{"id":1364,"date":"2020-03-30T09:54:51","date_gmt":"2020-03-30T07:54:51","guid":{"rendered":"https:\/\/www.pediatrics.cz\/?page_id=1364"},"modified":"2026-03-16T15:14:36","modified_gmt":"2026-03-16T14:14:36","slug":"covid-19","status":"publish","type":"page","link":"https:\/\/www.pediatrics.cz\/pro-odborniky\/covid-19\/","title":{"rendered":"COVID-19"},"content":{"rendered":"\n<h4 class=\"block-heading\"><strong>Z\u00fa\u010dastn\u011bte se mezin\u00e1rodn\u00ed studie &#8222;The COVID-19 HEROES&#8220;<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Ve jm\u00e9nu Spole\u010dnosti urgentn\u00ed medic\u00edny a medic\u00edny katastrof \u010cLS JEP bychom V\u00e1s r\u00e1di poprosili o \u00fa\u010dast v z\u00e1v\u011bre\u010dn\u00e9m kole velk\u00e9\u00a0mezin\u00e1rodn\u00ed studie\u00a0&#8222;The COVID-19 HEROES&#8220;. Studie\u00a0se zam\u011b\u0159uje na psychologick\u00e9 dopady pandemie\u00a0na pracovn\u00edky ve zdravotnictv\u00ed a v soci\u00e1ln\u00edch slu\u017eb\u00e1ch.<br>Odkaz na dotazn\u00edk najdete\u00a0<a rel=\"noreferrer noopener\" href=\"https:\/\/heroescovid19study.org\/survey\/?seguimiento1\" target=\"_blank\"><strong>ZDE<\/strong><\/a>\u00a0a v\u00edce informac\u00ed najdete <strong><a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/zucastnete-se-mezinarodni-studie-the-covid-19-heroes\/\" data-type=\"URL\" data-id=\"https:\/\/www.pediatrics.cz\/zucastnete-se-mezinarodni-studie-the-covid-19-heroes\/\" target=\"_blank\">ZDE<\/a><\/strong>.<br>Datum: 6. 10. 2022<\/p>\n\n\n\n<h4 class=\"block-heading\"><strong>Doporu\u010den\u00ed \u010cVS k o\u010dkov\u00e1n\u00ed uprchl\u00edk\u016f z Ukrajiny<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Sovolujeme si v\u00e1s informovat o Doporu\u010den\u00ed \u010cesk\u00e9 vakcinologick\u00e9 spole\u010dnosti \u010cLS JEP (\u010cVS) k o\u010dkov\u00e1n\u00ed osob (d\u011bt\u00ed, adolescent\u016f, dosp\u011bl\u00fdch), kter\u00e9 budou pob\u00fdvat na \u00fazem\u00ed \u010cesk\u00e9 republiky v d\u016fsledku sou\u010dasn\u00e9 krize na Ukrajin\u011b.<br>Doporu\u010den\u00ed v pln\u00e9m zn\u011bn\u00ed naleznete <a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2022\/05\/doporu\u010den\u00ed_\u010dvs_o\u010dkov\u00e1n\u00ed_uprchl\u00edcifinal_28_3_2022.pdf\" target=\"_blank\"><strong>ZDE<\/strong><\/a><br>Datum: 28. 3. 2022<\/p>\n\n\n\n<h4 class=\"block-heading\"><strong>Stanovisko \u010cesk\u00e9 vakcinologick\u00e9 spole\u010dnosti \u010cLS JEP k p\u0159eo\u010dkov\u00e1n\u00ed d\u011bt\u00ed ve v\u011bku 12+ proti onemocn\u011bn\u00ed COVID-19<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Datum:  12. 1. 2022<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Na z\u00e1klad\u011b \u017e\u00e1dosti Ministerstva zdravotnictv\u00ed vydala \u010cesk\u00e9 vakcinologick\u00e1 spole\u010dnosti \u010cLS JEP (\u010cVS) stanovisko k aplikaci dodate\u010dn\u00fdch t\u0159et\u00edch d\u00e1vek osob\u00e1m ve v\u011bku 12 a v\u00edce let., kter\u00e9 \u010cPS \u010cLS JEP podpo\u0159ila a odsouhlasila. Stanovisko v pln\u00e9m zn\u011bn\u00ed naleznete <strong><a href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2022\/01\/stanovisko-cvs-k-preockovani-deti-12.pdf.