{"id":4740,"date":"2013-05-10T07:12:46","date_gmt":"2013-05-10T05:12:46","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=4740"},"modified":"2013-05-10T07:16:12","modified_gmt":"2013-05-10T05:16:12","slug":"pozor-na-veprove-v-restauraci-muzete-se-nakazit-zloutenkou","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=4740","title":{"rendered":"Pozor na vep\u0159ov\u00e9 v restauraci. M\u016f\u017eete se nakazit \u017eloutenkou"},"content":{"rendered":"<p><strong>Hepatitidu E si d\u0159\u00edv p\u0159iv\u00e1\u017eeli \u010ce\u0161i z cest po Asii a Latinsk\u00e9 Americe, \u010d\u00e1st nemocn\u00fdch byli tak\u00e9 imigranti. &#8222;Trend se zm\u011bnil a v\u011bt\u0161ina pacient\u016f se infikuje v \u010cR, nej\u010dast\u011bji ze \u0161patn\u011b tepeln\u011b upraven\u00e9ho vep\u0159ov\u00e9ho,&#8220; \u0159ekl \u00fasteck\u00fd krajsk\u00fd hygienik Josef Trmal, kter\u00fd se touto nemoc\u00ed v restauraci nakazil.<\/strong><\/p>\n<p><!--more--><\/p>\n<p>Nemoc \u0161pinav\u00fdch rukou &#8211; \u017eloutenka E &#8211; souvis\u00ed s hygienou, v tomto p\u0159\u00edpad\u011b s hygienou zpracov\u00e1n\u00ed vep\u0159ov\u00e9ho masa.<\/p>\n<p>&#8222;Byli jsme l\u00e9ta zvykl\u00ed, \u017ee to je pouze z pit\u00ed z\u00e1vadn\u00e9 vody n\u011bkde v Indii nebo Nep\u00e1lu. Situace se zm\u011bnila, nyn\u00ed jsou hl\u00e1\u0161en\u00e9 p\u0159\u00edpady spojeny hlavn\u011b s konzumac\u00ed vep\u0159ov\u00e9ho masa, a to i v restaurac\u00edch&#8220; uvedl l\u00e9ka\u0159 hygienik Josef Trmal z \u00fasteck\u00e9 KHS.<\/p>\n<p>Vloni byla v \u010cR n\u00e1kaza hepatitidou E potvrzena u 258 lid\u00ed, je to dvan\u00e1ctkr\u00e1t v\u00edc ne\u017e v roce 2003. P\u0159\u00edpad\u016f za\u010dalo p\u0159ib\u00fdvat v roce 2008, v\u00fdrazn\u011bji loni a p\u0159edloni. N\u00e1r\u016fst eviduj\u00ed i dal\u0161\u00ed evropsk\u00e9 zem\u011b. Z\u010d\u00e1sti k tomu p\u0159isp\u011blo zlep\u0161en\u00ed diagnostiky, u \u0159ady pacient\u016f se nemoc zjist\u00ed n\u00e1hodn\u011b, proto\u017ee v\u011bt\u0161\u00ed pot\u00ed\u017ee nemaj\u00ed.<\/p>\n<p>Po\u010dty p\u0159\u00edpad\u016f stouply podle Trmala i t\u00edm, \u017ee lid\u00e9 jed\u00ed maso z dom\u00e1c\u00edch zabija\u010dek, dal\u0161\u00edm zdrojem je maso z hypermarket\u016f, co\u017e se potvrdilo i jinde v Evrop\u011b. Maso &#8222;migruje&#8220;, do sm\u011bs\u00ed se d\u00e1vaj\u00ed masa z r\u016fzn\u00fdch m\u00edst, tak\u017ee je obt\u00ed\u017en\u00e9 zjistit zdroj.<\/p>\n<p>Dokud lid\u00e9 kupovali maso u \u0159ezn\u00edka, byl okruh z\u00e1kazn\u00edk\u016f men\u0161\u00ed, tak\u017ee bylo i m\u00e9n\u011b naka\u017een\u00fdch. Infekce m\u016f\u017ee b\u00fdt tak\u00e9 z masa divok\u00fdch prasat, da\u0148k\u016f, muflon\u016f a jelen\u00ed zv\u011b\u0159e.<\/p>\n<p>Nejv\u00edc p\u0159\u00edpad\u016f hepatitidy E je v chladn\u00e9m obdob\u00ed roku, co\u017e m\u016f\u017ee podle Trmala souviset pr\u00e1v\u011b s dom\u00e1c\u00edmi zabija\u010dkami.<\/p>\n<p>Trmal se pod\u00edlel na v\u00fdzkumu zdroje p\u0159i v\u011bt\u0161\u00edm v\u00fdskytu n\u00e1kaz spolu s veterin\u00e1\u0159i. &#8222;Velmi \u010dasto jsme prokazovali, \u017ee dom\u00e1c\u00ed zabija\u010dky se prov\u00e1d\u011bj\u00ed amat\u00e9rsky. Prase se zpracov\u00e1v\u00e1 vlastn\u00edmi silami, aby se u\u0161et\u0159ilo na \u0159ezn\u00edkovi,&#8220; \u0159ekl. Na rozd\u00edl od \u0159ezn\u00edka tedy nenechaj\u00ed jitrnice d\u016fkladn\u011b proh\u0159\u00e1t v pol\u00e9vk\u00e1ch \u010di s\u00e1dle p\u0159i teplot\u011b nad 100 stup\u0148\u016f Celsia.