{"id":31881,"date":"2026-02-24T14:44:54","date_gmt":"2026-02-24T17:44:54","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=31881"},"modified":"2026-02-24T14:48:33","modified_gmt":"2026-02-24T17:48:33","slug":"protocolo-gold","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/","title":{"rendered":"Guia de atualiza\u00e7\u00e3o GOLD 2026"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#O_que_esperar_de_novo_no_relatorio_GOLD_2026\" >O que esperar de novo no relat\u00f3rio GOLD 2026?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#Classificacao_ABE_GOLD_2026\" >Classifica\u00e7\u00e3o ABE GOLD 2026&nbsp;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#Eixo_Superior_Alto_Risco_Grupo_E\" >Eixo Superior: Alto Risco (Grupo E)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#Conceito_Novo\" >Conceito Novo&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#Inovacoes_do_Tratamento_Farmacologico\" >Inova\u00e7\u00f5es do Tratamento Farmacol\u00f3gico&nbsp;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#A_Tratamento_Inicial_Pacientes_Naive\" >A. Tratamento Inicial (Pacientes Na\u00efve)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#B_Tratamento_de_Seguimento_Follow-up\" >B. Tratamento de Seguimento (Follow-up)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#Rastreamento_e_Prevencao\" >Rastreamento e Preven\u00e7\u00e3o&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#GOLD_2026_e_a_vacinacao_contra_o_VSR\" >GOLD 2026 e a vacina\u00e7\u00e3o contra o VSR<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/protocolo-gold\/#Seja_um_MedCofer\" >Seja um MedCofer!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-1024x576.jpg\" alt=\"\" class=\"wp-image-39937\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/11\/Modelo-instituicoes-2025-12-02T143523.606.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Uma estrat\u00e9gia baseada em evid\u00eancias, o <strong>protocolo GOLD <\/strong>\u00e9 o meio fundamental de orienta\u00e7\u00e3o quanto ao diagn\u00f3stico, manejo e preven\u00e7\u00e3o da <strong>Doen\u00e7a Pulmonar Obstrutiva Coronariana (DPOC).<\/strong><\/p>\n\n\n\n<p>Em fevereiro de 2026, a<strong> Global Initiative for Chronic Obstructive Lung Disease (GOLD)<\/strong> abordou as atualiza\u00e7\u00f5es que envolvem desde o diagn\u00f3stico at\u00e9 o tratamento da DPOC, evidenciando o <strong>uso de imunobiol\u00f3gicos e na vacina\u00e7\u00e3o por VSR.\u00a0<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-esperar-de-novo-no-relatorio-gold-2026\"><span class=\"ez-toc-section\" id=\"O_que_esperar_de_novo_no_relatorio_GOLD_2026\"><\/span><strong>O que esperar de novo no relat\u00f3rio GOLD 2026?&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>No final de 2025, o <strong>relat\u00f3rio GOLD<\/strong> introduziu <strong>330 novas refer\u00eancias e 14 novas figuras que reestruturam todo o manejo da DPOC.<\/strong> Dentre as principais mudan\u00e7as, damos destaque \u00e0s <strong>modifica\u00e7\u00f5es na classifica\u00e7\u00e3o para escolha do tratamento<\/strong>, o <strong>conceito de atividade da doen\u00e7a<\/strong>, <strong>os f\u00e1rmacos utilizados<\/strong> e<strong>novas indica\u00e7\u00f5es,<\/strong>&nbsp;por fim o rastreamento e preven\u00e7\u00e3o com novas recomenda\u00e7\u00f5es.