{"id":12581,"date":"2021-06-26T06:59:23","date_gmt":"2021-06-26T09:59:23","guid":{"rendered":"https:\/\/portaldasaudenews.com\/?p=12581"},"modified":"2021-06-25T13:23:46","modified_gmt":"2021-06-25T16:23:46","slug":"anvisa-faz-alerta-sobre-casos-raros-de-trombose-apos-vacinacao-contra-covid-19","status":"publish","type":"post","link":"https:\/\/portaldasaudenews.com\/?p=12581","title":{"rendered":"Anvisa faz alerta sobre casos raros de trombose ap\u00f3s vacina\u00e7\u00e3o contra Covid-19"},"content":{"rendered":"

 <\/p>\n

A Anvisa alerta que casos raros de trombose em combina\u00e7\u00e3o com trombocitopenia (TTS), associados a vacinas contra Covid-19 com vetor de adenov\u00edrus, t\u00eam sido detectados no Brasil e no mundo. O diagn\u00f3stico e o tratamento precoces s\u00e3o essenciais nesses casos.<\/p>\n

No Brasil,\u00a0as vacinas com adenov\u00edrus aprovadas para uso s\u00e3o\u00a0a\u00a0AstraZeneca (Oxford\/Fiocruz) e\u00a0a\u00a0Janssen (Johnson & Johnson), que j\u00e1 cont\u00eam em suas\u00a0bulas informa\u00e7\u00f5es sobre este tipo de evento adverso.<\/p>\n

Mesmo com o registro desses casos raros, a Ag\u00eancia\u00a0refor\u00e7a que, at\u00e9 o momento, os benef\u00edcios das vacinas da AstraZeneca e da Janssen superam os riscos do uso desses produtos e mant\u00e9m a recomenda\u00e7\u00e3o da continuidade da vacina\u00e7\u00e3o com os imunizantes, dentro das indica\u00e7\u00f5es descritas na bula.<\/p>\n

O alerta da Anvisa\u00a0est\u00e1 no\u00a0Comunicado 6\/2021<\/a>,<\/span> publicado nesta quinta-feira (24).<\/p>\n

Identifica\u00e7\u00e3o e notifica\u00e7\u00e3o<\/h4>\n

De acordo com o\u00a0documento,\u00a0\u00e9\u00a0fundamental a identifica\u00e7\u00e3o precoce dos casos e a implementa\u00e7\u00e3o urgente de terapia adequada para o paciente acometido\u00a0pela TTS.\u00a0A\u00a0Ag\u00eancia\u00a0refor\u00e7a a necessidade da notifica\u00e7\u00e3o de casos de\u00a0trombose em combina\u00e7\u00e3o com trombocitopenia por meio do\u00a0VigiMed\u00a0<\/a>e do\u00a0Notivisa, ferramentas que contribuem para a cont\u00ednua avalia\u00e7\u00e3o da rela\u00e7\u00e3o benef\u00edcio-risco dos imunizantes em uso na popula\u00e7\u00e3o brasileira.<\/p>\n

Confira no link a seguir como notificar \u00e0 Anvisa:\u00a0Notifica\u00e7\u00f5es em vigil\u00e2ncia sanit\u00e1ria.<\/a>\u00a0<\/span><\/p>\n

Gestantes<\/h4>\n

Especificamente em rela\u00e7\u00e3o \u00e0\u00a0vacina da\u00a0AstraZeneca,\u00a0\u00e9 importante destacar que\u00a0a Anvisa\u00a0mant\u00e9m a recomenda\u00e7\u00e3o da suspens\u00e3o da vacina\u00e7\u00e3o de gestantes com essa vacina, medida\u00a0adotada em maio deste ano.<\/p>\n

Centros urbanos<\/h4>\n

De acordo com o\u00a0material,\u00a0no Brasil,\u00a0a maioria das ocorr\u00eancias\u00a0de casos raros de trombose associadas\u00a0a\u00a0vacinas\u00a0foi identificada em grandes centros\u00a0urbanos, o que indica a necessidade de uma maior sensibiliza\u00e7\u00e3o por parte\u00a0dos servi\u00e7os de sa\u00fade, principalmente pronto-atendimentos, para o adequado diagn\u00f3stico, tratamento e notifica\u00e7\u00e3o de casos.<\/p>\n

