{"id":58960,"date":"2025-07-06T06:09:39","date_gmt":"2025-07-06T04:09:39","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=58960"},"modified":"2025-07-06T06:09:50","modified_gmt":"2025-07-06T04:09:50","slug":"rady-k-ockovani-proti-klistove-encefalitide","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=58960","title":{"rendered":"Rady k o\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b"},"content":{"rendered":"\n

<\/a>Virus kl\u00ed\u0161\u0165ov\u00e9 encefalitidy m\u016f\u017ee napadnout nervovou soustavu a zp\u016fsobit v\u00e1\u017en\u00e9 komplikace. P\u0159esto\u017ee \u00fa\u010dinn\u00e9 o\u010dkov\u00e1n\u00ed existuje a je dob\u0159e dostupn\u00e9, mnoho lid\u00ed ho st\u00e1le podce\u0148uje \u2013 a\u0165 u\u017e z nedostatku informac\u00ed, nebo kv\u016fli myln\u00fdm obav\u00e1m. <\/p>\n\n\n\n

Na ot\u00e1zky odpov\u00edd\u00e1 odborn\u00edk na vakcinaci MUDr. Jan Dvo\u0159\u00e1k z Center o\u010dkov\u00e1n\u00ed a cestovn\u00ed medic\u00edny Avenier.<\/p>\n\n\n\n

Pro jak\u00e1 o\u010dkov\u00e1n\u00ed a v jak\u00e9 \u010d\u00e1sti roku je nejvhodn\u011bj\u0161\u00ed doba? Na ja\u0159e a p\u0159ed l\u00e9tem je nejvy\u0161\u0161\u00ed \u010das se o\u010dkovat proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b. Sice je ji\u017e sez\u00f3na vysok\u00e9 aktivity kl\u00ed\u0161\u0165at v pln\u00e9m proudu, ale v r\u00e1mci zrychlen\u00e9ho sch\u00e9matu o\u010dkov\u00e1n\u00ed lze pod\u00e1n\u00ed druh\u00e9 o\u010dkovac\u00ed d\u00e1vky usp\u00ed\u0161it, a tak si vytvo\u0159it ochranu d\u0159\u00edve oproti standardn\u00edmu sch\u00e9matu. Vzhledem k v\u00fdrazn\u00e9mu n\u00e1r\u016fstu p\u0159\u00edpad\u016f virov\u00e9 hepatitidy A doporu\u010dujeme o\u010dkov\u00e1n\u00ed tak\u00e9 proti t\u00e9to nemoci. P\u0159ed n\u00e1stupem sez\u00f3ny respira\u010dn\u00edch n\u00e1kaz je zase vhodn\u00e9 se nechat o\u010dkovat proti ch\u0159ipce, p\u0159\u00edpadn\u011b proti covidu a respira\u010dn\u00edm syncyci\u00e1ln\u00edm vir\u016fm. Ide\u00e1ln\u00ed na\u010dasov\u00e1n\u00ed o\u010dkov\u00e1n\u00ed je p\u0159elom \u0159\u00edjna a listopadu. U vybran\u00fdch skupin osob lze celoro\u010dn\u011b o\u010dkovat proti pneumokokov\u00fdm a meningokokov\u00fdm n\u00e1kaz\u00e1m, proti p\u00e1sov\u00e9mu oparu, lidsk\u00e9mu papilomaviru apod. Samostatnou kapitolou je pak zvl\u00e1\u0161tn\u00ed o\u010dkov\u00e1n\u00ed na cesty do zahrani\u010d\u00ed.<\/p>\n\n\n\n

