{"id":917,"date":"2017-12-04T09:50:37","date_gmt":"2017-12-04T08:50:37","guid":{"rendered":"http:\/\/klubcf.sk\/?p=917"},"modified":"2018-01-12T22:24:58","modified_gmt":"2018-01-12T21:24:58","slug":"rizika-ziskania-pseudomonady-z-okoliteho-prostredia","status":"publish","type":"post","link":"https:\/\/klubcf.sk\/index.php\/2017\/12\/04\/rizika-ziskania-pseudomonady-z-okoliteho-prostredia\/","title":{"rendered":"Rizik\u00e1 z\u00edskania Pseudomon\u00e1dy z okolit\u00e9ho prostredia"},"content":{"rendered":"<p>Pseudomonas, odporn\u00e9 slovo a odpornej\u0161ia bakt\u00e9ria. Kde sa s \u0148ou m\u00f4\u017eeme stretn\u00fa\u0165 v na\u0161om okol\u00ed si m\u00f4\u017eete pre\u010d\u00edta\u0165 v prelo\u017eenom \u010dl\u00e1nku.<\/p>\n<p align=\"justify\"><span style=\"font-size: large;\"><b>Preklad \u010dl\u00e1nku zo str\u00e1nky Royal Brompton &amp; Harefield; NHS Foundation. Nesl\u00fa\u017ei pre stanovenie lie\u010dby a re\u017eimu, inform\u00e1cie nemusia by\u0165 \u00fapln\u00e9, sl\u00fa\u017eia pre doplnenie a preh\u013ead<\/b><\/span><span style=\"font-size: x-large;\"><b>. <\/b><\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: x-large;\"><b>Rizik\u00e1 z\u00edskania Pseudomon\u00e1dy z okolit\u00e9ho prostredia<\/b><\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: large;\"> Ch\u00e1peme, \u017ee mnoh\u00ed rodi\u010dia maj\u00fa ve\u013ek\u00fd strach, \u017ee ich die\u0165a sa nakaz\u00ed bakt\u00e9riou Pseudomonas Aeruginosa (PsA) z okolit\u00e9ho prostredia. Uvedomujeme si, \u017ee sa jedn\u00e1 o osobn\u00fa z\u00e1le\u017eitos\u0165 a r\u00f4zne rodiny pristupuj\u00fa k danej t\u00e9me r\u00f4zne a riadia si pomer medzi pr\u00ednosmi a pr\u00edpadn\u00fdmi rizikami. <\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: large;\"> Aby n\u00e1\u0161 odkaz bol konzistentn\u00fd, nap\u00edsali sme tento stru\u010dn\u00fd n\u00e1vod, ktor\u00fd vznikol ako konsenzus t\u00edmu pediatrov na\u0161ej nad\u00e1cie a predch\u00e1dzalo mu h\u013abkov\u00e9 \u0161t\u00fadium literat\u00fary. V niektor\u00fdch pr\u00edpadoch existuj\u00fa siln\u00e9 d\u00f4kazy z v\u00fdskumu a vieme na\u0161e n\u00e1zory dolo\u017ei\u0165. Av\u0161ak v in\u00fdch situ\u00e1ci\u00e1ch dokladovanie ch\u00fdba alebo nie je konzistentn\u00e9. V tak\u00fdchto pr\u00edpadoch sa rodi\u010dia bud\u00fa musie\u0165 sami rozhodn\u00fa\u0165, \u010do die\u0165a\u0165u povoli\u0165 a riadi\u0165 sa svojim vlastn\u00fdm \u00fasudkom a zdrav\u00fdm rozumom.<\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: large;\"> Nie je mo\u017en\u00e9 vyhn\u00fa\u0165 sa kontaktu s bakt\u00e9riou Pseudomon\u00e1da, nach\u00e1dza sa v\u0161ade a voda je jej prirodzen\u00fdm prostred\u00edm. Riziko z\u00edskania Pseudomon\u00e1dy je v\u00e4\u010d\u0161ie, ak sa voda nach\u00e1dza v stave aeros\u00f3lu (vo forme jemn\u00e9ho spreja alebo vodnej alebo kvapalnej hmly). Hroz\u00ed nebezpe\u010denstvo, \u017ee bude vd\u00fdchnut\u00e1 priamo do p\u013e\u00fac. Existuje mal\u00fa riziko, ale mo\u017enos\u0165 tu je, \u017ee die\u0165a m\u00e1 Pseudomon\u00e1du na ruk\u00e1ch a prstami ju zanesie do nosa alebo \u00fast a vd\u00fdchne ju. Pri Pseudomon\u00e1de funguje d\u00e1vkov\u00fd efekt, teda \u010d\u00edm dlh\u0161ia a