{"id":57568,"date":"2026-03-09T12:26:59","date_gmt":"2026-03-09T12:26:59","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=57568"},"modified":"2026-03-09T16:06:37","modified_gmt":"2026-03-09T16:06:37","slug":"prevencao-do-vih-prep-pep","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/prevencao-do-vih-prep-pep\/","title":{"rendered":"Preven\u00e7\u00e3o do VIH: PrEP, PEP, Preservativo e Estrat\u00e9gias Combinadas"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"57568\" class=\"elementor elementor-57568\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" 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-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2 data-section-id=\"hu97kh\" data-start=\"325\" data-end=\"338\">Introdu\u00e7\u00e3o<\/h2><p data-start=\"340\" data-end=\"724\">A <strong data-start=\"342\" data-end=\"362\">preven\u00e7\u00e3o do VIH<\/strong> evoluiu significativamente nas \u00faltimas duas d\u00e9cadas, passando de uma abordagem centrada exclusivamente no preservativo para uma estrat\u00e9gia combinada que integra m\u00e9todos biom\u00e9dicos, comportamentais e estruturais. A <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">Joint United Nations Programme on HIV\/AIDS<\/span><\/span> (ONUSIDA) estabeleceu como meta reduzir as novas infe\u00e7\u00f5es por VIH para menos de 200 000 globalmente at\u00e9 2030.<\/p><p data-start=\"726\" data-end=\"1101\">A profilaxia pr\u00e9-exposi\u00e7\u00e3o (PrEP) e a profilaxia p\u00f3s-exposi\u00e7\u00e3o (PEP) s\u00e3o interven\u00e7\u00f5es biom\u00e9dicas que, em conjunto com o uso de preservativo e o princ\u00edpio I=I, constituem o arsenal atual de <strong data-start=\"915\" data-end=\"935\">preven\u00e7\u00e3o do VIH<\/strong>. Em Portugal, a PrEP est\u00e1 dispon\u00edvel no Servi\u00e7o Nacional de Sa\u00fade desde 2018, representando um avan\u00e7o significativo nas estrat\u00e9gias modernas de <strong data-start=\"1080\" data-end=\"1100\">preven\u00e7\u00e3o do VIH<\/strong>.<\/p><h2 data-section-id=\"1wzlzjt\" data-start=\"1103\" data-end=\"1137\">Profilaxia Pr\u00e9-Exposi\u00e7\u00e3o (PrEP)<\/h2><p data-start=\"1139\" data-end=\"1430\">A PrEP consiste na toma de medica\u00e7\u00e3o antirretroviral por pessoas VIH-negativas com risco elevado de infe\u00e7\u00e3o. O regime aprovado \u00e9 a combina\u00e7\u00e3o tenofovir disoproxil\/emtricitabina (TDF\/FTC) em toma di\u00e1ria, com efic\u00e1cia superior a 99 % na <strong data-start=\"1374\" data-end=\"1394\">preven\u00e7\u00e3o do VIH<\/strong> quando tomada de forma consistente.<\/p><p data-start=\"1432\" data-end=\"1724\">O regime de PrEP &#8220;a pedido&#8221; (event-driven ou 2-1-1), validado pelo estudo IPERGAY publicado no <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">The New England Journal of Medicine<\/span><\/span>, \u00e9 uma alternativa para HSH, consistindo em 2 comprimidos 2 a 24 horas antes da rela\u00e7\u00e3o sexual, seguidos de 1 comprimido \u00e0s 24 e 48 horas ap\u00f3s a primeira toma.<\/p><p data-start=\"1726\" data-end=\"2131\">A formula\u00e7\u00e3o injet\u00e1vel de cabotegravir de longa dura\u00e7\u00e3o, administrada a cada 2 meses, demonstrou efic\u00e1cia superior \u00e0 PrEP oral nos estudos HPTN 083 e HPTN 084. A <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">European Medicines Agency<\/span><\/span> aprovou esta formula\u00e7\u00e3o, ampliando as op\u00e7\u00f5es dispon\u00edveis para <strong data-start=\"1988\" data-end=\"2008\">preven\u00e7\u00e3o do VIH<\/strong>. Em Portugal, a <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">Dire\u00e7\u00e3o-Geral da Sa\u00fade<\/span><\/span> coordena o acesso \u00e0 PrEP atrav\u00e9s de consultas especializadas no SNS.<\/p><h2 data-section-id=\"dr1pcg\" data-start=\"2133\" data-end=\"2166\">Profilaxia P\u00f3s-Exposi\u00e7\u00e3o (PEP)<\/h2><p data-start=\"2168\" data-end=\"2486\">A PEP \u00e9 uma interven\u00e7\u00e3o de emerg\u00eancia que consiste na toma de terap\u00eautica antirretroviral durante 28 dias ap\u00f3s uma exposi\u00e7\u00e3o de risco ao VIH. A PEP deve ser iniciada preferencialmente nas primeiras 2 horas e obrigatoriamente at\u00e9 72 horas ap\u00f3s a exposi\u00e7\u00e3o, sendo a sua efic\u00e1cia tanto maior quanto mais precoce o in\u00edcio.