{"id":35986,"date":"2021-03-18T16:49:54","date_gmt":"2021-03-18T15:49:54","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=35986"},"modified":"2021-03-18T16:49:56","modified_gmt":"2021-03-18T15:49:56","slug":"tuberkulozy-loni-rekordne-ubylo-muze-vsak-jit-jen-o-ticho-pred-bouri-rikaji-lekari","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=35986","title":{"rendered":"Tuberkul\u00f3zy loni rekordn\u011b ubylo. M\u016f\u017ee v\u0161ak j\u00edt jen o ticho p\u0159ed bou\u0159\u00ed \u2013 \u0159\u00edkaj\u00ed l\u00e9ka\u0159i"},"content":{"rendered":"\n

Praha, 18. 3.2021\u2013 Po\u010det nemocn\u00fdch tuberkul\u00f3zou se v \u010cesku v\u016fbec poprv\u00e9 v historii dostal pod 400 p\u0159\u00edpad\u016f za rok. L\u00e9ka\u0159i ale varuj\u00ed p\u0159ed p\u0159ed\u010dasn\u00fdm optimismem, pokles m\u016f\u017ee m\u00edt na sv\u011bdom\u00ed to, \u017ee se nemocn\u00ed kv\u016fli koronaviru loni vyh\u00fdbali nemocnic\u00edm obloukem, a p\u0159\u00edpady tak \u201edob\u011bhnou\u201c pozd\u011bji. Plicn\u00ed l\u00e9ka\u0159i ka\u017edoro\u010dn\u011b zve\u0159ej\u0148uj\u00ed \u010d\u00edsla p\u0159i Sv\u011btov\u00e9m dnu boje proti tuberkul\u00f3ze, kter\u00fd je 24. 3.\u2013 letos p\u0159esn\u011b 139 let od chv\u00edle, kdy n\u011bmeck\u00fd l\u00e9ka\u0159 Robert Koch odhalil z\u00e1ke\u0159n\u00fd bacil Mycobacterium tuberculosis<\/em>, zp\u016fsobuj\u00edc\u00ed nemoc zvanou tuberkul\u00f3za. <\/p>\n\n\n\n

\u201eKv\u016fli sou\u010dasn\u00e9 situaci k\u00a0n\u00e1m nechod\u00ed ani rizikov\u00ed pacienti. Pak se setk\u00e1me s\u00a0takov\u00fdm p\u0159\u00edpadem, kdy k\u00a0n\u00e1m p\u0159i\u0161el Litevec s\u00a0podez\u0159en\u00edm na koronavirus, a my m\u00edsto toho objevili tuberkul\u00f3zu ve velmi pokro\u010dil\u00e9m stadiu. Na ni bohu\u017eel pozd\u011bji i zem\u0159el. Mysl\u00edme si, \u017ee se v\u00a0dal\u0161\u00edch letech budeme setk\u00e1vat s v\u00edce p\u0159\u00edpady pokro\u010dil\u00fdch tuberkul\u00f3z,\u201c \u0159\u00edk\u00e1 prof. MUDr. Martina Va\u0161\u00e1kov\u00e1, Ph.D., p\u0159edsedkyn\u011b \u010cesk\u00e9 pneumologick\u00e9 a\u00a0ftizeologick\u00e9 spole\u010dnosti (\u010cPFS). Podle l\u00e9ka\u0159ky virus komplikuje p\u00e9\u010di o nemocn\u00e9 tuberkul\u00f3zou i jinak \u2013 ten, kdo m\u00e1 podez\u0159en\u00ed na tuberkul\u00f3zu mus\u00ed z\u016fstat odd\u011blen\u00fd od ostatn\u00edch tuberkul\u00f3zn\u00edch pacient\u016f do doby, ne\u017e se u n\u011bj prok\u00e1\u017ee, \u017ee je covid negativn\u00ed. \u201eVytv\u00e1\u0159\u00edme tak izolace v\u00a0izolaci. Soub\u011bh covidu a tuberkul\u00f3zy by mohl skon\u010dit \u0161patn\u011b. Proto m\u00e1me rozd\u011blen\u00e9 i t\u00fdmy sester,\u201c vysv\u011btluje prof. Va\u0161\u00e1kov\u00e1. <\/p>\n\n\n\n

Podle p\u0159edb\u011b\u017en\u00fdch dat n\u00e1rodn\u00edho registru TBC loni onemocn\u011blo 361 lid\u00ed, v roce 2019 jich bylo 464.<\/p>\n\n\n\n

