{"id":60674,"date":"2025-09-12T11:03:43","date_gmt":"2025-09-12T09:03:43","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=60674"},"modified":"2025-09-12T11:03:43","modified_gmt":"2025-09-12T09:03:43","slug":"cesko-zasahla-vlna-zloutenky-a-i-c","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=60674","title":{"rendered":"\u010cesko zas\u00e1hla vlna \u017eloutenky A i C"},"content":{"rendered":"\n

\u0158e\u0161en\u00ed? Testovat, testovat, testovat a rychle l\u00e9\u010dit<\/em><\/p>\n\n\n\n

Praha, 11. 9. 2025 \u2013 V \u010cesk\u00e9 republice p\u0159ib\u00fdv\u00e1 nemocn\u00fdch se \u017eloutenkou typu A i C.
Loni testy odhalily hepatitidu C u 1 452 osob \u2013 nejv\u00edce za posledn\u00edch deset let. Do konce srpna leto\u0161n\u00edho roku p\u0159ibylo dal\u0161\u00edch 935 p\u0159\u00edpad\u016f. Sou\u010dasn\u011b se ale nav\u00edc objevila plo\u0161n\u00e1 epidemie \u017eloutenky A. Od za\u010d\u00e1tku roku bylo hl\u00e1\u0161eno 1 348 nemocn\u00fdch, co\u017e je n\u011bkolikan\u00e1sobn\u011b v\u00edce ne\u017e v p\u0159edchoz\u00edch letech. D\u016fle\u017eit\u00e9 proto je, aby se rizikov\u00e9 osoby testovaly na p\u0159\u00edtomnost infekce virem hepatitidy C (HCV). A v\u00a0p\u0159\u00edpad\u011b viru hepatitidy A (HAV) poskytuje ochranu d\u016fkladn\u00e9 myt\u00ed rukou a zejm\u00e9na o\u010dkov\u00e1n\u00ed. <\/strong><\/p>\n\n\n\n

T\u00e9matu se budou od p\u0159\u00ed\u0161t\u00edho \u010dtvrtka v\u011bnovat odborn\u00edci naKongresu klinick\u00e9 mikrobiologie, infek\u010dn\u00edch nemoc\u00ed a\u00a0epidemiologie\u00a0(KMINE).<\/strong><\/p>\n\n\n\n

\u201eNa\u0161e populace je v\u016f\u010di viru hepatitidy A velmi vn\u00edmav\u00e1, proto\u017ee od posledn\u00ed velk\u00e9 epidemie v\u00a0roce 1979 uplynulo v\u00edce ne\u017e 45 let. V\u011bt\u0161ina lid\u00ed se tak s virem nikdy nesetkala a nem\u00e1 protil\u00e1tky. Proto je ohro\u017eena prakticky cel\u00e1 spole\u010dnost,\u201c<\/em> \u0159\u00edk\u00e1 MUDr.\u00a0Pavel Dlouh\u00fd, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed (SIL) \u010cLS JEP a viceprezident kongresu KMINE. <\/p>\n\n\n\n

Hepatitida A se tak\u00e9 n\u011bkdy naz\u00fdv\u00e1 nemoc \u0161pinav\u00fdch rukou, p\u0159en\u00e1\u0161\u00ed se zejm\u00e9na p\u0159i \u00fazk\u00e9m kontaktu s\u00a0nemocnou osobou, \u010dasto v\u00a0d\u011btsk\u00fdch kolektivech, rodin\u00e1ch, ale tak\u00e9 mezi bezdomovci, u\u017eivateli drog nebo ve vylou\u010den\u00fdch lokalit\u00e1ch. M\u00e9n\u011b \u010dasto se lid\u00e9 nakaz\u00ed virem, kter\u00fd p\u0159e\u017e\u00edv\u00e1 na p\u0159edm\u011btech, nap\u0159\u00edklad klik\u00e1ch \u010di madlech v\u00a0obchodech nebo hromadn\u00e9 doprav\u011b. Vz\u00e1cn\u00fd je dnes p\u0159enos vodou \u010di potravinami, kter\u00e9 byly kontaminov\u00e1ny stolic\u00ed.<\/p>\n\n\n\n

