{"id":42630,"date":"2023-10-04T03:33:18","date_gmt":"2023-10-04T01:33:18","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42630"},"modified":"2023-10-04T03:33:28","modified_gmt":"2023-10-04T01:33:28","slug":"angin-a-spal-pribyva","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42630","title":{"rendered":"Ang\u00edn a sp\u00e1l p\u0159ib\u00fdv\u00e1"},"content":{"rendered":"\n

Tolik ang\u00edn tady dlouho nebylo. Shoduj\u00ed se na tom odborn\u00edci z\u00a0cel\u00e9ho \u010ceska. Po letech relativn\u00edho \u201eklidu\u201c b\u011bhem pandemie se streptokokov\u00e9 infekce typu sp\u00e1la nebo ang\u00edna letos vr\u00e1tily s\u00a0nev\u00eddanou intenzitou. N\u011bkter\u00e9 nemocnice hl\u00e1s\u00ed a\u017e \u0161estin\u00e1sobn\u00fd n\u00e1r\u016fst. Situaci neprosp\u00edv\u00e1 ani nedostatek penicilinu \u2013 l\u00e9ka\u0159i \u010dasto mus\u00ed volit jin\u00e1 antibiotika, kter\u00e1 nefunguj\u00ed tak dob\u0159e, a doba l\u00e9\u010dby se t\u00edm prodlu\u017euje.<\/strong><\/p>\n\n\n\n

Pou\u017e\u00edv\u00e1n\u00ed nespr\u00e1vn\u00fdch antibiotik podle expert\u016f nav\u00edc podporuje rozvoj bakteri\u00ed, je\u017e jsou v\u016f\u010di l\u00e9k\u016fm odoln\u00e9. Pr\u00e1v\u011b rostouc\u00ed antibiotick\u00e9 rezistence jsou d\u016fvodem, pro\u010d l\u00e9ka\u0159i st\u00e1le \u010dast\u011bji volaj\u00ed po rozumn\u011bj\u0161\u00edm u\u017e\u00edv\u00e1n\u00ed t\u011bchto nenahraditeln\u00fdch l\u00e9k\u016f. I o tom budou diskutovat stovky l\u00e9ka\u0159\u016f 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

\u017de je leto\u0161n\u00ed rok v\u00fdskytem b\u011b\u017en\u00fdch streptokokov\u00fdch infekc\u00ed jako ang\u00edna, sp\u00e1la nebo sp\u00e1lov\u00e1 ang\u00edna v\u00fdjime\u010dn\u00fd, potvrzuje i MUDr. Ale\u0161 Chrdle, prim\u00e1\u0159 infek\u010dn\u00edho odd\u011blen\u00ed Nemocnice \u010cesk\u00e9 Bud\u011bjovice: \u201ePorovnali jsme obdob\u00ed ledna a\u017e kv\u011btna leto\u0161n\u00edho roku se stejn\u00fdm obdob\u00edm v\u00a0roce 2022. Po\u010det streptokokov\u00fdch infekc\u00ed zachycen\u00fd v\u00a0na\u0161\u00ed nemocnici byl letos t\u00e9m\u011b\u0159 \u0161estin\u00e1sobn\u00fd. <\/em><\/p>\n\n\n\n

V leto\u0161n\u00edm roce je po\u010det p\u0159\u00edpad\u016f v\u00fdrazn\u011b vy\u0161\u0161\u00ed, ne\u017e jsme byli zvykl\u00ed vid\u011bt v\u00a0p\u0159edcovidov\u00fdch letech.\u201c <\/em>S\u00a0celkov\u00fdm po\u010dtem infekc\u00ed pak podle prim. Chrdleho p\u0159ib\u00fdv\u00e1 i\u00a0v\u00e1\u017en\u00fdch p\u0159\u00edpad\u016f, jejich\u017e l\u00e9\u010dba je del\u0161\u00ed a n\u00e1ro\u010dn\u011bj\u0161\u00ed. Vy\u0161\u0161\u00ed v\u00fdskyt streptokokov\u00fdch onemocn\u011bn\u00ed v\u0161ak podle n\u011bj nem\u00e1 jedinou p\u0159\u00ed\u010dinu.<\/p>\n\n\n\n

\u201eJedn\u00edm z d\u016fvod\u016f m\u016f\u017ee b\u00fdt sn\u00ed\u017een\u00ed imunity v\u00a0populaci vlivem pandemie covid-19. Pak je nutn\u00e9 zohlednit odolnost bakteri\u00ed proti antibiotick\u00e9 l\u00e9\u010db\u011b. A v\u00a0neposledn\u00ed \u0159ad\u011b to m\u016f\u017ee m\u00edt na sv\u011bdom\u00ed i vy\u0161\u0161\u00ed virulence samotn\u00fdch streptokok\u016f, tedy jejich schopnost nakazit \u010dlov\u011bka a\u00a0vyvolat infekci,\u201c <\/em>vysv\u011btluje prof. MUDr. Milan Kol\u00e1\u0159, mikrobiolog a d\u011bkan L\u00e9ka\u0159sk\u00e9 fakulty Univerzity Palack\u00e9ho v\u00a0Olomouci. <\/p>\n\n\n\n

