{"id":876,"date":"2023-01-18T11:40:17","date_gmt":"2023-01-18T09:40:17","guid":{"rendered":"https:\/\/docsites.cgmlife.com\/puvl\/?p=876"},"modified":"2023-01-18T11:41:39","modified_gmt":"2023-01-18T09:41:39","slug":"zmena-predepisovani-antivirotik","status":"publish","type":"post","link":"https:\/\/docsites.cgmlife.com\/puvl\/2023\/01\/18\/zmena-predepisovani-antivirotik\/","title":{"rendered":"Zm\u011bna p\u0159edepisov\u00e1n\u00ed antivirotik"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p><strong>Ministerstvo zdravotnictv\u00ed&nbsp; vydalo o\u010dek\u00e1van\u00e1&nbsp;<\/strong><strong><u>mimo\u0159\u00e1dn\u00e1 opat\u0159en\u00ed, umo\u017e\u0148uj\u00edc\u00ed p\u0159edpis antivirotik PAXLOVID a LAGEVRIO p\u0159\u00edmo indikuj\u00edc\u00edm l\u00e9ka\u0159em.<\/u><\/strong><\/p>\n\n\n\n<p><strong>Od 1.1.2023&nbsp; stanovilo jejich cenu a budou hrazeny z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed p\u0159i v\u00fddeji v kter\u00e9koliv l\u00e9k\u00e1rn\u011b na z\u00e1klad\u011b b\u011b\u017en\u00e9ho elektronick\u00e9ho receptu vystaven\u00e9ho o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em. Prakti\u010dt\u00ed l\u00e9ka\u0159i&nbsp;<\/strong>i ambulantn\u00ed specialist\u00e9&nbsp; o\u0161et\u0159uj\u00edc\u00ed pacienta s onemocn\u011bn\u00edm covid-19, kter\u00fd je ve vysok\u00e9m riziku progrese do z\u00e1va\u017en\u00e9ho pr\u016fb\u011bhu onemocn\u011bn\u00ed,<strong>&nbsp;ji\u017e tedy&nbsp;<\/strong><strong><u>nebudou vystavovat \u017e\u00e1danku<\/u><\/strong><strong>, na jej\u00edm\u017e z\u00e1klad\u011b&nbsp; byl l\u00e9k vyd\u00e1v\u00e1n&nbsp;&nbsp; v nemocnic\u00edch s aplika\u010dn\u00edmi centry,&nbsp;<\/strong><strong><u>ale vystav\u00ed p\u0159\u00edmo&nbsp; elektronick\u00fd recept, na z\u00e1klad\u011b kter\u00e9ho bude l\u00e9k pacientovi vyd\u00e1n v&nbsp; l\u00e9k\u00e1rn\u011b<\/u><\/strong><\/p>\n\n\n\n<p>Pacient s vysok\u00fdm rizikem je definov\u00e1n jako ten, kdo spl\u0148uje alespo\u0148 jedno<br>z n\u00e1sleduj\u00edc\u00edch krit\u00e9ri\u00ed:<br>\u2022 index t\u011blesn\u011b hmotnosti (BMI) &gt; 35 kg\/m2,<br>\u2022 chronick\u00e9 onemocn\u011bn\u00ed ledvin v dispenzarizaci, klasifikace CKD 3 &#8211; CKD 5<br>(resp. sn\u00ed\u017een\u00ed clearance kreatininu pod 60 ml\/min, v\u010detn\u011b dialyzovan\u00fdch osob),<br>\u2022 jatern\u00ed cirh\u00f3za,<br>\u2022 diabetes mellitus l\u00e9\u010den\u00fd peror\u00e1ln\u00edmi antidiabetiky (PAD) \u010di inzul\u00ednem,<br>\u2022 prim\u00e1rn\u00ed nebo sekund\u00e1rn\u00ed imunodeficit, imunosupresivn\u00ed l\u00e9\u010dba, tedy zejm\u00e9na<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>transplantace solidn\u00edho org\u00e1nu nebo transplantace kostn\u00ed d\u0159en\u011b,<\/li>\n\n\n\n<li>onkologick\u00e9 nebo hemato-onkologick\u00e9 onemocn\u011bn\u00ed s aktu\u00e1ln\u011b prob\u00edhaj\u00edc\u00ed<br>l\u00e9\u010dbou,<\/li>\n\n\n\n<li>biologick\u00e1 l\u00e9\u010dba,<\/li>\n\n\n\n<li>monoterapie kortikosteroidy v denn\u00ed d\u00e1vce vy\u0161\u0161\u00ed ne\u017e 0,2 mg\/kg\/den<br>prednisonu (nebo ekvivalentu takov\u00e9 d\u00e1vky p\u0159i pou\u017eit\u00edjin\u00e9ho kortikosteroidu),<br>\u2022 chronick\u00e9 plicn\u00ed onemocn\u011bn\u00ed