{"id":908,"date":"2012-07-20T08:58:14","date_gmt":"2012-07-20T06:58:14","guid":{"rendered":"http:\/\/slanedeti.sk\/cms\/cysticka-fibroza-a-cestovanie-7-prevencia-pseudomonas-aeruginosa-2\/201207"},"modified":"2014-01-02T12:17:45","modified_gmt":"2014-01-02T11:17:45","slug":"cysticka-fibroza-a-cestovanie-7-prevencia-pseudomonas-aeruginosa","status":"publish","type":"post","link":"https:\/\/slanedeti.sk\/cms\/cysticka-fibroza-a-cestovanie-7-prevencia-pseudomonas-aeruginosa\/908","title":{"rendered":"Cystick\u00e1 fibr\u00f3za a cestovanie 7: Prevencia Pseudomonas aeruginosa"},"content":{"rendered":"

V siedmej \u010dasti sa dozviete o mo\u017en\u00fdch nosi\u010doch Pseudomonas aeruginosa a\u00a0 mo\u017enostiach, ako sa pred n\u00e1kazou chr\u00e1ni\u0165. S\u00fa potenci\u00e1lne nebezpe\u010dn\u00e9 baz\u00e9ny a plav\u00e1rne? Vedeli ste, \u017ee Pseudomonas n\u00e1jdete na ovoc\u00ed, zelenine a nosi\u010dmi s\u00fa napr\u00edklad aj kone?<\/p>\n

Aj ke\u010f infekcia P. aeruginosa nie je probl\u00e9m \u0161pecifick\u00fd pre cestovanie, predsa predstavuje pre mnoh\u00fdch pacientov na cest\u00e1ch d\u00f4vod k v\u00e1\u017enym obav\u00e1m. Tak ako v be\u017enom \u017eivote, mo\u017enosti infikovania sa bakt\u00e9riou P. aeruginosa alebo in\u00fdmi bakt\u00e9riami, relevantn\u00fdmi pre CF, sa nemo\u017eno po\u010das cestovania \u00faplne vyhn\u00fa\u0165.<\/p>\n

\"201207200858_pseudomonas\"<\/div>\n

D\u00f4le\u017eit\u00fd je v\u0161eobecn\u00fd probl\u00e9m ni\u017e\u0161\u00edch hygienick\u00fdch \u0161tandardov v zahrani\u010d\u00ed (napr. pr\u00edtomnos\u0165 bakt\u00e9ri\u00ed v sanit\u00e1rnych zariadeniach, na plav\u00e1r\u0148ach). Av\u0161ak z\u00e1kladn\u00e9 hygienick\u00e9 odpor\u00fa\u010dania a opatrenia, ktor\u00e9 by mali pacienti s CF v zahrani\u010d\u00ed dodr\u017eiava\u0165, s\u00fa do istej miery podobn\u00e9 odpor\u00fa\u010daniam a opatreniam, ktor\u00fdmi sa riadia doma. Treba si uvedomi\u0165, \u017ee d\u00f4kazy pre v\u00e4\u010d\u0161inu ni\u017e\u0161ie uveden\u00fdch odpor\u00fa\u010dan\u00ed s\u00fa prinajmen\u0161om skromn\u00e9.<\/p>\n

V\u00e4\u010d\u0161ina vodn\u00fdch pl\u00f4ch, vr\u00e1tane morsk\u00e9ho pobre\u017eia, jazier a riek je miestom prirodzen\u00e9ho v\u00fdskytu bakt\u00e9rie P. aeruginosa. Pokra\u010duje diskusia o tom, do akej miery predstavuj\u00fa tieto zdroje riziko p\u013e\u00facnej infekcie, s\u00favisiacej s CF. Tie\u017e sa debatuje o tom, \u010di by sa mali pacienti vystr\u00edha\u0165 pred vyu\u017e\u00edvan\u00edm plav\u00e1rn\u00ed alebo nie.<\/p>\n

V\u00e4\u010d\u0161ina CF centier svojim pacientom povo\u013euje n\u00e1v\u0161tevu verejn\u00fdch plav\u00e1rn\u00ed, ktor\u00e9 s\u00fa overen\u00e9 miestnymi zdravotn\u00fdmi \u00faradmi. Riziko bakteri\u00e1lneho prenosu by v\u0161ak mohlo s\u00favisie\u0165 s praxou, pou\u017e\u00edvanou na dezinfekciu vody, ktor\u00e1 je v jednotliv\u00fdch eur\u00f3pskych krajin\u00e1ch r\u00f4zna. Vo \u0160vaj\u010diarsku zaznamenan\u00e1 prevalencia bakt\u00e9rie P. aeruginosa vo verejn\u00fdch plaveck\u00fdch baz\u00e9noch bola 4-7%. Naopak \u0161t\u00fadia zo Severn\u00e9ho \u00edrska objavila bakt\u00e9riu P. aeruginosa a\u017e v 38% verejn\u00fdch plav\u00e1rn\u00ed. V tejto \u0161t\u00fadii prevalencia bakt\u00e9rie P. aeruginosa bola dokonca vy\u0161\u0161ia v s\u00fakromn\u00fdch baz\u00e9noch a v\u00edrivk\u00e1ch (jacuzzi) (72%). Trend bol podobn\u00fd, pokia\u013e i\u0161lo o verejn\u00e9 a s\u00fakromn\u00e9 baz\u00e9ny v r\u00e1mci vodolie\u010dby. Preto by pacienti s CF mali pred n\u00e1v\u0161tevou s\u00fakromn\u00e9ho baz\u00e9nu alebo k\u00fape\u013eov zv\u00e1\u017ei\u0165 riziko.<\/p>\n

