de 80% na preven\u00e7\u00e3o de hospitaliza\u00e7\u00f5es e de 77% na redu\u00e7\u00e3o de visitas ao servi\u00e7o de urg\u00eancia relacionadas ao v\u00edrus. Os dados de seguran\u00e7a indicam um per\ufb01l de reatogenicidade aceit\u00e1vel, embora exista um evento adverso raro, a S\u00edndrome de Guillain-Barr\u00e9 (GBS), na ordem de menos de 10 casos por milh\u00e3o de doses administradas, o que n\u00e3o altera a rela\u00e7\u00e3o benef\u00edcio-risco positiva, especialmente para os subgrupos de maior vulnerabilidade. Esses achados sustentam a oferta sazonal da vacina em idosos\u2014com \u00eanfase em idade \u226575 anos e em indiv\u00edduos maiores de 50 ou 60 anos com comorbidades como doen\u00e7a pneumoc\u00f3cica (DPOC), cardiopatias, doen\u00e7a renal, c\u00e2ncer ou imunossupress\u00e3o\u2014integrada \u00e0s demais interven\u00e7\u00f5es respirat\u00f3rias (in\ufb02uenza, COVID-19 e pneumococo) quando apropriado.<br \/><br \/><br \/>Incorporar essas estrat\u00e9gias de forma sazonal e oportun\u00edstica (cada consulta como oportunidade), com foco nos grupos de maior risco, \u00e9 passo chave para reduzir interna\u00e7\u00f5es, UTI e mortalidade atribu\u00edveis ao\u00a0v\u00edrus sincicial respirat\u00f3rio\u00a0(VSR).<\/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>McLaughlin JM, Khan F, Begier E, Swerdlow DL, Jodar L, Falsey AR. Rates of medically attended RSV among US adults: a systematic review and meta-analysis. Open Forum Infect Dis. 2022;9(7):ofac300. doi:10.1093\/o\ufb01d\/ofac300<\/li>\n<li>Woodruff RC, Melgar M, Pham H, et al; Respiratory Syncytial Virus Hospitalization Surveillance Network (RSVNET). Acute cardiac events in hospitalized older adults with respiratory syncytial virus infection. JAMA Intern Med.\n2024;184(6):602\u2212611. doi:10.1001\/jamainternmed.2024.0212.<\/li>\n<li>WHO. Immunization to protect infants against RSV disease \u2013 Position paper, 2025. WER 100(22):193\u2013218.<\/li>\n<li>Lassen MCH, et al. RSV Prefusion F Vaccine for Prevention of Hospitalization in Older Adults. N Engl J Med, 2025.<\/li>\n<li>Lee B, Trusinska D, Ferdous S, et al. Real-world effectiveness and safety of nirsevimab, RSV maternal vaccine and RSV vaccines for older adults: a living systematic review and meta-analysis. Thorax 2025; 80:838\u2013848.<\/li>\n<li>Tanriover MD, Azap A, Cakir Edis E, et al. Respiratory syncytial virus (RSV) infections in adults: Current trends and recommendations for prevention &#8211; a global challenge from a local perspective. Hum Vaccin Immunother. 2025\nDec;21(1):2514357.<\/li>\n<li>Melgar M, Britton A, Roper LE, et al. Use of respiratory syncytial virus vaccines in older adults: recommendations of the Advisory Committee on Immunization Practices &#8211; United States, 2023. MMWR Morb Mortal Wkly Rep.\n2023;72(29):793\u2212801. doi:10.15585\/mmwr.mm7229a4<\/li>\n<li>Dawood FS, Payne AB, McMorrowML. Assessing the real-world effectiveness of immunizations for respiratory syncytial virus. JAMA. 2024;331(21):1799\u22121800. doi:10.1001\/jama.2024.5859<\/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>Homem de 78 anos, DPOC moderada e diabetes mellitus tipo 2 de dif\u00edcil controle, consulta no in\u00edcio do outono. No seu hist\u00f3rico vacinal recente, refere ter recebido as vacinas de hepatite B e dTpa 5 anos atr\u00e1s, vacina Z\u00f3ster, com duas doses, 1 ano atr\u00e1s e vacina COVID-19, com a \u00faltima dose h\u00e1 2 anos.  Qual estrat\u00e9gia \u00e9 mais adequada para sua orienta\u00e7\u00e3o, considerando efetividade, oportunidade e seguran\u00e7a?