{"id":4984,"date":"2021-09-25T03:32:17","date_gmt":"2021-09-25T01:32:17","guid":{"rendered":"http:\/\/www.infokuryr.cz\/n\/?p=4984"},"modified":"2021-09-25T03:32:17","modified_gmt":"2021-09-25T01:32:17","slug":"nekonecny-pribeh-covid-vakcinace","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2021\/09\/25\/nekonecny-pribeh-covid-vakcinace\/","title":{"rendered":"NEKONE\u010cN\u00dd P\u0158\u00cdB\u011aH COVID &#8211; VAKCINACE"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p><strong>Uva\u017eujete o t\u0159et\u00ed d\u00e1vce vakc\u00edny? Zpozorn\u011bte!<\/strong><\/p>\n<p>Jednor\u00e1zov\u00e1 vakcinace m\u011bla b\u00fdt zp\u00e1te\u010dn\u00ed j\u00edzdenkou do norm\u00e1lu. Medic\u00ednsk\u00e9 kapacity a minister\u0161t\u00ed \u00fa\u0159edn\u00edci slibovali ochranu p\u0159ed n\u00e1kazou, voln\u00e9 cestov\u00e1n\u00ed, odlo\u017een\u00ed rou\u0161ek, zbaven\u00ed se otravn\u00fdch test\u016f. Sliby se slibuj\u00ed, bl\u00e1zni se raduj\u00ed. Te\u010dka se nekon\u00e1. O\u010dkovan\u00fd m\u016f\u017ee b\u00fdt pozitivn\u00ed, naka\u017een\u00fd, naka\u017eliv\u00fd i nemocn\u00fd. Je pot\u0159eba druh\u00e1 d\u00e1vka. Ani ta se nestala te\u010dkou. Sp\u00ed\u0161 h\u00e1\u010dkem. Ji\u017e o\u010dkovan\u00ed znejist\u011bli. Navzdory tvrd\u00e9 cenzu\u0159e do m\u00e9di\u00ed pronikaj\u00ed informace o ne\u017e\u00e1douc\u00edch \u00fa\u010dinc\u00edch vakc\u00edn a t\u011b\u017ek\u00e9m pr\u016fb\u011bhu nemoci. \u0160\u00e9f statistik Du\u0161ek vol\u00e1 po testov\u00e1n\u00ed o\u010dkovan\u00fdch. Premi\u00e9r Babi\u0161, pod tlakem bl\u00ed\u017e\u00edc\u00edch se voleb, se zlob\u00ed. Izrael, nejproo\u010dkovan\u011bj\u0161\u00ed zem\u011b na sv\u011bt\u011b, s nejtvrd\u0161\u00edmi lockdowny, \u010del\u00ed nejmasivn\u011bj\u0161\u00ed vln\u011b nov\u00e9 mutace. Kdy\u017e n\u011bco nejde silou, je t\u0159eba v\u011bt\u0161\u00ed s\u00edly. V\u00edce t\u00e9ho\u017e. Medic\u00ednsk\u00e9 kapacity a minister\u0161t\u00ed \u00fa\u0159edn\u00edci nal\u00e9hav\u011b doporu\u010duj\u00ed pod\u00e1n\u00ed t\u0159et\u00ed d\u00e1vky. Na str\u00e1nk\u00e1ch \u010dasopisu l\u00e9ka\u0159sk\u00e9 komory\u00a0Tempus Medicorum\u00a0jej\u00ed nezbytnost obhajuje \u010deln\u00fd p\u0159edstavitel poradn\u00ed skupiny MeSES epidemiolog IKEM Petr Smejkal. V\u011b\u0159\u00ed snad je\u0161t\u011b n\u011bkdo, \u017ee t\u0159et\u00ed kolo vakcinace bude vytou\u017eenou te\u010dkou? Kolik bude pot\u0159eba st\u0159\u00edbrn\u00fdch injek\u010dn\u00edch st\u0159\u00edka\u010dek? T\u0159i? T\u0159in\u00e1ct? T\u0159iat\u0159icet?<\/p>\n<p>T\u0159et\u00ed d\u00e1vka kovid vakc\u00edn je \u00fakon, kter\u00fd se od prvn\u00edch dvou z\u00e1sadn\u011b li\u0161\u00ed. Jedn\u00e1 se toti\u017e o zvl\u00e1\u0161tn\u00ed pou\u017eit\u00ed, nad r\u00e1mec schv\u00e1len\u00e9ho pou\u017eit\u00ed definovan\u00e9ho Souhrnem \u00fadaj\u016f o p\u0159\u00edpravku (SPC), tzv.