\" target=\"_blank\" rel=\"noreferrer noopener\">ZDE<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Z\u00e1rove\u0148 p\u0159ipom\u00edn\u00e1me, \u017ee  od 24. 1. 2022 je dle vyhl\u00e1\u0161ky MZ \u010cR a s podporou \u010cVS a \u010cPS otev\u0159ena registrace pro vakcinaci d\u011bt\u00ed od v\u011bku 12 let t\u0159et\u00ed posiluj\u00edc\u00ed d\u00e1vkou &#8211; v\u00edce  podrobnost\u00ed<a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/mz-cr-covid-19-spusteni-registrace-pro-ockovani-posilujici-3-davkou-pro-deti-od-12-let\/\" target=\"_blank\"><strong> ZDE<\/strong><\/a><\/p>\n\n\n\n<h4 class=\"block-heading\"><strong>Vy\u0161et\u0159en\u00ed protil\u00e1tek Anti-SARS-COV-2 u diagn\u00f3zy U10.9<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Datum: 16. 12. 2021<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Na \u017e\u00e1dost V\u00fdboru \u010cPS odsouhlasila VZP \u00fahradu vy\u0161et\u0159en\u00ed protil\u00e1tek Anti-SARS-CoV-2 u&nbsp;diagn\u00f3zy U10.9&nbsp; Multisyst\u00e9mov\u00fd z\u00e1n\u011btliv\u00fd syndrom souvisej\u00edc\u00ed s onemocn\u011bn\u00edm COVID\u201319 u d\u011bt\u00ed (zn\u00e1m\u00fd tak\u00e9 pod zkratkou PIMS-TS), pokud je vy\u0161et\u0159en\u00ed indikov\u00e1no l\u00e9ka\u0159em akutn\u00ed l\u016f\u017ekov\u00e9 p\u00e9\u010de v odbornosti d\u011btsk\u00e9 l\u00e9ka\u0159stv\u00ed &#8211; viz. p\u0159\u00edlohy.<\/p>\n\n\n\n<ol class=\"block-list\"><li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2022\/01\/vzp-protilatky-sarscov2.pdf\" target=\"_blank\">P\u0159\u00edloha \u010d. 1 <\/a>  (VZP \/ protil\u00e1tky SARS-COV-19)<\/li><li><a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2022\/01\/zadost_cps-sarscov2.pdf\" target=\"_blank\">P\u0159\u00edloha \u010d. 2<\/a>   (\u010cPS \/ \u017d\u00e1dost o \u00fapravu krit\u00e9ri\u00ed pro \u00fahradu vy\u0161et\u0159en\u00ed protil\u00e1tek proti SARS-COV-19)<\/li><\/ol>\n\n\n\n<h4 class=\"block-heading\"><strong>Stanovisko v\u00fdboru \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti (\u010cPS) k o\u010dkov\u00e1n\u00ed<br>d\u011bt\u00ed a adolescent\u016f od 5 let proti nemoci COVID-19<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Datum: 13. 12. 2021<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00fdbor \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti pln\u011b podporuje stanovisko \u010cesk\u00e9 vakcinologick\u00e9 spole\u010dnosti ze dne 13. 12. 2021 o o\u010dkov\u00e1n\u00ed d\u011bt\u00ed star\u0161\u00edch 5 let proti nemoci COVID-19 vakc\u00ednami schv\u00e1len\u00fdmi pro tuto v\u011bkovou kategorii Evropskou l\u00e9kovou agenturou. V n\u00ed\u017ee uveden\u00fdch dokumentech naleznete hlavn\u00ed d\u016fvody pro p\u0159ijet\u00ed tohoto podp\u016frn\u00e9ho stanoviska a taky doporu\u010den\u00ed k o\u010dkov\u00e1n\u00ed dan\u00e9 v\u011bkov\u00e9 kategorie.