{"id":226404,"date":"2026-01-12T20:20:08","date_gmt":"2026-01-12T20:20:08","guid":{"rendered":"https:\/\/www.europesays.com\/pt\/226404\/"},"modified":"2026-01-12T20:20:08","modified_gmt":"2026-01-12T20:20:08","slug":"recomendacoes-da-aap-para-a-prevencao-e-o-controle-da-gripe-em-criancas-2025-26","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/pt\/226404\/","title":{"rendered":"Recomenda\u00e7\u00f5es da AAP para a preven\u00e7\u00e3o e o controle da gripe em crian\u00e7as (2025\/26)"},"content":{"rendered":"<p>Diante de uma queda na cobertura vacinal contra a doen\u00e7a na temporada 2024-2025, o Comit\u00ea de Doen\u00e7as Infecciosas da Academia Americana de Pediatria (American\u00a0Academy\u00a0of\u00a0Pediatrics\u00a0\u2013 AAP) publicou, recentemente, uma declara\u00e7\u00e3o <a href=\"https:\/\/doi.org\/10.1542\/peds.2025-073620\" target=\"_blank\" rel=\"noopener nofollow\" class=\"broken_link\">atualizando suas recomenda\u00e7\u00f5es para o uso de vacinas e medicamentos antivirais na preven\u00e7\u00e3o e no tratamento da gripe em crian\u00e7as<\/a> durante a temporada de 2025\u20132026.\u00a0<b>Nessa primeira parte, sintetizamos as recomenda\u00e7\u00f5es referentes \u00e0 preven\u00e7\u00e3o.\u00a0<\/b>\u00a0\u00a0<\/p>\n<p><b>Grupos pedi\u00e1tricos de risco para complica\u00e7\u00f5es relacionadas \u00e0 gripe<\/b>\u00a0<\/p>\n<p><strong>Caracter\u00edsticas demogr\u00e1ficas:\u00a0<\/strong><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Crian\u00e7as menores de cinco anos, especialmente menores de dois anos, independentemente da presen\u00e7a de comorbidades subjacentes;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Crian\u00e7as nascidas prematuras ou no in\u00edcio do termo, pois apresentam maior risco de hospitaliza\u00e7\u00e3o por gripe nos primeiros cinco anos de vida;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Residentes de uma unidade de cuidados cr\u00f4nicos.<\/li>\n<\/ul>\n<p><strong>Comorbidades subjacentes\u00a0(a lista de exemplos n\u00e3o \u00e9 exaustiva):\u00a0<\/strong><\/p>\n<tr aria-rowindex=\"1\">\n<td data-celllook=\"4369\">\u200b\u200bCondi\u00e7\u00f5es neurol\u00f3gicas e do neurodesenvolvimento\u00a0<\/td>\n<td data-celllook=\"4369\">\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bAcidente vascular encef\u00e1lico\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bAtraso no desenvolvimento moderado a grave\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bDefici\u00eancia intelectual\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bDist\u00farbios neuromusculares, incluindo distrofia muscular\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bEpilepsia\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bLes\u00e3o medular\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bParalisia cerebral\u00a0<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"2\">\n<td data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bDoen\u00e7a cardiovascular\u00a0<\/p>\n<\/td>\n<td data-celllook=\"4369\">\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"6\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bCondi\u00e7\u00f5es hemodinamicamente significativas (excluindo hipertens\u00e3o isoladamente)\u00a0<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"3\">\n<td data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bDoen\u00e7as hematol\u00f3gicas\u00a0<\/p>\n<\/td>\n<td data-celllook=\"4369\">\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bDoen\u00e7a falciforme e outras hemoglobinopatias\u00a0<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"4\">\n<td data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bDoen\u00e7a hep\u00e1tica\u00a0<\/p>\n<\/td>\n<td data-celllook=\"4369\">\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"16\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bCirrose\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"16\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bDoen\u00e7a hep\u00e1tica