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-classificacao-abe-gold-2026\"><span class=\"ez-toc-section\" id=\"Classificacao_ABE_GOLD_2026\"><\/span><strong>Classifica\u00e7\u00e3o ABE GOLD 2026&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O ano de <strong>2026<\/strong> trouxe a grande novidade de uma <strong>nova forma de classifica\u00e7\u00e3o da DOC<\/strong>. No lugar da <strong>ABCD<\/strong> que analisava as crises di\u00e1ria e anuais do paciente em um limiar de exacerba\u00e7\u00f5es, entra a atual <strong>ABE <\/strong>que tem como objetivo uma <strong>toler\u00e2ncia zero<\/strong> para exacerba\u00e7\u00f5es. A nova classifica\u00e7\u00e3o se enquadra assim:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Grupo A (Assintom\u00e1tico\/Pouco Sintom\u00e1tico):<\/strong> Paciente apresenta<strong> pouca falta de ar<\/strong> (mMRC 0-1) <strong>e<\/strong> <strong>pouco impacto na vida<\/strong> (CAT &lt; 10); al\u00e9m de ter <strong>hist\u00f3rico de <\/strong>0 exacerba\u00e7\u00f5es moderadas ou graves. Em linhas gerais \u00e9 aquele paciente que diz <strong>&#8220;eu canso s\u00f3 quando corro&#8221;, mas leva uma vida normal<\/strong>.<\/li>\n\n\n\n<li><strong>Grupo B (Sintom\u00e1tico):<\/strong> Aqueles pacientes que apresentam <strong>mais falta de ar<\/strong> (mMRC \u2265 2) ou <strong>maior impacto na rotina <\/strong>(CAT \u2265 10) e que tem <strong>hist\u00f3rico <\/strong>de&nbsp; 0 exacerba\u00e7\u00f5es moderadas ou graves. Esse \u00e9 o paciente que sente falta de ar ao<strong> caminhar no plano ou subir um lance de escada,<\/strong> mas que n\u00e3o costuma ir ao pronto-socorro com crises.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-eixo-superior-alto-risco-grupo-e\"><span class=\"ez-toc-section\" id=\"Eixo_Superior_Alto_Risco_Grupo_E\"><\/span><strong>Eixo Superior: Alto Risco (Grupo E)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Aqui est\u00e1 a mudan\u00e7a de 2026. Anteriormente (at\u00e9 2025), o paciente precisava ter <em>duas<\/em> exacerba\u00e7\u00f5es moderadas para subir para este n\u00edvel. Agora, o crit\u00e9rio \u00e9 mais <strong>rigoroso<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Grupo E (Exacerbador):<\/strong> Pacientes apresentam<strong> qualquer n\u00edvel<\/strong> (pode ser muito ou pouco sintom\u00e1tico, o risco dita a conduta), no seu <strong>hist\u00f3rico existe<\/strong> <strong>\u2265 1 exacerba\u00e7\u00e3o moderada<\/strong> (que exigiu antibi\u00f3tico\/corticoide oral) ou <strong>\u2265 1 exacerba\u00e7\u00e3o grave<\/strong> (hospitaliza\u00e7\u00e3o). O <em>Significado do &#8220;E&#8221;:<\/em> Vem de <em>&#8220;Exacerbator&#8221;<\/em> (Exacerbador), pois representa um paciente inst\u00e1vel. Independente de como ele se sente hoje, o fato de ter tido <strong>uma \u00fanica crise<\/strong> moderada\/grave no \u00faltimo ano j\u00e1 o coloca em<strong> alto risco de ter outra ou de perder fun\u00e7\u00e3o pulmonar.<\/strong><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conceito-novo\"><span class=\"ez-toc-section\" id=\"Conceito_Novo\"><\/span><strong>Conceito Novo&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A nova diretriz adiciona formalmente o conceito de <strong>Atividade da Doen\u00e7a <\/strong>que mostra que o objetivo do tratamento passa a ser alcan\u00e7ar o&nbsp; <strong>\u201cestado de baixa Atividade da Doen\u00e7a\u201d,<\/strong> ou seja, caracterizado pela <strong>aus\u00eancia de exacerba\u00e7\u00f5es<\/strong>. Isso \u00e9 uma mudan\u00e7a significativa que sai de<strong> \u201ccontrolar sintomas\u201d <\/strong>para <strong>\u201celiminar os eventos agudos\u201d.