V\u011bt\u0161\u00ed v\u00fdskyt nespojuje pouze s\u00a0nedostatkem penicilinu, ale p\u0159izn\u00e1v\u00e1, \u017ee absence tohoto l\u00e9ku mnohdy l\u00e9\u010dbu komplikuje. \u201eObecn\u011b m\u00e1me antibiotik dostatek, ale ne odpov\u00eddaj\u00edc\u00edch druh\u016f. N\u00e1hrady penicilinu maj\u00ed mnohdy \u0161ir\u0161\u00ed spektrum \u00fa\u010dinku a krom\u011b streptokoka odstran\u00ed i dal\u0161\u00ed bakterie, kter\u00e9 jsou naopak prosp\u011b\u0161n\u00e9 a tvo\u0159\u00ed na\u0161i p\u0159irozenou mikrobiotu. A to pak m\u016f\u017ee negativn\u011b ovlivnit na\u0161i imunitu a odolnost v\u016f\u010di budouc\u00edm infekc\u00edm,\u201c <\/em>\u0159\u00edk\u00e1 prof. Kol\u00e1\u0159. <\/p>\n\n\n\n

V\u00a0p\u0159\u00edpad\u011b streptokokov\u00fdch infekc\u00ed je pou\u017eit\u00ed antibiotik \u010dasto nezbytn\u00e9. L\u00e9ka\u0159i ov\u0161em varuj\u00ed p\u0159ed jejich nadu\u017e\u00edv\u00e1n\u00edm. \u201eNaprosto z\u00e1sadn\u00ed je spr\u00e1vn\u00e1 diagnostika, proto\u017ee se st\u00e1le st\u00e1v\u00e1, \u017ee l\u00e9ka\u0159i p\u0159edepisuj\u00ed antibiotika i na virov\u00e9 infekce. Po potvrzen\u00ed bakteri\u00e1ln\u00ed n\u00e1kazy by l\u00e9\u010dba m\u011bla b\u00fdt co nejkrat\u0161\u00ed a s\u00a0maxim\u00e1ln\u00ed mo\u017enou d\u00e1vkou,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. V\u00e1clava Ad\u00e1mkov\u00e1, prim\u00e1\u0159ka mikrobiologie a antibiotick\u00e9ho centra VFN. Nedostatek penicilinu podle n\u00ed zvy\u0161uje riziko rozvoje rezistentn\u00edch bakteri\u00ed. \u201eNasazen\u00ed antibiotik se \u0161ir\u0161\u00edm spektrem \u00fa\u010dinku tak nahr\u00e1v\u00e1 vzniku odoln\u00fdch druh\u016f, kter\u00e9 se n\u00e1sledn\u011b mohou \u0161\u00ed\u0159it. V\u00a0tomto je penicilin opravdu nenahraditeln\u00fd, jeliko\u017e m\u00e1 minimum ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f jak pro pacienta, tak pro samotn\u00e9 prost\u0159ed\u00ed a\u00a0neselektuje tolik odoln\u00e9 bakterie,\u201c<\/em> popisuje MUDr. Ad\u00e1mkov\u00e1. <\/p>\n\n\n\n

Experti se shoduj\u00ed, \u017ee i\u00a0nad\u00e1le je nutn\u00fd v\u00fdvoj nov\u00fdch antibiotick\u00fdch l\u00e9k\u016f, nicm\u00e9n\u011b farmaceutick\u00e9 firmy se do n\u011bj p\u0159\u00edli\u0161 \u201enehrnou\u201c. Antibiotika p\u0159itom Sv\u011btov\u00e1 zdravotnick\u00e1 organizace WHO ozna\u010duje za kl\u00ed\u010dov\u00e9 l\u00e9ky a doporu\u010duje, kam by se m\u011bl v\u00fdvoj ub\u00edrat. <\/p>\n\n\n\n

\u201eProbl\u00e9m spo\u010d\u00edv\u00e1 v\u00a0tom, \u017ee farmaceutick\u00e1 firma na v\u00fdvoj nov\u00e9ho antibiotika vynakl\u00e1d\u00e1 obrovsk\u00e9 prost\u0159edky, bakterie si na l\u00e9k ov\u0161em m\u016f\u017ee vytvo\u0159it rezistenci b\u011bhem kr\u00e1tk\u00e9 doby, a prakticky jej t\u00edm znehodnot\u00ed. Pak v\u00fdrazn\u011b kles\u00e1 motivace o n\u011bco takov\u00e9ho se pokou\u0161et,\u201c <\/em>\u0159\u00edk\u00e1 prof. Kol\u00e1\u0159. Antibiotika jsou podle n\u011bj v\u0161ak natolik \u017eivotn\u011b d\u016fle\u017eit\u00e9 l\u00e9ky, \u017ee by organizace jako EU nebo i jednotliv\u00e9 st\u00e1ty m\u011bly uva\u017eovat o investic\u00edch do jejich v\u00fdvoje a v\u00fdroby a definovat programy, kter\u00e9 pomohou udr\u017eet \u00fa\u010dinnost st\u00e1vaj\u00edc\u00edch antibiotik.<\/p>\n\n\n\n

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

Tolik ang\u00edn tady dlouho nebylo. Shoduj\u00ed se na tom odborn\u00edci z\u00a0cel\u00e9ho \u010ceska. Po letech relativn\u00edho \u201eklidu\u201c b\u011bhem pandemie se streptokokov\u00e9 infekce typu sp\u00e1la nebo ang\u00edna […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14126,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42630","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\/42630","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=42630"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42630\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14126"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42630"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42630"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42630"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}