\u00a0\u201eoff label.\u201c\u00a0Toto pou\u017eit\u00ed registrovan\u00fdch l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f je legislativn\u011b upraveno ustanoven\u00edm \u00a7 8 odst. 3 a 4 z\u00e1kona \u010d. 378\/2007 Sb., o l\u00e9\u010divech a o zm\u011bn\u00e1ch n\u011bkter\u00fdch souvisej\u00edc\u00edch z\u00e1kon\u016f (z\u00e1kon o l\u00e9\u010divech), ve zn\u011bn\u00ed pozd\u011bj\u0161\u00edch p\u0159edpis\u016f.\u00a0Off label\u00a0zp\u016fsob pou\u017eit\u00ed m\u00e1 sv\u00e1 pravidla a za takovou aplikaci p\u0159ej\u00edm\u00e1 kompletn\u00ed zodpov\u011bdnost l\u00e9ka\u0159, kter\u00fd ji indikoval.<\/p>\n<div class=\"contentbody-item\" data-vr-zone=\"blogy-inlinecontent\"><strong>Autorem n\u00e1sleduj\u00edc\u00edho textu je Dr. Ji\u0159\u00ed Urb\u00e1nek, MBA, b\u00fdval\u00fd manager farma byznysu (viz t\u00e9\u017e\u00a0<a href=\"https:\/\/blog.aktualne.cz\/blogy\/jan-hnizdil.php?itemid=40538\">https:\/\/blog.aktualne.cz\/blogy\/jan-hnizdil.php?itemid=40538<\/a>) Text pro\u0161el oponenturou n\u011bkolika zku\u0161en\u00fdch l\u00e9ka\u0159\u016f. C\u00edlem je informovat o\u010dkuj\u00edc\u00ed i o\u010dkovan\u00e9 o \u00faskal\u00edch, spojen\u00fdch s aplikac\u00ed t\u0159et\u00ed d\u00e1vky.<\/strong><\/div>\n<div class=\"contentbody-item\" data-vr-zone=\"blogy-inlinecontent\"><strong><br \/>\nMUDr. Jan Hn\u00edzdil<\/strong><\/p>\n<p><strong>O\u010dkovan\u00ed a o\u010dkuj\u00edc\u00ed, pozor!!!<\/strong><\/p>\n<p>P\u0159esto\u017ee Mzd.\u010cR vydalo dne 1. 9. 2021 dv\u011b rozhodnut\u00ed o do\u010dasn\u00e9m povolen\u00ed pou\u017eit\u00ed p\u0159\u00edpravku, st\u00e1le se jedn\u00e1 o pou\u017eit\u00ed\u00a0<i>off label<\/i>. Mzd.\u010cR v dokumentu (\u010d. j.: Mzd.\u010cR 32150\/2021-4 a 5\/OLZP) uv\u00e1d\u00ed, \u017ee zp\u016fsob pou\u017eit\u00ed nen\u00ed v souladu s rozhodnut\u00edm o registraci a spo\u010d\u00edv\u00e1 v pod\u00e1n\u00ed posilovac\u00ed d\u00e1vky p\u0159edm\u011btn\u00fdch l\u00e9\u010div\u00fdch p\u0159\u00edpravk\u016f pacient\u016fm, u kter\u00fdch bylo dokon\u010deno z\u00e1kladn\u00ed o\u010dkovac\u00ed sch\u00e9ma podle souhrnu \u00fadaj\u016f o p\u0159\u00edpravku. Toto rozhodnut\u00ed d\u00e1v\u00e1 aplikaci zd\u00e1nlivou legitimitu, nevyvazuje v\u0161ak l\u00e9ka\u0159e ze zodpov\u011bdnosti. Ot\u00e1zkou je, zda je na m\u00edst\u011b, aby l\u00e9ka\u0159i, za stavu zat\u00edm minim\u00e1ln\u00ed klinick\u00e9 evidence o dlouhodob\u00e9 bezpe\u010dnosti\u00a0<i>off label\u00a0<\/i>vakcinace takovou zodpov\u011bdnost p\u0159ij\u00edmali.