cr\u00f4nica\u00a0<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"5\">\n<td data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bDoen\u00e7as metab\u00f3licas\u00a0<\/p>\n<\/td>\n<td data-celllook=\"4369\">\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"6\">\n<td data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bDoen\u00e7a pulmonar cr\u00f4nica\u00a0<\/p>\n<\/td>\n<td data-celllook=\"4369\">\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bAsma\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bDisplasia broncopulmonar\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bFibrose c\u00edstica\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"17\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bFun\u00e7\u00e3o respirat\u00f3ria comprometida (por exemplo, necessidade de ventila\u00e7\u00e3o mec\u00e2nica, traqueostomia)\u00a0<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"7\">\n<td data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bDoen\u00e7a renal\u00a0<\/p>\n<\/td>\n<td data-celllook=\"4369\">\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bDoen\u00e7a renal cr\u00f4nica, incluindo doen\u00e7a renal em est\u00e1gio terminal\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bPacientes dial\u00edticos\u00a0<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"8\">\n<td colspan=\"2\" data-celllook=\"4369\">\n<p data-ccp-border-bottom=\"0px none #000000\" data-ccp-padding-bottom=\"0px\" data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200b<strong>Gesta\u00e7\u00e3o e at\u00e9 2 semanas ap\u00f3s o parto<\/strong><strong>\u00a0<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"9\">\n<td data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bImunossupress\u00e3o\u00a0<\/p>\n<\/td>\n<td data-celllook=\"4369\">\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"14\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bAsplenia\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"14\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bImunodefici\u00eancia cong\u00eanita ou adquirida, incluindo HIV\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"14\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bTransplante de c\u00e9lulas hematopoi\u00e9ticas ou de \u00f3rg\u00e3o s\u00f3lido\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"14\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200bUso de medicamentos imunossupressores\u00a0<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"10\">\n<td data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bObesidade extrema\u00a0\u00a0<\/p>\n<\/td>\n<td data-celllook=\"4369\">\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"12\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200b\u200b\u00cdndice de massa corporal (IMC) \u2265 percentil 95 em crian\u00e7as e \u2265 em adultos\u200b\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"12\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">\u200b\u200bO IMC associado ao aumento do risco n\u00e3o est\u00e1 bem definido em crian\u00e7as, mas pode-se considerar o IMC \u2265 percentil 95 para crian\u00e7as e adolescentes da mesma idade e sexo\u200b\u00a0<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr aria-rowindex=\"11\">\n<td colspan=\"2\" data-celllook=\"4369\">\n<p data-ccp-border-between=\"0px none #000000\" data-ccp-padding-between=\"0px\">\u200bPacientes que estejam recebendo tratamento com aspirina ou terapias contendo salicilato \u2013 Aplica-se a crian\u00e7as e adolescentes com menos de 19 anos que possam apresentar risco aumentado de s\u00edndrome de Reye.