\u201eTuberkul\u00f3zu se d\u00edky pe\u010dliv\u00e9 pr\u00e1ci plicn\u00edch l\u00e9ka\u0159\u016f da\u0159\u00ed dr\u017eet pod kontrolou, ale u t\u00e9to nemoci plat\u00ed, \u017ee byla p\u0159ed covidem a bude i po n\u011bm,\u201c \u0159\u00edk\u00e1 prim. MUDr.\u00a0Milan Sova, Ph.D., p\u0159edseda \u010cesk\u00e9 aliance proti chronick\u00fdm respira\u010dn\u00edm onemocn\u011bn\u00edm (\u010cARO). A stejn\u011b jako ostatn\u00ed odborn\u00edci i on p\u0159ed\u010dasn\u011b nej\u00e1s\u00e1 nad n\u00edzk\u00fdmi \u010d\u00edsly. \u201eVid\u00edme to u v\u0161ech dal\u0161\u00edch chorob \u2013 lid\u00e9 se nenechaj\u00ed vy\u0161et\u0159ovat, boj\u00ed se n\u00e1kazy v\u00a0nemocnic\u00edch. Jejich nemoci pak pokro\u010d\u00ed natolik, \u017ee se v\u00a0t\u00e9 nemocnici nakonec stejn\u011b potk\u00e1me, jen v\u00a0mnohem h\u016f\u0159e \u0159e\u0161iteln\u00fdch stadi\u00edch,\u201c dod\u00e1v\u00e1. <\/p>\n\n\n\n

Na pokles po\u010dtu p\u0159\u00edpad\u016f m\u00e1 podle MUDr. Ji\u0159\u00edho Wallenfelse, vedouc\u00edho N\u00e1rodn\u00ed jednotky dohledu nad tuberkul\u00f3zou, vliv mix faktor\u016f. Nap\u0159\u00edklad omezen\u00ed cestov\u00e1n\u00ed a n\u00e1v\u0161t\u011bv v rodin\u00e1ch, v nich\u017e se tuberkul\u00f3za \u010dasto p\u0159en\u00e1\u0161\u00ed. \u201eMeziro\u010dn\u011b klesl po\u010det nemocn\u00fdch cizinc\u016f o v\u00edce ne\u017e 20 p\u0159\u00edpad\u016f na 115, nej\u010dast\u011bji to byli Ukrajinci, Vietnamci a p\u0159ekvapiv\u011b Indov\u00e9 \u2013 t\u011bch bylo loni 16, p\u0159ev\u00e1\u017en\u011b v Praze a na ji\u017en\u00ed Morav\u011b,\u201c komentuje MUDr. Wallenfels. Po\u010det Ind\u016f v \u010cR v posledn\u00edch letech obecn\u011b roste, ale v\u00fdskyt tuberkul\u00f3zy u nich \u201evyst\u0159elil\u201c a\u017e loni. Dva roky p\u0159edt\u00edm naopak klesl na 4 a 2 p\u0159\u00edpady. Podle pneumolog\u016f se pacienti z Indie, \u010dasto zam\u011bstnan\u00ed jako kucha\u0159i v restaurac\u00edch, na \u201etuberkul\u00f3zn\u00edch\u201c odd\u011blen\u00edch vyskytuj\u00ed pravideln\u011b. Zat\u00edm nikdy se v\u0161ak na pomysln\u00e9m \u017eeb\u0159\u00ed\u010dku po\u010dtu nemocn\u00fdch cizinc\u016f nedostali mezi prvn\u00ed t\u0159i n\u00e1rodnosti, p\u0159edn\u00ed m\u00edsta obvykle pat\u0159\u00ed krom\u011b Ukrajinc\u016f a Vietnamc\u016f, Slov\u00e1k\u016fm, Rumun\u016fm \u010di Mongolc\u016fm. <\/p>\n\n\n\n

