{"id":189630,"date":"2020-04-17T21:42:08","date_gmt":"2020-04-17T20:42:08","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=189630"},"modified":"2020-04-17T21:42:08","modified_gmt":"2020-04-17T20:42:08","slug":"klistata-utoci-hygienici-jiz-eviduji-prvni-pripady-klistove-encefalitidy-a-lymeske-boreliozy","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=189630","title":{"rendered":"KL\u00cd\u0160\u0164ATA \u00daTO\u010c\u00cd: Hygienici ji\u017e eviduj\u00ed prvn\u00ed p\u0159\u00edpady kl\u00ed\u0161\u0165ov\u00e9 encefalitidy a lymesk\u00e9 boreli\u00f3zy"},"content":{"rendered":"

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\u010cESK\u00c9 BUD\u011aJOVICE 17. dubna – Ve st\u00ednu onemocn\u011bn\u00ed COVID-19 pon\u011bkud ustoupila do pozad\u00ed dal\u0161\u00ed sez\u00f3nn\u00ed zdravotn\u00ed rizika. To ale neznamen\u00e1, \u017ee neexistuj\u00ed a \u017ee se jim odborn\u00edci nev\u011bnuj\u00ed.<\/h6>\n

Vedle onemocn\u011bn\u00ed salmonel\u00f3zou, kter\u00fdch je k dne\u0161n\u00edmu dni hl\u00e1\u0161eno v kraji 143 p\u0159\u00edpad\u016f (vloni ve srovnateln\u00e9m obdob\u00ed 129) a kampylobakteri\u00f3zy, j\u00ed\u017e hygienici v kraji eviduj\u00ed ji\u017e 248 p\u0159\u00edpad\u016f (vloni 234) jsou to p\u0159edev\u0161\u00edm pro ji\u017en\u00ed \u010cechy typick\u00e1 infek\u010dn\u00ed onemocn\u011bn\u00ed, p\u0159en\u00e1\u0161en\u00e1 kl\u00ed\u0161\u0165aty.<\/p>\n

\u201eV minul\u00fdch dnech zaznamenali na \u010ceskokrumlovsku prvn\u00ed prok\u00e1zan\u00fd p\u0159\u00edpad kl\u00ed\u0161\u0165ov\u00e9 encefalitidy, kter\u00e1 je onemocn\u011bn\u00edm virov\u00e9ho p\u016fvodu s p\u0159\u00edrodn\u00ed ohniskovost\u00ed. Druh\u00fd pacient byl dnes hospitalizov\u00e1n na infek\u010dn\u00edm odd\u011blen\u00ed \u010deskobud\u011bjovick\u00e9 nemocnice. K dne\u0161n\u00edmu dni evidujeme v kraji i 28 p\u0159\u00edpad\u016f lymesk\u00e9 boreli\u00f3zy. To je bakteri\u00e1ln\u00ed onemocn\u011bn\u00ed, s n\u00edm\u017e je mo\u017en\u00e9 setkat se prakticky v\u0161ude, kde se vyskytuj\u00ed kl\u00ed\u0161\u0165ata. Je zhruba p\u011btkr\u00e1t \u010dast\u011bj\u0161\u00ed ne\u017e kl\u00ed\u0161\u0165ov\u00e1 encefalitida, proto\u017ee pozitivitu na p\u0159\u00edtomnost borreli\u00ed vykazuje asi deset procent populace kl\u00ed\u0161\u0165at. Letos zat\u00edm hl\u00e1s\u00ed nejvy\u0161\u0161\u00ed v\u00fdskyt Jind\u0159ichohradecko, kde je k dne\u0161ku polovina v\u0161ech prok\u00e1zan\u00fdch p\u0159\u00edpad\u016f v kraji, tedy \u010dtrn\u00e1ct, T\u00e1borsko m\u00e1 p\u011bt p\u0159\u00edpad\u016f,\u201c<\/em> uvedla \u0159editelka Krajsk\u00e9 hygienick\u00e9 stanice (KHS) Jiho\u010desk\u00e9ho kraje Kvetoslava Kotrbov\u00e1.<\/p>\n

