{"id":1014,"date":"2022-08-24T00:09:27","date_gmt":"2022-08-24T03:09:27","guid":{"rendered":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/?page_id=1014"},"modified":"2022-09-29T00:01:47","modified_gmt":"2022-09-29T03:01:47","slug":"caso-4","status":"publish","type":"page","link":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/caso-4","title":{"rendered":"Caso 4"},"content":{"rendered":"\n<p>Nesta situa\u00e7\u00e3o a pessoa tem hist\u00f3ria e\/ou registro de tratamento pr\u00e9vio para s\u00edfilis para compara\u00e7\u00e3o com teste atual:<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1853\" height=\"619\" src=\"http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/caso-4-2.png\" alt=\"\" class=\"wp-image-1064\" srcset=\"http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/caso-4-2.png 1853w, http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/caso-4-2-300x100.png 300w, http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/caso-4-2-1024x342.png 1024w, http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/caso-4-2-768x257.png 768w, http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/caso-4-2-1536x513.png 1536w\" sizes=\"(max-width: 1853px) 100vw, 1853px\" \/><\/figure>\n<\/div>\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img decoding=\"async\" src=\"http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o.jpg\" alt=\"\" class=\"wp-image-1071\" width=\"50\" height=\"50\" srcset=\"http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o.jpg 612w, http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o-300x300.jpg 300w, http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o-150x150.jpg 150w\" sizes=\"(max-width: 50px) 100vw, 50px\" \/><\/figure>\n<\/div>\n\n\n<p><em>Se gestante apresentando \u00falcera anogenital <strong>ou<\/strong> sinais\/sintomas de s\u00edfilis secund\u00e1ria, <strong>ou<\/strong> se teve parceria sexual nos \u00faltimos 90 dias com diagn\u00f3stico de s\u00edfilis e n\u00e3o recebeu tratamento, <strong>ou<\/strong> se n\u00e3o tem registro de tratamento pr\u00e9vio adequado para s\u00edfilis: <strong><a rel=\"noreferrer noopener\" href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/tratamento\/\" data-type=\"page\" data-id=\"989\" target=\"_blank\">trate<\/a> para s\u00edfilis recente e notifique<\/strong>, e avalie e <a rel=\"noreferrer noopener\" href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/tratamento\/\" data-type=\"page\" data-id=\"989\" target=\"_blank\">trate<\/a> as parcerias sexuais dos \u00faltimos 3 meses.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n\n<h2 class=\"has-text-color has-medium-font-size wp-block-heading\" style=\"color:#00649f;font-style:italic;font-weight:700\">Interpreta\u00e7\u00e3o<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Se VDRL atual <strong>tem<\/strong> titula\u00e7\u00e3o pelo menos 2 dilui\u00e7\u00f5es maior que o \u00faltimo VDRL realizado ap\u00f3s tratamento pr\u00e9vio adequado para s\u00edfilis (ex.: VDRL atual 1:16 e anterior 1:4), <strong>e<\/strong> gestante n\u00e3o apresenta sinais\/sintomas de s\u00edfilis recente: diagn\u00f3stico de <strong>s\u00edfilis tardia<\/strong>;<\/li><li>Se VDRL atual <strong>n\u00e3o tem<\/strong> titula\u00e7\u00e3o pelo menos 2 dilui\u00e7\u00f5es maior que o \u00faltimo VDRL realizado ap\u00f3s tratamento pr\u00e9vio adequado para s\u00edfilis (ex.: VDRL atual 1:8 e anterior 1:4), <strong>e<\/strong> gestante n\u00e3o apresenta sinais\/sintomas de s\u00edfilis recente: <strong>cicatriz sorol\u00f3gica<\/strong>.<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n\n<h2 class=\"has-text-color has-medium-font-size wp-block-heading\" style=\"color:#00649f;font-style:italic;font-weight:700\">Conduta<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Se diagn\u00f3stico de <strong>s\u00edfilis tardia<\/strong>: <strong><a href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/tratamento\/\" data-type=\"page\" data-id=\"989\" target=\"_blank\" rel=\"noreferrer noopener\">trate<\/a><\/strong>, notifique e realize o monitoramento com teste n\u00e3o trepon\u00eamico (VDRL); avalie e <strong><a rel=\"noreferrer noopener\" href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/tratamento\/\" data-type=\"page\" data-id=\"989\" target=\"_blank\">trate<\/a><\/strong> para <strong>s\u00edfilis recente<\/strong> as parcerias sexuais dos \u00faltimos 3 meses (ver <a href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/monitoramento-2\/\" data-type=\"page\" data-id=\"874\" target=\"_blank\" rel=\"noreferrer noopener\">Monitoramento<\/a>).