\u200b\u00a0<\/p>\n<\/td>\n<\/tr>\n<p class=\"content-paywall\"><img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"https:\/\/www.europesays.com\/pt\/wp-content\/uploads\/2026\/01\/gripe_vacinacao.jpg\" class=\"attachment-full size-full wp-post-image\" alt=\"Recomenda\u00e7\u00f5es da AAP para a preven\u00e7\u00e3o e o controle da gripe em crian\u00e7as (2025\/26)\"  \/><\/p>\n<p><b>Atualiza\u00e7\u00f5es para a temporada de gripe 2025-2026<\/b>\u00a0<\/p>\n<ol class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Todas as vacinas licenciadas dispon\u00edveis nos Estados Unidos s\u00e3o trivalentes (vacinas\u00a0quadrivalentes\u00a0ainda est\u00e3o dispon\u00edveis fora dos Estados Unidos);\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A composi\u00e7\u00e3o das vacinas foi atualizada;\u00a0\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">As recomenda\u00e7\u00f5es para o tratamento e a profilaxia foram simplificadas;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A vacina com v\u00edrus vivo atenuado (live\u00a0attenuated\u00a0influenza\u00a0vaccine\u00a0\u2013 LAIV) est\u00e1 dispon\u00edvel para administra\u00e7\u00e3o domiciliar por um cuidador para crian\u00e7as eleg\u00edveis com idade maior ou igual a dois anos;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A <a href=\"https:\/\/portal.afya.com.br\/clinica-medica\/cbcm-2025-imunizacoes-em-adultos-o-que-precisamos-saber\" target=\"_blank\" rel=\"noopener nofollow\">vacina com hemaglutinina<\/a> (HA) recombinante expressa em baculov\u00edrus (RIV3) agora est\u00e1 licenciada para crian\u00e7as e adolescentes a partir de nove anos.\u00a0<\/li>\n<\/ol>\n<p><b>Composi\u00e7\u00e3o da vacina trivalente\u00a0<\/b>\u00a0<\/p>\n<p class=\"content-paywall\"><strong>Influenza A\u00a0<\/strong><\/p>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">H1N1:\u00a0\u00a0\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">V\u00edrus semelhante ao A\/Victoria\/4897\/2022 (H1N1)pdm09 (baseado em ovo) \u2013 sem altera\u00e7\u00f5es nesta temporada;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">V\u00edrus semelhante a A\/Wisconsin\/67\/2022 (H1N1)pdm09 (baseado em cultura de c\u00e9lulas ou recombinante) \u2013 sem altera\u00e7\u00f5es nesta temporada.\u00a0<\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">H3N2:\u00a0\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">V\u00edrus semelhante ao A\/Cro\u00e1cia\/10136RV\/2023 (H3N2) (baseado em ovos) \u2013 novidade desta temporada;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">V\u00edrus semelhante ao A\/Distrito de Columbia\/27\/2023 (H3N2) (baseado em cultura de c\u00e9lulas ou recombinante) \u2013 novidade desta temporada.\u00a0<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p class=\"content-paywall\"><strong>Influenza B\u00a0<\/strong><\/p>\n<ul class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"\u25cf\" data-font=\"Times New Roman\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\u25cf&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\">Victoria: V\u00edrus semelhante a B\/\u00c1ustria\/1359417\/2021 (linhagem B\/Victoria) \u2013 sem altera\u00e7\u00f5es nesta temporada.<\/li>\n<\/ul>\n<p><b>Recomenda\u00e7\u00f5es da AAP para a vacina\u00e7\u00e3o contra a gripe durante a temporada 2025-2026<\/b>\u00a0<\/p>\n<ol class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Para todas as crian\u00e7as e adolescentes com seis meses de idade ou mais;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A recomenda\u00e7\u00e3o se refere a qualquer vacina licenciada e apropriada para a idade e o estado de sa\u00fade, n\u00e3o privilegiando um produto em detrimento de outro, incluindo a vacina inativada n\u00e3o-viva (inactivated\u00a0[non-live] influenza\u00a0vaccine) IIV, a LAIV e a RIV (a RIV [recombinant\u00a0influenza\u00a0vaccine] agora \u00e9 uma op\u00e7\u00e3o para crian\u00e7as e adolescentes com idade igual ou superior a nove anos);\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A LAIV n\u00e3o deve ser usada em <a href=\"https:\/\/portal.afya.com.br\/terapia-intensiva\/pcr-multiplex-revela-etiologia-das-pneumonias-em-imunocomprometidos-graves\" target=\"_blank\" rel=\"noopener nofollow\">pacientes imunocomprometidos<\/a> e naqueles com certas condi\u00e7\u00f5es m\u00e9dicas cr\u00f4nicas;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">O n\u00famero de doses recomendadas para crian\u00e7as permanece inalterado e depende da idade da