<br>Dokumenty v pln\u00e9m zn\u011bn\u00ed:<br>&#8211; <a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/12\/stanovisko_cps_ockovani_covid_od_5let.pdf\" target=\"_blank\">Stanovisko \u010cPS k o\u010dkov\u00e1n\u00ed d\u011bt\u00ed a adolescent\u016f od 5 let proti nemoci COVID-19<\/a><br>&#8211; <a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/12\/doporuceni_ockovani_deti_od-5-let_covid-19final.pdf\" target=\"_blank\">Doporu\u010den\u00ed k o\u010dkov\u00e1n\u00ed d\u011bt\u00ed a adolescent\u016f ve v\u011bku od 5 let proti onemocn\u011bn\u00ed covid-19<\/a><\/p>\n\n\n\n<h4 class=\"block-heading\"><strong>Stanovisko v\u00fdboru \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti (\u010cPS) k o\u010dkov\u00e1n\u00ed<br>d\u011bt\u00ed a adolescent\u016f od 12 let proti nemoci COVID-19<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Datum: 19. 7. 2021<br><br>V\u00fdbor \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti pln\u011b podporuje stanovisko \u010cesk\u00e9 vakcinologick\u00e9 spole\u010dnosti ze dne 16.7.2021 k o\u010dkov\u00e1n\u00ed d\u011bt\u00ed star\u0161\u00edch 12 let proti nemoci COVID-19 vakc\u00ednami schv\u00e1len\u00fdmi pro tuto v\u011bkovou kategorii Evropskou<br>l\u00e9kovou agenturou. Hlavn\u00ed d\u016fvody pro p\u0159ijet\u00ed tohoto podp\u016frn\u00e9ho stanoviska jsou n\u00e1sleduj\u00edc\u00ed:<br>&#8211; Onemocn\u011bn\u00ed COVID-19 m\u016f\u017ee i v t\u00e9to v\u011bkov\u00e9 kategorii ohrozit \u017eivot d\u00edt\u011bte. V postinfek\u010dn\u00edm obdob\u00ed m\u016f\u017ee infekce SARS-CoV 2 aktivovat imunitn\u00ed syst\u00e9m s rozvojem multisyst\u00e9mov\u00e9ho z\u00e1n\u011btliv\u00e9ho onemocn\u011bn\u00ed PIMS-TS (Paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2).<br>&#8211;  Aktu\u00e1ln\u011b dostupn\u00e1 data ukazuj\u00ed, \u017ee vakc\u00edna proti COVID-19 m\u00e1 v t\u00e9to v\u011bkov\u00e9 kategorii velmi vysokou \u00fa\u010dinnost a doposud u n\u00ed nebyla pops\u00e1na \u017e\u00e1dn\u00e1 z\u00e1va\u017en\u00e1 zdravotn\u00ed rizika.<br>&#8211; Nezanedbateln\u00fdmi argumenty pro podporu o\u010dkov\u00e1n\u00ed jsou tak\u00e9 nep\u0159\u00edm\u00e9 vlivy pandemie na zdrav\u00ed d\u011bt\u00ed (psychologick\u00e9 a zdravotn\u00ed aspekty lockdownu, uzav\u0159en\u00ed \u0161kol a soci\u00e1ln\u00ed izolace) a mo\u017enost \u0161\u00ed\u0159en\u00ed viru v d\u011btsk\u00fdch kolektivech a rodin\u00e1ch t\u011bchto d\u011bt\u00ed.<br><br>prim. MUDr. Ren\u00e9 Hrdli\u010dka, Ph.D. <br>Doc. MUDr. Ji\u0159\u00ed Bronsk\u00fd, Ph.D.<br><br>Dokument ke sta\u017een\u00ed <a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/07\/stanovisko_cps-ockovani_covid.pdf\" target=\"_blank\">ZDE<\/a><br><br>Stanovisko \u010cPS reaguje na dokument:<br><strong>DOPORU\u010cEN\u00cd K O\u010cKOV\u00c1N\u00cd D\u011aT\u00cd VE V\u011aKU 12-15 LET A ADOLESCENT\u016e PROTI NEMOCI COVID-19<\/strong>, vydan\u00fd 16. 7. 2021.<br>Toto stanovisko \u010cesk\u00e9 vakcinologick\u00e9 spole\u010dnosti \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti (\u010cLS) Jana Evangelisty Purkyn\u011b (JEP), \u010cesk\u00e9 pediatrick\u00e9 spole\u010dnosti \u010cLS JEP, Odborn\u00e9 spole\u010dnosti praktick\u00fdch d\u011btsk\u00fdch l\u00e9ka\u0159\u016f \u010cLS JEP a Sdru\u017een\u00ed praktick\u00fdch l\u00e9ka\u0159\u016f pro d\u011bti a dorost \u010cR, najdete v pln\u00e9m zn\u011bn\u00ed v dokumentu ke sta\u017een\u00ed <a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/07\/cvs-et-al_doporu\u010den\u00ed-k-o\u010dkov\u00e1n\u00ed-d\u011bt\u00ed-proti-nemoci-covid-19_16072021.pdf\" target=\"_blank\"> ZDE<\/a><\/p>\n\n\n\n<figure