v\u00e4\u010d\u0161ia je expoz\u00edcia bakt\u00e9rie, t\u00fdm pravdepodobnej\u0161ie sa bakt\u00e9rie dostane do p\u013e\u00fac, kde sa m\u00f4\u017ee us\u00eddli\u0165. Nevieme presne ur\u010di\u0165, \u010di pitie vody kontaminovanej Pseudomon\u00e1dou m\u00f4\u017ee ovplyvni\u0165 p\u013e\u00faca. Pam\u00e4tajte v\u017edy, \u017ee in\u00ed \u013eudia s bakt\u00e9riou Pseudomon\u00e1da predstavuj\u00fa mo\u017en\u00fd zdroj infekcie a bl\u00edzky kontakt s nimi vystavuje die\u0165a riziku n\u00e1kazy. <\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: large;\">Teraz uv\u00e1dzame r\u00f4zne pr\u00edklady z prostredia s mo\u017en\u00fdm v\u00fdskytom bakt\u00e9rie Pseudomonas Aeruginosa. <\/span><\/p>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>OHROZENIA, KTOR\u00ddM SA TREBA JEDNOZNA\u010cNE VYHN\u00da\u0164:<\/b><\/span><\/span><\/p>\n<ul>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Hor\u00face v\u00edrivky, k\u00fapele, SPA a hor\u00face baz\u00e9ny v SPA, sauny a hor\u00face hydroterapeutick\u00e9 baz\u00e9ny.<\/b><\/span><\/span><span style=\"font-size: large;\"> Existuj\u00fa siln\u00e9 d\u00f4kazy v\u00fdskytu Pseudomon\u00e1dy v teplej vode, ktor\u00e1 je rozstrekovan\u00e1 a \u013eahko vd\u00fdchnute\u013en\u00e1 do istej v\u00fd\u0161ky priamo nad hladinou. Existuj\u00fa tie\u017e dolo\u017een\u00e9 pr\u00edpady z\u00edskania infekcie u dospel\u00fdch os\u00f4b s CF. Bakt\u00e9ria Pseudomon\u00e1da bola izolovan\u00e1 na testovac\u00edch platniach e\u0161te 15 cm nad hladinou v zapnutej v\u00edrivke. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Tropick\u00e9 sklen\u00edky, mot\u00fdlie domy, sklen\u00edky, vlhk\u00e9, hor\u00face priestory (rastliny, niektor\u00e9 priestory v ZOO)<\/b><\/span><\/span><span style=\"color: #800000;\"><span style=\"font-size: large;\">. <\/span><\/span><span style=\"font-size: large;\">Rosn\u00e9 a zvlh\u010duj\u00face syst\u00e9my pre prostredie rastl\u00edn v tropick\u00fdch sklen\u00edkoch preuk\u00e1zate\u013ene obsahuj\u00fa Pseudomon\u00e1du a existuje ve\u013ek\u00e9 riziko vd\u00fdchnutia jemn\u00fdch \u010dast\u00edc pary, hmly.<\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Vonkaj\u0161ie zavla\u017eovacie syst\u00e9my \/ vonkaj\u0161ie zvlh\u010dova\u010de a vodn\u00e9 ochladzovacie syst\u00e9my, polievanie starou, stojatou vodou.<\/b><\/span><\/span><span style=\"font-size: large;\"> Niektor\u00e9 re\u0161taur\u00e1cie a in\u00e9 verejn\u00e9 miesta maj\u00fa zvlh\u010dovacie syst\u00e9my, ktor\u00e9 rozpra\u0161uj\u00fa vlhkos\u0165 za \u00fa\u010delom ochladzovania. Pod\u013ea zdroja v pr\u00edvode vody sa v rozpra\u0161ovanej hmle m\u00f4\u017ee nach\u00e1dza\u0165 Pseudomon\u00e1da. Rovnako sa vyh\u00fdbajte jemn\u00fdm rozpra\u0161ovac\u00edm zavla\u017eovac\u00edm syst\u00e9mom na z\u00e1hrad\u00e1ch, ihrisk\u00e1ch, k\u00fapalisk\u00e1ch a pod. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Hra\u010dky do k\u00fape\u013ea s rozstrekovan\u00edm.