{"id":3489,"count":4,"description":"A\u017e 40 % cestovatel\u016f do vysoce rizikov\u00fdch destinac\u00ed (ji\u017en\u00ed\/jihov\u00fdchodn\u00ed Asie, Afrika, Latinsk\u00e1 Amerika) dostane pr\u016fjem b\u011bhem prvn\u00edch dvou t\u00fddn\u016f. V\u011bt\u0161ina epizod je m\u00edrn\u00e1 a samovoln\u011b ustoup\u00ed za 24\u201372 hodin pouze s peror\u00e1ln\u00ed rehydratac\u00ed \u2014 ale st\u0159edn\u011b t\u011b\u017ek\u00e9 a\u017e t\u011b\u017ek\u00e9 epizody (hore\u010dka, krev, p\u0159etrv\u00e1vaj\u00edc\u00ed zvracen\u00ed, v\u00edce ne\u017e 6 stolic\/den) t\u011b\u017e\u00ed z pohotovostn\u00ed antibiotick\u00e9 l\u00e9\u010dby, kter\u00e1 zkracuje trv\u00e1n\u00ed a sni\u017euje poinfek\u010dn\u00ed komplikace.\n\n<strong>Skladem.<\/strong> Nitazoxanid (\u0161irokospektr\u00e9 antiprotozoikum \u2014 prvn\u00ed volba pro kryptosporidii a giardii, u\u017eite\u010dn\u00e9 u vybran\u00fdch virov\u00fdch a chronick\u00fdch pr\u016fjmov\u00fdch stav\u016f) jako <a href=\"https:\/\/medsbase.com\/cs\/nizonide\/\">Nizonide<\/a>. Amoxicilin + klavulan\u00e1t (Augmentin) pro vybran\u00e9 bakteri\u00e1ln\u00ed GI infekce jako <a href=\"https:\/\/medsbase.com\/cs\/augmentin\/\">Augmentin<\/a>. Erytromycin (Althrocin) p\u0159i dostupnosti. Kombinovan\u00fd cestovn\u00ed bal\u00ed\u010dek jako <a href=\"https:\/\/medsbase.com\/cs\/medical-emergency-kit\/\">L\u00e9k\u00e1rni\u010dka prvn\u00ed pomoci<\/a>.\n\n<strong>Standardn\u00ed pohotovostn\u00ed antibiotick\u00e9 re\u017eimy.<\/strong> Azithromycin 1 g v jedn\u00e9 d\u00e1vce je preferov\u00e1n pro ji\u017en\u00ed\/jihov\u00fdchodn\u00ed Asii (kde je u Campylobacter vysok\u00e1 rezistence na fluorochinolony \u2014 viz na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/antibiotics\/\">Antibiotika<\/a> katalogov\u00e9 mo\u017enosti Asitomycin\/Azilup). Ciprofloxacin 500 mg dvakr\u00e1t denn\u011b po dobu 1\u20133 dn\u016f pro ostatn\u00ed regiony (Latinsk\u00e1 Amerika, Afrika). Loperamid (Imodium \u2014 viz na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/diarrhoea-treatment\/\">L\u00e9\u010dba pr\u016fjmu<\/a> kategorie) je dopl\u0148kem pro kontrolu p\u0159\u00edznak\u016f, nikoli prvn\u00ed volbou u invazivn\u00edho krvav\u00e9ho pr\u016fjmu nebo hore\u010dky.\n\n<strong>Jak pou\u017e\u00edvat.<\/strong> M\u00edrn\u00fd vodnat\u00fd pr\u016fjem, bez hore\u010dky nebo krve \u2014 pouze ORS, pokra\u010dujte v norm\u00e1ln\u00ed strav\u011b. St\u0159edn\u011b z\u00e1va\u017en\u00e9 p\u0159\u00edznaky (3+ stolice za 4hodinov\u00e9 obdob\u00ed, b\u0159i\u0161n\u00ed k\u0159e\u010de, m\u00edrn\u00e1 hore\u010dka) \u2014 jednor\u00e1zov\u00e1 d\u00e1vka azithromycinu nebo ciprofloxacinu. Z\u00e1va\u017en\u00e9 p\u0159\u00edznaky (krvav\u00e1 stolice, vysok\u00e1 hore\u010dka, dehydratace, p\u0159etrv\u00e1vaj\u00edc\u00ed zvracen\u00ed) \u2014 stejn\u00e9 antibiotikum + neodkladn\u00e1 l\u00e9ka\u0159sk\u00e1 p\u00e9\u010de. Podez\u0159en\u00ed na protozo\u00e1ln\u00ed infekci (chronick\u00fd\/recidivuj\u00edc\u00ed\/ne\u00fasp\u011b\u0161n\u00e1 antibiotick\u00e1 l\u00e9\u010dba\/ ned\u00e1vn\u00e1 expozice sladk\u00e9 vod\u011b) \u2014 nitazoxanid.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> Prevence prost\u0159ednictv\u00edm hygieny potravin a vody je d\u016fle\u017eit\u011bj\u0161\u00ed ne\u017e chemoprofylaxe: balen\u00e1 nebo p\u0159eva\u0159en\u00e1 voda, vyhn\u011bte se ledu v n\u00e1poj\u00edch, oloupejte-uve\u010fte-va\u0159te-nebo-nechte b\u00fdt u ovoce a zeleniny, vyhn\u011bte se studen\u00fdm bufetov\u00fdm j\u00eddl\u016fm. Bismut subsalicyl\u00e1t (Pepto-Bismol) lze pou\u017e\u00edt jako cestovn\u00ed profylaxi u vybran\u00fdch vysoce rizikov\u00fdch cest. Antibiotick\u00e1 profylaxe se obecn\u011b nedoporu\u010duje (rezistence\/vedlej\u0161\u00ed \u00fa\u010dinky); antibiotika si ponechejte pro l\u00e9\u010dbu prok\u00e1zan\u00fdch p\u0159\u00edznak\u016f. P\u0159etrv\u00e1vaj\u00edc\u00ed pr\u016fjem (v\u00edce ne\u017e 14 dn\u00ed) po cest\u011b, krvav\u00fd pr\u016fjem, eosinofilie + cestovn\u00ed anamn\u00e9za nebo p\u0159\u00edznaky vznikaj\u00edc\u00ed &gt; 1 m\u011bs\u00edc po n\u00e1vratu vy\u017eaduj\u00ed odborn\u00e9 vy\u0161et\u0159en\u00ed (parazitologie, zobrazovac\u00ed metody). T\u011bhotenstv\u00ed: azithromycin je preferov\u00e1n p\u0159ed fluorochinolony; loperamid je p\u0159ijateln\u00fd. V\u0161echny produkty MedsBase jsou odes\u00edl\u00e1ny z <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/travellers-diarrhea-treatment\/","name":"L\u00e9\u010dba cestovatelsk\u00e9ho pr\u016fjmu","slug":"travellers-diarrhea-treatment","taxonomy":"product_cat","parent":3448,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3448"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}