{"id":279181,"date":"2023-05-19T16:49:44","date_gmt":"2023-05-19T15:49:44","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=279181"},"modified":"2023-05-19T16:49:44","modified_gmt":"2023-05-19T15:49:44","slug":"jizni-cechy-klistata-utoci-aktualni-informace-hygieniku-20-tyden-2023","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=279181","title":{"rendered":"JI\u017dN\u00cd \u010cECHY: Kl\u00ed\u0161\u0165ata \u00fato\u010d\u00ed. Aktu\u00e1ln\u00ed informace hygienik\u016f \u2013 20. t\u00fdden 2023"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-199605 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/06\/khs-logo.jpg\" alt=\"\" width=\"922\" height=\"396\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/06\/khs-logo.jpg 922w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/06\/khs-logo-300x129.jpg 300w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/06\/khs-logo-768x330.jpg 768w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/06\/khs-logo-831x357.jpg 831w\" sizes=\"(max-width: 922px) 100vw, 922px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h4>V Jiho\u010desk\u00e9m kraji je 90 potvrzen\u00fdch p\u0159\u00edpad\u016f lymesk\u00e9 boreli\u00f3zy, v t\u00fddnu p\u0159ibylo 10 p\u0159\u00edpad\u016f<\/h4>\n<h6>Jiho\u010de\u0161t\u00ed hygienici registruj\u00ed ve 20. t\u00fddnu ji\u017e 90 nahl\u00e1\u0161en\u00fdch a potvrzen\u00fdch p\u0159\u00edpad\u016f lymesk\u00e9 boreli\u00f3zy a prozat\u00edm pouze dva p\u0159\u00edpady kl\u00ed\u0161\u0165ov\u00e9 encefalitidy. Aktivita kl\u00ed\u0161\u0165at pro z\u00edt\u0159ek je \u010cesk\u00fdm hydrometeorologick\u00fdm \u00fastavem predikov\u00e1na v ji\u017en\u00edch \u010cech\u00e1ch na p\u011btistup\u0148ov\u00e9 \u0161k\u00e1le \u010dty\u0159kou a\u017e p\u011btkou a pro p\u0159\u00ed\u0161t\u00ed dny p\u011btkou. Je tedy na vysok\u00e9m a\u017e mimo\u0159\u00e1dn\u00e9m stupni rizika.<\/h6>\n<p>Na za\u010d\u00e1tku sezony hygienici registruj\u00ed o v\u00edce ne\u017e dv\u011b des\u00edtky p\u0159\u00edpad\u016f lymesk\u00e9 boreli\u00f3zy v\u00edce ne\u017e vloni. <em>\u201eVe dvac\u00e1t\u00e9m kalend\u00e1\u0159n\u00edm t\u00fddnu lo\u0148sk\u00e9ho roku bylo v kraji potvrzeno sedma\u0161edes\u00e1t p\u0159\u00edpad\u016f, letos ji\u017e devades\u00e1t. V t\u00fddnu p\u0159ibylo deset nov\u011b potvrzen\u00fdch p\u0159\u00edpad\u016f. Nejvy\u0161\u0161\u00ed v\u00fdskyt je nyn\u00ed na \u010ceskobud\u011bjovicku (25 p\u0159\u00edpad\u016f), T\u00e1borsku (23), \u010ceskokrumlovsku (14) a Jind\u0159ichohradecku (12). Na Prachaticku je 9 potvrzen\u00fdch p\u0159\u00edpad\u016f, Strakonicko m\u00e1 5 p\u0159\u00edpad\u016f a na P\u00edsecku jsou hl\u00e1\u0161eny 2 p\u0159\u00edpady,\u201c<\/em> komentovala data za kon\u010d\u00edc\u00ed t\u00fdden \u0159editelka KHS Jiho\u010desk\u00e9ho kraje Kvetoslava Kotrbov\u00e1.<\/p>\n<p><em>\u201eCo se t\u00fd\u010de kl\u00ed\u0161\u0165ov\u00e9 encefalitidy, letos jsou evidov\u00e1ny zat\u00edm dva nahl\u00e1\u0161en\u00e9 a potvrzen\u00e9 p\u0159\u00edpady onemocn\u011bn\u00ed, a to na Strakonicku a Prachaticku. Vloni bylo v kraji v tomto obdob\u00ed 6 p\u0159\u00edpad\u016f. Jsme zat\u00edm na za\u010d\u00e1tku sezony, pro ilustraci za celou sezonu lo\u0148sk\u00e9ho roku, kter\u00e1 pat\u0159ila k t\u011bm pr\u016fm\u011brn\u00fdm, onemocn\u011blo v Jiho\u010desk\u00e9m kraji celkem 529 osob lymeskou boreli\u00f3zou a 130 kl\u00ed\u0161\u0165ovou encefalitidou,\u201c<\/em> dopl\u0148uje \u0159editelka protiepidemick\u00e9ho odboru KHS Jiho\u010desk\u00e9ho kraje Hana Bend\u00edkov\u00e1.