Jak\u00e1 o\u010dkov\u00e1n\u00ed se vyplat\u00ed i v p\u0159\u00edpad\u011b, \u017ee str\u00e1v\u00edme dovolenou pouze v \u010cesku? Co n\u00e1m hroz\u00ed na na\u0161em \u00fazem\u00ed? Pokud tr\u00e1v\u00edme tuzemskou dovolenou p\u0159edev\u0161\u00edm v p\u0159\u00edrod\u011b, tak je ur\u010dit\u011b velmi d\u016fle\u017eit\u00e9 o\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b. Ji\u017e od jara je toti\u017e aktivita kl\u00ed\u0161\u0165at vysok\u00e1. P\u0159i pobytu v p\u0159\u00edrod\u011b je nutn\u00e9 se proti kl\u00ed\u0161\u0165at\u016fm chr\u00e1nit, v \u010cR toti\u017e p\u0159en\u00e1\u0161ej\u00ed nejen virus kl\u00ed\u0161\u0165ov\u00e9 encefalitidy, ale tak\u00e9 lymskou boreli\u00f3zu, proti kter\u00e9 o\u010dkov\u00e1n\u00ed dosud nen\u00ed dostupn\u00e9. Nesm\u00edme zapomenout, \u017ee kl\u00ed\u0161\u0165ovou encefalitidou se m\u016f\u017eeme nakazit t\u00e9\u017e konzumac\u00ed nepasterizovan\u00fdch ml\u00e9\u010dn\u00fdch v\u00fdrobk\u016f z voln\u011b pasouc\u00edch se hospod\u00e1\u0159sk\u00fdch zv\u00ed\u0159at. A i pokud necestujeme do zahrani\u010d\u00ed, tak bych doporu\u010dil o\u010dkov\u00e1n\u00ed proti virov\u00e9 hepatitid\u011b A. <\/p>\n\n\n\n

Jsou i v zahrani\u010d\u00ed infikovan\u00e1 kl\u00ed\u0161\u0165ata? Je vhodn\u00e9 nechat se o\u010dkovat proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b i p\u0159ed cestou do evropsk\u00fdch zem\u00ed, jako je nap\u0159. It\u00e1lie \u010di Chorvatsko? V\u00fdskyt kl\u00ed\u0161\u0165ov\u00e9 encefalitidy je v \u010cesk\u00e9 republice jeden z nejvy\u0161\u0161\u00edch, proto o\u010dkov\u00e1n\u00ed doporu\u010dujeme pr\u00e1v\u011b na pobyt v na\u0161em regionu. V ji\u017en\u00edEvrop\u011b je v\u00fdskyt n\u00edzk\u00fd, nicm\u00e9n\u011b kl\u00ed\u0161\u0165ata tam p\u0159en\u00e1\u0161ej\u00ed \u0159adu jin\u00fdch chorob. Mezi nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed pat\u0159\u00ed lymsk\u00e1 boreli\u00f3za. Proto je d\u016fle\u017eit\u00e9 chr\u00e1nit se obecn\u011b p\u0159ed krev saj\u00edc\u00edm hmyzem \u00fa\u010dinn\u00fdmi prost\u0159edky, v\u010detn\u011b repelent\u016f.<\/p>\n\n\n\n

Kdy je nejlep\u0161\u00ed nechat se o\u010dkovat proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b, za jak dlouhou dobu je vhodn\u00e9 vakc\u00ednu opakovat a kdy nastupuje \u00fa\u010dinek vakc\u00edn? Proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b se m\u016f\u017eeme nechat o\u010dkovat kdykoli v pr\u016fb\u011bhu roku, nemus\u00edme \u010dekat a\u017e na podzim \u010di zimu. Z\u00e1kladn\u00ed sch\u00e9ma jsou t\u0159i d\u00e1vky a n\u00e1sledn\u00e9 posiluj\u00edc\u00ed d\u00e1vky v intervalu t\u0159\u00ed a p\u011bti let. Ochrana nastupuje do dvou t\u00fddn\u016f po druh\u00e9 d\u00e1vce, kter\u00e1 se v sez\u00f3n\u011b aktivity kl\u00ed\u0161\u0165at m\u016f\u017ee aplikovat ji\u017e 14 dn\u00ed po prvn\u00ed. <\/p>\n\n\n\n