\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-7162f0f elementor-button-align-start centered-radio-text elementor-widget elementor-widget-form\" data-id=\"7162f0f\" 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_vsr\" name=\"Formulario VSR\" aria-label=\"Formulario VSR\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"156\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"7162f0f\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"VSR\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"156\"\/>\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-vsr_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) Administrar apenas as vacinas de VSR e de COVID-19 nesta visita e postergar a vacina in\ufb02uenza por 60 dias para reduzir reatogenicidade\" id=\"form-field-vsr_respuesta_a-0\" name=\"form_fields[vsr_respuesta_a]\"> <label for=\"form-field-vsr_respuesta_a-0\">A) Administrar apenas as vacinas de VSR e de COVID-19 nesta visita e postergar a vacina in\ufb02uenza por 60 dias para reduzir reatogenicidade<\/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-vsr_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)\tCoadministrar vacinas de in\ufb02uenza + COVID-19 + VSR e PCV20 na mesma visita, com aconselhamento sobre poss\u00edvel aumento de reatogenicidade, priorizando completar a prote\u00e7\u00e3o o mais cedo poss\u00edvel\" id=\"form-field-vsr_respuesta_b-0\" name=\"form_fields[vsr_respuesta_b]\"> <label for=\"form-field-vsr_respuesta_b-0\">B)\tCoadministrar vacinas de in\ufb02uenza + COVID-19 + VSR e PCV20 na mesma visita, com aconselhamento sobre poss\u00edvel aumento de reatogenicidade, priorizando completar a prote\u00e7\u00e3o o mais cedo poss\u00edvel<\/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-vsr_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)\tAplicar in\ufb02uenza agora e agendar VSR para 30 dias depois porque a coadministra\u00e7\u00e3o reduz de forma clinicamente relevante a efetividade da VSR, programando PCV20 para depois de 6 meses\" id=\"form-field-vsr_respuesta_c-0\" name=\"form_fields[vsr_respuesta_c]\"> <label for=\"form-field-vsr_respuesta_c-0\">C)\tAplicar in\ufb02uenza agora e agendar VSR para 30 dias depois porque a coadministra\u00e7\u00e3o reduz de forma clinicamente relevante a efetividade da VSR, programando PCV20 para depois de 6 meses<\/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-vsr_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) Fracionar em quatro visitas mensais sucessivas para minimizar qualquer risco de eventos adversos, mesmo que ultrapasse o in\u00edcio da sazonalidade.\" id=\"form-field-vsr_respuesta_d-0\" name=\"form_fields[vsr_respuesta_d]\"> <label for=\"form-field-vsr_respuesta_d-0\">D) Fracionar em quatro visitas mensais sucessivas para minimizar qualquer risco de eventos adversos, mesmo que ultrapasse o in\u00edcio da sazonalidade.<\/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-642ba71 elementor-widget elementor-widget-html\" data-id=\"642ba71\" 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    'vsr_respuesta_a': 456, \/\/ ID real del popup A\n    'vsr_respuesta_b': 398, \/\/ ID real del popup B\n    'vsr_respuesta_c': 456, \/\/ ID real del popup C\n    'vsr_respuesta_d': 456  \/\/ ID real del popup D\n  };\n\n  \/\/ Escucha cuando se env\u00eda el formulario\n  jQuery(document).on('submit', '#formulario_vsr', 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-337785a elementor-widget elementor-widget-heading\" data-id=\"337785a\" 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>Durante uma consulta de pr\u00e9-natal no m\u00eas de dezembro de uma gestante saud\u00e1vel, primigesta, com 29 semanas de idade gestacional, questiona-se a necessidade de receber a vacina de VSR. Considerando os objetivos da imuniza\u00e7\u00e3o materna, qual das alternativas abaixo contempla a melhor estrat\u00e9gia para otimizar a prote\u00e7\u00e3o contra a doen\u00e7a pelo VSR?