V \u010cesku d\u00e1l p\u0159ib\u00fdv\u00e1 naka\u017een\u00fdch \u017eloutenkou typu A. Skoro polovinu p\u0159\u00edpad\u016f, tedy 826, hygienici zaznamenali v Praze, kde eviduj\u00ed i 10 \u00famrt\u00ed. Sou\u010dasn\u011b tento \u00fadaj byl platn\u00fd ke 13. \u0159\u00edjnu. Do 5. \u0159\u00edjna v cel\u00e9m \u010cesku zem\u0159elo 21 lid\u00ed. Do tohoto data St\u00e1tn\u00ed zdravotn\u00ed \u00fastav evidoval za leto\u0161ek skoro 1850 infikovan\u00fdch. To je nejv\u00edc od roku 1996, kdy bylo za cel\u00fd rok 2083 p\u0159\u00edpad\u016f. P\u0159\u00edznaky se podobaj\u00ed ch\u0159ipce, objevit se m\u016f\u017ee teplota, nechutenstv\u00ed anebo nevolnost. No, a s n\u00e1mi ve spojen\u00ed je Pavel Dlouh\u00fd, prim\u00e1\u0159 Infek\u010dn\u00edho odd\u011blen\u00ed Masarykovy nemocnice v \u00dast\u00ed nad Labem, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed, dobr\u00fd ve\u010der p\u0159eju. <\/p>\n\n\n\n
Pro\u010d se v \u010cesku st\u00e1le neda\u0159\u00ed zvl\u00e1dnout to \u0161\u00ed\u0159en\u00ed \u017eloutenky? Nam\u00edsto toho p\u0159ich\u00e1zej\u00ed zpr\u00e1vy o dal\u0161\u00edch mrtv\u00fdch. <\/p>\n\n\n\n
Pavel Dlouh\u00fd, prim\u00e1\u0159 Infek\u010dn\u00ed kliniky Masarykovy nemocnice v \u00dast\u00ed nad Labem, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed<\/strong> No, je to proto, proto\u017ee na\u0161e populace je vn\u00edmav\u00e1 v\u016f\u010di tomu viru, my nejsme chr\u00e1n\u011bni, nem\u00e1me protil\u00e1tky, nem\u00e1me \u017e\u00e1dnou historii. Posledn\u00ed velik\u00e1 epidemie byla v \u010desk\u00fdch zem\u00edch v roce 1979, to jsou ty zn\u00e1m\u00e9 polsk\u00e9 jahody, kdy se nakazily desetitis\u00edce lid\u00ed. A na ka\u017ed\u00e9ho prok\u00e1zan\u00e9ho potom dal\u0161\u00ed des\u00edtky, o kter\u00fdch jsme nev\u011bd\u011bli. Tak\u017ee tehdy se promo\u0159ila velk\u00e1 \u010d\u00e1st populace, ale to u\u017e je 46 let. Tak\u017ee tady m\u00e1me velkou \u010d\u00e1st n\u00e1roda, kter\u00fd nen\u00ed chr\u00e1n\u011bn. A pokud se dostane do kontaktu s tou infekc\u00ed, s t\u00edm virem, tak se velmi snadno nakaz\u00ed. <\/p>\n\n\n\n Ji\u0159\u00ed V\u00e1clavek, moder\u00e1tor<\/strong> Mimochodem je na m\u00edst\u011b mluvit v p\u0159\u00edpad\u011b \u00famrt\u00ed, o \u00famrt\u00ed na \u017eloutenku nebo s C \u017eloutenkou. To se op\u011bt dost\u00e1v\u00e1me k t\u011bm formulac\u00edm, kter\u00e9 jsme si osvojili v dob\u011b covidu-19. <\/p>\n\n\n\n Pavel Dlouh\u00fd, prim\u00e1\u0159 Infek\u010dn\u00ed kliniky Masarykovy nemocnice v \u00dast\u00ed nad Labem, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed<\/strong> On je to velk\u00fd posun. My jsme v minulosti