class=\"block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"141\" src=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/07\/loga-cps-cvs-cls-1024x141.png\" alt=\"\" class=\"wp-image-2414\" srcset=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/07\/loga-cps-cvs-cls-1024x141.png 1024w, https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/07\/loga-cps-cvs-cls-300x41.png 300w, https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/07\/loga-cps-cvs-cls-768x106.png 768w, https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/07\/loga-cps-cvs-cls.png 1116w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Zve\u0159ejn\u011bno: 23. 7. 2021<\/p>\n\n\n\n<h4 class=\"block-heading\"><strong>Doporu\u010den\u00fd postup: Syndrom multisyst\u00e9mov\u00e9 z\u00e1n\u011btliv\u00e9 odpov\u011bdi asociovan\u00fd s COVID-19 u d\u011bt\u00ed (12. 1. 2021)<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Ke sta\u017een\u00ed&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2021\/11\/syndrom-multisyste%CC%81move%CC%81-za%CC%81ne%CC%8Ctlive%CC%81-odpove%CC%8Cdi-asociovany%CC%81-s-covid-19-u-de%CC%8Cti%CC%81_1.._.pdf\" target=\"_blank\"><strong>zde<\/strong>.<\/a><br><em>Citace: FENCL, Filip, Michaela \u0160IB\u00cdKOV\u00c1, Jan DAVID a Hana MALCOV\u00c1. Syndrom&nbsp;multisyst\u00e9mov\u00e9 z\u00e1n\u011btliv\u00e9 odpov\u011bdi asociovan\u00fd s COVID-19 u d\u011bt\u00ed. Doporu\u010den\u00fd postup \u010cPS \u010cLS JEP. \u010cesko-slovensk\u00e1 Pediatrie. 2021, 76(1), 4-9.<\/em><\/p>\n\n\n\n<h4 class=\"block-heading\"><strong>Organiza\u010dn\u00ed opat\u0159en\u00ed \u010cSORLCHHK \u010cLS JEP v souvislosti s onemocn\u011bn\u00edm COVID-19 zp\u016fsoben\u00fdm virem SARS-CoV-2 pro screening sluchu novorozenc\u016f a d\u011bt\u00ed ve v\u011bku 5 let v \u010cesk\u00e9 republice<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">datum vyd\u00e1n\u00ed: 28.4.2020<br>\u00fa\u010dinnost: 4.5.2020<br><br><strong>Ur\u010deno pro: l\u00e9ka\u0159e ORL, foniatry, pediatry a neonatology<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V souvislosti s v\u00fdvojem epidemiologick\u00e9 situace v\u00fdskytu onemocn\u011bn\u00ed COVID-19 zp\u016fsoben\u00fdm virem SARS-CoV-2 je doporu\u010deno pokra\u010dovat dle standardn\u00edch pravidel a metodiky:<\/p>\n\n\n\n<ul class=\"block-list\"><li>ve screeningu a rescreeningu sluchu novorozenc\u016f<\/li><li>ve screeningu sluchu u d\u011bt\u00ed ve v\u011bku 5 let u ORL l\u00e9ka\u0159e nebo foniatra<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Vlastn\u00ed realizace v\u0161ech screeningov\u00fdch vy\u0161et\u0159en\u00ed sluchu novorozenc\u016f a 5 let\u00fdch d\u011bt\u00ed bude prob\u00edhat postupn\u011b v z\u00e1vislosti na region\u00e1ln\u00edch podm\u00ednk\u00e1ch a dle pr\u016fb\u011b\u017en\u011b aktualizovan\u00fdch pravidel MZ \u010cR a vl\u00e1dy \u010cR dle v\u00fdvoje epidemiologick\u00e9 situace v \u010cesk\u00e9 republice. