{"id":1353,"date":"2026-05-23T12:00:00","date_gmt":"2026-05-23T15:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1353"},"modified":"2026-05-23T12:00:00","modified_gmt":"2026-05-23T15:00:00","slug":"pgrss-clinica-erro-inato-metabolismo-fenilcetonuria-mps-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-erro-inato-metabolismo-fenilcetonuria-mps-rss\/","title":{"rendered":"PGRSS cl\u00ednica erro inato \u2014 fenilceton\u00faria, MPS"},"content":{"rendered":"<h2>Por que cl\u00ednica de EIM tem perfil espec\u00edfico<\/h2>\n<p>Cl\u00ednica de <strong>erro inato do metabolismo (EIM)<\/strong> trata: <strong>fenilceton\u00faria (PKU)<\/strong> + <strong>galactosemia<\/strong> + <strong>mucopolissacaridose (MPS I-VII)<\/strong> + <strong>doen\u00e7a de Gaucher<\/strong> + <strong>doen\u00e7a de Pompe<\/strong> + <strong>acidemia metilmal\u00f4nica<\/strong> + <strong>tirosinemia<\/strong>. Combina <strong>teste do pezinho ampliado<\/strong> + <strong>f\u00f3rmula especial isenta<\/strong> + <strong>terapia reposi\u00e7\u00e3o enzim\u00e1tica (TRE) IV<\/strong> + <strong>dieta restritiva life-long<\/strong> + <strong>monitoramento bioqu\u00edmico mensal<\/strong>. Volume m\u00e9dio-alto de RSS por TRE cr\u00f4nico. Opera sob RDC 222 + Lei 14.154\/2021 (teste do pezinho ampliado) + Portaria GM\/MS 199\/2014 (DRGM\/SUS) + Resolu\u00e7\u00e3o CFM 2.328\/2023.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Material teste pezinho ampliado (lanceta + cart\u00e3o)<\/td>\n<td>E + A1 risco aumentado<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco TRE vencido (alfa-galactosidase, idursulfase)<\/td>\n<td>B (controlado RDC 96)<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<tr>\n<td>Material aplica\u00e7\u00e3o TRE IV (cateter, linha)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Tubo coleta sangue monitoramento (amino\u00e1cido, lactato)<\/td>\n<td>A1 risco aumentado + E<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Embalagem f\u00f3rmula especial vencida<\/td>\n<td>D (log\u00edstica reversa fabricante)<\/td>\n<td>vari\u00e1vel<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>4-12 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo TRE + judicializa\u00e7\u00e3o DRGM<\/h2>\n<p>Terapia Reposi\u00e7\u00e3o Enzim\u00e1tica \u00e9 car\u00edssima (R$ 50-300k\/ano paciente):<\/p>\n<ul>\n<li>Hospital com TRE precisa cadastro DRGM\/SUS Portaria 199<\/li>\n<li>Frasco TRE vencido = Grupo B + RDC 96 + alta valor descarte rastre\u00e1vel<\/li>\n<li>Spillage protocolo dedicado (kit derramamento)<\/li>\n<li>Comiss\u00e3o Multidisciplinar EIM + RT bioqu\u00edmico<\/li>\n<li>Judicializa\u00e7\u00e3o frequente: 30-60% pacientes acessam via mandado<\/li>\n<li>LGPD + dado gen\u00e9tico sens\u00edvel art. 5 II + 11<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio EIM b\u00e1sico (sem TRE):<\/strong> R$ 130-280\/m\u00eas. Setup R$ 1500-3000.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com TRE (1-3 enzimas):<\/strong> R$ 380-800\/m\u00eas. Setup R$ 4-9k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (multi-TRE + pesquisa):<\/strong> R$ 800-1800\/m\u00eas. Setup R$ 9-22k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Frasco TRE pia \u2014 descumpre RDC 96 + valor R$ 5-30k\/frasco perdido<\/li>\n<li>Cart\u00e3o pezinho saco preto \u2014 A1 RA + arquivo 5 anos<\/li>\n<li>Sem comunica\u00e7\u00e3o DRGM \u2014 perde judicializa\u00e7\u00e3o + multa SUS<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica EIM<\/a><\/strong> \u2014 cap\u00edtulo TRE + DRGM + LGPD gen\u00e9tico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cl\u00ednica de erro inato do metabolismo (EIM): PKU, galactosemia, MPS, f\u00f3rmula especial, TRE.<\/p>\n","protected":false},"author":3,"featured_media":1352,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2277,2279,2278,22],"class_list":["post-1353","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-erro-inato","tag-mps","tag-pku","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1353"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1353\/revisions"}],"predecessor-version":[{"id":3917,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1353\/revisions\/3917"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1352"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}