Pokles TBC byl podle MUDr. Wallenfelse celosv\u011btov\u00fd, vliv na n\u011bj m\u011bla, jako u \u0159ady jin\u00fdch respira\u010dn\u00edch infek\u010dn\u00edch nemoc\u00ed, protiepidemick\u00e1 koronarovirov\u00e1 opat\u0159en\u00ed \u010di omezen\u00fd vstup agenturn\u00edch pracovn\u00edk\u016f, kte\u0159\u00ed p\u0159ij\u00ed\u017ed\u011bj\u00ed do \u010cR za prac\u00ed. Ti b\u00fdvaj\u00ed kv\u016fli nedostate\u010dn\u00fdm zdravotn\u00edm kontrol\u00e1m p\u0159i p\u0159\u00edjezdu do republiky relativn\u011b \u010dast\u00fdm zdrojem n\u00e1kazy. \u010c\u00edsla do jist\u00e9 m\u00edry deformuje zahlcenost hygien a l\u00e9ka\u0159\u016f, kte\u0159\u00ed maj\u00ed p\u0159\u00edpady tuberkul\u00f3zy do registru hl\u00e1sit. \u201eEvidence nemocn\u00fdch do n\u00e1rodn\u00edho registru TBC je v n\u011bkter\u00fdch kraj\u00edch opo\u017ed\u011bn\u00e1. Nicm\u00e9n\u011b lze s jistotou \u010dekat, \u017ee po\u010det p\u0159\u00edpad\u016f tuberkul\u00f3zy na 100 000 obyvatel za rok poprv\u00e9 klesne pod 4 p\u0159\u00edpady,\u201c \u0159\u00edk\u00e1 MUDr. Wallenfels. Mezi 361 nahl\u00e1\u0161en\u00fdmi p\u0159\u00edpady p\u0159eva\u017euj\u00ed mu\u017ei nad \u017eenami v pom\u011bru asi 2,2:1, pr\u016fm\u011brn\u00fd v\u011bk nemocn\u00fdch je 51 let, dva p\u0159\u00edpady tuberkul\u00f3zy na\u0161li l\u00e9ka\u0159i u d\u011bt\u00ed do 15 let. Loni na tuberkul\u00f3zu zem\u0159elo 19 lid\u00ed. <\/p>\n\n\n\n

Koronavirov\u00e1 pandemie zbrzdila v oblasti kontroly tuberkul\u00f3zy \u0159adu rozjednan\u00fdch projekt\u016f. Plicn\u00ed l\u00e9ka\u0159i cht\u011bli nap\u0159\u00edklad otev\u0159\u00edt diskuzi na t\u00e9ma d\u00e9lky hospitalizace a izolace lid\u00ed s tuberkul\u00f3zou. A projednat, zda by pro zdravotn\u00ed syst\u00e9m nebylo v\u00fdhodn\u011bj\u0161\u00ed n\u011bkter\u00e9 pacienty nechat doma za dodr\u017een\u00ed protiepidemick\u00fdch opat\u0159en\u00ed a pravideln\u00fdch kontrol. Covid-19 zastavil tak\u00e9 vyjedn\u00e1v\u00e1n\u00ed pneumolog\u016f s Ministerstvem zdravotnictv\u00ed o vzniku registru latentn\u00ed tuberkul\u00f3zy. \u201eRegistr m\u011bl zmapovat v\u0161echny rizikov\u00e9 pacienty, kter\u00fdch se nebezpe\u010d\u00ed vzplanut\u00ed tuberkul\u00f3zy v souvislosti s jinou l\u00e9\u010dbou mohlo t\u00fdkat. Nyn\u00ed jsou ale v\u0161ichni zahlceni pandemi\u00ed a na nic jin\u00e9ho nezb\u00fdv\u00e1 \u010das,\u201c dod\u00e1v\u00e1 prof. Va\u0161\u00e1kov\u00e1.<\/p>\n\n\n\n

O\n\u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti <\/strong><\/p>\n\n\n\n

Odborn\u00e1 spole\u010dnost plicn\u00edch l\u00e9ka\u0159\u016f, kter\u00e1\ngarantuje komplexn\u00ed p\u00e9\u010di o v\u0161echny plicn\u00ed nemoci v\u010detn\u011b tuberkul\u00f3zy. Je\nsou\u010d\u00e1sti \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti J. E. Purkyn\u011b, vzd\u011bl\u00e1v\u00e1 odbornou i laickou\nve\u0159ejnost, organizuje odborn\u00e1 setk\u00e1n\u00ed a prov\u00e1d\u00ed v\u011bdeckou \u010dinnost. P\u00e9\u010di o\ntuberkul\u00f3zu zaji\u0161\u0165uje komplexn\u011b v\u010detn\u011b diagnostiky, l\u00e9\u010dby, prevence i prov\u00e1d\u011bn\u00ed\nepidemiologick\u00fdch \u0161et\u0159en\u00ed. V\u00edce informac\u00ed na: www.pneumologie.cz<\/a>.<\/p>\n\n\n\n

O \u010cesk\u00e9 alianci proti\nchronick\u00fdm respira\u010dn\u00edm onemocn\u011bn\u00edm<\/strong> (\u010cARO)<\/strong><\/p>\n\n\n\n

Instituce, 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 na n\u00e1rodn\u00ed \u00farovni 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<\/a><\/p>\n\n\n\n

Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"

Praha, 18. 3.2021\u2013 Po\u010det nemocn\u00fdch tuberkul\u00f3zou se v \u010cesku v\u016fbec poprv\u00e9 v historii dostal pod 400 p\u0159\u00edpad\u016f za rok. L\u00e9ka\u0159i ale varuj\u00ed p\u0159ed p\u0159ed\u010dasn\u00fdm optimismem, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":27092,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-35986","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\/35986","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=35986"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/35986\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27092"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=35986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=35986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=35986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}