Sintomas e\u00a0diagn\u00f3stico\u00a0precoce<\/h4>\n

A TTS \u00e9 uma condi\u00e7\u00e3o rara e grave, potencialmente fatal, que requer tratamento\u00a0urgente e especializado. Pacientes de todas as idades e\u00a0de\u00a0ambos os sexos podem\u00a0desenvolver essa s\u00edndrome e, atualmente, n\u00e3o h\u00e1 um sinal claro de fatores de risco\u00a0\u00a0associados\u00a0ao evento.<\/p>\n

A maioria dos casos reportados ocorreu com o uso da primeira\u00a0dose de vacina com vetor adenoviral, por\u00e9m tamb\u00e9m pode ocorrer ap\u00f3s a segunda dose.<\/p>\n

Uma s\u00e9rie de sintomas devem servir de\u00a0alerta para investiga\u00e7\u00e3o de poss\u00edveis eventos\u00a0tromb\u00f3ticos, como\u00a0falta de ar,\u00a0dor no peito,\u00a0incha\u00e7o ou dor nas pernas, dor abdominal\u00a0persistente\u00a0e\u00a0sintomas\u00a0neurol\u00f3gicos,\u00a0incluindo\u00a0dores\u00a0de\u00a0cabe\u00e7a\u00a0graves.<\/p>\n

Tamb\u00e9m devem ser considerados\u00a0como\u00a0alerta a ocorr\u00eancia de\u00a0vis\u00e3o\u00a0turva, confus\u00e3o, convuls\u00f5es, pet\u00e9quias (pequenas manchas vermelhas ou\u00a0marrons\u00a0em\u00a0partes\u00a0do\u00a0corpo),\u00a0hematomas\u00a0ou\u00a0outras\u00a0manifesta\u00e7\u00f5es\u00a0hemorr\u00e1gicas\u00a0em \u00e1reas do corpo diversas\u00a0do local da vacina\u00e7\u00e3o, ap\u00f3s a aplica\u00e7\u00e3o da vacina.<\/p>\n

Por isso, os\u00a0profissionais\u00a0de\u00a0sa\u00fade\u00a0devem\u00a0ficar\u00a0atentos\u00a0\u00e0s\u00a0manifesta\u00e7\u00f5es\u00a0e\u00a0verificar\u00a0a\u00a0presen\u00e7a de sinais de\u00a0trombose em qualquer pessoa com trombocitopenia desenvolvida no per\u00edodo de quatro a 52 dias ap\u00f3s a administra\u00e7\u00e3o de vacina\u00a0com adenov\u00edrus\u00a0em sua\u00a0composi\u00e7\u00e3o.<\/p>\n

A investiga\u00e7\u00e3o dos casos suspeitos de TTS deve ser realizada por meio de avalia\u00e7\u00e3o cl\u00ednica, al\u00e9m de exames laboratoriais, incluindo contagem de plaquetas, e de exames de imagem.<\/p>\n

A Ag\u00eancia refor\u00e7a que, considerando a gravidade da TTS e sua r\u00e1pida evolu\u00e7\u00e3o\u00a0a\u00a0\u00f3bito,\u00a0deve ser redobrada\u00a0a aten\u00e7\u00e3o quanto aos sinais para a identifica\u00e7\u00e3o precoce e\u00a0o\u00a0tratamento imediato dos\u00a0casos, aspectos fundamentais para aumentar as chances de recupera\u00e7\u00e3o dos pacientes.<\/p>\n

A Anvisa ressalta,\u00a0ainda, a necessidade da notifica\u00e7\u00e3o dos casos por parte dos profissionais de sa\u00fade, bem como de\u00a0pessoas vacinadas\u00a0que posteriomente tiveram\u00a0forma\u00e7\u00e3o de\u00a0co\u00e1gulos ou qualquer outra rea\u00e7\u00e3o indesejada e inesperada\u00a0ap\u00f3s\u00a0a\u00a0vacina\u00e7\u00e3o. As empresas fabricantes tamb\u00e9m devem informar \u00e0 Anvisa relatos de casos de eventos adversos.<\/p>\n

*Reda\u00e7\u00e3o<\/p>\n

Foto: Reprodu\u00e7\u00e3o<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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