M\u00e1m nao\u010dkovanou kl\u00ed\u0161\u0165ovou encefalitidu, posledn\u00ed d\u00e1vku p\u0159ed 3 lety. Sly\u0161ela jsem, \u017ee ale vydr\u017e\u00ed 5 let. Sta\u010d\u00ed j\u00edt tedy na dal\u0161\u00ed p\u0159eo\u010dkov\u00e1n\u00ed a\u017e za dva roky? Bude to je\u0161t\u011b \u00fa\u010dinn\u00e9?<\/p>\n\n\n\n

Z\u00e1le\u017e\u00ed, kolik V\u00e1m je let a kter\u00e1 v po\u0159ad\u00ed byla ta posledn\u00ed d\u00e1vka \u2013 zdali t\u0159et\u00ed v r\u00e1mci z\u00e1kladn\u00edho o\u010dkov\u00e1n\u00ed, nebo n\u00e1sledn\u00e1 posiluj\u00edc\u00ed. V prvn\u00edm p\u0159\u00edpad\u011b dokon\u010den\u00e9ho z\u00e1kladn\u00edho sch\u00e9matu byste m\u011bla ji\u017e po 3 letech p\u0159ij\u00edt pr\u00e1v\u011b na prvn\u00ed posiluj\u00edc\u00ed d\u00e1vku, dal\u0161\u00ed n\u00e1sledn\u00e9 posiluj\u00edc\u00ed d\u00e1vky jsou potom v\u017edy po 5 letech. Ale u osob nad 50 \u010di 60 let (a v z\u00e1vislosti na vakc\u00edn\u011b) se intervaly posiluj\u00edc\u00edch d\u00e1vek zkracuj\u00ed z 5 na 3 roky. <\/p>\n\n\n\n

Cht\u011bla bych se informovat na o\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b u sv\u00e9 18m\u011bs\u00ed\u010dn\u00ed dcery. V\u00edm, \u017ee se o\u010dkov\u00e1n\u00ed v tomto v\u011bku ji\u017e prov\u00e1d\u00ed, ale sly\u0161ela jsem ji\u017e z n\u011bkolika zdroj\u016f, \u017ee se doporu\u010duje a\u017e po t\u0159et\u00edm roce d\u00edt\u011bte. Jak\u00fd je V\u00e1\u0161 n\u00e1zor? <\/p>\n\n\n\n

O\u010dkovat proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b lze d\u011bti od 1 roku \u017eivota. Nicm\u00e9n\u011b u mal\u00fdch d\u011bt\u00ed bych p\u0159istupoval individu\u00e1ln\u011b a o\u010dkoval jen v p\u0159\u00edpad\u011b zv\u00fd\u0161en\u00e9ho rizika \u2013 pobyty v p\u0159\u00edrod\u011b, ale i pes \u010di ko\u010dka v dom\u00e1cnosti, kter\u00e9 mohou kl\u00ed\u0161\u0165ata dom\u016f p\u0159in\u00e9st. Pr\u016fb\u011bh u d\u011bt\u00ed b\u00fdv\u00e1 zpravidla leh\u010d\u00ed ne\u017e u dosp\u011bl\u00fdch, nicm\u00e9n\u011b st\u00e1le se jedn\u00e1 o virov\u00fd z\u00e1n\u011bt mozku s mo\u017en\u00fdmi v\u00e1\u017en\u00fdmi komplikacemi a dlouhou rekonvalescenc\u00ed. Nav\u00edc proti t\u00e9to nemoci nem\u00e1me kauz\u00e1ln\u00ed l\u00e9\u010dbu. <\/p>\n\n\n\n

