{"id":30001,"date":"2018-01-15T21:08:40","date_gmt":"2018-01-15T20:08:40","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=30001"},"modified":"2018-01-15T21:08:40","modified_gmt":"2018-01-15T20:08:40","slug":"zmenilo-se-ockovani-deti-od-1-ledna-2018","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=30001","title":{"rendered":"Zm\u011bnilo se o\u010dkov\u00e1n\u00ed d\u011bt\u00ed od 1. ledna 2018?"},"content":{"rendered":"

OT\u00c1ZKA : Jak\u00e9 jsou zm\u011bny v o\u010dkovac\u00edm kalend\u00e1\u0159i mal\u00fdch d\u011bt\u00ed od 1. ledna 2018?\u00a0<\/strong><\/p>\n

ODPOV\u011a\u010e<\/strong>:<\/p>\n

Hlavn\u00edmi zm\u011bnami v povinn\u00fdch o\u010dkov\u00e1n\u00edch d\u011bt\u00ed je sn\u00ed\u017een\u00ed po\u010dtu d\u00e1vek u o\u010dkov\u00e1n\u00ed hexavakc\u00ednou ze \u010dty\u0159 na t\u0159i, sn\u00ed\u017een\u00ed po\u010dtu d\u00e1vek u o\u010dkov\u00e1n\u00ed proti d\u011btsk\u00e9 obrn\u011b z p\u011bti na \u010dty\u0159i a stanoven\u00ed horn\u00ed hranice pro o\u010dkov\u00e1n\u00ed proti spalni\u010dk\u00e1m, zard\u011bnk\u00e1m a p\u0159\u00edu\u0161nic\u00edm a tak\u00e9 posun druh\u00e9 d\u00e1vky tohoto o\u010dkov\u00e1n\u00ed do vy\u0161\u0161\u00edho v\u011bku. Ke v\u0161em t\u011bmto zm\u011bn\u00e1m do\u0161lo v d\u016fsledku novelizace vyhl\u00e1\u0161ky o o\u010dkov\u00e1n\u00ed proti infek\u010dn\u00edm nemocem.<\/p>\n

O\u010dkovac\u00ed program za\u010d\u00edn\u00e1 hexavakc\u00ednou, kter\u00e1 d\u011bti chr\u00e1n\u00ed proti z\u00e1\u0161krtu, tetanu, d\u00e1viv\u00e9mu (\u010dern\u00e9mu) ka\u0161li, hemofilov\u00fdm infekc\u00edm, d\u011btsk\u00e9 obrn\u011b a virov\u00e9 hepatitid\u011b typu B.<\/p>\n

Od 1. 1. 2018 se hexavakc\u00ednou o\u010dkuje ve sch\u00e9matu 2+1, tedy celkem t\u0159emi d\u00e1vkami. Z\u00e1kladn\u00ed o\u010dkov\u00e1n\u00ed se provede v dob\u011b od zapo\u010dat\u00e9ho 9. t\u00fddne po narozen\u00ed d\u00edt\u011bte dv\u011bma d\u00e1vkami hexavalentn\u00ed o\u010dkovac\u00ed l\u00e1tky v pr\u016fb\u011bhu prvn\u00edho roku \u017eivota d\u00edt\u011bte, podan\u00fdmi v intervalu dvou m\u011bs\u00edc\u016f mezi d\u00e1vkami, a t\u0159et\u00ed d\u00e1vkou mezi 11. a 13. m\u011bs\u00edcem v\u011bku d\u00edt\u011bte. Jen u nedono\u0161en\u00fdch d\u011bt\u00ed se o\u010dkov\u00e1n\u00ed provede t\u0159emi d\u00e1vkami o\u010dkovac\u00ed l\u00e1tky v intervalech nejm\u00e9n\u011b jednoho m\u011bs\u00edce a \u010dtvrtou d\u00e1vkou podanou s odstupem nejm\u00e9n\u011b 6 m\u011bs\u00edc\u016f.<\/p>\n

D\u011bti ohro\u017een\u00e9, spl\u0148uj\u00edc\u00ed stanoven\u00e1 indika\u010dn\u00ed krit\u00e9ria, jsou nav\u00edc o\u010dkov\u00e1ny u\u017e v prvn\u00edm m\u011bs\u00edci \u017eivota proti tuberkul\u00f3ze. U nich se pak z\u00e1kladn\u00ed o\u010dkov\u00e1n\u00ed hexavalentn\u00ed o\u010dkovac\u00ed l\u00e1tkou prov\u00e1d\u00ed ve sch\u00e9matu 2+1 od zapo\u010dat\u00e9ho 13. t\u00fddne po narozen\u00ed, v\u017edy v\u0161ak po zhojen\u00ed postvakcina\u010dn\u00ed reakce po o\u010dkov\u00e1n\u00ed proti tuberkul\u00f3ze.<\/p>\n

