{"id":112455,"date":"2023-08-08T08:31:14","date_gmt":"2023-08-08T11:31:14","guid":{"rendered":"https:\/\/controllab.com\/ensino\/encontro-online\/baciloscopia-em-hanseniase-e-biologia-molecular\/"},"modified":"2026-03-30T11:11:04","modified_gmt":"2026-03-30T14:11:04","slug":"baciloscopia-em-hanseniase-e-biologia-molecular","status":"publish","type":"encontros_online","link":"https:\/\/controllab.com\/en\/learning\/online-meeting\/baciloscopia-em-hanseniase-e-biologia-molecular\/","title":{"rendered":"Baciloscopia em hansen\u00edase e biologia molecular"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"112455\" class=\"elementor elementor-112455 elementor-112451\" data-elementor-post-type=\"encontros_online\">\n\t\t\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-5e44497e elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-id=\"5e44497e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-16ff5fb0 ae-bg-gallery-type-default\" data-id=\"16ff5fb0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-465b5768 elementor-widget elementor-widget-text-editor\" data-id=\"465b5768\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tA iniciativa gratuita promovida pela Controllab abordou aspectos relevantes sobre a hansen\u00edase. Segundo dados do Minist\u00e9rio da Sa\u00fade, o Brasil ocupa a segunda posi\u00e7\u00e3o do mundo entre os pa\u00edses que registram casos novos, atr\u00e1s apenas da \u00cdndia.\r\n\r\nO Encontro Online promoveu para os participantes os seguintes conhecimentos: as metodologias empregadas para auxiliar o diagn\u00f3stico da hansen\u00edase; que os resultados negativos n\u00e3o excluem a doen\u00e7a e que, apenas a presen\u00e7a de BAAR, na baciloscopia ou no exame histopatol\u00f3gico, s\u00e3o definidores etiol\u00f3gicos de caso.\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<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_ae_slider elementor-section elementor-top-section elementor-element elementor-element-4e47f54c elementor-section-boxed elementor-section-height-default elementor-section-height-default ae-bg-gallery-type-default\" data-id=\"4e47f54c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_ae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7fddd820 ae-bg-gallery-type-default\" data-id=\"7fddd820\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58f234c3 elementor-widget elementor-widget-heading\" data-id=\"58f234c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Perguntas &amp; Respostas<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a47403 elementor-widget elementor-widget-text-editor\" data-id=\"9a47403\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A seguir, encontram-se as d\u00favidas que n\u00e3o foram respondidas durante o Encontro Online.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2805cd0 elementor-widget elementor-widget-accordion\" data-id=\"2805cd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-4191\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-4191\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">1. Existe algum programa do governo que valide os resultados dos laborat\u00f3rios que liberam exames? <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4191\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-4191\"><p>Os LACEN dos estados fazem o controle de qualidade apenas dos agravos, como as leituras de l\u00e2minas de Mal\u00e1ria, Leishmaniose, Tuberculose, Hansen\u00edase entre outros servi\u00e7os ofertados gratuitamente atrav\u00e9s do SUS.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-4192\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-4192\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">2. Existe ensaio de profici\u00eancia para PCR TR para Hansen\u00edase? <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4192\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-4192\"><p>Ainda n\u00e3o, estas metodologias ainda est\u00e3o em fase de implanta\u00e7\u00e3o.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-4193\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-4193\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">3. Os exames para diagn\u00f3stico est\u00e3o inclu\u00eddos no rol da ANS para pagamento dos servi\u00e7os?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4193\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-4193\"><p>Procedimentos SUS (SIGTAP):<br \/><strong>02.02.03.134-9<\/strong> Teste de biologia molecular para a detec\u00e7\u00e3o de marcadores de <em>Mycobacterium leprae<\/em>, em amostras de bi\u00f3psia, de pele ou de nervos.<br \/><strong>02.14.01.017-1<\/strong> Teste r\u00e1pido para detec\u00e7\u00e3o de anticorpos IgM anti-<em>Mycobacterium leprae.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-4194\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-4194\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">4. No ziehl o \u00e1lcool \u00e1cido 3% d\u00e1 interfer\u00eancia? <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4194\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-4194\"><p>Sim, o <strong>Guia de Procedimentos T\u00e9cnicos Baciloscopia em Hansen\u00edase<\/strong> preconiza o uso de \u00e1lcool \u00e1cido a 1% para que n\u00e3o altere as caracter\u00edsticas morfotintoriais do <em>M. leprae<\/em>.