{"id":1132,"date":"2021-10-06T06:56:05","date_gmt":"2021-10-06T06:56:05","guid":{"rendered":"https:\/\/csiag.eu\/?p=1132"},"modified":"2023-01-20T17:14:53","modified_gmt":"2023-01-20T17:14:53","slug":"nemocnice-by-mely-zamestnavat-sestry-s-prirozenou-imunitou-ne-je-propoustet","status":"publish","type":"post","link":"https:\/\/csiag.eu\/cs\/blog\/2021\/10\/06\/krankenhaeuser-sollten-krankenschwestern-mit-natuerlicher-immunitaet-einstellen-nicht-feuern\/","title":{"rendered":"Nemocnice by m\u011bly zam\u011bstn\u00e1vat, nikoli propou\u0161t\u011bt zdravotn\u00ed sestry s p\u0159irozenou imunitou"},"content":{"rendered":"Doba \u010dten\u00ed<\/span> 3<\/span> minuty<\/span><\/span>\n

OD MARTIN KULLDORFF, 01.10.2021
<\/p>\n\n\n\n

Mezi mnoha p\u0159ekvapiv\u00fdmi ud\u00e1lostmi b\u011bhem t\u00e9to pandemie bylo nejp\u0159ekvapiv\u011bj\u0161\u00ed zpochybn\u011bn\u00ed p\u0159irozen\u011b z\u00edskan\u00e9 imunity po onemocn\u011bn\u00ed Covidem. P\u0159irozen\u00e9 imunit\u011b rozum\u00edme p\u0159inejmen\u0161\u00edm od ath\u00e9nsk\u00e9ho moru v roce 430 p\u0159. n. l.. Thukydides napsal:<\/p>\n\n\n\n

\u201eNejv\u011bt\u0161\u00ed soucit v\u0161ak nemocn\u00ed a um\u00edraj\u00edc\u00ed na\u0161li u t\u011bch, kte\u0159\u00ed se z nemoci uzdravili. Ti ze zku\u0161enosti v\u011bd\u011bli, co to je, a nem\u011bli o sebe strach; nikdy toti\u017e nebyl tent\u00fd\u017e \u010dlov\u011bk napaden dvakr\u00e1t - alespo\u0148 ne smrteln\u011b.<\/em>\" - Thukydides<\/p>\n\n\n\n

S endemick\u00fdmi koronaviry \u017eijeme ji\u017e nejm\u00e9n\u011b sto let a m\u00e1me proti nim dlouhodobou p\u0159irozenou imunitu. Podle o\u010dek\u00e1v\u00e1n\u00ed m\u00e1me p\u0159irozenou imunitu i po Covid-19, proto\u017ee navzdory roz\u0161\u00ed\u0159en\u00e9mu viru do\u0161lo jen k velmi mal\u00e9mu po\u010dtu reinfekc\u00ed s t\u011b\u017ek\u00fdm onemocn\u011bn\u00edm nebo \u00famrt\u00edm.<\/p>\n\n\n\n

U v\u011bt\u0161iny vir\u016f je p\u0159irozen\u00e1 imunita lep\u0161\u00ed ne\u017e imunita navozen\u00e1 o\u010dkov\u00e1n\u00edm, co\u017e plat\u00ed i pro Covid. V dosud nejlep\u0161\u00ed studii byla u o\u010dkovan\u00fdch p\u0159ibli\u017en\u011b 27kr\u00e1t vy\u0161\u0161\u00ed pravd\u011bpodobnost symptomatick\u00e9ho onemocn\u011bn\u00ed ne\u017e u osob s p\u0159irozenou imunitou, s odhadovan\u00fdm rozmez\u00edm mezi 13 a 57. Vzhledem k tomu, \u017ee ani v jedn\u00e9 skupin\u011b nedo\u0161lo k \u017e\u00e1dn\u00e9mu \u00famrt\u00ed na virus Covid, chr\u00e1n\u00ed p\u0159irozen\u00e1 i o\u010dkovac\u00ed imunita dob\u0159e p\u0159ed \u00famrt\u00edm.<\/p>\n\n\n\n

V posledn\u00edch deseti letech jsem \u00fazce spolupracoval s nemocni\u010dn\u00edmi epidemiology. Zat\u00edmco \u00fakolem l\u00e9ka\u0159\u016f je l\u00e9\u010dit pacienty a zajistit, aby se uzdravili, \u00fakolem nemocni\u010dn\u00edho epidemiologa je zajistit, aby pacienti v nemocnici neonemocn\u011bli, nap\u0159\u00edklad smrteln\u00fdm virem od jin\u00e9ho pacienta nebo o\u0161et\u0159ovatele.<\/p>\n\n\n\n

