{"id":227770,"date":"2021-06-19T14:43:29","date_gmt":"2021-06-19T13:43:29","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=227770"},"modified":"2021-06-19T14:44:56","modified_gmt":"2021-06-19T13:44:56","slug":"jizni-cechy-v-kraji-je-zatim-pouze-pet-potvrzenych-pripadu-klistove-encefalitidy-vysoke-riziko-vsak-pro-pristi-dny","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=227770","title":{"rendered":"JI\u017dN\u00cd \u010cECHY: V kraji zat\u00edm p\u011bt potvrzen\u00fdch p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy, vysok\u00e9 riziko je v\u0161ak pro p\u0159\u00ed\u0161t\u00ed dny"},"content":{"rendered":"

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N\u00e1stup sez\u00f3nn\u00edch infekc\u00ed, typick\u00fdch pro letn\u00ed m\u011bs\u00edce, je zat\u00edm v porovn\u00e1n\u00ed s p\u0159ede\u0161l\u00fdm rokem pomalej\u0161\u00ed. P\u0159edev\u0161\u00edm u kl\u00ed\u0161\u0165aty p\u0159en\u00e1\u0161en\u00fdch infekc\u00ed, typick\u00fdch pro jiho\u010desk\u00fd region, je jejich v\u00fdskyt ni\u017e\u0161\u00ed ne\u017e ve stejn\u00e9m obdob\u00ed vloni.<\/h6>\n

\u201eK dne\u0161ku v kraji evidujeme p\u011bt potvrzen\u00fdch p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy, dva na \u010ceskobud\u011bjovicku, dva na Prachaticku a jeden na Strakonicku. P\u0159ed rokem jsme ve dvac\u00e1t\u00e9m \u010dtvrt\u00e9m t\u00fddnu m\u011bli \u0161estn\u00e1ct p\u0159\u00edpad\u016f. To je o jeden\u00e1ct v\u00edce, ale vloni byl v\u00fdskyt kl\u00ed\u0161\u0165ov\u00e9 encefalitidy v kraji vysok\u00fd, v\u00edce ne\u017e sto t\u0159icet potvrzen\u00fdch p\u0159\u00edpad\u016f. Jiho\u010desk\u00fd kraj je dlouhodob\u011b regionem s velmi vysok\u00fdm v\u00fdskytem kl\u00ed\u0161\u0165ov\u00e9 encefalitidy v r\u00e1mci cel\u00e9 st\u0159edn\u00ed Evropy. Toto infek\u010dn\u00ed onemocn\u011bn\u00ed virov\u00e9ho p\u016fvodu m\u016f\u017ee m\u00edt velmi t\u011b\u017ek\u00e9 pr\u016fb\u011bhy a trval\u00e9 n\u00e1sledky p\u0159edev\u0161\u00edm pro star\u0161\u00ed pacienty, v\u017edy proto doporu\u010dujeme v souladu s o\u010dkovac\u00edm kalend\u00e1\u0159em nechat se o\u010dkovat nebo u ji\u017e o\u010dkovan\u00fdch p\u0159eo\u010dkovat. Aktivita kl\u00ed\u0161\u0165at je pro v\u0161echny okresy Jiho\u010desk\u00e9ho kraje pro p\u0159\u00ed\u0161t\u00ed dny na stupni \u010dty\u0159i p\u011btibodov\u00e9 \u0161k\u00e1ly, tedy dle metodiky \u010cesk\u00e9ho hydrometeorologick\u00e9ho \u00fa\u0159adu vysok\u00e9 riziko,\u201c<\/em> uvedla \u0159editelka KHS Jiho\u010desk\u00e9ho kraje Kvetoslava Kotrbov\u00e1.<\/p>\n