&nbsp;<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-inovacoes-do-tratamento-farmacologico\"><span class=\"ez-toc-section\" id=\"Inovacoes_do_Tratamento_Farmacologico\"><\/span><strong>Inova\u00e7\u00f5es do Tratamento Farmacol\u00f3gico&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A atualiza\u00e7\u00e3o enfatiza uma distin\u00e7\u00e3o que antes ficava um pouco impl\u00edcita e agora \u00e9 regra absoluta: <strong>n\u00e3o tratamos paciente &#8220;virgem&#8221; de tratamento da mesma forma que tratamos quem j\u00e1 usa bombinha.<\/strong><\/p>\n\n\n\n<p>A GOLD 2026 ressalta o uso de <strong>terapia dupla (LABA e LAMA) <\/strong>\u00a0para o grupo E com uma nova ressalva: O ICS (cortic\u00f3ide inalat\u00f3rio) deve ser iniciado precocemente na terapia farmacol\u00f3gica do Grupo E se o paciente tiver eosin\u00f3filos \u2265 300 c\u00e9lulas\/\u00b5L.\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Grupo<\/strong><\/td><td><strong>Hist\u00f3rico de Exacerba\u00e7\u00f5es (Anual)<\/strong><\/td><td><strong>Sintomas (mMRC \/ CAT)<\/strong><\/td><td><strong>Conduta Inicial Sugerida<\/strong><\/td><\/tr><tr><td><strong>A<\/strong><\/td><td>0 ou 1 moderada (sem hosp.)<\/td><td>mMRC 0-1 \/ CAT &lt; 10<\/td><td>Monobroncodilatador (LABA ou LAMA)<\/td><\/tr><tr><td><strong>B<\/strong><\/td><td>0 ou 1 moderada (sem hosp.)<\/td><td>mMRC \u2265 2 \/ CAT \u2265 10<\/td><td><strong>LABA + LAMA<\/strong> (Terapia Dupla)<\/td><\/tr><tr><td><strong>E<\/strong><\/td><td><strong>\u2265 2 mod. OU \u2265 1 grave (hosp.)<\/strong><\/td><td>Qualquer n\u00edvel<\/td><td><strong>LABA + LAMA<\/strong> (ou LABA+LAMA+ICS se Eos \u2265 300)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-a-tratamento-inicial-pacientes-naive\"><span class=\"ez-toc-section\" id=\"A_Tratamento_Inicial_Pacientes_Naive\"><\/span><strong>A. Tratamento Inicial (Pacientes <\/strong><strong><em>Na\u00efve<\/em><\/strong><strong>)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Para o paciente que acabou de receber o diagn\u00f3stico e nunca usou medica\u00e7\u00e3o de manuten\u00e7\u00e3o.<\/li>\n\n\n\n<li>A escolha aqui \u00e9 baseada puramente na classifica\u00e7\u00e3o <strong>GOLD A, B ou E<\/strong> (que discutimos antes).\n<ul class=\"wp-block-list\">\n<li>O objetivo \u00e9 tirar o paciente da &#8220;zona de risco&#8221; imediatamente. Se ele \u00e9 <strong>Grupo E<\/strong> (exacerbador), j\u00e1 iniciamos com terapia dupla (LABA+LAMA) ou at\u00e9 tripla se houver eosinofilia, sem &#8220;perder tempo&#8221; com monoterapia.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-b-tratamento-de-seguimento-follow-up\"><span class=\"ez-toc-section\" id=\"B_Tratamento_de_Seguimento_Follow-up\"><\/span><strong>B. Tratamento de Seguimento (<\/strong><strong><em>Follow-up<\/em><\/strong><strong>)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Para o paciente que volta ao seu consult\u00f3rio j\u00e1 usando medica\u00e7\u00e3o.<\/li>\n\n\n\n<li>Aqui, a classifica\u00e7\u00e3o ABE perde a import\u00e2ncia. O guia agora oferece algoritmos de &#8220;tratos trat\u00e1veis&#8221; baseados em dois fen\u00f3tipos principais:\n<ol class=\"wp-block-list\">\n<li><strong>Fen\u00f3tipo Dispneico:<\/strong> O paciente continua com falta de ar? -&gt; O foco \u00e9 otimizar a broncodilata\u00e7\u00e3o (trocar dispositivo, checar ades\u00e3o, escalonar para LABA+LAMA).