<\/b><\/span><\/span><span style=\"font-size: large;\"> Hra\u010dky do k\u00fape\u013ea, ktor\u00e9 maj\u00fa otvor alebo ventil (napr\u00edklad plastov\u00e9 ka\u010di\u010dky) alebo hra\u010dky, ktor\u00e9 vodu vystrekuj\u00fa vonku m\u00f4\u017eu predstavova\u0165 zdroj n\u00e1kazy, ak v nich voda st\u00e1la dlh\u00fd \u010das a nemo\u017eno ich \u00faplne vypr\u00e1zdni\u0165 a vysu\u0161i\u0165. Rovnak\u00e9 riziko predstavuj\u00fa ak\u00e9ko\u013evek dut\u00e9 hra\u010dky, ktor\u00e9 vn\u00fatri zadr\u017eiavaj\u00fa vodu. A riziko s\u00fa tie\u017e napr\u00edklad vodn\u00e9 pi\u0161tole alebo in\u00e9 vodn\u00e9 hra\u010dky. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Pl\u00e1vanie v stojatej vode (stojat\u00e9 rybn\u00edky, stojat\u00e9 vodn\u00e9 plochy).<\/b><\/span><\/span><span style=\"font-size: large;\"> Pop\u00edsan\u00e9 ni\u017e\u0161ie. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>N\u00e1dr\u017ee s rybami (hlavne s teplou vodou a tropick\u00fdmi rybami).<\/b><\/span><\/span><span style=\"font-size: large;\"> Z tak\u00fdchto n\u00e1dob boli izolovan\u00e9 bakt\u00e9rie a preuk\u00e1zan\u00e1 n\u00e1kaza Pseudomon\u00e1dou. Ver\u00edme, \u017ee sa im treba vyh\u00fdba\u0165. Pri pr\u00edpadnom \u010disten\u00ed treba pou\u017e\u00edva\u0165 rukavice. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Kompost (hromady a vrecia)<\/b><\/span><\/span><span style=\"font-size: large;\">. Obsahuje preva\u017ene hnil\u00fa veget\u00e1ciu a m\u00f4\u017ee obsahova\u0165 sp\u00f3ry Aspergillus a rovnako bakt\u00e9rie ako napr\u00edklad Pseudomon\u00e1da Jednozna\u010dne sa treba vyh\u00fdba\u0165.<\/span><\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #800000; font-size: large;\"><b>&nbsp;OHROZENIA SO ZV\u00dd\u0160EN\u00ddM RIZIKOM<\/b><\/span><\/p>\n<ul>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Pr\u00e1ce v z\u00e1hrade, v p\u00f4de, hranie v parku a vonkaj\u0161ie \u0161porty.<\/b><\/span><\/span><span style=\"font-size: large;\"> Vie sa, \u017ee Pseudomon\u00e1da pre\u017e\u00edva v p\u00f4de, aj ke\u010f s ni\u017e\u0161\u00edm v\u00fdskytom. \u0160t\u00fadia z roku 1974 vykonan\u00e1 v Kalifornii zistila, \u017ee z 58 sk\u00faman\u00fdch vzoriek sa pribli\u017ene v jednej \u0161tvrtine vyskytovala Pseudomon\u00e1da (hlavne v p\u00f4de, kde boli pestovan\u00e9 paradajky). Napriek tomu je v\u00fdskyt Pseudomon\u00e1dy v p\u00f4de sk\u00f4r zriedkav\u00fd. Vyh\u00fdba\u0165 sa rad\u0161ej treba p\u00f4de kontaminovanej organick\u00fdmi hnojivami a trusom. Riziko predstavuje kontaminovan\u00e1 p\u00f4da, ak si ju die\u0165a vnesie do nosa alebo \u00fast na prstoch. Po hran\u00ed v pr\u00edrode, s p\u00f4dou, ihrisk\u00e1ch a pod. preto dbajte na dobr\u00e9 o\u010distenie r\u00fak. Smernice USA uv\u00e1dzaj\u00fa, \u017ee \u013eudia s CF by sa nemali dlh\u0161iu dobu vystavova\u0165 \u010dinnostiam, kde sa vytv\u00e1ra prach z p\u00f4dy alebo organick\u00e9 zlo\u017eky p\u00f4dy, ako napr\u00edklad kosenie tr\u00e1vy, pre zv\u00fd\u0161en\u00e9 riziko vystavenia bakt\u00e9ri\u00e1m Aspergillus and B. Cepacia. Nevyhnutn\u00e1 je dobr\u00e1 o\u010dista r\u00fak. Vonku vhodne posl\u00fa\u017ei antibakteri\u00e1lny g\u00e9l. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"> <span style=\"font-size: large;\"><b>Bahenn\u00e9 kuchyne<\/b><\/span><\/span><span style=\"font-size: large;\">. S\u00fa to hra\u010dky pre deti, kde sa blato \/ bahno pou\u017e\u00edva ako ingrediencia. Nerobte to.