{"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-mali-zamestnavat-sestry-s-prirodzenou-imunitou-nie-ich-prepustat","status":"publish","type":"post","link":"https:\/\/csiag.eu\/sk\/blog\/2021\/10\/06\/krankenhaeuser-sollten-krankenschwestern-mit-natuerlicher-immunitaet-einstellen-nicht-feuern\/","title":{"rendered":"Nemocnice by mali zamestn\u00e1va\u0165, a nie prep\u00fa\u0161\u0165a\u0165 sestry s prirodzenou imunitou"},"content":{"rendered":"\u010cas \u010d\u00edtania<\/span> 3<\/span> z\u00e1pisnice<\/span><\/span>\n

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

Spomedzi mnoh\u00fdch prekvapiv\u00fdch udalost\u00ed po\u010das tejto pand\u00e9mie bolo najprekvapivej\u0161ie spochybnenie prirodzene z\u00edskanej imunity po prekonan\u00ed choroby Covid. Prirodzen\u00fa imunitu sme ch\u00e1pali prinajmen\u0161om od at\u00e9nskeho moru v roku 430 pred n. l. Thukydides nap\u00edsal:<\/p>\n\n\n\n

\u201eNajv\u00e4\u010d\u0161\u00ed s\u00facit v\u0161ak chor\u00ed a umieraj\u00faci na\u0161li u t\u00fdch, ktor\u00ed sa z choroby vylie\u010dili. T\u00edto zo sk\u00fasenosti vedeli, o \u010do ide, a nemali o seba strach; ve\u010f toho ist\u00e9ho \u010dloveka nikdy nenapadla dvakr\u00e1t - aspo\u0148 nie smrte\u013ene.<\/em>\" - Thukydides<\/p>\n\n\n\n

U\u017e najmenej sto rokov \u017eijeme s endemick\u00fdmi koronav\u00edrusmi, proti ktor\u00fdm m\u00e1me dlhodob\u00fa prirodzen\u00fa imunitu. Pod\u013ea o\u010dak\u00e1vania m\u00e1me prirodzen\u00fa imunitu aj po Covid-19, ke\u010f\u017ee napriek roz\u0161\u00edreniu v\u00edrusu sa vyskytlo len ve\u013emi m\u00e1lo reinfekci\u00ed s \u0165a\u017ek\u00fdmi ochoreniami alebo \u00famrtiami.<\/p>\n\n\n\n

Pri v\u00e4\u010d\u0161ine v\u00edrusov je prirodzen\u00e1 imunita lep\u0161ia ako imunita vyvolan\u00e1 o\u010dkovan\u00edm, \u010do plat\u00ed aj pre Covid. V doteraz najlep\u0161ej \u0161t\u00fadii mali o\u010dkovan\u00ed pribli\u017ene 27-kr\u00e1t vy\u0161\u0161iu pravdepodobnos\u0165 symptomatick\u00e9ho ochorenia ako t\u00ed s prirodzenou imunitou, pri\u010dom odhadovan\u00e9 rozp\u00e4tie sa pohybovalo od 13 do 57. Pri \u017eiadnom \u00famrt\u00ed na Covid v \u017eiadnej zo skup\u00edn prirodzen\u00e1 aj o\u010dkovacia imunita dobre chr\u00e1nia pred \u00famrt\u00edm.<\/p>\n\n\n\n

Za posledn\u00fdch desa\u0165 rokov som \u00fazko spolupracoval s nemocni\u010dn\u00fdmi epidemiol\u00f3gmi. Zatia\u013e \u010do \u00falohou lek\u00e1rov je lie\u010di\u0165 pacientov a zabezpe\u010di\u0165 ich zdravie, \u00falohou nemocni\u010dn\u00e9ho epidemiol\u00f3ga je zabezpe\u010di\u0165, aby pacienti v nemocnici neochoreli, napr\u00edklad na smrte\u013en\u00fd v\u00edrus od in\u00e9ho pacienta alebo o\u0161etrovate\u013ea.<\/p>\n\n\n\n