<\/li>\n\n\n\n<li><strong>Fen\u00f3tipo Exacerbador:<\/strong> O paciente continua tendo crises? -&gt; O foco \u00e9 a inflama\u00e7\u00e3o. Aqui entram os <strong>Corticoides Inalat\u00f3rios (ICS)<\/strong> e, agora, os <strong>Biol\u00f3gicos<\/strong>.<\/li>\n<\/ol>\n<\/li>\n<\/ul>\n\n\n\n<p>Resumindo, O GOLD 2026 refor\u00e7a que &#8220;<strong>revisar&#8221;<\/strong> (checar a t\u00e9cnica inalat\u00f3ria e ades\u00e3o)<strong> vem antes de &#8220;ajustar&#8221; a dose!<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-rastreamento-e-prevencao\"><span class=\"ez-toc-section\" id=\"Rastreamento_e_Prevencao\"><\/span><strong>Rastreamento e Preven\u00e7\u00e3o&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O GOLD 2026 mant\u00e9m a posi\u00e7\u00e3o de que <strong>n\u00e3o se recomenda espirometria generalizada<\/strong> (screening populacional) para assintom\u00e1ticos sem risco. O foco \u00e9 o <strong>Case-Finding<\/strong> (Busca Ativa de Casos). A l\u00f3gica de rastreamento segue a linha:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Identifica\u00e7\u00e3o do risco<\/strong> (tabagismo? exposi\u00e7\u00e3o a biomassa? poluentes ocupacionais?);<\/li>\n\n\n\n<li><strong>Triagem de sintomas <\/strong>(com question\u00e1rios r\u00e1pido de triagem &#8211; CAPTURE ou o COPD-PS);<\/li>\n\n\n\n<li><strong>Confirma\u00e7\u00e3o diagn\u00f3stica<\/strong> (o objetivo \u00e9 encontrar os Missing Millions &#8211; pacientes n\u00e3o diagnosticados- antes que tenham a primeira exacerba\u00e7\u00e3o grave).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-gold-2026-e-a-vacinacao-contra-o-vsr\"><span class=\"ez-toc-section\" id=\"GOLD_2026_e_a_vacinacao_contra_o_VSR\"><\/span><strong>GOLD 2026 e a vacina\u00e7\u00e3o contra o VSR<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Uma novidade no artigo publicado em fevereiro de 2026 foi a inclus\u00e3o de recomenda\u00e7\u00f5es ainda mais fortes para a vacina contra o <strong><a href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacoes-vacina-para-o-virus-sincicial-respiratorio\/\" target=\"_blank\" rel=\"noreferrer noopener\">VSR (V\u00edrus Sincicial Respirat\u00f3rio)<\/a><\/strong> em idosos e pacientes com doen\u00e7as cr\u00f4nicas. Antes vista como uma recomenda\u00e7\u00e3o mais geral, a vacina\u00e7\u00e3o contra a VSR \u00e9 uma <strong>interven\u00e7\u00e3o fundamental para redu\u00e7\u00e3o de mortalidade e exacerba\u00e7\u00f5es<\/strong>, pois ele \u00e9 um <strong>gatilho <\/strong>perigoso para crises de DPOC, muitas vezes <strong>subestimado<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Indica\u00e7\u00e3o:<\/strong> Recomendada para todos os pacientes com DPOC a partir dos <strong>50 anos<\/strong>.<\/li>\n\n\n\n<li><strong>Esquema:<\/strong> Dose \u00fanica (atualmente, as vacinas dispon\u00edveis como <em>Arexvy<\/em> e <em>Abrysvo<\/em> mostram prote\u00e7\u00e3o duradoura).<\/li>\n\n\n\n<li><strong>Por que importa:<\/strong> Reduz drasticamente o risco de Doen\u00e7a do Trato Respirat\u00f3rio Inferior (DTRI) e hospitaliza\u00e7\u00f5es.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>Al\u00e9m disso, outras vacinas tiveram import\u00e2ncia ressaltada.