<\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Kalu\u017ee, voda a bahno. <\/b><\/span><\/span><span style=\"font-size: large;\">Kalu\u017ee so stojatou \u0161pinavou vodou m\u00f4\u017eu obsahova\u0165 Pseudomon\u00e1du (aj ke\u010f nem\u00e1me d\u00f4kaz). Ak die\u0165a do kalu\u017ee sko\u010d\u00ed a vodu rozstrekne, mysl\u00edme si, \u017ee sa jedn\u00e1 o stredn\u00e9 riziko, nako\u013eko voda nie je vo forme aeros\u00f3lu a riziko vd\u00fdchnutia je men\u0161ie. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Pieskovisk\u00e1.<\/b><\/span><\/span><span style=\"font-size: large;\"> Piesok m\u00f4\u017ee by\u0165 kontaminovan\u00fd Pseudomon\u00e1dou, ktor\u00e1 bola z piesku pr\u00edle\u017eitostne izolovan\u00e1, napr\u00edklad z niektor\u00fdch pl\u00e1\u017e\u00ed. V pieskovisku s \u010dist\u00fdm, such\u00fdm pieskom, by riziko malo by\u0165 mal\u00e9. D\u00e1vajte si pozor, aby piesok nebol ve\u013emi mokr\u00fd a aby v pieskovisku nebola o\u010dividn\u00e1 stojat\u00e1 voda. Ak m\u00f4\u017eete, pieskovisko zakr\u00fdvajte, aby sa v \u0148om nezberala a nedr\u017eala da\u017e\u010fov\u00e1 voda. Odpor\u00fa\u010da sa tie\u017e piesok pravidelne vymie\u0148a\u0165 za nov\u00fd. Verejn\u00e9 pieskovisk\u00e1 tie\u017e m\u00f4\u017eu obsahova\u0165 bakt\u00e9rie od ma\u010diek a psov.<\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Pl\u00e1vanie.<\/b><\/span><\/span><span style=\"font-size: large;\"> Je d\u00f4le\u017eit\u00e9, aby sa deti nau\u010dili pl\u00e1va\u0165 z bezpe\u010dnostn\u00fdch d\u00f4vodov. Pseudomon\u00e1da je vodn\u00fd organizmus, ktor\u00fd \u017eije vo vodn\u00fdch prostrediach a kolonizuje vlhk\u00e9 prostredia. Voda je nebezpe\u010dnej\u0161ia vo forme aeros\u00f3lu. <\/span><\/p>\n<ul>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">More: Pseudomon\u00e1da bola zisten\u00e1 aj v morskej vode. Napriek tomu m\u00e1me zato, \u017ee pl\u00e1vanie v mori je bezpe\u010dn\u00e1 aktivita. D\u00e1vajte si pozor na \u010distotu pl\u00e1\u017e\u00ed, kde sa k\u00fapete. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Jazer\u00e1: m\u00f4\u017eu tie\u017e obsahova\u0165 v\u00fdskyt Pseudomon\u00e1dy, rovnako v\u0161ak ver\u00edme, \u017ee je to bezpe\u010dn\u00e1 aktivita. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Rieky: dokonca v riekach bola izolovan\u00e1 Pseudomon\u00e1da, op\u00e4\u0165 v\u0161ak pova\u017eujeme k\u00fapanie v rieke za bezpe\u010dn\u00e9. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Kan\u00e1ly: rovnako ako rybn\u00edky, voda je v nich v\u00e4\u010d\u0161inou stojat\u00e1 a \u0161pinav\u00e1. Odpor\u00fa\u010dame vyh\u00fdba\u0165 sa pl\u00e1vaniu v tak\u00fdchto ploch\u00e1ch. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Plav\u00e1rne a baz\u00e9ny: pokia\u013e s\u00fa plav\u00e1rne a baz\u00e9ny spr\u00e1vne udr\u017eiavan\u00e9 (pomocou chl\u00f3ru) pl\u00e1vanie by nemalo predstavova\u0165 riziko, hoci Pseudomon\u00e1da u\u017e bola pr\u00edle\u017eitostne izolovan\u00e1 vo vn\u00fatorn\u00fdch aj vonkaj\u0161\u00edch baz\u00e9noch. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Detsk\u00e9 baz\u00e9ny. Mali by by\u0165 v poriadku z h\u013eadiska rizika, d\u00e1vajte ale pozor, aby ste ich po pou\u017eit\u00ed dobre vypr\u00e1zdnili a vysu\u0161ili. Pre naplnenie pou\u017e\u00edvajte \u010derstv\u00fa vodu, nie opakovane u\u017e pou\u017eit\u00fa vodu, pr\u00edpadne stojat\u00fa vodu. <\/span><\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Vodn\u00e9 z\u00e1bavne parky<\/b><\/span><\/span><span style=\"font-size: large;\">. Vyh\u00fdbajte sa atrakci\u00e1m, kde sa rozstrekuje voda, hlavne voda vo forme aeros\u00f3lu. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Baz\u00e9nov\u00e9 akv\u00e1ri\u00e1<\/b><\/span><\/span><span style=\"font-size: large;\"> (napr\u00edklad v centr\u00e1ch). Voda je stojat\u00e1 a pravdepodobne obsahuje bakt\u00e9rie. Nie je rozstrekovan\u00e1, dbajte v\u0161ak na n\u00e1sledn\u00fa hygienu r\u00fak.<\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>K\u0155menie zvierat a farmy<\/b><\/span><\/span><span style=\"color: #800000;\"><span style=\"font-size: large;\">. <\/span><\/span><span style=\"font-size: large;\">Vyh\u00fdbajte sa stojatej a \u0161pinavej vode. Vyh\u00fdbajte sa tie\u017e kur\u00ednom, stajniam a vlhk\u00e9mu senu kv\u00f4li bakt\u00e9rii Aspergillus. D\u00f4le\u017eit\u00e1 je spr\u00e1vna hygiena r\u00fak. Hoci zvierat\u00e1 s\u00fa zdrojom bakt\u00e9ri\u00ed, vr\u00e1tane Pseudomon\u00e1dy (napr\u00edklad od kon\u00ed), prenos na \u010dloveka sa nepreuk\u00e1zal. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Jaskyne. <\/b><\/span><\/span><span style=\"font-size: large;\">Predstavuj\u00fa \u010dasto vlhk\u00e9 prostredie, s vodou kvapkaj\u00facou zo stropu a stekaj\u00facou po sten\u00e1ch. Vyh\u00fdbajte sa priamemu kontaktu s vodou. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>Sprchy. <\/b><\/span><\/span><span style=\"font-size: large;\">Sprchov\u00e1 hlavica, m\u00f4\u017ee predstavova\u0165 zdroj Pseudomon\u00e1dy a kvapky vody zo sprchy mo\u017eno vd\u00fdchnu\u0165. Pred k\u00fapan\u00edm, sprchovan\u00edm a pou\u017e\u00edvan\u00edm vody, nechajte vodu nieko\u013eko min\u00fat odtiec\u0165. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"> <span style=\"font-size: large;\"><b>Odtoky, v\u00fdlevky a koh\u00fatiky. <\/b><\/span><\/span><span style=\"font-size: large;\">Taktie\u017e m\u00f4\u017eu obsahova\u0165 Pseudomon\u00e1du (vo forme biofilmu). Riziko je ni\u017e\u0161ie ako pri sprch\u00e1ch, preto\u017ee voda nie je rozstrekovan\u00e1. Pred pou\u017e\u00edvan\u00edm, nechajte vodu nieko\u013eko min\u00fat odteka\u0165. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"> <span style=\"font-size: large;\"><b>Splachovanie toalety. <\/b><\/span><\/span><span style=\"font-size: large;\">Pri splachovan\u00ed toalety mus\u00ed by\u0165 WC zatvoren\u00e9, preto\u017ee doch\u00e1dza k rozstrekovaniu vody a m\u00f4\u017ee obsahova\u0165 Pseudomon\u00e1du.<\/span><\/p>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><b>AKTIVITY, KTOR\u00c9 MO\u017dNO POVA\u017dOVA\u0164 ZA BEZPE\u010cN\u00c9:<\/b><\/h2>\n<ul>\n<li>\n<p align=\"justify\"><span style=\"color: #800000;\"><span style=\"font-size: large;\"><b>&nbsp;<\/b><\/span><\/span><span style=\"color: #ff3300;\"><span style=\"font-size: large;\"><b>N\u00e1v\u0161teva zub\u00e1ra. <\/b><\/span><\/span><span style=\"font-size: large;\">Boli vyjadren\u00e9 obavy z r\u00f4znych pr\u00edstrojov