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dokument ke sta\u017een\u00ed <a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/200428_csorl_screening-sluchu_korona-virus.pdf\" target=\"_blank\">ZDE<\/a><br>Vypracoval: Prof. MUDr. Viktor Chrobok, CSc., Ph.D. <br>Zve\u0159ejn\u011bno 28.4.2020<\/p>\n\n\n\n<h4 class=\"block-heading\"><strong>Pediatrick\u00e1 doporu\u010den\u00ed v dob\u011b pandemie COVID 19<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Pediatrick\u00e1 doporu\u010den\u00ed v dob\u011b pandemie COVID 19 ke sta\u017een\u00ed <a rel=\"noreferrer noopener\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/pediatricka-doporuceni-covid19_07042020-1.pdf\" target=\"_blank\">ZDE<\/a><\/p>\n\n\n\n<figure class=\"block-image size-large is-resized\"><a href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/pediatricka-doporuceni-letak-1.jpg\" target=\"_blank\" rel=\"noopener noreferrer\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/pediatricka-doporuceni-letak-1-1024x725.jpg\" alt=\"\" class=\"wp-image-1468\" width=\"724\" height=\"512\" srcset=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/pediatricka-doporuceni-letak-1-1024x725.jpg 1024w, https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/pediatricka-doporuceni-letak-1-300x212.jpg 300w, https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/pediatricka-doporuceni-letak-1-768x543.jpg 768w, https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/pediatricka-doporuceni-letak-1.jpg 1231w\" sizes=\"auto, (max-width: 724px) 100vw, 724px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Zve\u0159ejn\u011bno 15.4.2020<\/p>\n\n\n\n<hr class=\"block-separator is-style-wide\"\/>\n\n\n\n<h4 class=\"block-heading\"><strong>D\u011btsk\u00fd diabetes a COVID-19 &#8211; rady pro rodi\u010de <\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Informa\u010dn\u00ed let\u00e1k \u010cesk\u00e9 diabetologick\u00e9 spole\u010dnosti \u010cLS JEP najdete <a rel=\"noreferrer noopener\" aria-label=\"ZDE (opens in a new tab)\" href=\"https:\/\/www.pediatrics.cz\/informace-pro-rodice\/\" target=\"_blank\">ZDE<\/a><br>Zve\u0159ejn\u011bno 6.4.2020<\/p>\n\n\n\n<hr class=\"block-separator is-style-wide\"\/>\n\n\n\n<h4 class=\"block-heading\"><strong>Doporu\u010den\u00ed Sekce d\u011btsk\u00e9 paliativn\u00ed p\u00e9\u010de \u010cSPM \u010cLS JEP k pandemii COVID-19 <\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Stanovisko \u010cesk\u00e9 spole\u010dnosti paliativn\u00ed medic\u00edny \u010cLS JEP ke sta\u017een\u00ed <a rel=\"noreferrer noopener\" aria-label=\"ZDE (opens in a new tab)\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/doporuceni-sekce-detske-paliativni-pece-covid-19.pdf\" target=\"_blank\">ZDE<\/a><br>Zve\u0159ejn\u011bno 6.4.2020<\/p>\n\n\n\n<hr class=\"block-separator is-style-wide\"\/>\n\n\n\n<h4 class=\"block-heading\"><strong>Prvn\u00ed kazuistiky COVID-19 \u2013 \u201eb\u011b\u017en\u00e9\u201c respira\u010dn\u00ed infekty na Klinice d\u011bt\u00ed a dorostu 3.LF UK a FN Kr\u00e1lovsk\u00e9 Vinohrady<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Cel\u00fd dokument si m\u016f\u017eete p\u0159e\u010d\u00edst <a rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/04\/prvni-zkusenosti-s-covid-19.pdf\" target=\"_blank\">ZDE<\/a><br>Zve\u0159ejn\u011bno 1.4.2020<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<hr class=\"block-separator is-style-wide\"\/>\n\n\n\n<h4 class=\"block-heading\"><strong>Vertik\u00e1ln\u00ed p\u0159enos, klinick\u00e9 p\u0159\u00edznaky u novorozenc\u016f