P\u0159eo\u010dkov\u00e1n\u00ed proti z\u00e1\u0161krtu, tetanu a d\u00e1viv\u00e9mu ka\u0161li se nad\u00e1le prov\u00e1d\u00ed v dob\u011b od dovr\u0161en\u00ed 5. do dovr\u0161en\u00ed 6. roku v\u011bku d\u00edt\u011bte a n\u00e1sledn\u011b je\u0161t\u011b spolu s aplikac\u00ed \u010dtvrt\u00e9 d\u00e1vky o\u010dkov\u00e1n\u00ed proti p\u0159enosn\u00e9 d\u011btsk\u00e9 obrn\u011b od dovr\u0161en\u00ed 10. do dovr\u0161en\u00ed 11. roku. T\u00edm, \u017ee se proti \u0161esti chorob\u00e1m v\u010detn\u011b d\u011btsk\u00e9 obrny o\u010dkuje ji\u017e jen t\u0159emi d\u00e1vkami, nikoli \u010dty\u0159mi, odpadla p\u00e1t\u00e1 d\u00e1vka o\u010dkov\u00e1n\u00ed proti d\u011btsk\u00e9 obrn\u011b.<\/p>\n

D\u011bti se ji\u017e tak\u00e9 nep\u0159eo\u010dkov\u00e1vaj\u00ed proti tetanu v dob\u011b mezi 14. a 15. rokem v\u011bku; p\u0159eo\u010dkov\u00e1n\u00ed proti tetanu se prov\u00e1d\u00ed ve v\u011bku mezi 25 a 26 lety a dal\u0161\u00ed p\u0159eo\u010dkov\u00e1n\u00ed m\u00e1 n\u00e1sledovat v\u017edy po ka\u017ed\u00fdch 10\u201315 letech.<\/p>\n

D\u00e1le jsou d\u011bti povinn\u011b o\u010dkov\u00e1ny proti spalni\u010dk\u00e1m, zard\u011bnk\u00e1m a p\u0159\u00edu\u0161nic\u00edm. Z\u00e1kladn\u00ed o\u010dkov\u00e1n\u00ed se provede nejd\u0159\u00edve prvn\u00ed den 13. m\u011bs\u00edce po narozen\u00ed, nejpozd\u011bji v\u0161ak do 18. m\u011bs\u00edce v\u011bku d\u00edt\u011bte. Druh\u00e1 d\u00e1vka o\u010dkovac\u00ed l\u00e1tky proti spalni\u010dk\u00e1m, zard\u011bnk\u00e1m a p\u0159\u00edu\u0161nic\u00edm se pod\u00e1 od dovr\u0161en\u00ed 5. roku do dovr\u0161en\u00ed 6. roku v\u011bku d\u00edt\u011bte. Do\u0161lo tedy k v\u00fdrazn\u00e9mu posunu a zp\u0159esn\u011bn\u00ed \u2013 dosud se o\u010dkovalo od prvn\u00edho dne 15. m\u011bs\u00edce a bez stanoven\u00e9 horn\u00ed hranice, druh\u00e1 d\u00e1vka se pak pod\u00e1vala za 6\u201310 m\u011bs\u00edc\u016f po pod\u00e1n\u00ed prvn\u00ed, p\u0159\u00edpadn\u011b i pozd\u011bji.<\/p>\n

Ve vyhl\u00e1\u0161ce ji\u017e nen\u00ed obsa\u017eeno pravideln\u00e9 (tedy povinn\u00e9) o\u010dkov\u00e1n\u00ed d\u011bt\u00ed proti pneumokokov\u00fdm n\u00e1kaz\u00e1m; o\u010dkov\u00e1ny byly rizikov\u00e9 skupiny d\u011bt\u00ed s konkr\u00e9tn\u00edmi zdravotn\u00edmi indikacemi, vymezen\u00fdmi vyhl\u00e1\u0161kou. D\u011bti, a to v\u0161echny, je v\u0161ak mo\u017eno proti pneumokok\u016fm o\u010dkovat podle z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. O\u010dkov\u00e1n\u00ed je hrazeno, pokud v\u0161echny d\u00e1vky o\u010dkovac\u00ed l\u00e1tky byly aplikov\u00e1ny do 7. m\u011bs\u00edce v\u011bku poji\u0161t\u011bnce, a hrazeno je pak t\u00e9\u017e p\u0159eo\u010dkov\u00e1n\u00ed proveden\u00e9 do 15. m\u011bs\u00edce v\u011bku.<\/p>\n

Do novely vyhl\u00e1\u0161ky bylo naopak dopln\u011bno, \u017ee nen\u00ed-li mo\u017en\u00e9 prov\u00e9st pravideln\u00e9 o\u010dkov\u00e1n\u00ed ve stanoven\u00fdch term\u00ednech z d\u016fvodu zdravotn\u00edho stavu d\u00edt\u011bte, kter\u00fd vylu\u010duje mo\u017enost pod\u00e1n\u00ed o\u010dkovac\u00ed l\u00e1tky, provede se takov\u00e9 o\u010dkov\u00e1n\u00ed i v pozd\u011bj\u0161\u00edm v\u011bku d\u00edt\u011bte.<\/p>\n

Mgr. Old\u0159ich Tich\u00fd vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA : Jak\u00e9 jsou zm\u011bny v o\u010dkovac\u00edm kalend\u00e1\u0159i mal\u00fdch d\u011bt\u00ed od 1. ledna 2018?\u00a0<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14172,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-30001","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30001","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=30001"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/30001\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14172"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30001"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30001"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30001"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}