za\u017e\u00edvali \u00famrt\u00ed na hepatitidu A, \u010dili na \u017eloutenku typu A naprosto raritn\u011b, proto\u017ee posti\u017een\u00e9 byly zejm\u00e9na d\u011bti, byly to p\u0159ed\u0161koln\u00ed d\u011bti nebo d\u011bti z ni\u017e\u0161\u00edch t\u0159\u00edd, z\u00e1kladn\u00edch \u0161kol, kde se ta infekce velmi snadno \u0161\u00ed\u0159ila. Je\u0161t\u011b si v\u0161ichni vzpomeneme, jak jsme si m\u00e1chali ruce v lavoru s chloraminem. Dnes se ta infekce posouv\u00e1 do st\u0159edn\u00edho a vy\u0161\u0161\u00edho v\u011bku, to je nov\u00e9. Ti lid\u00e9 stonaj\u00ed t\u011b\u017e\u0161\u00edm zp\u016fsobem. A pokud ta infekce postihne n\u011bkoho, kdo m\u00e1 nemocn\u00e1 j\u00e1tra, kdo u\u017e m\u00e1 t\u0159eba jatern\u00ed cirh\u00f3zu z jin\u00e9ho d\u016fvodu, tak na tu infekci m\u016f\u017ee i zem\u0159\u00edt. Tak\u017ee ta infekce virem hepatitidy A ho skute\u010dn\u011b zabije.<\/p>\n\n\n\n Ji\u0159\u00ed V\u00e1clavek, moder\u00e1tor<\/strong> My jsme se bavili o t\u00e9 vn\u00edmavosti, o tom, \u017ee se neda\u0159\u00ed tu situaci zat\u00edm zvl\u00e1dat. Nenazr\u00e1l \u010das na n\u011bjak\u00e1 plo\u0161n\u011bj\u0161\u00ed opat\u0159en\u00ed?<\/p>\n\n\n\n Pavel Dlouh\u00fd, prim\u00e1\u0159 Infek\u010dn\u00ed kliniky Masarykovy nemocnice v \u00dast\u00ed nad Labem, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed<\/strong> Tak je to v\u0161echno o financ\u00edch, proto\u017ee to jedin\u00e9 spr\u00e1vn\u00e9 plo\u0161n\u00e9 opat\u0159en\u00ed by bylo o\u010dkovat, ale ta o\u010dkovac\u00ed l\u00e1tka je drah\u00e1 a p\u0159edstava, \u017ee budeme nyn\u00ed o\u010dkovat celou populaci proti hepatitid\u011b A, nen\u00ed ur\u010dit\u011b re\u00e1ln\u00e1. Mo\u017en\u00e1 bychom m\u011bli o\u010dkovat n\u011bjak\u00e9 ty rizikov\u00e9 skupiny, kter\u00e9 onemocn\u00ed nej\u010dast\u011bji a ur\u010dit\u011b mus\u00edme vyz\u00fdvat v\u0161echny, kte\u0159\u00ed maj\u00ed mo\u017enost se o\u010dkovat, maj\u00ed na to finance a maj\u00ed na to z\u00e1jem tak, aby to o\u010dkov\u00e1n\u00ed podstoupili, proto\u017ee to je naprosto suver\u00e9nn\u00ed zp\u016fsob ochrany. My m\u016f\u017eeme sice vyz\u00fdvat v\u0161echny, aby si myli ruce, ale mnoho na\u0161ich pacient\u016f se chov\u00e1 docela hygienicky, ruce si myje, p\u0159esto se nakaz\u00ed. V\u016fbec nev\u00ed, kde k tomu p\u0159i\u0161li, pro\u010d onemocn\u011bli. A nejsou to ty rizikov\u00e9 skupiny, o kter\u00fdch jsme hovo\u0159ili v minulosti. To znamen\u00e1 jednak ty d\u011bti, jednak bezdomovci, u\u017eivatel\u00e9 drog a lid\u00e9, kte\u0159\u00ed \u017eij\u00ed v n\u011bjak\u00fdch t\u011bch vylou\u010den\u00fdch lokalit\u00e1ch. Dneska se ta infekce zkr\u00e1tka dostala do b\u011b\u017en\u00e9 populace.