<\/p><p data-start=\"2488\" data-end=\"2842\">O regime recomendado pela <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">European AIDS Clinical Society<\/span><\/span> e pelo <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">Centers for Disease Control and Prevention<\/span><\/span> \u00e9 a combina\u00e7\u00e3o de tenofovir\/emtricitabina com raltegravir ou dolutegravir. A PEP est\u00e1 indicada ap\u00f3s exposi\u00e7\u00e3o sexual de risco (rotura de preservativo, viol\u00eancia sexual), exposi\u00e7\u00e3o ocupacional (picada de agulha) e partilha de material de inje\u00e7\u00e3o.<\/p><p data-start=\"2844\" data-end=\"3132\">Em Portugal, a PEP est\u00e1 dispon\u00edvel nos servi\u00e7os de urg\u00eancia hospitalares e em centros especializados. A <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">Dire\u00e7\u00e3o-Geral da Sa\u00fade<\/span><\/span> publicou normas de orienta\u00e7\u00e3o cl\u00ednica para a prescri\u00e7\u00e3o de PEP, garantindo acesso equitativo a esta interven\u00e7\u00e3o essencial de <strong data-start=\"3111\" data-end=\"3131\">preven\u00e7\u00e3o do VIH<\/strong>.<\/p><h2 data-section-id=\"vspwk6\" data-start=\"3134\" data-end=\"3172\">Estrat\u00e9gias Combinadas de Preven\u00e7\u00e3o<\/h2><p data-start=\"3174\" data-end=\"3456\">A preven\u00e7\u00e3o combinada integra m\u00faltiplas estrat\u00e9gias que, em conjunto, maximizam a efic\u00e1cia da <strong data-start=\"3268\" data-end=\"3288\">preven\u00e7\u00e3o do VIH<\/strong>. O uso de preservativo continua a ser a base da preven\u00e7\u00e3o de ISTs, incluindo o VIH, reduzindo o risco de transmiss\u00e3o em mais de 80 % quando utilizado consistentemente.<\/p><p data-start=\"3458\" data-end=\"3801\">O rastreio regular e o diagn\u00f3stico precoce permitem o in\u00edcio imediato da terap\u00eautica antirretroviral, reduzindo rapidamente a carga viral a n\u00edveis indetect\u00e1veis e eliminando o risco de transmiss\u00e3o sexual (I=I). Esta estrat\u00e9gia de &#8220;testar e tratar&#8221; \u00e9 recomendada pela Organiza\u00e7\u00e3o Mundial da Sa\u00fade como pilar fundamental da <strong data-start=\"3780\" data-end=\"3800\">preven\u00e7\u00e3o do VIH<\/strong>.<\/p><p data-start=\"3803\" data-end=\"4116\">A doxy-PEP (doxiciclina p\u00f3s-exposi\u00e7\u00e3o), embora dirigida a ISTs bacterianas, complementa a estrat\u00e9gia preventiva em popula\u00e7\u00f5es de risco. A <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">British HIV Association<\/span><\/span> refor\u00e7a que a integra\u00e7\u00e3o da <strong data-start=\"4007\" data-end=\"4027\">preven\u00e7\u00e3o do VIH<\/strong> com o controlo de outras ISTs \u00e9 essencial para uma abordagem de sa\u00fade sexual abrangente.<\/p><p data-start=\"4118\" data-end=\"4334\">Na <strong>M\u00e9dico na Net,<\/strong> a <a href=\"https:\/\/www.mediconanet.pt\/produto\/hiv\/\"><strong>equipa cl\u00ednica<\/strong> <\/a>oferece aconselhamento personalizado sobre <strong data-start=\"4196\" data-end=\"4216\">preven\u00e7\u00e3o do VIH<\/strong>, avalia\u00e7\u00e3o de elegibilidade para PrEP e PEP, e rastreio integrado de ISTs para uma prote\u00e7\u00e3o completa da sa\u00fade sexual.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-375973d elementor-widget elementor-widget-image\" data-id=\"375973d\" 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=\"448\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-diagnostico-1024x573.jpg\" class=\"attachment-large size-large wp-image-57628\" alt=\"Mulher em teleconsulta com m\u00e9dica na tela do laptop (doutora sorridente em jaleco, ambiente acolhedor, foco na conversa remota e confidencial)\" srcset=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-diagnostico-1024x573.jpg 1024w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-diagnostico-300x168.jpg 300w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-diagnostico-768x430.jpg 768w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-diagnostico-1536x860.jpg 1536w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-diagnostico-18x10.jpg 18w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-diagnostico-600x336.jpg 600w, https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-diagnostico.jpg 1600w\" 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\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A PrEP est\u00e1 dispon\u00edvel em Portugal? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" 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-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"4177\" data-end=\"4329\">Sim. A PrEP est\u00e1 dispon\u00edvel no SNS desde 2018, atrav\u00e9s de consultas especializadas em hospitais de refer\u00eancia. A avalia\u00e7\u00e3o de elegibilidade e o seguimento s\u00e3o realizados por equipas multidisciplinares.<\/p>\t\t\t\t\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\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A PrEP substitui o preservativo? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" 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-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A PrEP protege contra o VIH, mas n\u00e3o contra outras ISTs. O uso combinado de PrEP e preservativo oferece a prote\u00e7\u00e3o mais abrangente no contexto da <strong data-start=\"4797\" data-end=\"4817\">preven\u00e7\u00e3o do VIH<\/strong>. A decis\u00e3o deve ser informada e individualizada.<\/p>\t\t\t\t\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\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Se tive uma exposi\u00e7\u00e3o de risco, o que devo fazer? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" 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-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Deve dirigir-se a um servi\u00e7o de urg\u00eancia hospitalar o mais rapidamente poss\u00edvel, idealmente nas primeiras 2 horas. A PEP pode ser iniciada at\u00e9 72 horas ap\u00f3s a exposi\u00e7\u00e3o de risco ao VIH.<\/p>\t\t\t\t\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\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7083\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7083\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> A PrEP tem efeitos secund\u00e1rios? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-e6b82d0 e-con-full e-flex e-con e-child\" data-id=\"e6b82d0\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-ff98332 e-flex e-con-boxed e-con e-child\" data-id=\"ff98332\" 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-b745fb3 elementor-widget elementor-widget-text-editor\" data-id=\"b745fb3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A PrEP \u00e9 geralmente bem tolerada. Efeitos secund\u00e1rios ligeiros (n\u00e1useas, cefaleias) podem ocorrer nas primeiras semanas e tendem a resolver espontaneamente. A monitoriza\u00e7\u00e3o renal peri\u00f3dica \u00e9 recomendada.<\/p>\t\t\t\t\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\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7084\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7084\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quem deve considerar a PrEP? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-7547615 e-con-full e-flex e-con e-child\" data-id=\"7547615\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-8c9a957 e-flex e-con-boxed e-con e-child\" data-id=\"8c9a957\" 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-2f07efa elementor-widget elementor-widget-text-editor\" data-id=\"2f07efa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"6119\" data-end=\"6336\">A PrEP \u00e9 recomendada para pessoas VIH-negativas com risco elevado de infe\u00e7\u00e3o, incluindo HSH com m\u00faltiplos parceiros, parceiros serodiscordantes, trabalhadores sexuais e utilizadores de drogas injet\u00e1veis.<\/p>\t\t\t\t\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\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"A PrEP est\\u00e1 dispon\\u00edvel em Portugal?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. A PrEP est\\u00e1 dispon\\u00edvel no SNS desde 2018, atrav\\u00e9s de consultas especializadas em hospitais de refer\\u00eancia. A avalia\\u00e7\\u00e3o de elegibilidade e o seguimento s\\u00e3o realizados por equipas multidisciplinares.\"}},{\"@type\":\"Question\",\"name\":\"A PrEP substitui o preservativo?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A PrEP protege contra o VIH, mas n\\u00e3o contra outras ISTs. O uso combinado de PrEP e preservativo oferece a prote\\u00e7\\u00e3o mais abrangente no contexto da preven\\u00e7\\u00e3o do VIH. A decis\\u00e3o deve ser informada e individualizada.\"}},{\"@type\":\"Question\",\"name\":\"Se tive uma exposi\\u00e7\\u00e3o de risco, o que devo fazer?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Deve dirigir-se a um servi\\u00e7o de urg\\u00eancia hospitalar o mais rapidamente poss\\u00edvel, idealmente nas primeiras 2 horas. A PEP pode ser iniciada at\\u00e9 72 horas ap\\u00f3s a exposi\\u00e7\\u00e3o de risco ao VIH.