u zub\u00e1ra, najm\u00e4 pri napojen\u00ed pr\u00edstrojov napr\u00edklad na verejn\u00e9 vodn\u00e9 zdroje. Stav chrupu je v\u0161ak d\u00f4le\u017eit\u00fd, niekedy pre vplyv antibiot\u00edk, zv\u00fd\u0161en\u00fd prijem cukru a tie\u017e pre predch\u00e1dzanie kazu pre mo\u017en\u00e9 tvorenie bakt\u00e9ri\u00ed. Doplnenie prekladate\u013ea: netu\u0161\u00edme, ako presne postupova\u0165, odpor\u00fa\u010dame n\u00e1js\u0165 v\u0155ta\u010dky, kde sa nerozpra\u0161uje priamo voda do \u00fast. Na vyplachovanie pou\u017e\u00edva\u0165 svoj zdroj vody. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"color: #ff3300;\"> <span style=\"font-size: large;\"><b>Pitie vody.<\/b><\/span><\/span><span style=\"font-size: large;\"> Pseudomon\u00e1da bola izolovan\u00e1 v te\u010d\u00facej vode z koh\u00fatika, pitnej vody zo studne, vo vode z predajn\u00fdch automatov, vode vo f\u013ea\u0161i a dokonca v destilovanej vode. Neexistuj\u00fa d\u00f4kazy, \u017ee by pitie vody s ist\u00fdm men\u0161\u00edm v\u00fdskytom Pseudomon\u00e1dy viedlo k n\u00e1kaze p\u013e\u00fac a k n\u00e1kaze \u010driev je treba vy\u0161\u0161ie kontaminovan\u00e9 mno\u017estvo. Vyh\u00fdbajte sa pitiu dlho stojatej vody, dlho otvorenej vody a neodte\u010denej vody. <\/span><\/p>\n<\/li>\n<\/ul>\n<p align=\"justify\"><span style=\"color: #ff3300;\"><span style=\"font-size: large;\"><b>Doplnenie prekladate\u013ea o dal\u0161ie rizik\u00e1, Sl\u00fa\u017ei len ako rada, postupujte pros\u00edm pod\u013ea vlastn\u00e9ho \u00fasudku a re\u017eimu dohodnut\u00e9ho s Va\u0161im lek\u00e1rom: <\/b><\/span><\/span><\/p>\n<ul>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Akv\u00e1ri\u00e1 so stojatou vodou. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Ak\u00e1ko\u013evek hniloba a plesne (ovocie, chlieb, rastliny, pokazen\u00e9 potraviny obecne, hniloba a plese\u0148 na rastlin\u00e1ch, v z\u00e1hrade, v pr\u00edrode&#8230;). <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Stojat\u00e1 star\u00e1 voda vo v\u00e1ze, hnil\u00e9 stonky kvetov, hnil\u00e1 patina vo v\u00e1ze a n\u00e1dob\u00e1ch na kvety. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Z\u00e1hradn\u00e9 \u017eumpy, zbera\u010de vody, sudy so starou stojatou vodou, pou\u017e\u00edvanou na polievanie napr\u00edklad. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Ostrekova\u010de \u010deln\u00e9ho skla v aut\u00e1ch. Tie\u017e sa rad\u0161ej vyh\u00fdbajte, pr\u00edpadne si zapnite vn\u00fatorn\u00fd obeh. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Vlhk\u00e9 klimatiz\u00e1cie v aut\u00e1ch, alebo budov\u00e1ch. Ak m\u00f4\u017eete, dajte klimatiz\u00e1ciu najprv nieko\u013eko min\u00fat odf\u00faka\u0165 a vyvetrajte, najm\u00e4 ak sa dlh\u0161iu dobu nepou\u017e\u00edvala. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Mokr\u00e9 uter\u00e1ky. Rad\u0161ej pou\u017e\u00edvajte spo\u013eahlivo such\u00e9 uter\u00e1ky, alebo jednorazov\u00e9 uter\u00e1ky. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Zubn\u00e9 kefky. Rovnako po<\/span><span style=\"font-size: large;\">u\u017e<\/span><span style=\"font-size: large;\">\u00edvajte spo\u013eahlivo such\u00e9 kefky, pr\u00edpadne jednorazov\u00e9 kefky. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Plastel\u00edna. Plastel\u00edna niekedy obsahuje Pseudomon\u00e1du. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Bublifuk. V kupovan\u00fdch bublifukoch je takmer v\u017edy Pseudomon\u00e1da. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Na k\u00fapalisk\u00e1ch si <\/span><span style=\"font-size: large;\">treba da\u0165 <\/span><span style=\"font-size: large;\">pozor na sprchy a vodu rozpra\u0161ovan\u00fa zo sp\u0155ch, kde neviete stav a \u010distotu hlav\u00edc a zdroja vody. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Kalu\u017ee so \u0161pinavou vodou, vodou, ktor\u00e1 dlho stoj\u00ed, ve\u013ek\u00e9 kalu\u017ee, ktor\u00e9 m\u00f4\u017eu rozstrekova\u0165 aut\u00e1. <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: large;\">Sterilizova\u0165 va\u0148u, sprchu, odtoky, v\u00fdlevky, pravidelne napr\u00edklad Savom, vymie\u0148a\u0165 pravidelne hlavice, perl\u00e1tory na bat\u00e9ri\u00e1ch, sitk\u00e1, pou\u017e\u00edva\u0165 jednorazov\u00e9 hubky. <\/span><\/p>\n<\/li>\n<\/ul>\n<p align=\"justify\">&nbsp;Spracovali &#8211; \u0160tep-<\/p>\n<p>Origin\u00e1l n\u00e1jdete tu v angli\u010dtine.&nbsp;<\/p>\n<p>http:\/\/www.rbht.nhs.uk\/healthprofessionals\/clinical-departments\/cystic-fibrosis\/clinical-cf-guidelines-care-of-children\/appendix-3-risks-of-getting-p-aeruginosa-from-the-environment\/<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pseudomonas, odporn\u00e9 slovo a odpornej\u0161ia bakt\u00e9ria. Kde sa s \u0148ou m\u00f4\u017eeme stretn\u00fa\u0165 v na\u0161om okol\u00ed si m\u00f4\u017eete pre\u010d\u00edta\u0165 v prelo\u017eenom \u010dl\u00e1nku. Preklad \u010dl\u00e1nku zo str\u00e1nky Royal Brompton &amp; Harefield; NHS Foundation. Nesl\u00fa\u017ei pre stanovenie lie\u010dby a re\u017eimu, inform\u00e1cie nemusia by\u0165 \u00fapln\u00e9, sl\u00fa\u017eia pre doplnenie a preh\u013ead. Rizik\u00e1 z\u00edskania Pseudomon\u00e1dy z okolit\u00e9ho prostredia Ch\u00e1peme, \u017ee mnoh\u00ed [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":919,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[10],"tags":[],"class_list":["post-917","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-vyskum-a-vyvoj"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Rizik\u00e1 z\u00edskania Pseudomon\u00e1dy z okolit\u00e9ho prostredia - klubcf.sk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/klubcf.sk\/index.php\/2017\/12\/04\/rizika-ziskania-pseudomonady-z-okoliteho-prostredia\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rizik\u00e1 z\u00edskania Pseudomon\u00e1dy z okolit\u00e9ho prostredia - klubcf.sk\" \/>\n<meta property=\"og:description\" content=\"Pseudomonas, odporn\u00e9 slovo a odpornej\u0161ia bakt\u00e9ria. 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Kde sa s \u0148ou m\u00f4\u017eeme stretn\u00fa\u0165 v na\u0161om okol\u00ed si m\u00f4\u017eete pre\u010d\u00edta\u0165 v prelo\u017eenom \u010dl\u00e1nku. Preklad \u010dl\u00e1nku zo str\u00e1nky Royal Brompton &amp; Harefield; NHS Foundation. Nesl\u00fa\u017ei pre stanovenie lie\u010dby a re\u017eimu, inform\u00e1cie nemusia by\u0165 \u00fapln\u00e9, sl\u00fa\u017eia pre doplnenie a preh\u013ead. 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