<\/p>\n\n\n\n Ji\u0159\u00ed V\u00e1clavek, moder\u00e1tor<\/strong> Jak m\u00e1lo sta\u010d\u00ed k tomu, aby se \u010dlov\u011bk nakazil hepatitidou A? Jenom p\u0159ipom\u00edn\u00e1m, \u0159\u00edk\u00e1 se j\u00ed nemoc \u0161pinav\u00fdch rukou. Sta\u010d\u00ed nepatrn\u00e9 mno\u017estv\u00ed stolice, tak jak m\u00e1lo sta\u010d\u00ed?<\/p>\n\n\n\n Pavel Dlouh\u00fd, prim\u00e1\u0159 Infek\u010dn\u00ed kliniky Masarykovy nemocnice v \u00dast\u00ed nad Labem, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed<\/strong> On ten term\u00edn je docela trefn\u00fd, proto\u017ee ten virus se do na\u0161eho t\u011bla dost\u00e1v\u00e1 \u00fasty, potom proch\u00e1z\u00ed za\u017e\u00edvac\u00edm traktem a vylu\u010duje se stolic\u00ed. Tak\u017ee ta stolice, je ten zp\u016fsob nebo to vehikulum, kter\u00fdm se p\u0159en\u00e1\u0161\u00ed ta n\u00e1kaza, je to bu\u010f velmi bl\u00edzk\u00fdm intimn\u00edm, dlouhodob\u00fdm kontaktem s naka\u017eenou osobou, anebo je to p\u0159es p\u0159edm\u011bty. Tak\u017ee ten virus, kter\u00fd p\u0159e\u017e\u00edv\u00e1 docela dlouho, tak m\u016f\u017eeme z\u00edskat n\u011bkde v hromadn\u00e9 doprav\u011b, n\u011bkde v obchod\u011b z n\u011bjak\u00e9ho dr\u017eadla voz\u00edku, kter\u00fd tla\u010d\u00edme p\u0159ed sebou a t\u011bch m\u00edst je zkr\u00e1tka velmi mnoho. A tam potom to myt\u00ed rukou, p\u0159\u00edpadn\u011b je n\u011bjak\u00e1 dezinfekce ur\u010dit\u011b m\u00e1 smysl.<\/p>\n\n\n\n Ji\u0159\u00ed V\u00e1clavek, moder\u00e1tor<\/strong> A mimochodem d\u00e1v\u00e1 smysl o\u010dkov\u00e1n\u00ed ex post, kdy\u017e se objektivn\u011b dozv\u00edm, \u017ee jsem se nakazil, tak nechat se nao\u010dkovat, ochr\u00e1n\u00ed m\u011b to? <\/p>\n\n\n\n Pavel Dlouh\u00fd, prim\u00e1\u0159 Infek\u010dn\u00ed kliniky Masarykovy nemocnice v \u00dast\u00ed nad Labem, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed<\/strong> Ano, ano, to je velmi u\u017eite\u010dn\u00e1 metoda. Hygienici j\u00ed pou\u017e\u00edvaj\u00ed b\u011b\u017en\u011b v ohnisku n\u00e1kazy, kdy pokud tomu kontaktu poskytneme vakc\u00ednu do 14 dn\u016f od okam\u017eiku, kdy byl naposled ve styku s t\u00edm naka\u017een\u00fdm, tak to m\u016f\u017ee bu\u010f zabr\u00e1nit n\u00e1kaze, anebo ta n\u00e1kaza potom prob\u00edh\u00e1 mnohem m\u00edrn\u011bj\u0161\u00edm zp\u016fsobem. Bav\u00edme se samoz\u0159ejm\u011b o bl\u00edzk\u00e9m \u00fazk\u00e9m kontaktu, nen\u00ed to o tom, \u017ee se s n\u011bk\u00fdm potk\u00e1m na chodb\u011b, ale \u017ee t\u0159eba s n\u00edm sd\u00edl\u00edm dom\u00e1cnost. <\/p>\n\n\n\n Ji\u0159\u00ed V\u00e1clavek, moder\u00e1tor<\/strong> A po kolika d\u00e1vk\u00e1ch