\u201eEvidujeme p\u011btapades\u00e1t nahl\u00e1\u0161en\u00fdch a potvrzen\u00fdch onemocn\u011bn\u00ed lymeskou boreli\u00f3zou. Vloni to bylo ve dvac\u00e1t\u00e9m \u010dtvrt\u00e9m t\u00fddnu sedmaosmdes\u00e1t p\u0159\u00edpad\u016f. Lo\u0148sk\u00e1 sez\u00f3na byla v regionu ve v\u00fdskytu lymesk\u00e9 boreli\u00f3zy klidn\u011bj\u0161\u00ed, potvrzeno bylo na t\u0159i sta pades\u00e1t p\u0159\u00edpad\u016f, ale rok p\u0159edt\u00edm v\u00edce ne\u017e \u010dty\u0159i sta. Zat\u00edmco v\u00fdskyt kl\u00ed\u0161\u0165ov\u00e9 encefalitidy b\u00fdv\u00e1 zpravidla rozprost\u0159en do okres\u016f Jiho\u010desk\u00e9ho kraje celkem rovnom\u011brn\u011b, mezi okresy s dlouhodob\u011b nejvy\u0161\u0161\u00edm v\u00fdskytem lymesk\u00e9 boreli\u00f3zy pat\u0159\u00ed \u010ceskobud\u011bjovicko, Jind\u0159ichohradecko a T\u00e1borsko, v posledn\u00edch letech se p\u0159id\u00e1v\u00e1 \u010ceskokrumlovsko. I letos zat\u00edm nejvy\u0161\u0161\u00ed v\u00fdskyt vid\u00edme na Jind\u0159ichohradecku, kde je k dne\u0161ku 19 potvrzen\u00fd<\/em>ch p\u0159\u00edpad\u016f (mezit\u00fddenn\u011b +3), na \u010ceskobud\u011bjovicku je jich 12 (+4) a na \u010ceskokrumlovsku 8 (+1),\u201c doplnila \u0159editelka protiepidemick\u00e9ho odboru KHS Jiho\u010desk\u00e9ho kraje Jitka Lu\u0148\u00e1\u010dkov\u00e1. Strakonicko hl\u00e1s\u00ed 7 potvrzen\u00fdch p\u0159\u00edpad\u016f (+2), Prachaticko 4 (0), T\u00e1borsko 3 (0) a P\u00edsecko 2 (0).<\/p>\n

V\u00fdskyt dal\u0161\u00ed skupiny sez\u00f3nn\u00edch onemocn\u011bn\u00ed – aliment\u00e1rn\u00ed infekc\u00ed – je od za\u010d\u00e1tku sez\u00f3ny v kraji velmi podobn\u00fd jako vloni. U salmonel\u00f3zy hygienici eviduj\u00ed 249 (+21) p\u0159\u00edpad\u016f, nejv\u00edce na \u010ceskobud\u011bjovicku (90), Jind\u0159ichohradecku (35) a T\u00e1borsku (32). Strakonicko m\u00e1 19, \u010ceskokrumlovsko 24, Prachaticko 24 a P\u00edsecko 25 p\u0159\u00edpad\u016f. Vloni ve 24. t\u00fddnu bylo v kraji 247 p\u0159\u00edpad\u016f. Kampylobakteri\u00f3zy je k dne\u0161ku evidov\u00e1no 415 p\u0159\u00edpad\u016f (+28), vloni v tomto obdob\u00ed byly prok\u00e1z\u00e1ny 454 p\u0159\u00edpady. Nejv\u00edce jich je na \u010ceskobud\u011bjovicku (152), Jind\u0159ichohradecku (67) a T\u00e1borsku (60). P\u00edsecko m\u00e1 52 p\u0159\u00edpad\u016f, \u010ceskokrumlovsko hl\u00e1s\u00ed 23 p\u0159\u00edpad\u016f, Prachaticko 33 a Strakonicko 28.<\/p>\n

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\u2022 Kl\u00ed\u0161\u0165ov\u00e1 encefalitida je onemocn\u011bn\u00ed virov\u00e9ho p\u016fvodu s p\u0159\u00edrodn\u00ed ohniskovost\u00ed, m\u016f\u017ee m\u00edt fat\u00e1ln\u00ed n\u00e1sledky, nap\u0159\u00edklad po\u0161kozen\u00ed nervov\u00e9ho syst\u00e9mu a ochrnut\u00ed<\/p>\n

