{"id":229280,"date":"2021-07-04T17:33:39","date_gmt":"2021-07-04T16:33:39","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=229280"},"modified":"2021-07-04T17:33:39","modified_gmt":"2021-07-04T16:33:39","slug":"ceske-budejovice-informace-hygieniku-kraje-o-vyvoji-sezonnich-infekci-typickych-pro-letni-mesice","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=229280","title":{"rendered":"\u010cESK\u00c9 BUD\u011aJOVICE: Informace hygienik\u016f kraje o v\u00fdvoji sez\u00f3nn\u00edch infekc\u00ed typick\u00fdch pro letn\u00ed m\u011bs\u00edce"},"content":{"rendered":"

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V kraji je osm p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy a 68 lymesk\u00e9 borreli\u00f3zy, aktivita kl\u00ed\u0161\u0165at pro prodlou\u017een\u00fd v\u00edkend je na st\u0159edn\u00edm riziku<\/h4>\n

P\u0159\u00edzniv\u00fd v\u00fdvoj u kl\u00ed\u0161\u0165aty p\u0159en\u00e1\u0161en\u00fdch infekc\u00ed, kter\u00e9 dlouhodob\u011b pat\u0159\u00ed v ji\u017en\u00edch \u010cech\u00e1ch k nep\u0159\u00edjemn\u00fdm zdravotn\u00edm rizik\u016fm letn\u00ed sez\u00f3ny, pokra\u010doval i tento t\u00fdden.<\/h6>\n

\u201eV kraji m\u00e1me zat\u00edm pouze osm nahl\u00e1\u0161en\u00fdch a potvrzen\u00fdch p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy, t\u0159i na \u010ceskobud\u011bjovicku, dva na Prachaticku a po jednom na Strakonicku, T\u00e1borsku a \u010ceskokrumlovsku. P\u0159ed rokem jsme ve dvac\u00e1t\u00e9m \u0161est\u00e9m t\u00fddnu m\u011bli sedmat\u0159icet p\u0159\u00edpad\u016f, tedy \u010dty\u0159ikr\u00e1t v\u00edce. Vloni byl ale v\u00fdskyt v na\u0161em kraji v\u00fdrazn\u011b nadpr\u016fm\u011brn\u00fd. Aktivita kl\u00ed\u0161\u0165at je pro v\u0161echny okresy kraje pro p\u0159\u00ed\u0161t\u00ed dny na stupni t\u0159i p\u011btibodov\u00e9 \u0161k\u00e1ly, tedy st\u0159edn\u011b velk\u00e9 riziko. Na m\u00edst\u011b je pou\u017e\u00edv\u00e1n\u00ed repelent\u016f p\u0159ed cestou do p\u0159\u00edrody a po n\u00e1vratu doporu\u010dujeme p\u0159evl\u00e9ci se a dob\u0159e se prohl\u00e9dnout, p\u0159\u00edpadn\u011b osprchovat,\u201c<\/em> uvedla \u0159editelka KHS Jiho\u010desk\u00e9ho kraje Kvetoslava Kotrbov\u00e1.<\/p>\n

\u201eEvidujeme osma\u0161edes\u00e1t potvrzen\u00fdch onemocn\u011bn\u00ed lymeskou boreli\u00f3zou, v t\u00fddnu p\u0159ibylo sedm nov\u00fdch p\u0159\u00edpad\u016f. Vloni to bylo ve srovnateln\u00e9m obdob\u00ed ji\u017e sto dvacet dva p\u0159\u00edpad\u016f. Lo\u0148sk\u00e1 sez\u00f3na pat\u0159ila v kraji ve v\u00fdskytu lymesk\u00e9 boreli\u00f3zy na rozd\u00edl od kl\u00ed\u0161\u0165ov\u00e9 encefalitidy k t\u011bm klidn\u011bj\u0161\u00edm, celkov\u011b jsme zaznamenali na t\u0159i sta pades\u00e1t potvrzen\u00fdch p\u0159\u00edpad\u016f, rok p\u0159edt\u00edm v\u00edce ne\u017e \u010dty\u0159i sta. Zat\u00edm nejvy\u0161\u0161\u00ed v\u00fdskyt vid\u00edme tradi\u010dn\u011b na Jind\u0159ichohradecku, kde je k dne\u0161ku 24 potvrzen\u00fdch p\u0159\u00edpad\u016f, na \u010ceskobud\u011bjovicku 16, na \u010ceskokrumlovsku 9, na Strakonicku 8. Prachaticko m\u00e1 5, T\u00e1borsko 4 a P\u00edsecko 2,\u201c<\/em> doplnila \u0159editelka protiepidemick\u00e9ho odboru KHS Jiho\u010desk\u00e9ho kraje Jitka Lu\u0148\u00e1\u010dkov\u00e1.<\/p>\n

I v\u00fdskyt dal\u0161\u00ed skupiny sez\u00f3nn\u00edch onemocn\u011bn\u00ed – aliment\u00e1rn\u00ed infekc\u00ed – je pon\u011bkud ni\u017e\u0161\u00ed ne\u017e vloni. U salmonel\u00f3zy hygienici eviduj\u00ed 290 (+25) p\u0159\u00edpad\u016f, nejv\u00edce na \u010ceskobud\u011bjovicku (101), Jind\u0159ichohradecku (43) a T\u00e1borsku (42). Strakonicko m\u00e1 25, \u010ceskokrumlovsko 27, Prachaticko 26 a P\u00edsecko rovn\u011b\u017e 26 p\u0159\u00edpad\u016f. Vloni ve 26. t\u00fddnu bylo v kraji 312 p\u0159\u00edpad\u016f. Kampylobakteri\u00f3zy je k dne\u0161ku evidov\u00e1no 471 p\u0159\u00edpad\u016f (+28), vloni v tomto obdob\u00ed bylo prok\u00e1z\u00e1no 557 p\u0159\u00edpad\u016f. Nejv\u00edce jich je na \u010ceskobud\u011bjovicku (173), Jind\u0159ichohradecku (76) a T\u00e1borsku (66). P\u00edsecko m\u00e1 58 p\u0159\u00edpad\u016f, \u010ceskokrumlovsko hl\u00e1s\u00ed 29 p\u0159\u00edpad\u016f, Prachaticko 37 a Strakonicko 32.<\/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 \u2013 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 \u2013 \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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