<\/li><li>Se confirmado caso de <strong>cicatriz sorol\u00f3gica<\/strong> ou mesmo <strong>se descartado o diagn\u00f3stico de s\u00edfilis<\/strong>: realize <strong>orienta\u00e7\u00e3o<\/strong> centrada na pessoa e nas suas pr\u00e1ticas sexuais (ver <a rel=\"noreferrer noopener\" href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/monitoramento-2\/\" data-type=\"page\" data-id=\"874\" target=\"_blank\">Monitoramento<\/a>).<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img decoding=\"async\" src=\"http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o.jpg\" alt=\"\" class=\"wp-image-1071\" width=\"50\" height=\"50\" srcset=\"http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o.jpg 612w, http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o-300x300.jpg 300w, http:\/\/www.55bet-pro.com\/app\/uploads\/sites\/786\/2022\/09\/atenc\u0327a\u0303o-150x150.jpg 150w\" sizes=\"(max-width: 50px) 100vw, 50px\" \/><\/figure>\n<\/div>\n\n\n<p><em>Se o diagn\u00f3stico de s\u00edfilis \u00e9 em pessoa vivendo com HIV (PVHIV), realize exame neurol\u00f3gico; se sinais\/sintomas oculares\/neurol\u00f3gicos: encaminhe, solicite pun\u00e7\u00e3o lombar e investigue neuross\u00edfilis.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator aligncenter has-text-color has-vivid-cyan-blue-color has-alpha-channel-opacity has-vivid-cyan-blue-background-color has-background is-style-dots\" \/>\n\n\n\n<figure class=\"wp-block-table\" style=\"font-size:16px\"><table class=\"has-white-color has-text-color has-background has-fixed-layout\" style=\"background-color:#00649f\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><em><a style=\"font-size: revert;font-family: inherit;font-weight: inherit\" href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/projeto-prevencao-da-sifilis-na-gestacao\/\"><span style=\"color: #0000ff\"><strong><u><span style=\"color:#ffffff\" class=\"tadv-color\">In\u00edcio<\/span><\/u><\/strong><\/span><\/a><\/em><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a style=\"font-size: revert;font-family: inherit;font-weight: inherit\" href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/diagnostico\/\"><span style=\"color: #0000ff\"><strong><u><span style=\"color:#ffffff\" class=\"tadv-color\"><em>Diagn\u00f3stico<\/em><\/span><\/u><\/strong><\/span><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a style=\"font-size: revert;font-family: inherit;font-weight: inherit\" href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/tratamento\/\"><span style=\"color: #0000ff\"><strong><u><span style=\"color:#ffffff\" class=\"tadv-color\"><em>Tratamento<\/em><\/span><\/u><\/strong><\/span><\/a><\/td><td class=\"has-text-align-center\" data-align=\"center\"><a style=\"font-size: revert;font-family: inherit;font-weight: inherit\" href=\"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/monitoramento-2\/\"><span style=\"color: #0000ff\"><strong><u><span style=\"color:#ffffff\" class=\"tadv-color\"><em>Monitoramento<\/em><\/span><\/u><\/strong><\/span><\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Nesta situa\u00e7\u00e3o a pessoa tem hist\u00f3ria e\/ou registro de tratamento pr\u00e9vio para s\u00edfilis para compara\u00e7\u00e3o com teste atual: Se gestante apresentando \u00falcera anogenital ou sinais\/sintomas de s\u00edfilis secund\u00e1ria, ou se teve parceria sexual nos \u00faltimos 90 dias com diagn\u00f3stico de s\u00edfilis e n\u00e3o recebeu tratamento, ou se n\u00e3o tem registro de tratamento pr\u00e9vio adequado para [&hellip;]<\/p>\n","protected":false},"author":6056,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[63],"tags":[],"class_list":["post-1014","page","type-page","status-publish","hentry","category-projeto-sifilis"],"acf":[],"_links":{"self":[{"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/pages\/1014","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/users\/6056"}],"replies":[{"embeddable":true,"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/comments?post=1014"}],"version-history":[{"count":0,"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/pages\/1014\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/media?parent=1014"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/categories?post=1014"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.55bet-pro.com\/pet\/ciencia-da-computacao\/wp-json\/wp\/v2\/tags?post=1014"}],"curies":[{"name":"wp","href":"http:\/\/api.w.org\/{rel}","templated":true}]}}