{"id":47133,"date":"2024-03-18T07:11:31","date_gmt":"2024-03-18T06:11:31","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=47133"},"modified":"2024-03-18T07:11:31","modified_gmt":"2024-03-18T06:11:31","slug":"rohacova-proockovanost-tehotnych-zen-proti-cernemu-kasli-je-minimalni-novorozenci-jsou-ohrozeni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=47133","title":{"rendered":"Roh\u00e1\u010dov\u00e1: Proo\u010dkovanost t\u011bhotn\u00fdch \u017een proti \u010dern\u00e9mu ka\u0161li je minim\u00e1ln\u00ed, novorozenci jsou ohro\u017eeni"},"content":{"rendered":"\n<p>Prima\u00a0&#8211; Hlavn\u00ed zpr\u00e1vy<\/p>\n\n\n\n<p>Hostem je te\u010f Hana Roh\u00e1\u010dov\u00e1, prim\u00e1\u0159ka Kliniky infek\u010dn\u00edch nemoc\u00ed Fakultn\u00ed nemocnice Bulovka. Dobr\u00fd ve\u010der, pan\u00ed doktorko. Jak rychle za\u010dne vakc\u00edna po o\u010dkov\u00e1n\u00ed chr\u00e1nit? A je jej\u00ed \u00fa\u010dinek stoprocentn\u00ed u v\u0161ech?<br \/><br \/>Hana Roh\u00e1\u010dov\u00e1, prim\u00e1\u0159ka Kliniky infek\u010dn\u00edch nemoc\u00ed Fakultn\u00ed nemocnice Bulovka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Dobr\u00fd ve\u010der. Tak jak rychle za\u010dne chr\u00e1nit? Nelze \u0159\u00edct, \u017ee to jde z hodiny na hodinu, samoz\u0159ejm\u011b. Vakc\u00edna n\u011bkolik dn\u00ed pot\u0159ebuje. 10\u201314 dn\u00ed ne\u017e se vytvo\u0159\u00ed protil\u00e1tky, kter\u00e9 jsou potom ochrann\u00e9. A co se t\u00fd\u010de t\u00e9 stoprocentn\u00ed \u00fa\u010dinnosti, \u017e\u00e1dn\u00e1 vakc\u00edna v podstat\u011b nen\u00ed u v\u0161ech lid\u00ed stoprocentn\u00ed. To by byla v\u00fdjimka zcela jasn\u00e1. Nicm\u00e9n\u011b je to o tom, \u017ee \u010d\u00edm v\u00edce lid\u00ed je o\u010dkovan\u00fdch, tak t\u00edm men\u0161\u00ed prostor ta bakterie m\u00e1 k tomu se uplatnit a postihnout pr\u00e1v\u011b ty lidi neo\u010dkovan\u00e9. \u010cili chceme dos\u00e1hnout skute\u010dn\u011b vysok\u00e9 kolektivn\u00ed imunity tak, aby t\u011bch jedinc\u016f neo\u010dkovan\u00fdch bylo co nejm\u00e9n\u011b a t\u011bch o\u010dkovan\u00fdch co nejv\u00edce. To znamen\u00e1, aby jaksi ten neo\u010dkovan\u00fd \u010dlov\u011bk se nem\u011bl od koho nakazit nebo ta pravd\u011bpodobnost byla minim\u00e1ln\u00ed.<br \/><br \/>moder\u00e1torka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Co d\u011blat nap\u0159\u00edklad ve chv\u00edli, kdy je vakc\u00edn nedostatek? Mohou se n\u011bjak jinak chr\u00e1nit proti t\u00e9 nemoci?<br \/><br \/>Hana Roh\u00e1\u010dov\u00e1, prim\u00e1\u0159ka Kliniky infek\u010dn\u00edch nemoc\u00ed Fakultn\u00ed nemocnice Bulovka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak samoz\u0159ejm\u011b to onemocn\u011bn\u00ed, kter\u00e9 se \u0161\u00ed\u0159\u00ed kap\u00e9nkovou cestou, ta bakterie je pom\u011brn\u011b vysoce infek\u010dn\u00ed. \u010cili pokud m\u00e1 \u010dlov\u011bk obavu, \u017ee by se mohl nakazit nebo je to \u010dlov\u011bk, kter\u00fd je nemocn\u00fd z\u00e1kladn\u00ed chorobou, tak je l\u00e9pe t\u0159eba v n\u011bjak\u00fdch hromadn\u00fdch prost\u0159edc\u00edch nebo na n\u011bjak\u00fdch hromadn\u00fdch akc\u00edch se chr\u00e1nit respir\u00e1torem. Proto\u017ee \u017e\u00e1dn\u00e1 \u00fapln\u011b specifick\u00e1 ochrana samoz\u0159ejm\u011b nen\u00ed. Ale tady bych cht\u011bla zd\u016fraznit a p\u0159ipomenout to nebezpe\u010d\u00ed pr\u00e1v\u011b pro t\u011bhotn\u00e9 \u017eeny, respektive pro jejich novorozen\u00e9 d\u011bti. Tak, jak zazn\u011blo v t\u00e9 p\u0159edchoz\u00ed report\u00e1\u017ei, u n\u00e1s je proo\u010dkovanost u t\u011bhotn\u00fdch \u017een \u00fapln\u011b minim\u00e1ln\u00ed, asi 1,6 %. N\u011bkter\u00e9 st\u00e1ty maj\u00ed t\u0159eba 60-70 %. A to je opravdu apel na ty \u017eeny, respektive na jejich l\u00e9ka\u0159e, aby doporu\u010dovali o\u010dkov\u00e1n\u00ed. Proto\u017ee miminko, kter\u00e9 se narod\u00ed, je nechr\u00e1n\u011bno zcela a pro n\u011bj to m\u016f\u017ee m\u00edt fat\u00e1ln\u00ed, to znamen\u00e1 smrteln\u00e9 d\u016fsledky toto onemocn\u011bn\u00ed.