{"id":42597,"date":"2023-10-03T07:27:16","date_gmt":"2023-10-03T05:27:16","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42597"},"modified":"2023-10-03T07:27:17","modified_gmt":"2023-10-03T05:27:17","slug":"antivirotika-snizila-riziko-umrti-lidi-s-tezkym-covidem-o-76","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42597","title":{"rendered":"Antivirotika sn\u00ed\u017eila riziko \u00famrt\u00ed lid\u00ed s\u00a0t\u011b\u017ek\u00fdm covidem o 76 %"},"content":{"rendered":"\n

Rizikov\u00fdm pacient\u016fm l\u00e9ka\u0159i st\u00e1le doporu\u010duj\u00ed o\u010dkov\u00e1n\u00ed<\/em><\/strong><\/p>\n\n\n\n

Nemocnice p\u0159epln\u011bn\u00e9 \u201ecovidov\u00fdmi\u201c pacienty v\u00a0t\u011b\u017ek\u00e9m stavu jsou nyn\u00ed minulost\u00ed a covid-19 ji\u017e nen\u00ed takovou hrozbou, jakou byl je\u0161t\u011b loni. Podle expert\u016f na infekce a plicn\u00edch l\u00e9ka\u0159\u016f je to i d\u00edky antivirotick\u00fdm l\u00e9k\u016fm, kter\u00e9 jsou pro \u010desk\u00e9 pacienty k\u00a0dispozici u\u017e t\u00e9m\u011b\u0159 dva roky. Uk\u00e1zala to ned\u00e1vn\u00e1 anal\u00fdza, podle n\u00ed\u017e se po pod\u00e1n\u00ed antivirotik riziko hospitalizace na jednotce intenzivn\u00ed p\u00e9\u010de sn\u00ed\u017eilo a\u017e o 65 %, a riziko \u00famrt\u00ed pak dokonce o\u00a076 %. I proto experti v\u011b\u0159\u00ed, \u017ee je t\u0159eba i nad\u00e1le m\u00edt v\u00a0boji s\u00a0covidem-19 a jeho sou\u010dasn\u00fdmi i\u00a0budouc\u00edmi variantami k\u00a0dispozici v\u0161echny l\u00e9ky, kter\u00e9 mohou pacienty ochr\u00e1nit. U\u017e nyn\u00ed se toti\u017e ukazuje, \u017ee pro rizikov\u00e9 pacienty bude koronavirus i nad\u00e1le p\u0159edstavovat nebezpe\u010d\u00ed. I\u00a0o\u00a0tom budou stovky l\u00e9ka\u0159\u016f debatovat na IX. kongresu klinick\u00e9 mikrobiologie, infek\u010dn\u00edch nemoc\u00ed a epidemiologie, kter\u00fd startuje tento \u010dtvrtek v\u00a0Olomouci.<\/strong><\/p>\n\n\n\n

Ned\u00e1vno zve\u0159ejn\u011bn\u00e1 anal\u00fdza sledovala \u00fa\u010dinek tabletov\u00fdch antivirotik u t\u00e9m\u011b\u0159 77 tis\u00edc \u010desk\u00fdch pacient\u016f s\u00a0covidem-19. Krom\u011b \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky \u010cR (\u00daZIS) se na n\u00ed pod\u00edlelo ministerstvo zdravotnictv\u00ed a odborn\u00edci z\u00a0\u0159ad infektolog\u016f a pneumolog\u016f. <\/p>\n\n\n\n

\u201eAnal\u00fdza uk\u00e1zala, \u017ee pacienti, kte\u0159\u00ed preventivn\u011b u\u017e\u00edvali tyto antivirotick\u00e9 l\u00e9ky, m\u011bli o 65 % ni\u017e\u0161\u00ed riziko, \u017ee skon\u010d\u00ed v\u00a0nemocnici na jednotce intenzivn\u00ed p\u00e9\u010de nebo na ventil\u00e1toru. Riziko \u00famrt\u00ed u nich pak kleslo o 76 %. V\u00a0r\u00e1mci anal\u00fdzy jsme sledovali mimo\u0159\u00e1dn\u011b velik\u00fd soubor pacient\u016f, kter\u00fd je sv\u00fdm rozsahem ve sv\u011bt\u011b zcela unik\u00e1tn\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Pavel Dlouh\u00fd, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed a jeden ze spoluautor\u016f anal\u00fdzy, kterou finan\u010dn\u011b podpo\u0159ily i zdravotn\u00ed poji\u0161\u0165ovny. <\/p>\n\n\n\n