V dob\u011b epidemie nemoc zpo\u010d\u00e1tku zasahuje rizikov\u00e9 skupiny, jako jsou nap\u0159\u00edklad lid\u00e9 bez domova, obyvatel\u00e9 vylou\u010den\u00fdch lokalit nebo drogov\u011b z\u00e1visl\u00ed. N\u00e1sledn\u011b se ale \u0161\u00ed\u0159\u00ed i mezi b\u011b\u017enou populac\u00ed. \u201eHepatitida A se proto m\u016f\u017ee objevit u lid\u00ed, kte\u0159\u00ed vedou tzv. spo\u0159\u00e1dan\u00fd \u017eivot a nejsou pova\u017eov\u00e1ni za rizikovou skupinu. \u010casto nezjist\u00edme, kde a jak se nakazili,\u201c<\/em> dod\u00e1v\u00e1 l\u00e9ka\u0159.<\/p>\n\n\n\n

Hepatitida A m\u00e1 akutn\u00ed pr\u016fb\u011bh. Typick\u00e9 p\u0159\u00edznaky jsou zpo\u010d\u00e1tku podobn\u00e9 ch\u0159ipce (\u00fanava, teplota, nechutenstv\u00ed, nevolnost, bolesti b\u0159icha), n\u00e1sledn\u011b ze\u017eloutne k\u016f\u017ee a b\u011blmo o\u010d\u00ed. V\u011bt\u0161ina pacient\u016f se uzdrav\u00ed spont\u00e1nn\u011b, ale rekonvalescence trv\u00e1 t\u00fddny a\u017e m\u011bs\u00edce. \u201eU hepatitidy typu A je d\u016fle\u017eit\u00e9 nejen v\u010dasn\u00e9 odhalen\u00ed, ale i prevence. Nej\u00fa\u010dinn\u011bj\u0161\u00ed je o\u010dkov\u00e1n\u00ed, kter\u00e9 poskytuje dlouhodobou ochranu, a samoz\u0159ejm\u011b d\u016fsledn\u00e1 hygiena. Pokud u\u017e nemoc propukne, l\u00e9\u010dba je podp\u016frn\u00e1 a vy\u017eaduje \u010das \u2013 zotaven\u00ed trv\u00e1 t\u00fddny a\u017e m\u011bs\u00edce,\u201c<\/em> vysv\u011btluje prim\u00e1\u0159 infek\u010dn\u00edho odd\u011blen\u00ed Nemocnice \u010cesk\u00e9 Bud\u011bjovice MUDr. Ale\u0161 Chrdle.<\/p>\n\n\n\n

Na rozd\u00edl od \u201e\u00e1\u010dka\u201c postupuje \u017eloutenka typu C nen\u00e1padn\u011b a roky ni\u010d\u00ed j\u00e1tra. Odborn\u00edci odhaduj\u00ed, \u017ee naka\u017een\u00fdch m\u016f\u017ee b\u00fdt a\u017e desetkr\u00e1t v\u00edce, ne\u017e uv\u00e1d\u00ed ofici\u00e1ln\u00ed statistiky. \u0158ada lid\u00ed toti\u017e o sv\u00e9 infekci v\u016fbec nev\u00ed \u2013 onemocn\u011bn\u00ed prob\u00edh\u00e1 bez bolesti a bez v\u00fdrazn\u011bj\u0161\u00edch p\u0159\u00edznak\u016f. \u201eOfici\u00e1ln\u00ed hl\u00e1\u0161en\u00ed v\u00fdskytu hepatitidy C p\u0159edstavuj\u00ed pouze \u0161pi\u010dku ledovce. Skute\u010dn\u00fd po\u010det naka\u017een\u00fdch je mnohon\u00e1sobn\u011b vy\u0161\u0161\u00ed. Bez testov\u00e1n\u00ed infekci nelze odhalit,\u201c<\/em> \u0159\u00edk\u00e1 MUDr. Dlouh\u00fd. Onemocn\u011bn\u00ed m\u016f\u017ee m\u00edt velmi v\u00e1\u017en\u00e9 n\u00e1sledky \u2013 od cirh\u00f3zy p\u0159es rakovinu a\u017e po selh\u00e1n\u00ed jater, kdy jedin\u00fdm \u0159e\u0161en\u00edm z\u016fst\u00e1v\u00e1 transplantace.<\/p>\n\n\n\n

