Evropsk\u00e1 komise schv\u00e1lila novou l\u00e1tku k prevenci p\u0159ed HIV, vyv\u00edjel ji i \u010desk\u00fd v\u011bdec Tom\u00e1\u0161 Cihl\u00e1\u0159. Lenacapavir by m\u011bli l\u00e9ka\u0159i pod\u00e1vat injek\u010dn\u011b dvakr\u00e1t ro\u010dn\u011b. Odborn\u00edci pova\u017euj\u00ed l\u00e9k spole\u010dnosti Gilead Sciences za nad\u011bjn\u00fd krok na cest\u011b k \u00fapln\u00e9mu vym\u00fdcen\u00ed viru. <\/p>\n\n\n\n
Jan Konvalinka, biochemik, \u0159editel \u00dastavu organick\u00e9 chemie a biochemie AV \u010cR<\/strong> Je to zat\u00edm nej\u00fa\u010dinn\u011bj\u0161\u00ed l\u00e1tka v\u016fbec, kterou proti HIV nebo proti, mus\u00edm \u0159\u00edct, jak\u00e9mukoliv viru m\u00e1me a je tak \u00fa\u010dinn\u00e1 a ta l\u00e1tka m\u00e1 takov\u00e9 vlastnosti, \u017ee se uk\u00e1zalo, \u017ee m\u016f\u017ee fungovat i preventivn\u011b.<\/p>\n\n\n\n \u010cRo Radio\u017eurn\u00e1l<\/p>\n\n\n\n U telefonu je David Jilich, vedouc\u00ed HIV centra kliniky infek\u010dn\u00edch nemoc\u00ed pra\u017esk\u00e9 Nemocnice Na Bulovce, Jak velk\u00fd je to pokrok? <\/p>\n\n\n\n MUDr. David Jilich, z\u00e1stupce vedouc\u00edho HIV centra Kliniky infek\u010dn\u00edch, tropick\u00fdch a parazit\u00e1rn\u00edch chorob Nemocnice na Bulovce<\/strong> Je to dal\u0161\u00ed z mnoho pokrok\u016f v na\u0161im boji proti HIV J\u00e1 bych jenom up\u0159esnil, \u017ee se nejedn\u00e1 o vakc\u00ednu, ale o ochrannou l\u00e9\u010dbu, profylaktickou l\u00e9\u010dbu, rozd\u00edl oproti t\u00e9, kter\u00e9 m\u00e1me u\u017e n\u011bkolik let je, jak ji\u017e bylo zm\u00edn\u011bno, jaksi to pod\u00e1v\u00e1n\u00ed, kter\u00e9 opravdu ve 26t\u00fddenn\u00edch intervalech dvakr\u00e1t ro\u010dn\u011b. Ale hlavn\u00ed jaksi tou v\u00fdhodou nen\u00ed jenom ot\u00e1zka toho pohodl\u00ed, ale \u0159ekn\u011bme, spolehlivost toho re\u017eimu, to znamen\u00e1, tyto preventivn\u00ed re\u017eimy funguj\u00ed skv\u011ble, kdy\u017e se spr\u00e1vn\u011b u\u017e\u00edvaj\u00ed a v p\u0159\u00edpad\u011b t\u00e9 p\u016fvodn\u00ed verze tabletov\u00e9, kdy je pot\u0159eba to u\u017e\u00edv\u00e1n\u00ed aplikovat ve dvaceti \u010dty\u0159hodinov\u00fdch intervalech, velmi striktn\u011b a velmi pravideln\u011b, tak samoz\u0159ejm\u011b hroz\u00ed neporovnateln\u011b \u010dast\u011bj\u0161\u00ed nebo v\u011bt\u0161\u00ed riziko selh\u00e1n\u00ed ze strany toho u\u017eivatele, ne\u017e kdy\u017e mus\u00ed nav\u0161t\u00edvit sv\u00e9 zdravotnick\u00e9 za\u0159\u00edzen\u00ed jenom tedy \u201edvakr\u00e1t ro\u010dn\u011b\u201c.<\/p>\n\n\n\n moder\u00e1tor<\/strong> A jak vysokou m\u00e1 tedy ten nov\u00fd p\u0159\u00edpravek \u00fa\u010dinnost? <\/p>\n\n\n\n MUDr. David Jilich, z\u00e1stupce vedouc\u00edho HIV centra Kliniky infek\u010dn\u00edch, tropick\u00fdch a parazit\u00e1rn\u00edch chorob Nemocnice na Bulovce<\/strong> M\u00e1 velmi vysokou. Podle studi\u00ed se jedn\u00e1 o hodnoty nad 98, dokonce snad nad 99 % v t\u011bch dvou studi\u00edch, kter\u00e9 vedly k t\u00e9 registraci, do\u0161lo asi ze 4000 osob sledovan\u00fdch, tu\u0161\u00edm, jenom asi ke dvoum n\u00e1kaz\u00e1m v tom sledovan\u00e9m obdob\u00ed. <\/p>\n\n\n\n Vladim\u00edr Kroc, moder\u00e1tor<\/strong> M\u00e1 n\u011bjak\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky? <\/p>\n\n\n\n MUDr. David Jilich, z\u00e1stupce vedouc\u00edho HIV centra Kliniky infek\u010dn\u00edch, tropick\u00fdch a parazit\u00e1rn\u00edch chorob Nemocnice na Bulovce<\/strong> M\u00e1. My tento l\u00e9k u\u017e pou\u017e\u00edv\u00e1me v l\u00e9\u010db\u011b pacient\u016f infikovan\u00fdch HIV n\u011bjakou dobu, tak\u017ee s t\u00edm m\u00e1me zku\u0161enosti, p\u0159esto\u017ee ta registrace v tom preventivn\u00edm m\u00f3du je \u00fapln\u011b te\u010fka \u010derstv\u00e1, ale ty \u00fa\u010dinky neb\u00fdvaj\u00ed n\u011bjak dramatick\u00e9, v\u011bt\u0161inou se jedn\u00e1 o n\u011bjakou reakc\u00ed v m\u00edst\u011b pod\u00e1n\u00ed, to znamen\u00e1 n\u011bjakou p\u0159echodnou bolestivost nebo mali\u010dk\u00fd otok.