\u201eD\u00edky srovn\u00e1n\u00ed l\u00e9\u010den\u00fdch s\u00a0velk\u00fdm mno\u017estv\u00edm pacient\u016f bez preventivn\u00ed antivirotick\u00e9 l\u00e9\u010dby m\u016f\u017eeme \u0159\u00edct, \u017ee sou\u010dasn\u00e1 antivirotika funguj\u00ed dob\u0159e a uchr\u00e1nily zna\u010dnou \u010d\u00e1st nemocn\u00fdch covidem-19 p\u0159ed pobytem v\u00a0nemocnici, nebo dokonce p\u0159ed smrt\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Martina Koziar Va\u0161\u00e1kov\u00e1, Ph.D., p\u0159edsedkyn\u011b \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti \u010cLS JEP, takt\u00e9\u017e jedna z\u00a0autorek anal\u00fdzy. L\u00e9ka\u0159i se tak shoduj\u00ed, \u017ee by antivirotika m\u011bla z\u016fstat jedn\u00edm z\u00a0pil\u00ed\u0159\u016f boje proti covidu i do budoucna. <\/p>\n\n\n\n

\u201eDlouhodob\u011b tvrd\u00edme, \u017ee je pot\u0159eba m\u00edt pro rizikov\u00e9 pacienty k\u00a0dispozici v\u0161echna t\u0159i sou\u010dasn\u00e1 antivirotika, abychom je mohli pod\u00e1vat co nejv\u011bt\u0161\u00edmu po\u010dtu nemocn\u00fdch v\u00a0z\u00e1vislosti na jejich zdravotn\u00edm stavu. V\u00a0kombinaci s\u00a0prevenc\u00ed v\u00a0podob\u011b o\u010dkov\u00e1n\u00ed se tak m\u016f\u017eeme s\u00a0covidem-19 \u00fa\u010dinn\u011b pot\u00fdkat,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Dlouh\u00fd. <\/p>\n\n\n\n

O\u010dkov\u00e1n\u00ed je podle n\u011bj jednozna\u010dn\u011b p\u0159\u00ednosn\u00e9 pro lidi star\u0161\u00ed 60 let, ale i pro mlad\u0161\u00ed ro\u010dn\u00edky, pokud trp\u00ed v\u00edce nemocemi nebo maj\u00ed jinak oslabenou imunitu. V\u00a0\u010cesku u\u017e je k\u00a0dispozici tak\u00e9 nejnov\u011bj\u0161\u00ed verze vakc\u00edny, kter\u00e1 chr\u00e1n\u00ed p\u0159ed nej\u010dast\u011bj\u0161\u00edmi mutacemi varianty omikron. O\u010dkovat budou i nad\u00e1le prakti\u010dt\u00ed l\u00e9ka\u0159i, krom\u011b toho by v\u00a0ka\u017ed\u00e9m kraji m\u011blo fungovat jedno o\u010dkovac\u00ed centrum.<\/p>\n\n\n\n

\u201eZnova vyz\u00fdv\u00e1me v\u0161echny rizikov\u00e9 pacienty, aby v\u00a0p\u0159\u00edpad\u011b podez\u0159en\u00ed na n\u00e1kazu neot\u00e1leli, ud\u011blali si alespo\u0148 antigenn\u00ed test, a pokud bude pozitivn\u00ed, zam\u00ed\u0159ili za sv\u00fdm praktikem, kter\u00fd antivirotika p\u0159edep\u00ed\u0161e. Data z\u00a0anal\u00fdzy jednozna\u010dn\u011b ukazuj\u00ed, \u017ee si t\u00edm u\u0161et\u0159\u00ed velk\u00e9 zdravotn\u00ed komplikace,\u201c<\/em> p\u0159ipom\u00edn\u00e1 MUDr. Dlouh\u00fd.<\/p>\n\n\n\n