<\/p>\n<p><em>\u201eDost\u00e1v\u00e1me nyn\u00ed dotazy, t\u00fdkaj\u00edc\u00ed se d\u016fvod\u016f vysok\u00e9 aktivity kl\u00ed\u0161\u0165at. Ta souvis\u00ed s ro\u010dn\u00edm obdob\u00edm a aktu\u00e1ln\u00edm charakterem po\u010das\u00ed. Kl\u00ed\u0161\u0165ata nemaj\u00ed r\u00e1da vylo\u017een\u011b such\u00e9 po\u010das\u00ed, vyhovuje jim sp\u00ed\u0161e vlhk\u00e9 po\u010das\u00ed, takov\u00e9, jak\u00e9 v na\u0161em regionu dosud p\u0159evl\u00e1dalo. Proto obvykle sledujeme dva sezonn\u00ed vrcholy a to v jarn\u011b-letn\u00edch a letn\u011b-podzimn\u00edch m\u011bs\u00edc\u00edch. Mus\u00edme si uv\u011bdomit, \u017ee kl\u00ed\u0161\u0165ata se zdr\u017euj\u00ed ve vysok\u00e9 tr\u00e1v\u011b, v k\u0159ovin\u00e1ch na okraj\u00edch les\u016f ale i v parc\u00edch, u vodn\u00edch tok\u016f a ploch, tedy obecn\u011b ve vlh\u010d\u00edm prost\u0159ed\u00ed, a tomu odpov\u00edd\u00e1 i po\u010das\u00ed, kter\u00e9 ji vyhovuje. To, co pak pozorujeme v posledn\u00edch zhruba patn\u00e1cti letech, je migrace populace kl\u00ed\u0161\u0165at do vy\u0161\u0161\u00edch nadmo\u0159sk\u00fdch v\u00fd\u0161ek. Vid\u00edme to i na na\u0161ich epidemiologick\u00fdch datech, kdy rostou po\u010dty onemocn\u011bn\u00ed kl\u00ed\u0161\u0165aty p\u0159en\u00e1\u0161en\u00fdch infekc\u00ed v okresech Prachatice a \u010cesk\u00fd Krumlov, kter\u00e9 jsou okresy, le\u017e\u00edc\u00edmi ve vy\u0161\u0161\u00ed nadmo\u0159sk\u00e9 v\u00fd\u0161ce,\u201c<\/em> uv\u00e1d\u00ed dal\u0161\u00ed obecn\u00e9 informace k sezon\u011b kl\u00ed\u0161\u0165aty p\u0159en\u00e1\u0161en\u00fdch infekc\u00ed Kvetoslava Kotrbov\u00e1.<\/p>\n<p>V\u00fdvoj po\u010dtu onemocn\u011bn\u00ed v posledn\u00edch letech ovlivnil v\u00fdskyt koronaviru a opat\u0159en\u00ed, kter\u00e1 ovliv\u0148ovala voln\u00fd pohyb osob. Riziko onemocn\u011bn\u00ed samoz\u0159ejm\u011b souvis\u00ed s pohybem v rizikov\u00fdch oblastech a \u010dasem, str\u00e1ven\u00fdm ve voln\u00e9 p\u0159\u00edrod\u011b. Proto v ji\u017en\u00edch \u010cech\u00e1ch p\u0159ib\u00fdvaj\u00ed nov\u00e9 p\u0159\u00edpady i v pozdn\u011b letn\u00edch v podzimn\u00edch m\u011bs\u00edc\u00edch, kdy se projevuj\u00ed mj. onemocn\u011bn\u00ed houba\u0159\u016f.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>V\u00fdskyt lymesk\u00e9 boreli\u00f3zy za posledn\u00edch p\u011bt let<\/strong><\/p>\n<ul>\n<li>o V r. 2018 to bylo 473 p\u0159\u00edpad\u016f<\/li>\n<li>o V r. 2019 to bylo 431 p\u0159\u00edpad\u016f<\/li>\n<li>o V r. 2020 to bylo 367 p\u0159\u00edpad\u016f<\/li>\n<li>o V r. 2021 to bylo 270 p\u0159\u00edpad\u016f<\/li>\n<li>o V r. 2022 to bylo 529 p\u0159\u00edpad\u016f<\/li>\n<li>\u00b7 V posledn\u00edch p\u011bti sez\u00f3n\u00e1ch byl nejv\u011bt\u0161\u00ed absolutn\u00ed v\u00fdskyt tohoto onemocn\u011bn\u00ed na \u010ceskobud\u011bjovicku \u2013 celkem 578 p\u0159\u00edpad\u016f, na Jind\u0159ichohradecku 430, na \u010ceskokrumlovsku 345 a T\u00e1borsku 336.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>V\u00fdskyt kl\u00ed\u0161\u0165ov\u00e9 encefalitidy v absolutn\u00edch \u010d\u00edslech za posledn\u00edch p\u011bt let<\/strong><\/p>\n<ul>\n<li>o V r. 2018 to bylo 121 p\u0159\u00edpad\u016f<\/li>\n<li>o V r. 2019 to bylo 99 p\u0159\u00edpad\u016f<\/li>\n<li>o V r. 2020 to bylo 137 p\u0159\u00edpad\u016f<\/li>\n<li>o V r. 2021 to bylo 83 p\u0159\u00edpad\u016f<\/li>\n<li>o V r. 2022 to bylo 130 p\u0159\u00edpad\u016f<\/li>\n<li>\u00b7 V posledn\u00edch p\u011bti letech byl nejvy\u0161\u0161\u00ed v\u00fdskyt na \u010ceskobud\u011bjovicku (183 p\u0159\u00edpad\u016f), \u010ceskokrumlovsku s 98 p\u0159\u00edpady a Prachaticku s 81 p\u0159\u00edpadem. Okresem s dlouhodob\u011b nejni\u017e\u0161\u00edm v\u00fdskytem kl\u00ed\u0161\u0165aty p\u0159en\u00e1\u0161en\u00fdch onemocn\u011bn\u00ed P\u00edsecko, kde bylo v posledn\u00edch p\u011bti letech potvrzeno celkem 107 p\u0159\u00edpad\u016f lymesk\u00e9 boreli\u00f3zy a pouze 18 p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy.<\/li>\n<li>\u00b7 U kl\u00ed\u0161\u0165ov\u00e9 encefalitidy byl nejvy\u0161\u0161\u00ed po\u010det onemocn\u011bn\u00ed v posledn\u00edch p\u011bti letech registrov\u00e1na ve skupin\u011b 45 \u2013 54 let (109), 65 \u2013 74 let (102) a 55 \u2013 64 let (94).<\/li>\n<li>\u00b7 U lymesk\u00e9 boreli\u00f3zy to byla skupina senior\u016f 65 \u2013 74 let (414 p\u0159\u00edpad\u016f), 55 \u2013 64 let (370) a 45 \u2013 54 let (356).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 U v\u0161ech pacient\u016f je d\u016fle\u017eit\u00fd klid na l\u016f\u017eku a podp\u016frn\u00e1 l\u00e9\u010dba<\/li>\n<li>\u00b7 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, v posledn\u00edch letech stoup\u00e1 v\u00fdskyt i ve vy\u0161\u0161\u00edch nadmo\u0159sk\u00fdch v\u00fd\u0161k\u00e1ch a z okres\u016f velmi v\u00fdrazn\u011b v okrese \u010cesk\u00fd Krumlov<\/li>\n<li>\u00b7 Proti lymesk\u00e9 boreli\u00f3ze neexistuje v na\u0161ich podm\u00ednk\u00e1ch o\u010dkov\u00e1n\u00ed, jej\u00ed p\u0159\u00edznaky je mo\u017en\u00e9 l\u00e9\u010dit antibiotiky<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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, tedy na za\u010d\u00e1tku jara<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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<\/li>\n<li>\u00b7 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 a\u017e kolem tis\u00edce metr\u016f, o \u010dem\u017e sv\u011bd\u010d\u00ed n\u00e1r\u016fst po\u010dtu p\u0159\u00edpad\u016f na \u0160umav\u011b v okresech \u010cesk\u00fd Krumlov a Prachatice<\/li>\n<li>\u00b7 Hygienici 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 s t\u00edm, \u017ee posledn\u00ed p\u0159\u00edpady se projevuj\u00ed b\u011b\u017en\u011b v listopadu<\/li>\n<li>\u00b7 O\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b pro osoby mlad\u0161\u00ed pades\u00e1ti let 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, zdarma je o\u010dkov\u00e1n\u00ed pro osoby star\u0161\u00ed pades\u00e1ti let<\/li>\n<li>\u00b7 Informace k p\u0159edpokl\u00e1dan\u00e9 aktivit\u011b kl\u00ed\u0161\u0165at zve\u0159ej\u0148uje v sez\u00f3n\u011b \u010cesk\u00fd hydrometeorologick\u00fd \u00fastav a informace k prevenci onemocn\u011bn\u00ed St\u00e1tn\u00ed zdravotn\u00ed \u00fastav \u010di krajsk\u00e9 hygienick\u00e9 stanice<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>(tz-khs)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; V <\/p>\n","protected":false},"author":2,"featured_media":199605,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[69],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/06\/khs-logo.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/279181"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=279181"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/279181\/revisions"}],"predecessor-version":[{"id":279183,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/279181\/revisions\/279183"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/199605"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=279181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=279181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=279181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}