<\/p><p>\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-4195\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-4195\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">5. Os genes amplificados s\u00e3o relativos a quais ant\u00edgenos da bact\u00e9ria? <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4195\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-4195\"><p>Vamos usar o termo &#8220;alvos (gene, regi\u00e3o, sequ\u00eancia) gen\u00e9ticos da bact\u00e9ria!&#8221;.<br \/>Os alvos para amplifica\u00e7\u00e3o e detec\u00e7\u00e3o do <em>M. leprae<\/em> mais comumente usados s\u00e3o: <strong>16S, RLEP, 85b<\/strong>.<br \/><br \/>Os alvos de amplifica\u00e7\u00e3o e sequenciamento gen\u00e9tico para pesquisa de muta\u00e7\u00f5es g\u00eanicas associadas \u00e0 <strong>resist\u00eancia medicamentosa<\/strong> s\u00e3o:<\/p><ul><li><strong>folp1<\/strong>, para pesquisa de muta\u00e7\u00f5es nos c\u00f3dons 53 e 55 associadas \u00e0 resist\u00eancia a dapsona;<\/li><li><strong>gyrA<\/strong>: muta\u00e7\u00f5es nos c\u00f3dons 89, 91, 92 e 95 associadas a resist\u00eancia a ofloxacina;<\/li><li><strong>rpoB<\/strong>: muta\u00e7\u00f5es nos c\u00f3dons 407, 410, 420, 425 e 427 associadas a resist\u00eancia a rifampicina.<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-4196\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-4196\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">6. Existe alguma rela\u00e7\u00e3o da doen\u00e7a de Guillain-Barr\u00e9 com o M. leprae?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-4196\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-4196\"><p>N\u00e3o encontramos nenhum artigo cient\u00edfico em revistas confi\u00e1veis demonstrando a associa\u00e7\u00e3o com a hansen\u00edase. Segue trecho do site: <a href=\"https:\/\/www.gov.br\/saude\/pt-br\/assuntos\/saude-de-a-a-z\/g\/sindrome-de-guillain-barre\" target=\"_blank\" rel=\"noopener\">gov.br\/saude\/pt-br\/assuntos\/saude-de-a-a-z\/g\/sindrome-de-guillain-barre<\/a>:<br \/><br \/><em>\u201cA s\u00edndrome de Guillain Barr\u00e9 \u00e9 um dist\u00farbio autoimune, ou seja, o sistema imunol\u00f3gico do pr\u00f3prio corpo ataca parte do sistema nervoso, que s\u00e3o os nervos que conectam o c\u00e9rebro com outras partes do corpo. \u00c9 geralmente provocado por um processo infeccioso anterior e manifesta fraqueza muscular, com redu\u00e7\u00e3o ou aus\u00eancia de reflexos. V\u00e1rias infec\u00e7\u00f5es t\u00eam sido associadas \u00e0 S\u00edndrome de Guillain Barr\u00e9, sendo a infec\u00e7\u00e3o por Campylobacter, que causa diarr\u00e9ia, a mais comum. A incid\u00eancia anual \u00e9 de 1-4 casos por 100.000 habitantes e pico entre 20 e 40 anos de idade\u201d.<\/em><\/p><p><br \/><em>\u201cV\u00e1rias infec\u00e7\u00f5es t\u00eam sido associadas \u00e0 S\u00edndrome de Guillain Barr\u00e9, sendo a infec\u00e7\u00e3o por Campylobacter, que causa diarr\u00e9ia, a mais comum. Outras infec\u00e7\u00f5es encontradas na literatura cientifica que podem desencadear essa doen\u00e7a incluem Zika, dengue, chikungunya, citomegalov\u00edrus, v\u00edrus Epstein-Barr, sarampo, v\u00edrus de influenza A, Mycoplasma pneumoniae, enterovirus D68, hepatite A, B, C, HIV, entre outros. Muitos v\u00edrus e bact\u00e9rias j\u00e1 foram associados temporalmente com o desenvolvimento da S\u00edndrome de Guillain Barr\u00e9, embora em geral seja dif\u00edcil comprovar a verdadeira causalidade da doen\u00e7a\u201d.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"featured_media":110110,"menu_order":0,"template":"","meta":{"_acf_changed":false},"encontro_online_cat":[2856],"idioma-do-video":[2871],"segmento":[2830],"class_list":["post-112455","encontros_online","type-encontros_online","status-publish","has-post-thumbnail","hentry","encontro_online_cat-microbiology","idioma-do-video-portuguese","segmento-clinical"],"acf":[],"_links":{"self":[{"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/encontros_online\/112455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/encontros_online"}],"about":[{"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/types\/encontros_online"}],"version-history":[{"count":1,"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/encontros_online\/112455\/revisions"}],"predecessor-version":[{"id":209214,"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/encontros_online\/112455\/revisions\/209214"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/media\/110110"}],"wp:attachment":[{"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/media?parent=112455"}],"wp:term":[{"taxonomy":"encontro_online_cat","embeddable":true,"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/encontro_online_cat?post=112455"},{"taxonomy":"idioma-do-video","embeddable":true,"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/idioma-do-video?post=112455"},{"taxonomy":"segmento","embeddable":true,"href":"https:\/\/controllab.com\/en\/wp-json\/wp\/v2\/segmento?post=112455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}