Nemocnice preto pri starostlivosti o pacienta s ebolou uplat\u0148uj\u00fa r\u00f4zne opatrenia, od \u010dast\u00e9ho um\u00fdvania r\u00fak a\u017e po \u00fapln\u00fa kontrolu infekcie. O\u010dkovanie je d\u00f4le\u017eitou s\u00fa\u010das\u0165ou t\u00fdchto kontroln\u00fdch opatren\u00ed. Napr\u00edklad pacienti dost\u00e1vaj\u00fa dva t\u00fd\u017edne pred oper\u00e1ciou sleziny vakc\u00ednu proti pneumokokom, aby sa minimalizovali poopera\u010dn\u00e9 infekcie, a v\u00e4\u010d\u0161ina klinick\u00e9ho person\u00e1lu sa ka\u017edoro\u010dne o\u010dkuje proti chr\u00edpke.<\/p>\n\n\n\n

Opatrenia na kontrolu infekci\u00ed s\u00fa obzvl\u00e1\u0161\u0165 d\u00f4le\u017eit\u00e9 pre star\u0161\u00edch krehk\u00fdch nemocni\u010dn\u00fdch pacientov s oslaben\u00fdm imunitn\u00fdm syst\u00e9mom. M\u00f4\u017eu sa nakazi\u0165 a zomrie\u0165 na v\u00edrus, ktor\u00fd by v\u00e4\u010d\u0161ina \u013eud\u00ed \u013eahko pre\u017eila. Hlavn\u00fdm d\u00f4vodom imuniz\u00e1cie sestier a lek\u00e1rov proti chr\u00edpke je zabezpe\u010di\u0165, aby nenakazili tak\u00fdchto pacientov.<\/p>\n\n\n\n

Ako m\u00f4\u017eu nemocnice \u010do najlep\u0161ie chr\u00e1ni\u0165 svojich pacientov pred Covidom? Je to nesmierne d\u00f4le\u017eit\u00e1 ot\u00e1zka, ktor\u00e1 sa t\u00fdka aj domovov d\u00f4chodcov. Existuje nieko\u013eko zrejm\u00fdch \u0161tandardn\u00fdch rie\u0161en\u00ed, ako napr\u00edklad oddelenie pacientov s Covidom od ostatn\u00fdch pacientov, minimaliz\u00e1cia po\u010dtu zamestnancov na pracovnej ceste a ve\u013ekorys\u00e1 pr\u00e1ceneschopnos\u0165 zamestnancov s pr\u00edznakmi podobn\u00fdmi Covidu.<\/p>\n\n\n\n

\u010eal\u0161\u00edm cie\u013eom by malo by\u0165 zamestn\u00e1vanie zamestnancov s \u010do najvy\u0161\u0161ou imunitou vo\u010di Covidu, preto\u017ee je menej pravdepodobn\u00e9, \u017ee sa nakazia a prenes\u00fa ho na svojich pacientov. To znamen\u00e1, \u017ee nemocnice a opatrovate\u013esk\u00e9 \u00fastavy by sa mali akt\u00edvne sna\u017ei\u0165 zamestn\u00e1va\u0165 person\u00e1l, ktor\u00fd m\u00e1 prirodzen\u00fa imunitu vo\u010di predch\u00e1dzaj\u00facim ochoreniam na Covid, a vyu\u017e\u00edva\u0165 tento person\u00e1l pre svojich najzranite\u013enej\u0161\u00edch pacientov.<\/p>\n\n\n\n

V d\u00f4sledku toho sme teraz svedkami tvrdej konkurencie, ke\u010f sa nemocnice a domovy d\u00f4chodcov z\u00fafalo sna\u017eia z\u00edska\u0165 \u013eud\u00ed s prirodzenou imunitou. No, nie celkom.<\/p>\n\n\n\n

Namiesto toho nemocnice prep\u00fa\u0161\u0165aj\u00fa zdravotn\u00e9 sestry a in\u00fd person\u00e1l s vy\u0161\u0161ou prirodzenou imunitou a ponech\u00e1vaj\u00fa si t\u00fdch, ktor\u00ed maj\u00fa slab\u0161iu imunitu vyvolan\u00fa o\u010dkovan\u00edm. T\u00fdmto sp\u00f4sobom zr\u00e1dzaj\u00fa svojich pacientov a zvy\u0161uj\u00fa riziko nemocni\u010dn\u00fdch infekci\u00ed.<\/p>\n\n\n\n

