{"id":229613,"date":"2021-07-09T18:26:48","date_gmt":"2021-07-09T17:26:48","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=229613"},"modified":"2021-07-11T10:34:46","modified_gmt":"2021-07-11T09:34:46","slug":"ceske-budejovice-informace-hygieniku-kraje-o-vyvoji-sezonnich-infekci-typickych-pro-letni-mesice-2","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=229613","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 dev\u011bt p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy a 72 lymesk\u00e9 borreli\u00f3zy, aktivita kl\u00ed\u0161\u0165at pro p\u0159\u00ed\u0161t\u00ed dny je na vysok\u00e9m a\u017e mimo\u0159\u00e1dn\u00e9m riziku<\/h4>\n

Jiho\u010de\u0161t\u00ed hygienici zat\u00edm registruj\u00ed p\u0159\u00edzniv\u00fd v\u00fdvoj u kl\u00ed\u0161\u0165aty p\u0159en\u00e1\u0161en\u00fdch infekc\u00ed, je\u017e pat\u0159\u00ed v ji\u017en\u00edch \u010cech\u00e1ch k typick\u00fdm zdravotn\u00edm rizik\u016fm letn\u00ed sez\u00f3ny.<\/h6>\n

\u201eV kraji m\u00e1me k dne\u0161ku zat\u00edm pouze dev\u011bt 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 \u010ceskokrumlovsku a po jednom na Strakonicku a T\u00e1borsku. V lo\u0148sk\u00e9 sez\u00f3n\u011b, kter\u00e1 v\u0161ak byla co do v\u00fdskytu nadpr\u016fm\u011brn\u00e1, jsme ve dvac\u00e1t\u00e9m sedm\u00e9m t\u00fddnu m\u011bli u\u017e dvaa\u010dty\u0159icet p\u0159\u00edpad\u016f, tedy \u010dty\u0159ikr\u00e1t v\u00edce. Pozor ale na aktivitu kl\u00ed\u0161\u0165at pro nadch\u00e1zej\u00edc\u00ed dny, kter\u00e1 je \u010cesk\u00fdm hydrometeorologick\u00fdm \u00fastavem pro v\u0161echny okresy na\u0161eho kraje predikov\u00e1na na stupni \u010dty\u0159i, tedy vysok\u00e9 riziko a od ned\u011ble na nejvy\u0161\u0161\u00edm stupni p\u011bt, tedy mimo\u0159\u00e1dn\u00e9 riziko. Vedle pou\u017e\u00edv\u00e1n\u00ed repelent\u016f p\u0159ed cestou do p\u0159\u00edrody rozhodn\u011b doporu\u010dujeme se po n\u00e1vratu z lesa nebo od vody p\u0159evl\u00e9ci v\u010detn\u011b spodn\u00edho pr\u00e1dla, dob\u0159e se prohl\u00e9dnout, p\u0159\u00edpadn\u011b se osprchovat a v p\u0159\u00edrod\u011b se pokud mo\u017eno pohybovat po zpevn\u011bn\u00fdch cest\u00e1ch mimo porost a vysokou tr\u00e1vu,\u201c<\/em> uvedla \u0159editelka KHS Jiho\u010desk\u00e9ho kraje Kvetoslava Kotrbov\u00e1.<\/p>\n

\u201eK dne\u0161ku evidujeme t\u00e9\u017e dvaasedmdes\u00e1t potvrzen\u00fdch onemocn\u011bn\u00ed lymeskou boreli\u00f3zou, v kon\u010d\u00edc\u00edm t\u00fddnu p\u0159ibyly \u010dty\u0159i nov\u00e9 p\u0159\u00edpady. Vloni to bylo ve srovnateln\u00e9m obdob\u00ed sto \u010dty\u0159icet sedm p\u0159\u00edpad\u016f, tedy jednou tolik. Lo\u0148sk\u00e1 sez\u00f3na 2020 p\u0159itom pat\u0159ila v kraji ve v\u00fdskytu lymesk\u00e9 boreli\u00f3zy na rozd\u00edl od kl\u00ed\u0161\u0165ov\u00e9 encefalitidy ke klidn\u00fdm, celkov\u011b jsme zaznamenali na t\u0159i sta pades\u00e1t potvrzen\u00fdch p\u0159\u00edpad\u016f, rok p\u0159edt\u00edm v roce 2019 v\u00edce ne\u017e \u010dty\u0159i sta potvrzen\u00fdch p\u0159\u00edpad\u016f. Nejvy\u0161\u0161\u00ed v\u00fdskyt i letos vid\u00edme v tradi\u010dn\u00edch lokalit\u00e1ch: Na Jind\u0159ichohradecku je k dne\u0161ku 24 potvrzen\u00fdch p\u0159\u00edpad\u016f, na \u010ceskobud\u011bjovicku 16, na<\/em> \u010ceskokrumlovsku 11, d\u00e1le na Strakonicku 8, Prachaticko m\u00e1 7, T\u00e1borsko 4 a P\u00edsecko 2 potvrzen\u00e9 p\u0159\u00edpady,\u201c 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 ni\u017e\u0161\u00ed ne\u017e vloni. U salmonel\u00f3zy hygienici eviduj\u00ed 307 (v t\u00fddnu +17) p\u0159\u00edpad\u016f, nejv\u00edce na \u010ceskobud\u011bjovicku (110), Jind\u0159ichohradecku (46) a T\u00e1borsku (43). Strakonicko m\u00e1 26, \u010ceskokrumlovsko 28, Prachaticko 26 a P\u00edsecko 28 p\u0159\u00edpad\u016f. Vloni ve 27. t\u00fddnu bylo v kraji 335 p\u0159\u00edpad\u016f. Kampylobakteri\u00f3zy je k dne\u0161ku evidov\u00e1no 502 p\u0159\u00edpad\u016f (v t\u00fddnu +31), vloni v tomto obdob\u00ed bylo prok\u00e1z\u00e1no 619 p\u0159\u00edpad\u016f. Nejv\u00edce jich je na \u010ceskobud\u011bjovicku (179), Jind\u0159ichohradecku (78) a T\u00e1borsku (71). P\u00edsecko m\u00e1 66 p\u0159\u00edpad\u016f, \u010ceskokrumlovsko hl\u00e1s\u00ed 30 p\u0159\u00edpad\u016f, Prachaticko 44 a Strakonicko 34.<\/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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