\n<\/li><\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c554e07 e-con-full e-flex e-con e-child\" data-id=\"c554e07\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e6e9d8 elementor-button-align-start centered-radio-text elementor-widget elementor-widget-form\" data-id=\"6e6e9d8\" 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_vsr_2\" name=\"Formulario VSR\" aria-label=\"Formulario VSR\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"156\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"6e6e9d8\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"VSR\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"156\"\/>\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-vsr_2_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) Orientar que \u201cainda \u00e9 cedo\u201d; a vacina s\u00f3 pode ser aplicada ap\u00f3s 32 semanas, ent\u00e3o deve aguardar pelo menos mais um m\u00eas.\" id=\"form-field-vsr_2_respuesta_a-0\" name=\"form_fields[vsr_2_respuesta_a]\"> <label for=\"form-field-vsr_2_respuesta_a-0\">A) Orientar que \u201cainda \u00e9 cedo\u201d; a vacina s\u00f3 pode ser aplicada ap\u00f3s 32 semanas, ent\u00e3o deve aguardar pelo menos mais um m\u00eas.<\/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-vsr_2_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)\tLevando em conta que o objetivo principal \u00e9 a prote\u00e7\u00e3o da gestante, n\u00e3o h\u00e1 necessidade da vacina\u00e7\u00e3o, pois a \u00e9poca coincide com o ver\u00e3o, n\u00e3o havendo riscos de infec\u00e7\u00e3o da gestante neste per\u00edodo do ano.\" id=\"form-field-vsr_2_respuesta_b-0\" name=\"form_fields[vsr_2_respuesta_b]\"> <label for=\"form-field-vsr_2_respuesta_b-0\">B)\tLevando em conta que o objetivo principal \u00e9 a prote\u00e7\u00e3o da gestante, n\u00e3o h\u00e1 necessidade da vacina\u00e7\u00e3o, pois a \u00e9poca coincide com o ver\u00e3o, n\u00e3o havendo riscos de infec\u00e7\u00e3o da gestante neste per\u00edodo do ano.<\/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-vsr_2_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)\tAproveitar a visita e oferecer a vacina de VSR, explicando que a vacina\u00e7\u00e3o neste momento da gesta\u00e7\u00e3o ir\u00e1 proteger o seu beb\u00ea nos primeiros meses de vida, per\u00edodo de maior risco de formas graves da bronquiolite.\" id=\"form-field-vsr_2_respuesta_c-0\" name=\"form_fields[vsr_2_respuesta_c]\"> <label for=\"form-field-vsr_2_respuesta_c-0\">C)\tAproveitar a visita e oferecer a vacina de VSR, explicando que a vacina\u00e7\u00e3o neste momento da gesta\u00e7\u00e3o ir\u00e1 proteger o seu beb\u00ea nos primeiros meses de vida, per\u00edodo de maior risco de formas graves da bronquiolite.<\/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-vsr_2_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) A doen\u00e7a pelo VSR n\u00e3o oferece riscos relevantes de formas graves em mulheres na gesta\u00e7\u00e3o, n\u00e3o havendo indica\u00e7\u00e3o de vacina\u00e7\u00e3o neste momento da gravidez.\" id=\"form-field-vsr_2_respuesta_d-0\" name=\"form_fields[vsr_2_respuesta_d]\"> <label for=\"form-field-vsr_2_respuesta_d-0\">D) A doen\u00e7a pelo VSR n\u00e3o oferece riscos relevantes de formas graves em mulheres na gesta\u00e7\u00e3o, n\u00e3o havendo indica\u00e7\u00e3o de vacina\u00e7\u00e3o neste momento da gravidez.<\/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-6a80e50 elementor-widget elementor-widget-html\" data-id=\"6a80e50\" 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    'vsr_2_respuesta_a': 538, \/\/ ID real del popup A\n    'vsr_2_respuesta_b': 538, \/\/ ID real del popup B\n    'vsr_2_respuesta_c': 398, \/\/ ID real del popup C\n    'vsr_2_respuesta_d': 538  \/\/ ID real del popup D\n  };\n\n  \/\/ Escucha cuando se env\u00eda el formulario\n  jQuery(document).on('submit', '#formulario_vsr_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        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>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b68d4f2 e-con-full e-flex e-con