crian\u00e7a na primeira dose e do hist\u00f3rico de vacina\u00e7\u00e3o contra a gripe. Doses administradas at\u00e9 quatro dias antes do intervalo m\u00ednimo sugerido s\u00e3o aceit\u00e1veis;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">As doses n\u00e3o precisam ser da mesma marca ou formula\u00e7\u00e3o quando se recomenda que uma crian\u00e7a receba duas doses de vacina em uma determinada temporada. Dessa forma, uma crian\u00e7a pode receber uma combina\u00e7\u00e3o de vacinas IIV, RIV e LAIV, se apropriado para sua idade e condi\u00e7\u00e3o de sa\u00fade;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A vacina deve ser administrada assim que estiver dispon\u00edvel, especialmente para as crian\u00e7as que precisam de duas doses. No caso dos Estados Unidos, o ideal \u00e9 que a(s) dose(s) recomendada(s) tenha(m) sido administrada(s) at\u00e9 o final de outubro para otimizar a prote\u00e7\u00e3o antes da temporada;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Para crian\u00e7as e adolescentes com neoplasias malignas submetidas \u00e0 quimioterapia (QT), a vacina IIV ou RIV deve ser administrada em duas ou mais semanas antes da QT citot\u00f3xica, quando clinicamente poss\u00edvel;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">No caso de pacientes pedi\u00e1tricos que iniciar\u00e3o terapias antic\u00e9lulas B, como alemtuzumabe e\u00a0<a href=\"https:\/\/portal.afya.com.br\/dermatologia\/indicacao-e-escolha-de-imunobiologicos-no-lupus-cutaneo\" target=\"_blank\" rel=\"noopener nofollow\">rituximabe<\/a>, a vacina IIV ou a RIV deve ser administrada, idealmente, pelo menos duas a quatro semanas antes do in\u00edcio desse tratamento. Para os pacientes que j\u00e1 receberam terapias\u00a0anti-c\u00e9lulas\u00a0B, a IIV deve ser adiada por seis meses ap\u00f3s a \u00faltima dose e, idealmente, somente ap\u00f3s a comprova\u00e7\u00e3o da recupera\u00e7\u00e3o das c\u00e9lulas B;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A administra\u00e7\u00e3o de vacinas n\u00e3o vivas deve ser considerada somente em seis ou mais meses ap\u00f3s a infus\u00e3o de c\u00e9lulas T com receptor de ant\u00edgeno quim\u00e9rico (CAR) direcionadas ao CD19 em pacientes em remiss\u00e3o e que n\u00e3o necessitam de QT adicional ou transplante de c\u00e9lulas hematopoi\u00e9ticas;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A vacina IIV ou RIV pode ser administrada a partir de quatro a seis meses ap\u00f3s o transplante para receptores de transplante de c\u00e9lulas hematopoi\u00e9ticas (TCTH);\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Em pacientes pedi\u00e1tricos submetidos a TCTH com idade entre tr\u00eas e 17 anos, a administra\u00e7\u00e3o de duas doses da vacina trivalente inativada (n\u00e3o viva) contra a gripe em altas doses (IIV3), com intervalo de 28 a 42 dias, pode ser considerada, embora a vacina inativada contra a gripe em altas doses n\u00e3o seja aprovada para uso em crian\u00e7as;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Para receptores de transplante de \u00f3rg\u00e3os s\u00f3lidos (TOS), a vacina IIV ou a RIV podem ser administradas a partir de tr\u00eas meses ap\u00f3s o recebimento do TOS, embora possa ser considerada a administra\u00e7\u00e3o um m\u00eas ou mais ap\u00f3s o TOS;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Os familiares de pacientes imunocomprometidos devem ser vacinados anualmente;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Pediatras que atendem mulheres gr\u00e1vidas devem recomendar a vacina\u00e7\u00e3o, enfatizando os benef\u00edcios para gestantes e seus beb\u00eas;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Gestantes podem receber a vacina IIV ou RIV a qualquer momento durante a gesta\u00e7\u00e3o. As mulheres que n\u00e3o receberem a vacina durante a gravidez devem receb\u00ea-la antes da alta hospitalar. Quem recusar a vacina durante a interna\u00e7\u00e3o deve ser incentivado a conversar sobre o assunto com seu obstetra, m\u00e9dico de fam\u00edlia, enfermeira obst\u00e9trica