{"id":27605,"date":"2017-03-21T11:02:28","date_gmt":"2017-03-21T10:02:28","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=27605"},"modified":"2017-03-21T11:20:42","modified_gmt":"2017-03-21T10:20:42","slug":"rapidne-vzrostl-pocet-cizincu-s-tbc","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=27605","title":{"rendered":"Rapidn\u011b vzrostl po\u010det cizinc\u016f s TBC"},"content":{"rendered":"<p>Po\u010det lid\u00ed s TBC v tuzemsku meziro\u010dn\u011b klesl, a to o 22 osob. L\u00e9ka\u0159i odhalili TBC u 496 lid\u00ed. Zvy\u0161uje se v\u0161ak po\u010det cizinc\u016f nemocn\u00fdch tuberkul\u00f3zou. V Praze dokonce pod\u00edl cizinc\u016f dos\u00e1hl 50 % ze v\u0161ech nemocn\u00fdch. Plicn\u00ed l\u00e9ka\u0159i se pot\u00fdkaj\u00ed s tuberkul\u00f3zn\u00edmi pacienty, kte\u0159\u00ed nejsou poji\u0161t\u011bni, jejich l\u00e9\u010dba stoj\u00ed statis\u00edce korun.<br \/>\n<!--more--><br \/>\nTBC l\u00e9ka\u0159i p\u0159ipom\u00ednaj\u00ed v r\u00e1mci Sv\u011btov\u00e9ho dne boje proti tuberkul\u00f3ze, kter\u00fd je 24. b\u0159ezna. Letos je to 135 let, kdy n\u011bmeck\u00fd l\u00e9ka\u0159 Robert Koch odhalil bacil Mycobacterium tuberculosis, jen\u017e TBC zp\u016fsobuje.<br \/>\n\u201e\u0158e\u0161\u00edme rostouc\u00ed po\u010det nepoji\u0161t\u011bn\u00fdch cizinc\u016f, kte\u0159\u00ed p\u0159ij\u00ed\u017ed\u011bj\u00ed do \u010cesk\u00e9 republiky z v\u00fdchodn\u00ed Evropy za prac\u00ed, v\u011bt\u0161inou ileg\u00e1ln\u00ed. L\u00e9\u010dba TBC stoj\u00ed od 60 tis\u00edc a\u017e po 300 tis\u00edc korun, podle komplikovanosti onemocn\u011bn\u00ed. Tyto n\u00e1klady \u0159e\u0161\u00ed nemocnice, kter\u00e9 podle z\u00e1kona a vyhl\u00e1\u0161ky mus\u00ed tuberkul\u00f3zn\u00ed pacienty l\u00e9\u010dit a izolovat od okol\u00ed. N\u00e1klady na l\u00e9\u010dbu t\u011bchto pacient\u016f v \u010desk\u00fdch za\u0159\u00edzen\u00edch p\u0159esahuj\u00ed 3 miliony korun ro\u010dn\u011b,\u201c \u0159\u00edk\u00e1 prof. MUDr. Martina Va\u0161\u00e1kov\u00e1, Ph.D., p\u0159ednostka Pneumologick\u00e9 kliniky 1. LF UK a Thomayerovy nemocnice v Praze. Situaci s nepoji\u0161t\u011bn\u00fdmi cizinci, u kter\u00fdch se v \u010cR zjist\u00ed tuberkul\u00f3za, \u0159e\u0161\u00ed v sou\u010dasnosti plicn\u00ed l\u00e9ka\u0159i s Ministerstvem zdravotnictv\u00ed. \u201eV t\u00e9to souvislosti vyd\u00e1 Ministerstvo zdravotnictv\u00ed ve spolupr\u00e1ci s \u010ceskou pneumologickou a ftizeologickou spole\u010dnost\u00ed doporu\u010den\u00fd postup pro poskytovatele pracovn\u011b l\u00e9ka\u0159sk\u00fdch slu\u017eeb a pro praktick\u00e9 l\u00e9ka\u0159e pro dosp\u011bl\u00e9, aby v r\u00e1mci prov\u00e1d\u011bn\u00fdch vstupn\u00edch prohl\u00eddek u uchaze\u010d\u016f o zam\u011bstn\u00e1n\u00ed, kte\u0159\u00ed k n\u00e1m p\u0159ij\u00ed\u017ed\u011bj\u00ed ze zem\u00ed s v\u00fdskytem TBC vy\u0161\u0161\u00edm ne\u017e 40 p\u0159\u00edpad\u016f na 100 000 obyvatel, na\u0159\u00eddili pot\u0159ebn\u00e1 odborn\u00e1 vy\u0161et\u0159en\u00ed k vylou\u010den\u00ed TBC,\u201c vysv\u011btluje n\u00e1m\u011bstkyn\u011b ministra a hlavn\u00ed hygieni\u010dka \u010cR Eva Gottvaldov\u00e1. Podle aktu\u00e1ln\u00edch \u00fadaj\u016f z n\u00e1rodn\u00edho Registru TBC klesl po\u010det lid\u00ed s multirezistentn\u00ed formou TBC a to z 11 v roce 2015 na lo\u0148sk\u00fdch 5. Tito pacienti nereaguj\u00ed na obvyklou l\u00e9\u010dbu a v nemocnici tak tr\u00e1v\u00ed m\u011bs\u00edce i roky.