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Vacina<\/strong><\/td><td><strong>Indica\u00e7\u00e3o Principal<\/strong><\/td><td><strong>Esquema Sugerido<\/strong><\/td><\/tr><tr><td><strong>VSR (V\u00edrus Sincicial)<\/strong><\/td><td>Pacientes com DPOC \u2265 50 anos<\/td><td>Dose \u00fanica<\/td><\/tr><tr><td><strong>Pneumoc\u00f3cica (VPC20)<\/strong><\/td><td>Todos os pacientes com diagn\u00f3stico de DPOC<\/td><td>Dose \u00fanica (preferencial)<\/td><\/tr><tr><td><strong>Influenza<\/strong><\/td><td>Todos os pacientes (preven\u00e7\u00e3o sazonal)<\/td><td>Dose anual<\/td><\/tr><tr><td><strong>COVID-19<\/strong><\/td><td>Grupo priorit\u00e1rio para doses de refor\u00e7o<\/td><td>Conforme calend\u00e1rio local<\/td><\/tr><tr><td><strong>Herpes Z\u00f3ster<\/strong><\/td><td>Pacientes \u2265 50 anos (especialmente se usam corticoides)<\/td><td>2 doses (intervalo 2-6 meses)<\/td><\/tr><tr><td><strong>dTPa (Coqueluche)<\/strong><\/td><td>Prote\u00e7\u00e3o contra <em>Bordetella pertussis<\/em><\/td><td>Refor\u00e7o a cada 10 anos<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/goldcopd.org\/2026-gold-report-and-pocket-guide\/\" target=\"_blank\" rel=\"noreferrer noopener\">Confira o GOLD 2026<\/a><\/div>\n<\/div>\n\n\n\n<pre class=\"wp-block-verse\">Leia mais em: <strong><a href=\"https:\/\/www.grupomedcof.com.br\/blog\/nova-terapia-para-dpoc-chega-ao-brasil-e-reduz-crises-em-52\/\" target=\"_blank\" rel=\"noreferrer noopener\">Nova terapia para DPOC chega ao Brasil e reduz crises em 52%<\/a><\/strong><\/pre>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/?clientId=&amp;utm_campaign=newsletter&amp;utm_medium=banner&amp;utm_source=blog&amp;utm_content=inscricao#https:\/\/www.grupomedcof.com.br\/blog\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png\" alt=\"\" class=\"wp-image-39227\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-300x94.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-768x240.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-150x47.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-696x218.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1068x334.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1.png 1343w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Seja_um_MedCofer\"><\/span><strong>Seja um MedCofer!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>MedCofer<\/strong><\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma metodologia que j\u00e1 aprovou mais de&nbsp;<strong>35 mil residentes no pa\u00eds!&nbsp;<\/strong>Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"wWiwMyzVR_0\"><iframe loading=\"lazy\" title=\"COFEXPRESS - O que voc\u00ea precisa saber sobre DPOC para as provas com Dr. Rafael Miranda\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/wWiwMyzVR_0?start=4&#038;feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>O\u00a0Protocolo GOLD\u00a0\u00e9 um documento que estabelece diretrizes baseadas em evid\u00eancias para a preven\u00e7\u00e3o, diagn\u00f3stico e tratamento da DPOC. Veja atualiza\u00e7\u00f5es!<\/p>\n","protected":false},"author":21,"featured_media":39937,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[258,173],"tags":[2315,81,2318,2313,3357,2316,2595],"ppma_author":[3617],"class_list":{"0":"post-31881","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-atualizacoes","8":"category-novidades","9":"tag-atualizacoes-gold","10":"tag-dpoc","11":"tag-espirometria","12":"tag-gold","13":"tag-gold-2026","14":"tag-protocolo-gold","15":"tag-vsr"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Guia de atualiza\u00e7\u00e3o GOLD 2026 - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"O\u00a0Protocolo GOLD\u00a0\u00e9 um documento que estabelece diretrizes baseadas em evid\u00eancias para a preven\u00e7\u00e3o, diagn\u00f3stico e tratamento da DPOC. 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