ou outro profissional de sa\u00fade de confian\u00e7a;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A vacina\u00e7\u00e3o em lactantes oferece prote\u00e7\u00e3o tanto para a m\u00e3e quanto para o lactente, sendo recomendada e segura;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Indiv\u00edduos que viajam para os tr\u00f3picos, em navios de cruzeiro ou para o hemisf\u00e9rio sul entre abril e setembro, devem considerar a vacina\u00e7\u00e3o pelo menos duas semanas antes da partida, caso n\u00e3o tenham sido vacinados no outono ou inverno anterior e se a vacina estiver dispon\u00edvel;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Por ser uma estrat\u00e9gia crucial para reduzir as infec\u00e7\u00f5es associadas \u00e0 assist\u00eancia \u00e0 sa\u00fade, a AAP apoia a vacina\u00e7\u00e3o para profissionais de sa\u00fade como condi\u00e7\u00e3o de emprego;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Salvo contraindica\u00e7\u00f5es, a AAP destaca que devem ser feitos esfor\u00e7os para promover a vacina\u00e7\u00e3o em todas as crian\u00e7as, especialmente nas menores de 5 anos e naquelas pertencentes a grupos de alto risco e seus contatos, \u200b\u200butilizando estrat\u00e9gias baseadas em evid\u00eancias. \u00c9 importante incluir membros da comunidade no desenvolvimento de estrat\u00e9gias culturalmente relevantes para promover a vacina\u00e7\u00e3o em comunidades afetadas por disparidades em sa\u00fade;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A AAP disponibiliza um site contendo estrat\u00e9gias para comunicar as fam\u00edlias sobre vacinas e promover a confian\u00e7a nos imunizantes:\u00a0<a href=\"https:\/\/www.aap.org\/vaccinecommunication\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.aap.org\/vaccinecommunication<\/a>\u00a0\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">A AAP descreve que \u201caumentar o acesso e reduzir as barreiras \u00e0 vacina\u00e7\u00e3o em escolas, farm\u00e1cias, hospitais e outros locais n\u00e3o tradicionais pode melhorar as taxas de vacina\u00e7\u00e3o\u201d. No entanto, \u201ca vacina\u00e7\u00e3o em domic\u00edlio \u00e9 a op\u00e7\u00e3o preferencial para crian\u00e7as pequenas, a fim de facilitar outros servi\u00e7os necess\u00e1rios, incluindo cuidados de sa\u00fade, exames preventivos, orienta\u00e7\u00f5es antecipat\u00f3rias e outras vacinas importantes da inf\u00e2ncia\u201d. No caso de pacientes e fam\u00edlias para os quais a falta de recursos representaria um\u00a0obst\u00e1culo para receber a vacina em domic\u00edlio, a administra\u00e7\u00e3o domiciliar da LAIV \u00e9 uma alternativa para alguns indiv\u00edduos eleg\u00edveis de 2 a 49 anos de idade;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Quando o paciente \u00e9 vacinado em um ambiente n\u00e3o tradicional, a documenta\u00e7\u00e3o apropriada deve ser fornecida a ele e ao m\u00e9dico respons\u00e1vel e enviada aos sistemas de informa\u00e7\u00e3o de imuniza\u00e7\u00e3o regionais ou estaduais;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Cl\u00ednicas que atendem crian\u00e7as e adolescentes podem considerar oferecer a vacina a familiares e pessoas pr\u00f3ximas;\u00a0<\/li>\n<\/ol>\n<p><b>Considerando as pol\u00edticas de sa\u00fade espec\u00edficas dos Estados Unidos:<\/b>\u00a0<\/p>\n<ol class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"24\" data-aria-level=\"1\">Para eliminar as disparidades no fornecimento da vacina contra a gripe entre pacientes com seguro privado e aqueles eleg\u00edveis para vacina\u00e7\u00e3o por meio do programa americano \u201cVacinas para Crian\u00e7as\u201d, deve haver participa\u00e7\u00e3o de todos os que trabalham nos esfor\u00e7os de imuniza\u00e7\u00e3o;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"24\" data-aria-level=\"1\">Crian\u00e7as eleg\u00edveis e suas fam\u00edlias devem receber informa\u00e7\u00f5es sobre a vacina e cl\u00ednicas de vacina\u00e7\u00e3o em seu idioma preferido, especialmente aquelas que possam enfrentar barreiras ao atendimento preventivo;\u00a0\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"24\" data-aria-level=\"1\">Os planos de sa\u00fade p\u00fablicos e privados devem oferecer pagamento adequado para o fornecimento e administra\u00e7\u00e3o da vacina para a popula\u00e7\u00e3o pedi\u00e1trica, atualizar os pagamentos de modo que os m\u00e9dicos e outros profissionais de sa\u00fade sejam pagos pela administra\u00e7\u00e3o das doses em julho e agosto e eliminar as barreiras de custo restantes de \u201cresponsabilidade do paciente\u201d, onde ainda existirem.