<br \/>\nPodle prof. MUDr. V\u00edt\u011bzslava Kolka, DrSc., p\u0159edsedy \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti (\u010cPFS) a \u010cesk\u00e9 aliance proti chronick\u00fdm respira\u010dn\u00edm onemocn\u011bn\u00edm (\u010cARO), pat\u0159\u00ed \u010cesk\u00e1 republika k zem\u00edm s nejni\u017e\u0161\u00edm v\u00fdskytem t\u00e9to infekce na sv\u011bt\u011b. \u201eD\u016fvodem je systematick\u00e1 pr\u00e1ce \u010desk\u00fdch pneumolog\u016f, kte\u0159\u00ed prov\u00e1d\u011bj\u00ed diagnostiku, l\u00e9\u010dbu i protiepidemick\u00e1 opat\u0159en\u00ed. V sou\u010dasnosti m\u00e1me dostatek o\u010dkovac\u00ed l\u00e1tky pro rizikov\u00e9 d\u011bti, l\u00e9k\u016f i diagnostick\u00fdch test\u016f. Nesm\u00edme polevit. Je t\u0159eba se soust\u0159edit na problematick\u00e9 skupiny obyvatel, nap\u0159\u00edklad ze zem\u00ed s vysok\u00fdm v\u00fdskytem TBC, vy\u0161et\u0159ovat osoby \u017e\u00e1daj\u00edc\u00ed o azyl, ale i bezdomovce a specifick\u00e9 skupiny se sn\u00ed\u017eenou imunitou,\u201c \u0159\u00edk\u00e1 prof. Kolek. Jak p\u0159ipomn\u011bl, l\u00e9ky jsou dostupn\u00e9 bez doplatk\u016f a l\u016f\u017eek pro nemocn\u00e9 je dostatek.<br \/>\nPodle MUDr. Ji\u0159\u00edho Wallenfelse, vedouc\u00edho N\u00e1rodn\u00ed jednotky dohledu nad tuberkul\u00f3zou, ukazuj\u00ed leto\u0161n\u00ed data p\u0159edev\u0161\u00edm n\u00e1r\u016fst TBC u cizinc\u016f. Celkov\u00e1 \u010d\u00edsla za v\u0161echny tuberkul\u00f3zn\u011b nemocn\u00e9 se nebudou v\u00fdrazn\u011b li\u0161it od \u010d\u00edsel za rok 2015. Podle p\u0159edb\u011b\u017en\u00fdch \u00fadaj\u016f loni tuberkul\u00f3zou onemocn\u011blo 337 mu\u017e\u016f a 159 \u017een, na nemoc zem\u0159elo 19 lid\u00ed. Krom\u011b Prahy je nad celorepublikov\u00fdm pr\u016fm\u011brem kraj Plze\u0148sk\u00fd, \u00dasteck\u00fd, Libereck\u00fd a Pardubick\u00fd. Pr\u016fm\u011brn\u00fd v\u011bk nemocn\u00fdch je 51 let. U d\u011bt\u00ed (do 15 let) se TBC objevila v 9 p\u0159\u00edpadech.<br \/>\nTuberkul\u00f3za je infek\u010dn\u00ed onemocn\u011bn\u00ed, kter\u00e9 se p\u0159en\u00e1\u0161\u00ed z \u010dlov\u011bka na \u010dlov\u011bka. Pro nemoc je typick\u00fd d\u00e9le d\u00e9letrvaj\u00edc\u00ed ka\u0161el s vyka\u0161l\u00e1v\u00e1n\u00edm hlen\u016f, zhor\u0161en\u00fd dech, teplota a pocen\u00ed, celkov\u00e1 slabost a v\u00e1hov\u00fd \u00fabytek, bolesti na hrudn\u00edku nebo vyka\u0161l\u00e1v\u00e1n\u00ed krve. <\/p>\n<p>O spole\u010dnosti \u010cARO<br \/>\n\u010cesk\u00e1 aliance proti chronick\u00fdm respira\u010dn\u00edm onemocn\u011bn\u00edm (\u010cARO) je instituc\u00ed, kter\u00e1 