<br \/><br \/>moder\u00e1torka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Pan\u00ed doktorko, existuj\u00ed modely, jak bude \u0161\u00ed\u0159en\u00ed t\u00e9to nemoci pokra\u010dovat? Spole\u010dnost se promo\u0159\u00ed nebo ta naka\u017elivost se sn\u00ed\u017e\u00ed, respektive sn\u00ed\u017e\u00ed to tepl\u00e9 jarn\u00ed po\u010das\u00ed t\u0159eba?<br \/><br \/>Hana Roh\u00e1\u010dov\u00e1, prim\u00e1\u0159ka Kliniky infek\u010dn\u00edch nemoc\u00ed Fakultn\u00ed nemocnice Bulovka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Tak samoz\u0159ejm\u011b v\u0161echny tyhle ty faktory mohou hr\u00e1t ur\u010ditou roli. V sou\u010dasn\u00e9 dob\u011b zat\u00edm to onemocn\u011bn\u00ed se \u0161\u00ed\u0159\u00ed velmi, velmi rychle. Je to, jak jsem \u0159\u00edkala, onemocn\u011bn\u00ed vysoce infek\u010dn\u00ed. To znamen\u00e1 v kolektivech d\u011bt\u00ed. Tam by m\u011bly b\u00fdt snad t\u00e9m\u011b\u0159 v\u0161echny proo\u010dkov\u00e1ny. Znovu apel do t\u011bchto skupin, respektive do jejich rodin a rodi\u010d\u016f, aby d\u011bti skute\u010dn\u011b nech\u00e1vali o\u010dkovat. M\u00e1me ji\u017e n\u011bkolik pacient\u016f s nep\u0159\u00edzniv\u00fdm pr\u016fb\u011bhem ka\u0161le. To znamen\u00e1, \u017ee potom onemocn\u011bn\u00ed se projevuje tak, \u017ee t\u00fddny vlastn\u011b ten\u00a0<strong>posti\u017een\u00fd<\/strong>\u00a0ka\u0161le, nevysp\u00ed se. Je prost\u011b mimo ten b\u011b\u017en\u00fd provoz. Co se t\u00fd\u010de toho v\u00fdhledu, to je velmi t\u011b\u017eko samoz\u0159ejm\u011b ur\u010dit. Ta bakterie bordetella pertusis zase nen\u00ed bakteri\u00ed jako t\u0159eba ch\u0159ipka, \u017ee by vyhled\u00e1vala to chladn\u011bj\u0161\u00ed obdob\u00ed roku. Tak\u017ee tam se na tohle \u00fapln\u011b spol\u00e9hat nem\u016f\u017eeme. Ale v okam\u017eiku, kdy skute\u010dn\u011b t\u011bch o\u010dkovac\u00edch l\u00e1tek bude dostatek a je tedy p\u0159\u00edslib, \u017ee bude doch\u00e1zet k dal\u0161\u00edm p\u0159\u00edsunu t\u00e9 o\u010dkovac\u00ed l\u00e1tky, tak skute\u010dn\u011b nev\u00e1hat. Oslovit sv\u00e9ho l\u00e9ka\u0159e, oslovit n\u011bjak\u00e9 o\u010dkovac\u00ed centrum. A ti lid\u00e9, kte\u0159\u00ed nejsou o\u010dkov\u00e1ni, tak se nao\u010dkovat. Obecn\u011b se doporu\u010duje alespo\u0148 jednou za \u017eivot b\u00fdt o\u010dkov\u00e1n proti \u010dern\u00e9mu ka\u0161li bez ohledu na sou\u010dasn\u011b prob\u00edhaj\u00edc\u00ed epidemii.<br \/><br \/>moder\u00e1torka<br \/>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br \/>Rozum\u00edm, pan\u00ed prim\u00e1\u0159ko. To je jasn\u00fd vzkaz. D\u00edky za va\u0161e slova pro Hlavn\u00ed zpr\u00e1vy a p\u0159eji klidn\u00fd ve\u010der.<br \/><br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Prima\u00a0&#8211; Hlavn\u00ed zpr\u00e1vy Hostem je te\u010f Hana Roh\u00e1\u010dov\u00e1, prim\u00e1\u0159ka Kliniky infek\u010dn\u00edch nemoc\u00ed Fakultn\u00ed nemocnice Bulovka. Dobr\u00fd ve\u010der, pan\u00ed doktorko. Jak rychle za\u010dne vakc\u00edna po o\u010dkov\u00e1n\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=47133\" title=\"Roh\u00e1\u010dov\u00e1: Proo\u010dkovanost t\u011bhotn\u00fdch \u017een proti \u010dern\u00e9mu ka\u0161li je minim\u00e1ln\u00ed, novorozenci jsou ohro\u017eeni\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":41910,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-47133","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\/47133","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=47133"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/47133\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/41910"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=47133"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=47133"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=47133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}