\u2022 Onemocn\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<\/p>\n

\u2022 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<\/p>\n

\u2022 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<\/p>\n

\u2022 U v\u0161ech pacient\u016f je d\u016fle\u017eit\u00fd klid na l\u016f\u017eku a podp\u016frn\u00e1 l\u00e9\u010dba<\/p>\n

\u2022 Lymesk\u00e1 boreli\u00f3za je bakteri\u00e1ln\u00ed onemocn\u011bn\u00ed, asi p\u011btkr\u00e1t \u010dast\u011bj\u0161\u00ed ne\u017e kl\u00ed\u0161\u0165ov\u00e1 encefalitida, proto\u017ee p\u0159\u00edtomnost borreli\u00ed vykazuje v ohnisc\u00edch a\u017e deset procent populace kl\u00ed\u0161\u0165at. V ji\u017en\u00edch \u010cech\u00e1ch se nejv\u00edce p\u0159\u00edpad\u016f vyskytuje dlouhodob\u011b p\u0159edev\u0161\u00edm na Jind\u0159ichohradecku a T\u00e1borsku, tedy v povod\u00ed Ne\u017e\u00e1rky a Lu\u017enice a v posledn\u00edch letech stoup\u00e1 v\u00fdskyt i na \u010ceskokrumlovsku \u010di Prachaticku, tedy ve vy\u0161\u0161\u00edch nadmo\u0159sk\u00fdch v\u00fd\u0161k\u00e1ch<\/p>\n

\u2022 Proti 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<\/p>\n

\u2022 U boreli\u00f3zy m\u016f\u017ee b\u00fdt symptomem prvn\u00edho st\u00e1dia \u010derven\u00e1 skvrna, \u0161\u00ed\u0159\u00edc\u00ed se kolem m\u00edsta p\u0159is\u00e1t\u00ed<\/p>\n

\u2022 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<\/p>\n

\u2022 Projevuje se bolestmi kloub\u016f \u010di posti\u017een\u00edm nervov\u00e9ho syst\u00e9mu, i boreli\u00f3za m\u016f\u017ee m\u00edt u oslaben\u00fdch pacient\u016f z\u00e1va\u017en\u00fd pr\u016fb\u011bh<\/p>\n

\u2022 Doporu\u010dovanou prevenc\u00ed kl\u00ed\u0161\u0165ov\u00e9 encefalitidy 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<\/p>\n

\u2022 D\u016fle\u017eit\u00e1 je aktivn\u00ed obrana p\u0159i pobytu v p\u0159\u00edrod\u011b – spr\u00e1vn\u00e9 oble\u010den\u00ed a pou\u017eit\u00ed repelent\u016f<\/p>\n

\u2022 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<\/p>\n

\u2022 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<\/p>\n

\u2022 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 n\u00e1r\u016fst po\u010dtu p\u0159\u00edpad\u016f na Prachaticku a \u010ceskokrumlovsku<\/p>\n

\u2022 Hygienici obvykle eviduj\u00ed prvn\u00ed p\u0159\u00edpady onemocn\u011bn\u00ed podle pr\u016fb\u011bhu zimy, charakteru po\u010das\u00ed atp. ji\u017e v b\u0159eznu \u010di dubnu, prvn\u00ed vrchol p\u0159ich\u00e1z\u00ed v jarn\u011b-letn\u00edch m\u011bs\u00edc\u00edch, tedy v kv\u011btnu – \u010dervnu, druh\u00e1 vlna v 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 projevuj\u00ed b\u011b\u017en\u011b v \u0159\u00edjnu i pozd\u011bji<\/p>\n

\u2022 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, zdravotn\u00ed poji\u0161\u0165ovny na n\u011b p\u0159isp\u00edvaj\u00ed dle sv\u00fdch program\u016f<\/p>\n

\u2022 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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(tzkhs)<\/strong><\/p>\n

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