v dispenzarizaci<\/li>\n\n\n\n<li>chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed choroba na pravideln\u00e9 farmakoterapii,<\/li>\n\n\n\n<li>interstici\u00e1ln\u00ed plicn\u00ed onemocn\u011bn\u00ed,<\/li>\n\n\n\n<li>obt\u00ed\u017en\u011b l\u00e9\u010diteln\u00e9 bronchi\u00e1ln\u00ed astma na biologick\u00e9 l\u00e9\u010db\u011b,<\/li>\n\n\n\n<li>plicn\u00ed hypertenze,<\/li>\n\n\n\n<li>cystick\u00e1 fibr\u00f3za,<\/li>\n\n\n\n<li>obstruk\u010dn\u00ed a centr\u00e1ln\u00edsp\u00e1nkov\u00e1 apnoe,<br>\u2022 trombofiln\u00edstav v dispenz\u00e1rn\u00ed p\u00e9\u010di, zejm\u00e9na<\/li>\n\n\n\n<li>prim\u00e1rn\u00ed trombofilie (D68.5): rezistence aktivovan\u00e9ho proteinu C (Leidensk\u00e1<br>mutace faktoru V), nedostatek antitrombinu, proteinu C nebo proteinu S,<br>mutace protrombinov\u00e9ho genu,<\/li>\n\n\n\n<li>jin\u00e9 trombofilie (D68.6): antikardiolipinov\u00fd syndrom, antifosfolipidov\u00fd syndrom,<br>p\u0159\u00edtomn\u00fd lupus koagulant,<\/li>\n\n\n\n<li>opakovan\u00e1 tromboembolick\u00e1 p\u0159\u00edhoda v anamn\u00e9ze,<br>\u2022 neurologick\u00e1 onemocn\u011bn\u00ed ovliv\u0148uj\u00edc\u00ed d\u00fdch\u00e1n\u00ed,<br>\u2022 v\u011bk &gt; 65 let,<br>\u2022 v\u011bk &gt; 55 let a sou\u010dasn\u011b alespo\u0148 jedno z n\u00ed\u017ee uveden\u00fdch krit\u00e9ri\u00ed:<\/li>\n\n\n\n<li>l\u00e9\u010den\u00e1 arteri\u00e1ln\u00ed hypertenze,\u2026<\/li>\n\n\n\n<li>zdroj: splcr.cz<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Ministerstvo zdravotnictv\u00ed&nbsp; vydalo o\u010dek\u00e1van\u00e1&nbsp;mimo\u0159\u00e1dn\u00e1 opat\u0159en\u00ed, umo\u017e\u0148uj\u00edc\u00ed p\u0159edpis antivirotik PAXLOVID a LAGEVRIO p\u0159\u00edmo indikuj\u00edc\u00edm l\u00e9ka\u0159em. Od 1.1.2023&nbsp; stanovilo jejich cenu a budou hrazeny z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed p\u0159i v\u00fddeji v kter\u00e9koliv l\u00e9k\u00e1rn\u011b na z\u00e1klad\u011b b\u011b\u017en\u00e9ho elektronick\u00e9ho receptu vystaven\u00e9ho o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em. Prakti\u010dt\u00ed l\u00e9ka\u0159i&nbsp;i ambulantn\u00ed specialist\u00e9&nbsp; o\u0161et\u0159uj\u00edc\u00ed pacienta s onemocn\u011bn\u00edm covid-19, kter\u00fd je ve vysok\u00e9m riziku progrese do [&hellip;]<\/p>\n","protected":false},"author":591,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wds_primary_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-876","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/posts\/876","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/users\/591"}],"replies":[{"embeddable":true,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/comments?post=876"}],"version-history":[{"count":1,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/posts\/876\/revisions"}],"predecessor-version":[{"id":877,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/posts\/876\/revisions\/877"}],"wp:attachment":[{"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/media?parent=876"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/categories?post=876"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/docsites.cgmlife.com\/puvl\/wp-json\/wp\/v2\/tags?post=876"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}