{"id":17070,"date":"2014-08-05T11:24:27","date_gmt":"2014-08-05T09:24:27","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=17070"},"modified":"2014-08-05T12:05:38","modified_gmt":"2014-08-05T10:05:38","slug":"17070","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=17070","title":{"rendered":"MZ d\u00e1 ob\u010dan\u016fm na let\u00e1c\u00edch preventivn\u00ed informace o ebole"},"content":{"rendered":"<p><strong>Na n\u00e1dra\u017e\u00edch a leti\u0161t\u00edch budou v nejbli\u017e\u0161\u00edch dnech let\u00e1\u010dky s popisem p\u0159\u00edznak\u016f eboly a radami cestuj\u00edc\u00edm, kam se p\u0159i podez\u0159en\u00ed na n\u00e1kazu obr\u00e1tit. Hygienici jsou p\u0159ipraveni na mo\u017enou epidemii, ujistil hlavn\u00ed hygienik \u010cR Vladim\u00edr Valenta (foto).<br \/>\n<\/strong><!--more--><\/p>\n<p>&nbsp;<\/p>\n<p>V t\u0159\u00edt\u00fddenn\u00ed inkuba\u010dn\u00ed dob\u011b nen\u00ed \u010dlov\u011bk pro okol\u00ed nebezpe\u010dn\u00fd, n\u00e1kazu \u0161\u00ed\u0159\u00ed, a\u017e kdy\u017e m\u00e1 p\u0159\u00edznaky. Pokud by se takov\u00fd \u010dlov\u011bk v \u010cesku objevil, spust\u00ed se mechanismy, kter\u00e9 \u0161\u00ed\u0159en\u00ed br\u00e1n\u00ed, ujistil Valenta.<\/p>\n<p>&#8222;V tento moment, kdy\u017e nebudou lid\u00e9 cestovat do oblasti v\u00fdskytu eboly, tak si mysl\u00edm, \u017ee je zbyte\u010dn\u00e9 vyvol\u00e1vat paniku,&#8220; \u0159ekl hlavn\u00ed hygienik \u010cR Vladim\u00edr Valenta.<\/p>\n<p>Funk\u010dnost syst\u00e9mu se podle Valenty potvrdila o v\u00edkendu, kdy v pohotovosti byli st\u0159edo\u010de\u0161t\u00ed hygienici a infek\u010dn\u00ed odd\u011blen\u00ed Nemocnice Na Bulovce po zpr\u00e1v\u011b, \u017ee \u010dlov\u011bk z Kladna mluvil s ostrahou ministerstva zdravotnictv\u00ed o ebole. Vysv\u011btlilo se, \u017ee p\u0159i\u0161el nab\u00eddnout pomoc, nikdy nebyl v z\u00e1padn\u00ed Africe, kde u\u017e ebola usmrtila 730 lid\u00ed. Ebola je virov\u00e9 onemocn\u011bn\u00ed spojen\u00e9 s vysokou hore\u010dkou a krv\u00e1cen\u00edm ze sliznic a t\u011bln\u00edch otvor\u016f. Pacient tak\u00e9 m\u016f\u017ee m\u00edt pr\u016fjem, zvracet a m\u016f\u017ee ho tr\u00e1pit ka\u0161el. L\u00e9k ani vakc\u00edna na ebolu nejsou, tak\u017ee \u00famrtnost je vysok\u00e1.<\/p>\n<p>Podle Valenty ale v \u010cR masivn\u00ed \u0161\u00ed\u0159en\u00ed eboly nehroz\u00ed, zavle\u010deny by mohly b\u00fdt snad jednotliv\u00e9 p\u0159\u00edpady, co\u017e se zat\u00edm nikde v Evrop\u011b nestalo.<\/p>\n<p>Zpr\u00e1vu o rizic\u00edch pro \u010cR a p\u0159ipraven\u00fdch opat\u0159en\u00edch pod\u00e1 Valenta ministru zdravotnictv\u00ed Svatopluku N\u011bme\u010dkovi (\u010cSSD) v \u00fater\u00fd. Navrhne mu svol\u00e1n\u00ed \u00fast\u0159edn\u00ed epidemiologick\u00e9 komise, aby si resort zdravotnictv\u00ed se z\u00e1stupci ostatn\u00edch resort\u016f up\u0159esnil nutn\u00e1 opat\u0159en\u00ed a postupy.<\/p>\n<p>&#8222;P\u0159edpisy a postupy jsou nastaven\u00e9 od lo\u0148ska, po\u010d\u00e1tkem roku vl\u00e1da p\u0159ijala dv\u011b sm\u011brnice &#8211; o postupu p\u0159i v\u00fdskytu vysoce nebezpe\u010dn\u00e9 n\u00e1kazy na leti\u0161ti a druhou o postupu ve zdravotnick\u00e9m na\u0159\u00edzen\u00ed,&#8220; up\u0159esnil Valenta.