matek s pozitivn\u00ed infekc\u00ed COVID-19 <\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">COVID-19 &nbsp; NEW YORK , March 26, 2020,<strong> <\/strong>By Denise Baey<br>JAMA Pediatrics, <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2763853\"><strong>https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2763853<\/strong><\/a><br><strong>Souhrn: <\/strong>Je posp\u00e1n vertik\u00e1ln\u00ed p\u0159enos a klinick\u00fd pr\u016fb\u011bh onemocn\u011bn\u00ed u 33 novorozenc\u016f matek s potvrzenou infekc\u00ed COVID-19 ve Wu Chanu. <strong>Klinick\u00e9 p\u0159\u00edznaky onemocn\u011bn\u00ed byly pozorov\u00e1ny jen u 3 novorozenc\u016f ze 33. <\/strong>V\u0161ichni t\u0159i novorozenci se narodili c\u00edsa\u0159sk\u00fdm \u0159ezem. <strong>Prvn\u00ed d\u00edt\u011b, <\/strong>narozen\u00e9 matce s COVID-19 a pneumoni\u00ed, bylo 2. den \u017eivota apatick\u00e9, m\u011blo teplotu, rtg uk\u00e1zalo pneumonii, procalcitonin byl zv\u00fd\u0161en\u00fd, dal\u0161\u00ed laborato\u0159 bpn. Vy\u0161et\u0159en\u00ed SARS-CoV-2 z nasofaryngu bylo pozitivn\u00ed 2. a 4. den \u017eivota a negativn\u00ed od 5. dne. <strong>Dal\u0161\u00ed d\u00edt\u011b, <\/strong>tak\u00e9<strong> <\/strong>narozen\u00e9 matce<strong> <\/strong>s COVID-19 a pneumoni\u00ed, bylo od druh\u00e9ho dne \u017eivota letargick\u00e9, zvracelo a m\u011blo hore\u010dku. Laborato\u0159 uk\u00e1zalo leukocyt\u00f3zu, lymfopenii a vy\u0161\u0161\u00ed frakci CK-MB. RTG uk\u00e1zalo pneumonii a vy\u0161et\u0159en\u00ed SARS-CoV-2 v nasofaryyngu bylo pozitivn\u00ed 2. a 4. den \u017eivota a negativn\u00ed 6. den. <strong>T\u0159et\u00ed d\u00edt\u011b, <\/strong>tak\u00e9<strong> <\/strong>matky s COVID-19 a pneumoni\u00ed, m\u011blo p\u0159ed porodem akutn\u00ed intrauterinn\u00ed hypoxii, bylo k\u0159\u00ed\u0161eno a sk\u00f3re podle Apgarov\u00e9 bylo 3 \u2013 4 \u2013 5 bod\u016f. Rozvinul se m\u00edrn\u00fd IRDS a bylo vysloveno i podez\u0159en\u00ed na sepsi. Rtg vy\u0161et\u0159en\u00ed uk\u00e1zalo m\u00edrnou formu IRDS ale i pneumonii. P\u0159\u00edtomna byla leukocyt\u00f3za, trombocytopenie a koagulopatie.&nbsp; P\u0159i ATB a dal\u0161\u00ed l\u00e9\u010db\u011b se stav upravil do 14 dn\u00ed. Vy\u0161et\u0159en\u00ed SARS-CoV-2 v materi\u00e1lu z nosu i stolice bylo pozitivn\u00ed 2. a 4. den \u017eivota a negativn\u00ed 7. den. Vertik\u00e1ln\u00ed p\u0159enos z matky na d\u00edt\u011b byl potvrzen i u \u010dtvrt\u00e9ho, asymptomatick\u00e9ho, novorozence s leukocyt\u00f3zou a pozitivn\u00edmi protil\u00e1tkami v IgM  (45.8 AU\/ml) i IgG. Naopak v\u00fdsledky RT-PCR testu z materi\u00e1lu odebran\u00e9ho z nasofaryngu mezi 2. hodinou a 16 dny po narozen\u00ed byly negativn\u00ed. Proto\u017ee IgM protil\u00e1tky nep\u0159ech\u00e1zej\u00ed p\u0159es placentu, p\u0159edpokl\u00e1d\u00e1 se, \u017ee plod byl infikov\u00e1n cca 3 t\u00fddny p\u0159ed porodem a do porodu se ji\u017e viru zbavil?<br><strong>Ji\u0159\u00ed Zeman<\/strong><br>KDDL VFN a 1. LF UK<br> Zve\u0159ejn\u011bno 29.3.2020 <\/p>\n\n\n\n<hr class=\"block-separator is-style-wide\"\/>\n\n\n\n<h4 class=\"block-heading\"><strong>Zku\u0161enosti s COVID-19 na d\u011btsk\u00e9 ambulanci FN Motol<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">4.3.2020, p\u011bt dn\u00ed po n\u00e1vratu rodiny z ly\u017ea\u0159sk\u00e9 oblasti Passo Tonale\/Ponte di Legno, se u otce dvou syn\u016f objevil chrapot, r\u00fdma, faryngitis a svalov\u00e1 slabost. 