<\/li>\n<\/ol>\n<p class=\"content-paywall\"><strong>Saiba mais:<\/strong> <a href=\"https:\/\/portal.afya.com.br\/saude\/novos-casos-do-subclado-k-da-gripe-no-brasil\" target=\"_blank\" rel=\"noopener nofollow\">Novos casos do subclado K da gripe no Brasil<\/a><\/p>\n<p><b>Vacina\u00e7\u00e3o contra a gripe: contraindica\u00e7\u00f5es e precau\u00e7\u00f5es<\/b>\u00a0<\/p>\n<ol class=\"content-paywall\">\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Ao selecionar o tipo de vacina a ser administrada, devem ser consideradas as contraindica\u00e7\u00f5es espec\u00edficas do produto;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Um hist\u00f3rico de rea\u00e7\u00e3o al\u00e9rgica grave, como anafilaxia, a qualquer vacina contra influenza costuma ser uma contraindica\u00e7\u00e3o para novas doses. No entanto, crian\u00e7as com hist\u00f3ria de rea\u00e7\u00e3o al\u00e9rgica grave ap\u00f3s a vacina\u00e7\u00e3o contra a gripe devem ser avaliadas por um alergista para identificar o componente respons\u00e1vel pela rea\u00e7\u00e3o e determinar se essa crian\u00e7a poder\u00e1 receber novas doses.\u00a0\u00a0\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Crian\u00e7as al\u00e9rgicas \u00e0 gelatina (muito raro): devem receber a IIV ou a RIV, se apropriada para a idade, ao inv\u00e9s da LAIV, pois existem relatos de sobreposi\u00e7\u00e3o entre alergia \u00e0 gelatina e alergia ao alfa-gal.\u00a0<\/li>\n<\/ul>\n<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Crian\u00e7as al\u00e9rgicas a ovo: podem receber qualquer vacina contra gripe sem quaisquer precau\u00e7\u00f5es adicionais al\u00e9m daquelas recomendadas para todas as vacinas;\u00a0<\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"%1.\" data-font=\"Times New Roman\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\">Crian\u00e7as com doen\u00e7as leves, incluindo febre baixa, tamb\u00e9m devem ser vacinadas. No entanto, crian\u00e7as com doen\u00e7a aguda moderada ou grave podem receber a vacina somente quando sua doen\u00e7a aguda tiver melhorado e assim que houver melhora. Estrat\u00e9gias para promover a vacina\u00e7\u00e3o oportuna ap\u00f3s a recupera\u00e7\u00e3o da doen\u00e7a devem ser empregadas, como o agendamento de consulta de retorno, envio de mensagens para lembrete e administra\u00e7\u00e3o da vacina antes da alta hospitalar, em caso de interna\u00e7\u00e3o.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"Diante de uma queda na cobertura vacinal contra a doen\u00e7a na temporada 2024-2025, o Comit\u00ea de Doen\u00e7as Infecciosas&hellip;\n","protected":false},"author":2,"featured_media":226405,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[116,32,33,117],"class_list":{"0":"post-226404","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saude","8":"tag-health","9":"tag-portugal","10":"tag-pt","11":"tag-saude"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@pt\/115883987598811653","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts\/226404","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/comments?post=226404"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts\/226404\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/media\/226405"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/media?parent=226404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/categories?post=226404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/tags?post=226404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}