e-child\" data-id=\"b68d4f2\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-2dd0a96 e-con-full e-flex e-con e-child\" data-id=\"2dd0a96\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5b9c924 elementor-widget elementor-widget-text-editor\" data-id=\"5b9c924\" data-element_type=\"widget\" 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\/foto6_Mesa-de-trabajo-1.png\" class=\"attachment-1536x1536 size-1536x1536 wp-image-67\" 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>Profa. Dra. Cecilia Roteli-Martins<\/strong><br \/><b>CRM<\/b><b>\u00a031004 SP<\/b><br \/>M\u00e9dica Ginecologista. Pesquisadora da Faculdade de Medicina do ABC<br \/>Membro da Comiss\u00e3o Nacional Especializada em Vacinas da FEBRASGO<\/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\/foto7_Mesa-de-trabajo-1.png\" class=\"attachment-1536x1536 size-1536x1536 wp-image-68\" 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>Profa. Dra. Rosemeri Maurici<\/strong><br \/><b>CRM<\/b><b>\u00a05465 SC<\/b><br \/>M\u00e9dica Pneumologista. Professora Titular da Universidade Federal de Santa Catarina<br \/>Coordenadora da Comiss\u00e3o Nacional de Vacinas da Sociedade Brasileira de Pneumologia<\/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\/doenca-pneumococica\/\">\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\/img3_Mesa-de-trabajo-1.png\" class=\"attachment-large size-large wp-image-62\" alt=\"\" srcset=\"https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img3_Mesa-de-trabajo-1.png 354w, https:\/\/programaeducacaomedica.medscp.com\/wp-content\/uploads\/2025\/10\/img3_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\">Doen\u00e7a pneumoc\u00f3cica: Lidando \ncom mais sorotipos<\/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<strong>Moderador:<\/strong> Prof. Dr. Marco S\u00e1fadi\nProf. Dr. Daniel Jarovsky\nProf. Dr. Ot\u00e1vio Rizzi Coelho Filho\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\/doenca-pneumococica\/\">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-ada32e7 e-flex e-con-boxed e-con e-parent\" data-id=\"ada32e7\" 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-0509231 e-con-full e-flex e-con e-child\" data-id=\"0509231\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1cee095 elementor-widget elementor-widget-text-editor\" data-id=\"1cee095\" 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-9da4dda e-con-full e-flex e-con e-child\" data-id=\"9da4dda\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1bbfcbb elementor-align-right elementor-widget elementor-widget-button\" data-id=\"1bbfcbb\" 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-ecd2d74 elementor-align-right elementor-widget elementor-widget-button\" data-id=\"ecd2d74\" 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-b0db302 elementor-align-right elementor-widget elementor-widget-button\" data-id=\"b0db302\" 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. V\u00edrus Sincicial Respirat\u00f3rio: Antes, uma doen\u00e7a da inf\u00e2ncia. Hoje, uma amea\u00e7a sazonal em todas as idades Participantes: Prof. Dr. Marco S\u00e1fadi, Profa. Dra. Cecilia Roteli, Profa. Dra. Rosemeri Maurici O v\u00edrus sincicial respirat\u00f3rio (VSR) \u00e9 uma das principais causas de infec\u00e7\u00e3o do trato respirat\u00f3rio inferior (ITRI) em lactentes [&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-156","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/pages\/156","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=156"}],"version-history":[{"count":46,"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/pages\/156\/revisions"}],"predecessor-version":[{"id":644,"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/pages\/156\/revisions\/644"}],"wp:attachment":[{"href":"https:\/\/programaeducacaomedica.medscp.com\/index.php\/wp-json\/wp\/v2\/media?parent=156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}