5.3. byl na Bulovce proveden v\u00fdt\u011br&nbsp; z nasofaryngu a 6.3. byla potvrzena pozitivita na COVID-19. Jeho 12-let\u00fd syn m\u011bl prvn\u00ed p\u0159\u00edznaky od r\u00e1na 8.3. Hore\u010dka 38,2\u00b0C m\u011b\u0159en\u00e1 axil\u00e1rn\u011b se zimnic\u00ed, bolesti sval\u016f, nauzea a opakovan\u00e9 zvracen\u00ed.&nbsp; Dostal antipyretika a or\u00e1ln\u00ed rehydrataci. V 17 hodin odpoledne byl proveden dom\u00e1c\u00ed odb\u011br z nasofaryngu zdravotn\u00edkem infek\u010dn\u00ed sanitky a dal\u0161\u00ed den byla ozn\u00e1mena pozitivita COVID-19. TO ji\u017e byl chlapec afebriln\u00ed, ale \u00fanavn\u00fd a od 10.3. se c\u00edtil zdr\u00e1v. Po celou dobu nem\u011bl \u017e\u00e1dn\u00e9 respira\u010dn\u00ed p\u0159\u00edznaky. Oba kontroln\u00ed testy 17.3 a 20.3 byly s nesignifikantn\u00edm v\u00fdsledkem a byly posl\u00e1ny k p\u0159ehodnocen\u00ed do n\u00e1rodn\u00ed referen\u010dn\u00ed laborato\u0159e. Posledn\u00ed odb\u011br odesl\u00e1n k vy\u0161et\u0159en\u00ed 24.3., v\u00fdsledek b\u00fdv\u00e1 za 3-5 dn\u016f od odb\u011bru.&nbsp; Jeho man\u017eelka (1978) m\u011bla prvn\u00ed p\u0159\u00edznaky od 10.3., to je 11. den po n\u00e1vratu z It\u00e1lie. Objevila se r\u00fdma, such\u00fd ka\u0161el, bolesti pr\u016fdu\u0161ek, zv\u00fd\u0161en\u00e1 \u00fanava. Maxim\u00e1ln\u00ed teplota nanejv\u00fd\u0161 subfebriln\u00ed. Odb\u011br z nasofaryngu byl tak\u00e9 pozitivn\u00ed, klinick\u00e1 \u00faprava se dostavila v pr\u016fb\u011bhu 10 dn\u00ed. 10.3. m\u011bl pozitivn\u00ed v\u00fdsledek vy\u0161et\u0159en\u00ed na COVID-19 i mlad\u0161\u00ed 10-let\u00fd syn. Jeho obt\u00ed\u017ee za\u010daly such\u00fdm ka\u0161lem a m\u00edrnou r\u00fdmou, za dva dny se p\u0159idaly subfebrilie do 37,5 \u00b0C axil\u00e1rn\u011b, bolesti hlavy a sval\u016f a p\u0159i ka\u0161li m\u011bl bolesti na hrudn\u00edku. Dost\u00e1val peror\u00e1ln\u00ed analgetika, p\u0159\u00edznaky ustoupily v pr\u016fb\u011bhu t\u0159\u00ed dn\u00ed. Prvn\u00ed kontroln\u00ed vy\u0161et\u0159en\u00ed na COVID-19 z 20.3. bylo negativn\u00ed, nyn\u00ed \u010dek\u00e1 na v\u00fdsledek druh\u00e9ho kontroln\u00edho vy\u0161et\u0159en\u00ed. Nikoho z rodiny nebyl hospitalizov\u00e1n.<br><strong>Karol\u00edna \u0160pi\u010d\u00e1kov\u00e1<\/strong><br>Pediatrick\u00e1 klinika FN Motol<br>Zve\u0159ejn\u011bno 29.3.2020<br><\/p>\n\n\n\n<hr class=\"block-separator is-style-wide\"\/>\n\n\n\n<h4 class=\"block-heading\"><strong>Pr\u016fb\u011bh onemocn\u011bn\u00ed COVID-19 u mal\u00fdch d\u011bt\u00ed v It\u00e1lii<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Ve \u010dtvrtek 26.3.2020 organizovala EAP telekonferenci s pediatry z It\u00e1lie, kte\u0159\u00ed se staraj\u00ed o d\u011bti s COVID-19. V\u0161ech 9 pozitivn\u00edch d\u011bt\u00ed, kter\u00e9 byly hospitalizov\u00e1ny na D\u011btsk\u00e9 klinice v Padov\u011b, m\u011bly lehk\u00fd pr\u016fb\u011bh onemocn\u011bn\u00ed, nej\u010dast\u011bji s r\u00fdmou, ka\u0161lem, zvracen\u00edm a\/nebo pr\u016fjmem. U d\u011bt\u00ed s