Vloni onemocn\u011blo v \u010cR kl\u00ed\u0161\u0165ovou encefalitidou podle EPIDATu St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu 774 a boreli\u00f3zou 4 105 osob. Ji\u017en\u00ed \u010cechy vyk\u00e1zaly vloni 99 potvrzen\u00fdch p\u0159\u00edpad\u016f encefalitidy a 431 p\u0159\u00edpad\u016f boreli\u00f3zy, p\u0159edloni to bylo 121, respektive 473 p\u0159\u00edpady. Zat\u00edmco u kl\u00ed\u0161\u0165ov\u00e9 encefalitidy je v\u00fdskyt onemocn\u011bn\u00ed v\u00edce rozprost\u0159en po cel\u00e9m \u00fazem\u00ed kraje a nejm\u00e9n\u011b p\u0159\u00edpad\u016f dlouhodob\u011b vykazuje P\u00edsecko a T\u00e1borsko, u boreli\u00f3zy eviduj\u00ed hygienici v posledn\u00edch letech nejvy\u0161\u0161\u00ed v\u00fdskyt p\u0159edev\u0161\u00edm na \u010ceskobud\u011bjovicku, Jind\u0159ichohradecku a \u010ceskokrumlovsku. Nejklidn\u011bj\u0161\u00ed bylo op\u011bt P\u00edsecko.<\/p>\n

\u201eProti lymesk\u00e9 boreli\u00f3ze neexistuje v evropsk\u00fdch podm\u00ednk\u00e1ch o\u010dkov\u00e1n\u00ed, jej\u00ed p\u0159\u00edznaky je mo\u017en\u00e9 l\u00e9\u010dit antibiotiky. Doporu\u010dovanou prevenc\u00ed kl\u00ed\u0161\u0165ov\u00e9 encefalitidy, kter\u00e1 je virov\u00e9 onemocn\u011bn\u00ed a jej\u00ed\u017e n\u00e1sledky mohou b\u00fdt fat\u00e1ln\u00ed, je \u00fa\u010dinn\u00e9 o\u010dkov\u00e1n\u00ed, kter\u00e9 je optim\u00e1ln\u00ed postoupit p\u0159ed za\u010d\u00e1tkem hlavn\u00ed sez\u00f3ny aktivity kl\u00ed\u0161\u0165at, tedy na ja\u0159e. Plat\u00ed ale, \u017ee nejv\u00edce n\u00e1s ochr\u00e1n\u00ed, kdy\u017e se budeme p\u0159is\u00e1t\u00ed kl\u00ed\u0161t\u011bte p\u0159i pohybu v p\u0159\u00edrod\u011b aktivn\u011b br\u00e1nit a dok\u00e1\u017eeme ho odradit spr\u00e1vn\u00fdm oble\u010den\u00edm a pou\u017eit\u00edm repelent\u016f, nebo ho alespo\u0148 dok\u00e1\u017eeme v\u010das odhalit. Pro p\u0159enos infek\u010dn\u00ed d\u00e1vky z p\u0159is\u00e1t\u00e9ho kl\u00ed\u0161t\u011bte posta\u010d\u00ed v p\u0159\u00edpad\u011b encefalitidy n\u011bkolik m\u00e1lo hodin, t\u0159eba i pouh\u00e9 dv\u011b hodiny,\u201c<\/em> dopl\u0148uje Kvetoslava Kotrbov\u00e1.<\/p>\n