\"}},{\"@type\":\"Question\",\"name\":\"A PrEP tem efeitos secund\\u00e1rios?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A PrEP \\u00e9 geralmente bem tolerada. Efeitos secund\\u00e1rios ligeiros (n\\u00e1useas, cefaleias) podem ocorrer nas primeiras semanas e tendem a resolver espontaneamente. A monitoriza\\u00e7\\u00e3o renal peri\\u00f3dica \\u00e9 recomendada.\"}},{\"@type\":\"Question\",\"name\":\"Quem deve considerar a PrEP?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A PrEP \\u00e9 recomendada para pessoas VIH-negativas com risco elevado de infe\\u00e7\\u00e3o, incluindo HSH com m\\u00faltiplos parceiros, parceiros serodiscordantes, trabalhadores sexuais e utilizadores de drogas injet\\u00e1veis.\"}}]}<\/script>\n\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\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" 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-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2 data-section-id=\"h85oci\" data-start=\"5594\" data-end=\"5606\">Conclus\u00e3o<\/h2><p data-start=\"5608\" data-end=\"5975\">A <strong data-start=\"5610\" data-end=\"5630\">preven\u00e7\u00e3o do VIH<\/strong> disp\u00f5e atualmente de um arsenal diversificado que inclui PrEP, PEP, preservativo, rastreio regular e o princ\u00edpio I=I. A combina\u00e7\u00e3o destas estrat\u00e9gias, adaptada ao perfil de risco individual, constitui a abordagem mais eficaz de <strong data-start=\"5859\" data-end=\"5879\">preven\u00e7\u00e3o do VIH<\/strong>, permitindo reduzir novas infe\u00e7\u00f5es e aproximar-nos da meta global de elimina\u00e7\u00e3o desta pandemia.<\/p><h2 data-section-id=\"13tk9fy\" data-start=\"5982\" data-end=\"6003\">Refer\u00eancias<\/h2><p data-start=\"6005\" data-end=\"6212\"><strong><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1506273\" rel=\"nofollow noopener\" target=\"_blank\">Molina J.M. et al. <\/a><\/strong><em><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1506273\" rel=\"nofollow noopener\" target=\"_blank\">On-Demand Preexposure Prophylaxis in Men at High Risk for HIV-1 Infection (IPERGAY) \u2014 The New England Journal of Medicine (2015)<\/a><\/em><\/p><p data-start=\"6214\" data-end=\"6349\"><a href=\"https:\/\/www.eacsociety.org\/guidelines\/eacs-guidelines\/\" rel=\"nofollow noopener\" target=\"_blank\"><strong>European AIDS Clinical Society. <\/strong><em>EACS Guidelines \u2014 Prevention of HIV (2024)<\/em><\/a><\/p><p data-start=\"6351\" data-end=\"6561\"><a href=\"https:\/\/www.dgs.pt\/directrizes-da-dgs\/normas-e-circulares-normativas\/norma-n-0252023.aspx\" rel=\"dofollow noopener\" target=\"_blank\"><strong>Dire\u00e7\u00e3o-Geral da Sa\u00fade. Norma de Orienta\u00e7\u00e3o Cl\u00ednica \u2014 <\/strong><em>Profilaxia Pr\u00e9-Exposi\u00e7\u00e3o da Infe\u00e7\u00e3o por VIH no Adulto (2023)<\/em><\/a><\/p>\t\t\t\t\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>Introdu\u00e7\u00e3o A preven\u00e7\u00e3o do VIH evoluiu significativamente nas \u00faltimas duas d\u00e9cadas, passando de uma abordagem centrada exclusivamente no preservativo para uma estrat\u00e9gia combinada que integra m\u00e9todos biom\u00e9dicos, comportamentais e estruturais. A Joint United Nations Programme on HIV\/AIDS (ONUSIDA) estabeleceu como meta reduzir as novas infe\u00e7\u00f5es por VIH para menos de 200 000 globalmente at\u00e9 2030. [&hellip;]<\/p>\n","protected":false},"author":2964,"featured_media":57629,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-57568","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude-sexual"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/prevencao-do-vih-prep-pep-estrategias.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/2964"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=57568"}],"version-history":[{"count":7,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57568\/revisions"}],"predecessor-version":[{"id":57632,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/57568\/revisions\/57632"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/57629"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=57568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=57568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=57568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}