Za t\u00edmto \u00fa\u010delem nemocnice p\u0159i p\u00e9\u010di o pacienta s ebolou uplat\u0148uj\u00ed \u0159adu opat\u0159en\u00ed, od \u010dast\u00e9ho myt\u00ed rukou a\u017e po \u00faplnou kontrolu infekce. D\u016fle\u017eitou sou\u010d\u00e1st\u00ed t\u011bchto kontroln\u00edch opat\u0159en\u00ed je o\u010dkov\u00e1n\u00ed. Nap\u0159\u00edklad pacienti dost\u00e1vaj\u00ed dva t\u00fddny p\u0159ed operac\u00ed sleziny vakc\u00ednu proti pneumokok\u016fm, aby se minimalizovaly poopera\u010dn\u00ed infekce, a v\u011bt\u0161ina klinick\u00e9ho person\u00e1lu je ka\u017edoro\u010dn\u011b o\u010dkov\u00e1na proti ch\u0159ipce.<\/p>\n\n\n\n

Opat\u0159en\u00ed pro kontrolu infekc\u00ed jsou obzvl\u00e1\u0161t\u011b d\u016fle\u017eit\u00e1 u star\u0161\u00edch k\u0159ehk\u00fdch nemocni\u010dn\u00edch pacient\u016f s oslaben\u00fdm imunitn\u00edm syst\u00e9mem. Mohou se nakazit a zem\u0159\u00edt na virus, kter\u00fd by v\u011bt\u0161ina lid\u00ed snadno p\u0159e\u017eila. Hlavn\u00edm d\u016fvodem pro imunizaci sester a l\u00e9ka\u0159\u016f proti ch\u0159ipce je zajistit, aby takov\u00e9 pacienty nenakazili.<\/p>\n\n\n\n

Jak mohou nemocnice nejl\u00e9pe chr\u00e1nit sv\u00e9 pacienty p\u0159ed Covidem? Je to nesm\u00edrn\u011b d\u016fle\u017eit\u00e1 ot\u00e1zka, kter\u00e1 se t\u00fdk\u00e1 i domov\u016f pro seniory. Existuje n\u011bkolik z\u0159ejm\u00fdch standardn\u00edch \u0159e\u0161en\u00ed, jako je odd\u011blen\u00ed pacient\u016f s Covidem od ostatn\u00edch pacient\u016f, minimalizace po\u010dtu sm\u011bn person\u00e1lu a velkorys\u00e1 nemocensk\u00e1 listina zam\u011bstnanc\u016f s p\u0159\u00edznaky podobn\u00fdmi Covidu.<\/p>\n\n\n\n

Dal\u0161\u00edm c\u00edlem by m\u011blo b\u00fdt zam\u011bstn\u00e1v\u00e1n\u00ed zam\u011bstnanc\u016f s co nejvy\u0161\u0161\u00ed imunitou v\u016f\u010di Covidu, proto\u017ee je m\u00e9n\u011b pravd\u011bpodobn\u00e9, \u017ee se nakaz\u00ed a p\u0159enesou ho na sv\u00e9 pacienty. To znamen\u00e1, \u017ee nemocnice a pe\u010dovatelsk\u00e9 domy by se m\u011bly aktivn\u011b sna\u017eit zam\u011bstn\u00e1vat person\u00e1l, kter\u00fd m\u00e1 p\u0159irozenou imunitu v\u016f\u010di p\u0159edchoz\u00edm onemocn\u011bn\u00edm virem Covid, a vyu\u017e\u00edvat tento person\u00e1l pro sv\u00e9 nejzraniteln\u011bj\u0161\u00ed pacienty.<\/p>\n\n\n\n

V d\u016fsledku toho jsme nyn\u00ed sv\u011bdky tvrd\u00e9 konkurence, kdy se nemocnice a pe\u010dovatelsk\u00e9 domy zoufale sna\u017e\u00ed z\u00edskat lidi s p\u0159irozenou imunitou. Tedy ne tak docela.<\/p>\n\n\n\n

M\u00edsto toho nemocnice propou\u0161t\u011bj\u00ed zdravotn\u00ed sestry a dal\u0161\u00ed person\u00e1l s vy\u0161\u0161\u00ed p\u0159irozenou imunitou a ponech\u00e1vaj\u00ed si ty, kte\u0159\u00ed maj\u00ed slab\u0161\u00ed imunitu vyvolanou o\u010dkov\u00e1n\u00edm. T\u00edmto zp\u016fsobem zrazuj\u00ed sv\u00e9 pacienty a zvy\u0161uj\u00ed riziko nemocni\u010dn\u00edch infekc\u00ed.<\/p>\n\n\n\n