pr\u016fjmem byl virus prok\u00e1z\u00e1n i ve stolici, rtg plic byl u v\u0161ech bpn, nikdo nebyl p\u0159elo\u017een na JIP a d\u00e9lka hospitalizace\/obervace byla obvykle 3-5 dn\u00ed. U v\u0161ech d\u011bt\u00ed byl zdroj infekce nalezen u pozitivn\u00edch rodi\u010d\u016f. V dal\u0161\u00ed italsk\u00e9 nemocnici bylo zachyceno 5 pozitivn\u00edch novorozenc\u016f, dva s teplotou a dva s r\u00fdmou, 3 m\u011bly jen zv\u00fd\u0161en\u00fd CRP. V\u0161ichni jsou zat\u00edm klinicky v po\u0159\u00e1dku. Dotazn\u00edkov\u00e1 akce mezi \u00fa\u010dastn\u00edky konference z 18 zem\u00ed EU uk\u00e1zala, \u017ee t\u011b\u017ek\u00fd pr\u016fb\u011bh onemocn\u011bn\u00ed u mal\u00fdch d\u011bt\u00ed nen\u00ed \u010dast\u00fd, ale v\u0161ichni se shodli na nutnosti p\u0159\u00edsn\u00e9 triage p\u0159ed vstupem do nemocnic a pot\u0159eb\u011b chr\u00e1nit d\u011bti i jejich l\u00e9ka\u0159e a sestry.<br><strong>Ji\u0159\u00ed Zeman<\/strong><br>KDDL VFN a 1. LF UK<br> Zve\u0159ejn\u011bno 29.3.2020 <\/p>\n\n\n\n<hr class=\"block-separator is-style-wide\"\/>\n\n\n\n<hr class=\"block-separator is-style-wide\"\/>\n\n\n\n<h4 class=\"block-heading\"><strong>Vyj\u00e1d\u0159en\u00ed EAP ( The European Academy of Paediatrics) k sou\u010dasn\u00e9 situaci ohledn\u011b pandemie onemocn\u011bn\u00ed COVID-19&nbsp; ze dne 23.3.2020 si m\u016f\u017eete p\u0159e\u010d\u00edst v p\u0159ilo\u017een\u00e9m dokumentu <\/strong><a href=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/03\/vyjadreni-eap-k-pandemii.pdf\"><strong>ZDE<\/strong><\/a><strong>.<\/strong><br><\/h4>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><a href=\"https:\/\/upubih.ba\/epa-unepsa-quick-fact-sheet-on-the-current-china-coronavirus-outbreak\/\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"230\" class=\"wp-image-1349\" style=\"width: 500px;\" src=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/03\/epsa.png\" alt=\"\" srcset=\"https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/03\/epsa.png 760w, https:\/\/www.pediatrics.cz\/content\/uploads\/2020\/03\/epsa-300x138.png 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Z\u00fa\u010dastn\u011bte se mezin\u00e1rodn\u00ed studie &#8222;The COVID-19 HEROES&#8220; Ve jm\u00e9nu Spole\u010dnosti urgentn\u00ed medic\u00edny a medic\u00edny katastrof \u010cLS JEP bychom [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":67,"menu_order":140,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"kia_subtitle":"","footnotes":""},"class_list":["post-1364","page","type-page","status-publish","hentry"],"acf":[],"lang":"cs","translations":{"cs":1364},"pll_sync_post":[],"_links":{"self":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages\/1364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/comments?post=1364"}],"version-history":[{"count":20,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages\/1364\/revisions"}],"predecessor-version":[{"id":3760,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages\/1364\/revisions\/3760"}],"up":[{"embeddable":true,"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/pages\/67"}],"wp:attachment":[{"href":"https:\/\/www.pediatrics.cz\/api\/wp\/v2\/media?parent=1364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}