o\u010dkov\u00e1n\u00ed m\u00e1m plnou ochranu dlouhodobou? <\/p>\n\n\n\n Pavel Dlouh\u00fd, prim\u00e1\u0159 Infek\u010dn\u00ed kliniky Masarykovy nemocnice v \u00dast\u00ed nad Labem, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed<\/strong> Ta ochrana nastupuje ji\u017e po prvn\u00ed injekci za 14 dn\u00ed, po t\u00e9 prvn\u00ed d\u00e1vce ji\u017e m\u00e1me protil\u00e1tky a jsme chr\u00e1n\u011bni, za rok po t\u00e9 prvn\u00ed injekci mus\u00edm d\u00e1t druhou posiluj\u00edc\u00ed d\u00e1vku a pak jsem chr\u00e1n\u011bn dlouhodob\u011b po des\u00edtky let.<\/p>\n\n\n\n Ji\u0159\u00ed V\u00e1clavek, moder\u00e1tor<\/strong> Kdy se spolu budeme bavit o tom, \u017ee tuto vlnu n\u00e1kazy \u017eloutenky \u010cesk\u00e1 republika zvl\u00e1dla?<\/p>\n\n\n\n Pavel Dlouh\u00fd, prim\u00e1\u0159 Infek\u010dn\u00ed kliniky Masarykovy nemocnice v \u00dast\u00ed nad Labem, p\u0159edseda Spole\u010dnosti infek\u010dn\u00edho l\u00e9ka\u0159stv\u00ed<\/strong> T\u011b\u017eko v\u011b\u0161tit z n\u011bjak\u00e9 k\u0159i\u0161\u0165\u00e1lov\u00e9 koule. My jsme loni podobn\u011b diskutovali o epidemii \u010dern\u00e9ho ka\u0161le, tak\u00e9 to vypadalo velmi, velmi urgentn\u011b, tragicky, nakonec ta epidemie v\u00edcem\u00e9n\u011b sama odezn\u011bla nebo, nebo ty po\u010dty v\u00fdrazn\u011b klesly. Uvid\u00edme, jak to bude s tou hepatitidou A. Znovu p\u0159ipom\u00edn\u00e1m, \u017ee tady m\u00e1me bohu\u017eel statis\u00edce a miliony lid\u00ed, kte\u0159\u00ed jsou vn\u00edmav\u00ed v\u016f\u010di tomu viru a mohou se nakazit. Tak\u017ee t\u011b\u017eko \u0159\u00edct, uvid\u00edme.<\/p>\n\n\n\n Ji\u0159\u00ed V\u00e1clavek, moder\u00e1tor<\/strong> Pane prim\u00e1\u0159i, moc v\u00e1m d\u011bkuju, zdrav\u00edm na sever \u010cech, m\u011bjte se hezky.<\/p>\n","protected":false},"excerpt":{"rendered":" V \u010cesku d\u00e1l p\u0159ib\u00fdv\u00e1 naka\u017een\u00fdch \u017eloutenkou typu A. Skoro polovinu p\u0159\u00edpad\u016f, tedy 826, hygienici zaznamenali v Praze, kde eviduj\u00ed i 10 \u00famrt\u00ed. Sou\u010dasn\u011b tento \u00fadaj […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":61305,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[],"class_list":["post-61304","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61304","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=61304"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61304\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/61305"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61304"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61304"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61304"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}