Prosazov\u00e1n\u00edm povinn\u00e9ho o\u010dkov\u00e1n\u00ed zpochyb\u0148uje hlavn\u00ed l\u00e9ka\u0159sk\u00fd poradce B\u00edl\u00e9ho domu Dr. Anthony Fauci existenci p\u0159irozen\u00e9 imunity po vakc\u00edn\u011b Covid. N\u00e1sleduje tak p\u0159\u00edklad \u0159editelky CDC Rochelle Walensk\u00e9, kter\u00e1 zpochybnila p\u0159irozenou imunitu v memorandu z roku 2020 zve\u0159ejn\u011bn\u00e9m v \u010dasopise The Lancet. Se zaveden\u00edm povinn\u00e9ho o\u010dkov\u00e1n\u00ed nyn\u00ed univerzitn\u00ed nemocnice rovn\u011b\u017e zpochyb\u0148uj\u00ed existenci p\u0159irozen\u00e9 imunity po onemocn\u011bn\u00ed Covid.<\/p>\n\n\n\n

To je \u00fa\u017easn\u00e9.<\/p>\n\n\n\n

Pracuji v nemocnici Brigham and Women's Hospital v Bostonu, kter\u00e1 ozn\u00e1mila, \u017ee v\u0161echny sestry, l\u00e9ka\u0159i a dal\u0161\u00ed zdravotn\u00edci budou propu\u0161t\u011bni, pokud se nenechaj\u00ed o\u010dkovat vakc\u00ednou Covid. Minul\u00fd t\u00fdden jsem mluvila s jednou z na\u0161ich sester. Tvrd\u011b pracovala na p\u00e9\u010di o pacienty s vakc\u00ednou Covid, i kdy\u017e n\u011bkte\u0159\u00ed jej\u00ed kolegov\u00e9 na za\u010d\u00e1tku pandemie ze strachu ode\u0161li.<\/p>\n\n\n\n

Nep\u0159ekvapiv\u011b se nakazila, ale pak se uzdravila. Nyn\u00ed m\u00e1 siln\u011bj\u0161\u00ed a d\u00e9le trvaj\u00edc\u00ed imunitu ne\u017e o\u010dkovan\u00ed zam\u011bstnanci nemocnice, kte\u0159\u00ed ji propustili, proto\u017ee nebyla o\u010dkovan\u00e1.<\/p>\n\n\n\n

Pokud univerzitn\u00ed nemocnice nedok\u00e1\u017eou spr\u00e1vn\u011b vyhodnotit l\u00e9ka\u0159sk\u00e9 poznatky o z\u00e1kladn\u00edch v\u011bdeck\u00fdch poznatc\u00edch o imunit\u011b, jak jim m\u016f\u017eeme d\u016fv\u011b\u0159ovat v jin\u00fdch aspektech na\u0161eho zdrav\u00ed? <\/p>\n\n\n\n

Co bude d\u00e1l? Univerzity se zaj\u00edmaj\u00ed, zda je Zem\u011b kulat\u00e1, nebo placat\u00e1? Alespo\u0148 by to nad\u011blalo m\u00e9n\u011b \u0161kody.<\/p>","protected":false},"excerpt":{"rendered":"

Doba \u010dten\u00ed<\/span> 3<\/span> minuty<\/span><\/span>VON MARTIN KULLDORFF, 01.10.2021 Unter vielen \u00fcberraschenden Entwicklungen w\u00e4hrend dieser Pandemie war die erstaunlichste die Infragestellung der nat\u00fcrlich erworbenen Immunit\u00e4t, nachdem eine Person die Covid-Krankheit hatte. Wir haben die nat\u00fcrliche Immunit\u00e4t mindestens seit der Athener Pest im Jahr 430 v. Chr. verstanden. Thukydides schrieb: „Doch mit denen, die sich von der Krankheit erholt hatten, fanden… \u010c\u00edst d\u00e1le \"Nemocnice by m\u011bly zam\u011bstn\u00e1vat, nikoli propou\u0161t\u011bt zdravotn\u00ed sestry s p\u0159irozenou imunitou<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[628],"tags":[],"class_list":["post-1132","post","type-post","status-publish","format-standard","hentry","category-corona"],"modified_by":"Achim Goerner","_links":{"self":[{"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/posts\/1132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/comments?post=1132"}],"version-history":[{"count":0,"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/posts\/1132\/revisions"}],"wp:attachment":[{"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/media?parent=1132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/categories?post=1132"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csiag.eu\/cs\/wp-json\/wp\/v2\/tags?post=1132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}