Je o\u010dkov\u00e1n\u00ed vhodn\u00fdm d\u00e1rkem pro babi\u010dku? Nen\u00ed to pro jej\u00ed star\u0161\u00ed organismus velk\u00e1 z\u00e1t\u011b\u017e? O\u010dkov\u00e1n\u00ed obecn\u011b \u017e\u00e1dnou velkou z\u00e1t\u011b\u017e nep\u0159edstavuje. Naopak, ur\u010dit\u011b bych babi\u010dku doporu\u010dil o\u010dkovat, jeliko\u017e u dosp\u011bl\u00fdch a senior\u016f je vy\u0161\u0161\u00ed riziko komplikovan\u00e9ho pr\u016fb\u011bhu a trval\u00fdch n\u00e1sledk\u016f po prod\u011blan\u00e9m onemocn\u011bn\u00ed. Osob\u00e1m nad 50 let v\u011bku je proto o\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b pln\u011b hrazeno ze zdravotn\u00edho poji\u0161t\u011bn\u00ed. <\/p>\n\n\n\n

M\u00e1 o\u010dkov\u00e1n\u00ed proti KE n\u011bjak\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky, stejn\u011b jako tomu je nap\u0159\u00edklad u n\u011bkter\u00fdch druh\u016f o\u010dkov\u00e1n\u00ed nap\u0159. proti ch\u0159ipce? Po o\u010dkov\u00e1n\u00ed obecn\u011b m\u016f\u017eeme o\u010dek\u00e1vat n\u011bjak\u00e9 reakce. Nej\u010dast\u011bj\u0161\u00ed jsou ty lok\u00e1ln\u00ed, tzn. bolestivost, otok \u010di zarudnut\u00ed v oblasti vpichu. Mezi celkov\u00e9 reakce pat\u0159\u00ed \u00fanava, mal\u00e1tnost, \u201ech\u0159ipkov\u00e9 p\u0159\u00edznaky\u201c, zv\u00fd\u0161en\u00e1 teplota apod. Nicm\u00e9n\u011b po o\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b jsou takov\u00e9 reakce m\u00e9n\u011b \u010dast\u00e9, je to o\u010dkov\u00e1n\u00ed pom\u011brn\u011b dob\u0159e sn\u00e1\u0161en\u00e9. <\/p>\n\n\n\n

Moje dcera m\u00e1 velice \u0161patn\u00fd pr\u016fb\u011bh u ka\u017ed\u00e9ho o\u010dkov\u00e1n\u00ed. Jak\u00e9 m\u00e1te v tomto ohledu zku\u0161enosti u vakcinace proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b? O\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b je dle na\u0161ich zku\u0161enost\u00ed velmi dob\u0159e sn\u00e1\u0161en\u00e9, frekvence r\u016fzn\u00fdch reakc\u00ed je minim\u00e1ln\u00ed. N\u011bkter\u00fdm reakc\u00edm, nap\u0159. lok\u00e1ln\u00edm (bolestivost v oblasti aplikace) \u010di celkov\u00fdm (bolesti hlavy, teploty) lze p\u0159edch\u00e1zet preventivn\u00edm pod\u00e1n\u00edm nap\u0159. paracetamolu. Je rovn\u011b\u017e vhodn\u00e9 se 2-3 dny po o\u010dkov\u00e1n\u00ed vyvarovat zv\u00fd\u0161en\u00e9 fyzick\u00e9 z\u00e1t\u011b\u017ei. <\/p>\n\n\n\n

Karol\u00edna Steinbergerov\u00e1<\/p>\n\n\n\n

Zdroj<\/p>\n\n\n\n

\n\n\n\n

21stoleti.cz <\/p>\n\n\n\n

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

Virus kl\u00ed\u0161\u0165ov\u00e9 encefalitidy m\u016f\u017ee napadnout nervovou soustavu a zp\u016fsobit v\u00e1\u017en\u00e9 komplikace. P\u0159esto\u017ee \u00fa\u010dinn\u00e9 o\u010dkov\u00e1n\u00ed existuje a je dob\u0159e dostupn\u00e9, mnoho lid\u00ed ho st\u00e1le podce\u0148uje \u2013 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14170,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-58960","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\/58960","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=58960"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/58960\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14170"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58960"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=58960"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=58960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}