L\u00e9ka\u0159i vyhl\u00ed\u017e\u00ed tak\u00e9 novinku v\u00a0mo\u017enostech testov\u00e1n\u00ed na p\u0159\u00edtomnost n\u00e1kazy. \u201ePandemie n\u00e1m uk\u00e1zala, \u017ee rychl\u00e1 diagnostika a mo\u017enost rozli\u0161en\u00ed vir\u016f od sebe navz\u00e1jem jsou kl\u00ed\u010dov\u00e9 pro to, abychom zabr\u00e1nili dal\u0161\u00edmu \u0161\u00ed\u0159en\u00ed n\u00e1kazy a zah\u00e1jili spr\u00e1vnou l\u00e9\u010dbu co nejd\u0159\u00edve. Nebav\u00edme se tedy jen o covidu, ale o dal\u0161\u00edch potenci\u00e1ln\u011b nebezpe\u010dn\u00fdch respira\u010dn\u00edch onemocn\u011bn\u00edch, jako je ch\u0159ipka a\u00a0RS virus. Ty v\u00a0lo\u0148sk\u00e9 zim\u011b tak\u00e9 zp\u016fsobily v\u00e1\u017en\u00e9 stavy,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Pavel D\u0159ev\u00ednek, p\u0159ednosta \u00dastavu l\u00e9ka\u0159sk\u00e9 mikrobiologie 2. LF UK a FN Motol. Ji\u017e brzy by podle n\u011bj na urgentn\u00edch p\u0159\u00edjmech mohli l\u00e9ka\u0159i pou\u017e\u00edvat modern\u00ed p\u0159\u00edstroj, kter\u00fd v\u00a0\u0159\u00e1du minut odhal\u00ed nejen covid, ale i\u00a0ch\u0159ipku nebo RS virus. To d\u0159\u00edve musely d\u011blat mikrobiologick\u00e9 laborato\u0159e pomoc\u00ed PCR test\u016f, co\u017e trv\u00e1 \u0159\u00e1dov\u011b mnohem d\u00e9le. <\/p>\n\n\n\n

\u201eV\u00fdznamn\u011b by to pomohlo zejm\u00e9na rizikov\u00fdm pacient\u016fm nebo lidem s\u00a0t\u011b\u017ek\u00fdmi p\u0159\u00edznaky nemoci, kde je nutn\u00e9 v\u010dasn\u00e9 nasazen\u00ed l\u00e9\u010dby, p\u0159\u00edpadn\u011b izolace. Rozhodn\u011b bychom necht\u011bli plo\u0161n\u011b testovat ka\u017ed\u00e9ho, kdo p\u0159ijde do nemocnice,\u201c <\/em>vysv\u011btluje prof. D\u0159ev\u00ednek s\u00a0t\u00edm, \u017ee nyn\u00ed z\u00e1le\u017e\u00ed na dohod\u011b se zdravotn\u00edmi poji\u0161\u0165ovnami, zda po\u0159\u00edzen\u00ed p\u0159\u00edstroje a testovac\u00edch reagenci\u00ed uhrad\u00ed. Do budoucna by podle n\u011bj bylo vhodn\u00e9, kdyby podobn\u00fd p\u0159\u00edstroj mohli vyu\u017e\u00edvat nap\u0159\u00edklad i prakti\u010dt\u00ed l\u00e9ka\u0159i.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Rizikov\u00fdm pacient\u016fm l\u00e9ka\u0159i st\u00e1le doporu\u010duj\u00ed o\u010dkov\u00e1n\u00ed Nemocnice p\u0159epln\u011bn\u00e9 \u201ecovidov\u00fdmi\u201c pacienty v\u00a0t\u011b\u017ek\u00e9m stavu jsou nyn\u00ed minulost\u00ed a covid-19 ji\u017e nen\u00ed takovou hrozbou, jakou byl je\u0161t\u011b loni. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14127,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42597","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42597","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=42597"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42597\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14127"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42597"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42597"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}