\"201207200857_bazen\"<\/div>\n

Bakt\u00e9riu P. aeruginosa mo\u017eno \u010dasto izolova\u0165 na \u0161upk\u00e1ch \u010derstv\u00e9ho ovocia, na zelenine alebo \u0161al\u00e1toch. Preto sa pacientom s CF odpor\u00fa\u010da pred konzum\u00e1ciou zeleninu umy\u0165, o\u010disti\u0165 alebo uvari\u0165.<\/p>\n

Mnoh\u00e9 \u017eivo\u010d\u00edchy s\u00fa tie\u017e zn\u00e1me ako nosi\u010di P. aeruginosa, napr. hl\u00edstovce, norky, delf\u00edny a kone. Kone \u010dasto pren\u00e1\u0161aj\u00fa P. aeruginosa v nose, tak\u017ee existuje riziko prenosu po\u010das jazdy na koni. Tie\u017e bola zaznamenan\u00e1 infekcia ples\u0148ou Aspergillus spp. z ma\u0161ta\u013en\u00e9ho hnoja.<\/p>\n

Na rozdiel od vy\u0161\u0161ie op\u00edsan\u00fdch zdrojov vo vonkaj\u0161om prostred\u00ed je prenos bakt\u00e9ri\u00ed medzi pacientmi s CF dobre charakterizovan\u00fd. V minulosti sa pova\u017eovalo za pr\u00ednos, ke\u010f sa pacienti s CF spolo\u010dne zap\u00e1jali do spolo\u010densk\u00fdch aktiv\u00edt, napr. do letn\u00fdch t\u00e1borov. Referovalo sa o pozit\u00edvnych \u00fa\u010dinkoch tak\u00fdchto t\u00e1borov na pacientov v zmysle tolerancie z\u00e1\u0165a\u017ee, stavu v\u00fd\u017eivy a pocitu pohody. Toto stanovisko sa zmenilo, ke\u010f vy\u0161li najavo d\u00f4kazy o pren\u00e1\u0161an\u00ed bakt\u00e9ri\u00ed, najm\u00e4 P. aeruginosa a B. cepacia medzi pacientmi navz\u00e1jom. Dnes riziko vz\u00e1jomnej infekcie preva\u017euje nad mo\u017en\u00fdm pr\u00ednosom a letn\u00e9 t\u00e1bory pacientov s CF sa prestali organizova\u0165.<\/p>\n

Pri n\u00e1v\u0161tev\u00e1ch podujat\u00ed s in\u00fdmi pacientmi s CF je v\u0161ak d\u00f4le\u017eit\u00e9 minimalizova\u0165 mo\u017enos\u0165 vz\u00e1jomn\u00e9ho prenosu infekci\u00ed dodr\u017eiavan\u00edm ur\u010dit\u00fdch hygienick\u00fdch z\u00e1sad (pozri http:\/\/cfww.org\/docs\/conferences\/2009\/hygiene_guidelines.pdf<\/a>). Existuje \u0161irok\u00fd konsenzus o tom, \u017ee jednotlivci, ktor\u00ed maj\u00fa pozit\u00edvny n\u00e1lez bakt\u00e9ri\u00ed komplexu Burkholderia cepacia, Staph. aureus rezistentn\u00fd vo\u010di meticil\u00ednu (MRSA) alebo in\u00fdch perzistentn\u00fdch bakt\u00e9ri\u00ed by nemali pr\u00eds\u0165 do bl\u00edzkeho kontaktu s in\u00fdmi pacientmi s CF alebo nav\u0161tevova\u0165 ich podujatia. Pacienti s CF by sa mali poradi\u0165 o probl\u00e9moch mo\u017en\u00e9ho prenosu infekci\u00ed medzi pacientmi so svoj\u00edm lek\u00e1rom a urobi\u0165 informovan\u00e9 rozhodnutie, \u010di sa bud\u00fa zap\u00e1ja\u0165 do spolo\u010densk\u00fdch aktiv\u00edt s in\u00fdmi pacientmi s CF alebo nie.<\/p>\n

Zdroj: Travelling with cystic fibrosis: Recommendations for patients and care Team members <\/em>http:\/\/www.ecfs.eu\/ecfs_guidelines<\/em><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

V siedmej časti sa dozviete o možných nosičoch Pseudomonas aeruginosa a  možnostiach, ako sa pred nákazou chrániť. Sú potenciálne nebezpečné bazény a plavárne? Vedeli ste, že Pseudomonas nájdete na ovocí, zelenine a nosičmi sú napríklad aj kone? Aj keď infekcia … Continued<\/a><\/p>\n","protected":false},"author":3,"featured_media":1134,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"kt_blocks_editor_width":"","footnotes":""},"categories":[250],"tags":[158],"class_list":["post-908","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zivot-s-cystickou-fibrozou","tag-pseudomonas-aeruginosa"],"yoast_head":"\nCystick\u00e1 fibr\u00f3za a cestovanie 7: Prevencia Pseudomonas aeruginosa - Slan\u00e9 deti<\/title>\n<meta name=\"description\" content=\"V siedmej \u010dasti sa dozviete o mo\u017en\u00fdch nosi\u010doch Pseudomonas aeruginosa a mo\u017enostiach, ako sa pred n\u00e1kazou chr\u00e1ni\u0165.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slanedeti.sk\/cms\/cysticka-fibroza-a-cestovanie-7-prevencia-pseudomonas-aeruginosa\/908\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cystick\u00e1 fibr\u00f3za a cestovanie 7: Prevencia Pseudomonas aeruginosa - 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