<\/p>\n\n\n\n Vladim\u00edr Kroc, moder\u00e1tor<\/strong> Komu je tato preexpozi\u010dn\u00ed profylaxe ur\u010dena zejm\u00e9na?<\/p>\n\n\n\n MUDr. David Jilich, z\u00e1stupce vedouc\u00edho HIV centra Kliniky infek\u010dn\u00edch, tropick\u00fdch a parazit\u00e1rn\u00edch chorob Nemocnice na Bulovce<\/strong> te\u010f mluv\u00edm obecn\u011b, to znamen\u00e1, nejenom ta nov\u00e1 verze ale i ta p\u016fvodn\u00ed – je to osob\u00e1m, kter\u00e9 jsou vystaveny, respektive vystavov\u00e1ny riziku n\u00e1kazy HIV, to znamen\u00e1, tyto osoby jsou vhodn\u00fdmi kandid\u00e1ty nebo nejvhodn\u011bj\u0161\u00edmi kandid\u00e1ty pro tuto preventivn\u00ed l\u00e9\u010dbu. <\/p>\n\n\n\n Vladim\u00edr Kroc, moder\u00e1tor<\/strong> A kdy bude mo\u017eno preventivn\u00ed tedy injekce u\u017e\u00edvat i v \u010cesku? <\/p>\n\n\n\n MUDr. David Jilich, z\u00e1stupce vedouc\u00edho HIV centra Kliniky infek\u010dn\u00edch, tropick\u00fdch a parazit\u00e1rn\u00edch chorob Nemocnice na Bulovce<\/strong> To nen\u00ed ot\u00e1zka na n\u00e1s na odborn\u00edky, ale \u0159ekn\u011bme na \u00fa\u0159ady, jako je St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div, pop\u0159\u00edpad\u011b zdravotn\u00ed poji\u0161\u0165ovny nebo ministerstvo. Asi to nebude p\u0159\u00ed\u0161t\u00ed m\u011bs\u00edc, ale doufejme, \u017ee to t\u0159eba v \u0159\u00e1du jednotliv\u00fdch m\u011bs\u00edc\u016f by b\u00fdt mohlo. Budeme optimisti\u010dt\u00ed, <\/p>\n\n\n\n Vladim\u00edr Kroc, moder\u00e1tor<\/strong> A bude je hradit ve\u0159ejn\u00e9 poji\u0161t\u011bn\u00ed? <\/p>\n\n\n\n MUDr. David Jilich, z\u00e1stupce vedouc\u00edho HIV centra Kliniky infek\u010dn\u00edch, tropick\u00fdch a parazit\u00e1rn\u00edch chorob Nemocnice na Bulovce<\/strong> No, vzhledem k tomu, \u017ee nehrad\u00ed ani tu p\u016fvodn\u00ed tabletovou verzi, tak samoz\u0159ejm\u011b tato ot\u00e1zka je kl\u00ed\u010dov\u00e1. Neptejte se m\u011b na odpov\u011b\u010f, j\u00e1 j\u00ed nezn\u00e1m, ale budu stejn\u011b jako p\u0159\u00edpadn\u00ed kandid\u00e1ti k t\u00e9to l\u00e9\u010db\u011b vy\u010dk\u00e1vat dal\u0161\u00edch informac\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":" Evropsk\u00e1 komise schv\u00e1lila novou l\u00e1tku k prevenci p\u0159ed HIV, vyv\u00edjel ji i \u010desk\u00fd v\u011bdec Tom\u00e1\u0161 Cihl\u00e1\u0159. Lenacapavir by m\u011bli l\u00e9ka\u0159i pod\u00e1vat injek\u010dn\u011b dvakr\u00e1t ro\u010dn\u011b. Odborn\u00edci […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14172,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-60307","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60307","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=60307"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60307\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14172"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60307"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60307"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}