\u201eMezi nejrizikov\u011bj\u0161\u00ed skupiny z hlediska hepatitidy C pat\u0159\u00ed zejm\u00e9na u\u017eivatel\u00e9 drog, kte\u0159\u00ed si aplikuj\u00ed l\u00e1tky injek\u010dn\u011b. D\u00e1le lid\u00e9, kte\u0159\u00ed absolvovali transfuzi p\u0159ed rokem 1992. Mezi v\u011bzni se infekce \u0161\u00ed\u0159\u00ed nap\u0159\u00edklad nesteriln\u00edm tetov\u00e1n\u00edm. P\u0159enos viru je mo\u017en\u00fd p\u0159i rizikov\u00e9m pohlavn\u00edm styku a tak\u00e9 z matky na d\u00edt\u011b v dob\u011b t\u011bhotenstv\u00ed a porodu<\/em>,\u201c <\/em>zd\u016fraz\u0148uje p\u0159ednosta Kliniky infek\u010dn\u00edch chorob Fakultn\u00ed nemocnice Brno prof. MUDr. Petr Husa, CSc.<\/em><\/em><\/p>\n\n\n\n

Testov\u00e1n\u00ed na hepatitidu C prov\u00e1d\u011bj\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i i specialist\u00e9. Anonymn\u011b a zdarma je mo\u017en\u00e9 nechat se otestovat tak\u00e9 v checkpointech, kter\u00e9 funguj\u00ed po cel\u00e9 republice. Vy\u0161et\u0159uje se zde HIV, hepatitida C a syfilis. Hepatitida A se zde netestuje \u2013 pokud m\u00e1 \u010dlov\u011bk podez\u0159en\u00ed na infekci virem hepatitidy A, mus\u00ed se obr\u00e1tit na sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e.<\/p>\n\n\n\n

\u201eV p\u0159\u00edpad\u011b hepatitidy typu C se bez test\u016f pacienti k l\u00e9\u010db\u011b nedostanou. Terapie t\u00e9to \u017eloutenky je dnes vysoce \u00fa\u010dinn\u00e1, bezbolestn\u00e1 a spo\u010d\u00edv\u00e1 v u\u017e\u00edv\u00e1n\u00ed tablet po dobu 8\u201312 t\u00fddn\u016f. Je proto z\u00e1sadn\u00ed, aby lid\u00e9 z rizikov\u00fdch skupin testy podstoupili,\u201c <\/em>uzav\u00edr\u00e1 MUDr. Ale\u0161 Chrdle.<\/p>\n\n\n\n

O Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed \u010cLS JEP<\/strong><\/p>\n\n\n\n

Spole\u010dnost infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed \u010cLS JEP soust\u0159e\u010fuje l\u00e9ka\u0159e, kte\u0159\u00ed pracuj\u00ed v oboru infek\u010dn\u00edch nemoc\u00ed nebo maj\u00ed z\u00e1jem o tento obor. Je sou\u010d\u00e1st\u00ed \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti Jana Evangelisty Purkyn\u011b (\u010cLS JEP) jako\u017eto zast\u0159e\u0161uj\u00edc\u00ed organizace. P\u016fsob\u00ed jako nejvy\u0161\u0161\u00ed odborn\u00e1 autorita v oboru infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed. V\u00edce informac\u00ed o spole\u010dnosti a aktu\u00e1ln\u00ed informace a doporu\u010den\u00ed jsou k dispozici na webu www.infektologie.cz<\/a>. Informace o testov\u00e1n\u00ed na infek\u010dn\u00ed nemoci jsou dostupn\u00e9 na www.testujsevcas.cz<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0158e\u0161en\u00ed? Testovat, testovat, testovat a rychle l\u00e9\u010dit Praha, 11. 9. 2025 \u2013 V \u010cesk\u00e9 republice p\u0159ib\u00fdv\u00e1 nemocn\u00fdch se \u017eloutenkou typu A i C.Loni testy odhalily […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":19818,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-60674","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\/60674","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=60674"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60674\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19818"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}