<\/p>\n<p>V r\u00e1mci t\u011bchto opat\u0159en\u00ed jsou trvale vy\u010dlen\u011bna l\u016f\u017eka na Bulovce, ustaveny epidemiologick\u00e9 t\u00fdmy na krajsk\u00fdch hygienick\u00fdch stanic\u00edch, kter\u00e9 by vyjely situaci \u0159e\u0161it. O postupech byla instruov\u00e1na zdravotnick\u00e1 za\u0159\u00edzen\u00ed, nap\u0159\u00edklad jak\u00e9 maj\u00ed pou\u017e\u00edvat dezinfek\u010dn\u00ed prost\u0159edky a ochrann\u00e9 pom\u016fcky, \u010di jak\u00e1 jsou pravidla pro odb\u011br krevn\u00edch vzork\u016f. Pro\u0161koleni byli tak\u00e9 prakti\u010dt\u00ed l\u00e9ka\u0159i. Pl\u00e1n projednaly i bezpe\u010dnostn\u00ed rady kraj\u016f. Nyn\u00ed ministerstvo zdravotn\u00edk\u016fm znovu informace p\u0159ipomene.<\/p>\n<p>Prim\u00e1\u0159ka infek\u010dn\u00ed kliniky Bulovky Hana Roh\u00e1\u010dov\u00e1 uvedla, \u017ee maj\u00ed dva uzav\u0159en\u00e9 bioboxy pro nemocn\u00e9 a osm l\u016f\u017eek na izola\u010dn\u00edch boxech pro ty, kte\u0159\u00ed s naka\u017een\u00fdmi byli v kontaktu \u010di maj\u00ed zat\u00edm nevyjasn\u011bn\u00e9 p\u0159\u00edznaky. Jedno l\u016f\u017eko na JIP je pro ty, kte\u0159\u00ed by pot\u0159ebovali nap\u0159\u00edklad um\u011blou plicn\u00ed ventilaci. Ebola se p\u0159en\u00e1\u0161\u00ed sekrety, ne vzdu\u0161nou cestou, tak\u017ee zdravotn\u00edci by m\u011bli speci\u00e1ln\u00ed celot\u011blov\u00e9 obleky, obli\u010dejovou masku, rukavice. Kontakt by byl v\u017edy co nejkrat\u0161\u00ed, bioboxy jsou vybaveny porty, kter\u00fdmi zdravotn\u00edk m\u016f\u017ee manipulovat s pacientem, ani\u017e jsou v p\u0159\u00edm\u00e9m kontaktu.<\/p>\n<p>K obsahu sm\u011brnic Valenta up\u0159esnil, \u017ee podle sm\u011brnice o postupu p\u0159i v\u00fdskytu vysoce nebezpe\u010dn\u00e9 n\u00e1kazy na leti\u0161ti ohl\u00e1s\u00ed kapit\u00e1n, kdy\u017e na palub\u011b je podez\u0159el\u00fd z n\u00e1kazy. \u0158\u00edzen\u00ed letov\u00e9ho provozu p\u0159ed\u00e1 zpr\u00e1vu krizov\u00e9mu \u0161t\u00e1bu \u010di opera\u010dn\u00edmu st\u0159edisku hasi\u010d\u016f, to informuje hlavn\u00edho hygienika. To v\u0161e se stane v \u0159\u00e1dech minut.<\/p>\n<p>Do pohotovosti je povol\u00e1n epidemiologick\u00fd t\u00fdm, vyjede na leti\u0161t\u011b \u010di m\u00edsto hl\u00e1\u0161en\u00ed a rozhodne o epidemiologick\u00fdch opat\u0159en\u00edch. Pacient s ebolou by byl dopraven na Bulovku, hygienici vyhodnot\u00ed jeho kontakty a rozhodnou o zdravotnick\u00e9m dohledu a tak\u00e9 nap\u0159\u00edklad o zp\u016fsobu dekontaminace.<\/p>\n<p>&#8222;Jsou to des\u00edtky opat\u0159en\u00ed, v\u010detn\u011b toho, \u017ee u\u017e na za\u010d\u00e1tku se podle z\u00e1va\u017enosti rozhoduje o zapojen\u00ed cel\u00e9ho integrovan\u00e9ho z\u00e1chrann\u00e9ho syst\u00e9mu, nap\u0159\u00edklad hasi\u010di by provedli dekontaminaci,&#8220; shrnul Valenta.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Na n\u00e1dra\u017e\u00edch a leti\u0161t\u00edch budou v nejbli\u017e\u0161\u00edch dnech let\u00e1\u010dky s popisem p\u0159\u00edznak\u016f eboly a radami cestuj\u00edc\u00edm, kam se p\u0159i podez\u0159en\u00ed na n\u00e1kazu obr\u00e1tit. Hygienici jsou <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=17070\" title=\"MZ d\u00e1 ob\u010dan\u016fm na let\u00e1c\u00edch preventivn\u00ed informace o ebole\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":17071,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-17070","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17070","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17070"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17070\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17071"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17070"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17070"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17070"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}