<\/p>\n<p>Rozhoduj\u00edc\u00ed pro \u0161\u00ed\u0159en\u00ed n\u00e1kazy je k\u0159\u00ed\u017een\u00ed provozu syrov\u00e9ho masa a hotov\u00fdch v\u00fdrobk\u016f. &#8222;Tepeln\u011b opracovan\u00e9 maso nen\u00ed nebezpe\u010dn\u00e9, ale nesm\u00ed doj\u00edt k tomu, \u017ee takto opracovan\u00e9 maso nebo produkty se dostanou do styku s pracovn\u00edmi plochami, kde bylo syrov\u00e9 maso,&#8220; upozornil Trmal.<\/p>\n<p>Rad\u00ed, aby po p\u0159inesen\u00ed masa z obchodu a manipulaci s n\u00edm si \u010dlov\u011bk umyl ruce. M\u00fdt maso nebo je m\u00e1\u010det do dezinfekce nem\u00e1 podle n\u011bj smysl, viry jsou uvnit\u0159 svaloviny. Z\u00e1sadn\u00ed je zachov\u00e1vat osobn\u00ed i provozn\u00ed hygienu, m\u00edt odd\u011blen\u00fd st\u016fl a jin\u00fd n\u016f\u017e na kr\u00e1jen\u00ed masa syrov\u00e9ho a va\u0159en\u00e9ho.<\/p>\n<p>&#8222;I kdyby v mase byl virus hepatitidy E, bude-li maso dostate\u010dn\u011b oh\u0159\u00e1to, virus bude zlikvidov\u00e1n, a ten, kdo maso sn\u00ed, nebude ohro\u017een,&#8220; shrnul.<\/p>\n<p>Hepatitidu A, kter\u00e1 se stejn\u011b jako hepatitida E naz\u00fdv\u00e1 nemoc\u00ed \u0161pinav\u00fdch rukou, maj\u00ed hlavn\u011b d\u011bti a mlad\u00ed dosp\u011bl\u00ed, hepatitidu E hlavn\u011b star\u0161\u00ed lid\u00e9. Nejrizikov\u011bj\u0161\u00ed pr\u016fb\u011bh m\u00e1 nemoc u t\u011bhotn\u00fdch \u017een a senior\u016f, mohou i zem\u0159\u00edt.<\/p>\n<p>Hepatitida napad\u00e1 j\u00e1tra, tak\u017ee \u0161patn\u011b odbour\u00e1vaj\u00ed \u0161kodliviny a nevyr\u00e1b\u011bj\u00ed l\u00e1tky d\u016fle\u017eit\u00e9 pro t\u011blo. O\u010dkov\u00e1n\u00ed proti hepatitid\u011b E nen\u00ed dostupn\u00e9, nen\u00ed ani l\u00e9k, kter\u00fd by virus zni\u010dil. L\u00e9\u010dba je jen podp\u016frn\u00e1, pacient mus\u00ed m\u00edt klid, dodr\u017eovat dietu, p\u0159\u00edpadn\u011b dost\u00e1v\u00e1 infuze s v\u00fd\u017eivou, kter\u00e1 je pro j\u00e1tra dob\u0159e zpracovateln\u00e1. N\u00e1vrat k b\u011b\u017en\u00e9mu stavu trv\u00e1 t\u0159i a\u017e \u0161est m\u011bs\u00edc\u016f, po prod\u011blan\u00e9 nemoci m\u016f\u017ee b\u00fdt i n\u011bkolik let zak\u00e1zan\u00fd alkohol.<\/p>\n<p>invArena<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Hepatitidu E si d\u0159\u00edv p\u0159iv\u00e1\u017eeli \u010ce\u0161i z cest po Asii a Latinsk\u00e9 Americe, \u010d\u00e1st nemocn\u00fdch byli tak\u00e9 imigranti. &#8222;Trend se zm\u011bnil a v\u011bt\u0161ina pacient\u016f se <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=4740\" title=\"Pozor na vep\u0159ov\u00e9 v restauraci. M\u016f\u017eete se nakazit \u017eloutenkou\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-4740","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/4740","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=4740"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/4740\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4740"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4740"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4740"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}