napom\u00e1h\u00e1 zmen\u0161ovat z\u00e1t\u011b\u017e chronick\u00fdmi respira\u010dn\u00edmi nemocemi v populaci \u010cesk\u00e9 republiky. \u010cARO se hl\u00e1s\u00ed ke sv\u011btov\u00e9 organizaci GARD (Global Alliance against Chronic Respiratory Diseases) a jej\u00ed \u010dinnost prob\u00edh\u00e1 pod patronac\u00ed Sv\u011btov\u00e9 zdravotnick\u00e9 organizace WHO. C\u00edlem je v \u010cesk\u00e9 republice v\u00fdrazn\u011b zv\u00fd\u0161it spole\u010densk\u00e9 pov\u011bdom\u00ed o chronick\u00fdch chorob\u00e1ch d\u00fdchac\u00edho syst\u00e9mu na v\u0161ech \u00farovn\u00edch zdravotn\u00ed p\u00e9\u010de. \u010cARO sdru\u017euje p\u0159es 20 odborn\u00fdch i laick\u00fdch organizac\u00ed, kter\u00e9 se zab\u00fdvaj\u00ed diagnostikou, l\u00e9\u010dbou a popularizac\u00ed nejz\u00e1va\u017en\u011bj\u0161\u00edch respira\u010dn\u00edch onemocn\u011bn\u00ed, kam pat\u0159\u00ed chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed nemoc (CHOPN), bronchi\u00e1ln\u00ed astma, rakovina plic, TBC a cel\u00e1 \u0159ada dal\u0161\u00edch z\u00e1va\u017en\u00fdch nemoc\u00ed. \u010cARO apeluje na zlep\u0161en\u00ed prevence a v\u010dasn\u00e9 diagnostiky u rizikov\u00e9 \u010d\u00e1sti populace s c\u00edlem zv\u00fd\u0161it \u00fa\u010dinnost racion\u00e1ln\u00ed l\u00e9\u010dby. V\u00edce informac\u00ed na www.caro-gard.cz.<\/p>\n<p>O spole\u010dnosti \u010cPFS<br \/>\nOdborn\u00e1 spole\u010dnost plicn\u00edch l\u00e9ka\u0159\u016f, kter\u00e1 garantuje komplexn\u00ed p\u00e9\u010di o v\u0161echny plicn\u00ed nemoci v\u010detn\u011b TBC. Je sou\u010d\u00e1sti \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti J. E. Purkyn\u011b, vzd\u011bl\u00e1v\u00e1 odbornou i laickou ve\u0159ejnost, organizuje odborn\u00e1 setk\u00e1n\u00ed a prov\u00e1d\u00ed v\u011bdeckou \u010dinnost. P\u00e9\u010di o TBC zaji\u0161\u0165uje komplexn\u011b v\u010detn\u011b diagnostiky, l\u00e9\u010dby, prevence i prov\u00e1d\u011bn\u00ed epidemiologick\u00fdch \u0161et\u0159en\u00ed. V\u00edce informac\u00ed na www.pneumologie.cz.<\/p>\n<p>Mark\u00e9ta Pudilov\u00e1<br \/>\nTiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Po\u010det lid\u00ed s TBC v tuzemsku meziro\u010dn\u011b klesl, a to o 22 osob. L\u00e9ka\u0159i odhalili TBC u 496 lid\u00ed. Zvy\u0161uje se v\u0161ak po\u010det cizinc\u016f nemocn\u00fdch <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=27605\" title=\"Rapidn\u011b vzrostl po\u010det cizinc\u016f s TBC\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":20609,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,9],"tags":[],"class_list":["post-27605","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27605","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=27605"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/27605\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/20609"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27605"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27605"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}