\u201eOnemocn\u011bn\u00ed kl\u00ed\u0161\u0165ovou encefalitidou se projev\u00ed v prvn\u00ed f\u00e1zi po jednom a\u017e dvou t\u00fddnech od p\u0159is\u00e1t\u00ed zv\u00fd\u0161enou teplotou \u010di hore\u010dkou, mal\u00e1tnost\u00ed, bolestmi hlavy \u010di kloub\u016f. Druh\u00e1 f\u00e1ze nastoup\u00ed po n\u011bkolika dnech relativn\u00edho klidu vysok\u00fdmi hore\u010dkami a p\u0159\u00edznaky napaden\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, kam krom\u011b siln\u00fdch bolest\u00ed hlavy pat\u0159\u00ed z\u00e1vrat\u011b, poruchy sp\u00e1nku, dezorientace, svalov\u00fd t\u0159es \u010di tuhost sval\u016f v \u0161\u00edji. U osob s oslabenou imunitou, soub\u011b\u017en\u00fdm chronick\u00fdm onemocn\u011bn\u00edm \u010di u senior\u016f m\u016f\u017ee b\u00fdt pr\u016fb\u011bh z\u00e1va\u017en\u00fd v\u010detn\u011b ochrnut\u00ed a selh\u00e1v\u00e1n\u00ed \u017eivotn\u011b d\u016fle\u017eit\u00fdch funkc\u00ed. U v\u0161ech pacient\u016f je d\u016fle\u017eit\u00fd klid na l\u016f\u017eku a podp\u016frn\u00e1 l\u00e9\u010dba. U boreli\u00f3zy m\u016f\u017ee b\u00fdt symptomem prvn\u00edho st\u00e1dia typick\u00e1 \u010derven\u00e1 skvrna, \u0161\u00ed\u0159\u00edc\u00ed se kolem m\u00edsta p\u0159is\u00e1t\u00ed. Druh\u00e9 st\u00e1dium m\u00e1 chronick\u00fd pr\u016fb\u011bh a nastupuje i n\u011bkolik m\u011bs\u00edc\u016f po p\u0159is\u00e1t\u00ed. Projevuje se bolestmi kloub\u016f \u010di posti\u017een\u00edm nervov\u00e9ho syst\u00e9mu a i boreli\u00f3za m\u016f\u017ee m\u00edt u oslaben\u00fdch pacient\u016f z\u00e1va\u017en\u00fd pr\u016fb\u011bh,\u201c<\/em> shrnuje medic\u00ednsk\u00e9 projevy kl\u00ed\u0161\u0165aty nej\u010dast\u011bji p\u0159en\u00e1\u0161en\u00fdch onemocn\u011bn\u00ed prim\u00e1\u0159 infek\u010dn\u00edho odd\u011blen\u00ed Nemocnice \u010cesk\u00e9 Bud\u011bjovice Ale\u0161 Chrdle.<\/p>\n

Aktivita kl\u00ed\u0161\u0165at z\u00e1vis\u00ed na klimatick\u00fdch podm\u00ednk\u00e1ch, vyhovuje jim tepl\u00e9 vlhk\u00e9 po\u010das\u00ed a m\u016f\u017ee se li\u0161it i v pr\u016fb\u011bhu dne, kdy b\u00fdvaj\u00ed kl\u00ed\u0161\u0165ata aktivn\u011bj\u0161\u00edch v rann\u00edch a dopoledn\u00edch hodin\u00e1ch. V na\u0161ich podm\u00ednk\u00e1ch s oteplov\u00e1n\u00edm a zimami bez v\u00fdrazn\u00fdch mraz\u016f kl\u00ed\u0161\u0165ata migruj\u00ed i do vy\u0161\u0161\u00edch nadmo\u0159sk\u00fdch v\u00fd\u0161ek kolem tis\u00edce metr\u016f, o \u010dem\u017e sv\u011bd\u010d\u00ed v posledn\u00edch letech n\u00e1r\u016fst po\u010dtu p\u0159\u00edpad\u016f na Prachaticku nebo \u010ceskokrumlovsku. Hygienici eviduj\u00ed prvn\u00ed p\u0159\u00edpady onemocn\u011bn\u00ed v b\u0159eznu \u010di dubnu, prvn\u00ed vrchol p\u0159ich\u00e1z\u00ed v tzv. jarn\u011b-letn\u00edch m\u011bs\u00edc\u00edch, tedy v kv\u011btnu, \u010dervnu, a druh\u00e1 vlna pak v tzv. letn\u011b-podzimn\u00edch m\u011bs\u00edc\u00edch, tedy v srpnu a z\u00e1\u0159\u00ed s t\u00edm, \u017ee posledn\u00ed p\u0159\u00edpady se objevuj\u00ed b\u011b\u017en\u011b v \u0159\u00edjnu i pozd\u011bji.<\/p>\n

O\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b nen\u00ed hrazeno ze zdravotn\u00edho poji\u0161t\u011bn\u00ed, samotn\u00e9 o\u010dkov\u00e1n\u00ed realizuj\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i nebo o\u010dkovac\u00ed centra. Informace k p\u0159edpokl\u00e1dan\u00e9 aktivit\u011b kl\u00ed\u0161\u0165at zve\u0159ej\u0148uje v sez\u00f3n\u011b mj. \u010cesk\u00fd hydrometeorologick\u00fd \u00fastav a informace k onemocn\u011bn\u00ed a prevenci St\u00e1tn\u00ed zdravotn\u00ed \u00fastav \u010di krajsk\u00e9 hygienick\u00e9 stanice.<\/p>\n

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