Hlavn\u00fd lek\u00e1rsky poradca Bieleho domu Dr. Anthony Fauci presadzovan\u00edm povinn\u00e9ho o\u010dkovania spochyb\u0148uje existenciu prirodzenej imunity po o\u010dkovan\u00ed. Nasleduje tak pr\u00edklad riadite\u013eky CDC Rochelle Walensky, ktor\u00e1 v memorande z roku 2020 uverejnenom v \u010dasopise The Lancet spochybnila prirodzen\u00fa imunitu. Po zaveden\u00ed povinn\u00e9ho o\u010dkovania teraz univerzitn\u00e9 nemocnice tie\u017e spochyb\u0148uj\u00fa existenciu prirodzenej imunity po ochoren\u00ed Covid.<\/p>\n\n\n\n

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

Pracujem v nemocnici Brigham and Women's Hospital v Bostone, ktor\u00e1 ozn\u00e1mila, \u017ee v\u0161etky zdravotn\u00e9 sestry, lek\u00e1ri a \u010fal\u0161\u00ed poskytovatelia zdravotnej starostlivosti bud\u00fa prepusten\u00ed, ak sa nenechaj\u00fa zao\u010dkova\u0165 proti Covidu. Minul\u00fd t\u00fd\u017ede\u0148 som sa rozpr\u00e1vala s jednou z na\u0161ich zdravotn\u00fdch sestier. Tvrdo pracovala na starostlivosti o pacientov s vakc\u00ednou Covid, aj ke\u010f niektor\u00ed jej kolegovia na za\u010diatku pand\u00e9mie zo strachu odi\u0161li.<\/p>\n\n\n\n

Nie je prekvapen\u00edm, \u017ee sa nakazila, ale potom sa uzdravila. Teraz m\u00e1 silnej\u0161iu a dlh\u0161ie trvaj\u00facu imunitu ako o\u010dkovan\u00ed spr\u00e1vcovia nemocnice, ktor\u00ed ju prepustili, preto\u017ee nebola o\u010dkovan\u00e1.<\/p>\n\n\n\n

Ak univerzitn\u00e9 nemocnice nedok\u00e1\u017eu spr\u00e1vne pos\u00fadi\u0165 lek\u00e1rske d\u00f4kazy v oblasti z\u00e1kladnej vedy o imunite, ako im m\u00f4\u017eeme d\u00f4verova\u0165 v in\u00fdch aspektoch n\u00e1\u0161ho zdravia? <\/p>\n\n\n\n

\u010co \u010falej? Univerzity sa zauj\u00edmaj\u00fa, \u010di je Zem gu\u013eat\u00e1 alebo ploch\u00e1? Aspo\u0148 by to narobilo menej \u0161kody.<\/p>","protected":false},"excerpt":{"rendered":"

\u010cas \u010d\u00edtania<\/span> 3<\/span> z\u00e1pisnice<\/span><\/span>MARTIN KULLDORFF, 01.10.2021 Spomedzi mnoh\u00fdch prekvapiv\u00fdch udalost\u00ed po\u010das tejto pand\u00e9mie najviac prekvapilo spochybnenie prirodzene z\u00edskanej imunity po prekonan\u00ed choroby Covid. Prirodzenej imunite rozumieme prinajmen\u0161om od at\u00e9nskeho moru v roku 430 pred Kristom. Thukydides nap\u00edsal: \"Napriek tomu u t\u00fdch, ktor\u00ed sa z choroby zotavili, na\u0161li... \u010c\u00edta\u0165 viac \"Nemocnice by mali zamestn\u00e1va\u0165, a nie prep\u00fa\u0161\u0165a\u0165 sestry s prirodzenou 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\/sk\/wp-json\/wp\/v2\/posts\/1132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/csiag.eu\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csiag.eu\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csiag.eu\/sk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/csiag.eu\/sk\/wp-json\/wp\/v2\/comments?post=1132"}],"version-history":[{"count":0,"href":"https:\/\/csiag.eu\/sk\/wp-json\/wp\/v2\/posts\/1132\/revisions"}],"wp:attachment":[{"href":"https:\/\/csiag.eu\/sk\/wp-json\/wp\/v2\/media?parent=1132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csiag.eu\/sk\/wp-json\/wp\/v2\/categories?post=1132"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csiag.eu\/sk\/wp-json\/wp\/v2\/tags?post=1132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}