<\/p>\n<p>Ministerstvo doporu\u010duje podat t\u0159et\u00ed d\u00e1vku vakc\u00edny pom\u011brn\u011b \u0161irok\u00e9mu spektru pacient\u016f, konkr\u00e9tn\u011b: senior\u016fm ve ve\u030cku 65+, osob\u00e1m umi\u0301ste\u030cn\u00fdm ve zdravotnicky\u0301ch zar\u030ci\u0301zeni\u0301ch, poskytovatel\u016fm dlouhodobe\u0301 lu\u030az\u030ckove\u0301 pe\u0301c\u030ce nebo v domovech pro seniory, v domovech pro osoby se zdravotni\u0301m postiz\u030ceni\u0301m nebo v domovech se zvla\u0301s\u030ctni\u0301m rez\u030cimem, osob\u00e1m s chronicky\u0301mi onemocne\u030cni\u0301mi a predispozici\u0301 k te\u030cz\u030cke\u0301mu pru\u030abe\u030chu nemoci covid-19, zdravotni\u0301k\u016fm a pracovni\u0301k\u016fm v zar\u030ci\u0301zeni\u0301 socia\u0301lni\u0301ch sluz\u030ceb&#8230; p\u0159esto\u017ee v od\u016fvodn\u011bn\u00ed uv\u00e1d\u00ed, \u017ee pro plo\u0161n\u00e9 pod\u00e1n\u00ed dodate\u010dn\u00fdch d\u00e1vek po ukon\u010den\u00ed z\u00e1kladn\u00edho sch\u00e9matu zat\u00edm nen\u00ed dostatek dat.<\/p>\n<p><strong>Pro\u010d je aplikace\u00a0<i>off label<\/i>\u00a0v p\u0159\u00edsn\u011bj\u0161\u00edm re\u017eimu?<\/strong><\/p>\n<p>Aplikace t\u0159et\u00ed d\u00e1vky neodpov\u00edd\u00e1 z\u00e1vazn\u00e9mu vakcina\u010dn\u00edmu sch\u00e9matu uveden\u00e9mu v SPC, proto pro ni plat\u00ed p\u0159\u00edsn\u011bj\u0161\u00ed pravidla, kter\u00e1 maj\u00ed za \u00fakol maxim\u00e1ln\u011b chr\u00e1nit pacienta. V\u0161echny vakc\u00edny proti covid jsou podm\u00edn\u011bn\u011b schv\u00e1leny ve dvou d\u00e1vkov\u00e9m sch\u00e9matu (v p\u0159\u00edpad\u011b vakc\u00edny Janssen v jedno d\u00e1vkov\u00e9m), co\u017e je jasn\u011b deklarov\u00e1no v z\u00e1vazn\u00e9m dokumentu SPC, viz citace:<\/p>\n<p><i>Vakci\u0301na Comirnaty (Pfizer) se poda\u0301va\u0301 intramuskula\u0301rne\u030c po nar\u030cede\u030cni\u0301 jako cyklus 2 da\u0301vek<br \/>\nVakci\u0301na Spikevax (Moderna) se poda\u0301va\u0301 jako cyklus 2 da\u0301vek<br \/>\nOc\u030ckovaci\u0301 cyklus vakci\u0301ny Vaxzevria (Astra Zeneca) se sesta\u0301va\u0301 ze dvou samostatny\u0301ch da\u0301vek<br \/>\nVakci\u0301na COVID-19 Vaccine Janssen se poda\u0301va\u0301 pouze intramuskula\u0301rni\u0301 injekci\u0301 jako jednora\u0301zova\u0301 d\u00e1vka<\/i><\/p>\n<p><i>Off label\u00a0<\/i>pou\u017eit\u00ed spo\u010d\u00edv\u00e1 v pou\u017eit\u00ed v jin\u00fdch d\u00e1vk\u00e1ch ne\u017e doporu\u010den\u00fdch v souhrnu \u00fadaj\u016f o p\u0159\u00edpravku. Pokud byla o\u010dkovan\u00e9mu pod\u00e1na vakc\u00edna od jin\u00e9ho v\u00fdrobce, m\u016f\u017ee\u00a0<i>off label<\/i>\u00a0pou\u017eit\u00ed spo\u010d\u00edvat i v potenci\u00e1ln\u00ed kombinaci o\u010dkovac\u00edch l\u00e1tek r\u016fzn\u00fdch v\u00fdrobc\u016f. Citace aktu\u00e1ln\u00edch SPC, 8. 9. 2021:<\/p>\n<p><i>Nejsou k dispozici z\u030ca\u0301dne\u0301 u\u0301daje o tom, zda lze za u\u0301c\u030celem dokonc\u030ceni\u0301 vakcinac\u030cni\u0301ho cyklu zame\u030cnit vakci\u0301nu Spikevax za jinou vakci\u0301nu proti onemocne\u030cni\u0301 COVID-19<br \/>\nNejsou k dispozici z\u030ca\u0301dne\u0301 u\u0301daje o tom, zda lze za u\u0301c\u030celem dokonc\u030ceni\u0301 vakcinac\u030cni\u0301ho cyklu zame\u030cnit vakci\u0301nu Vaxzevria za jinou vakci\u0301nu proti onemocne\u030cni\u0301 COVID-19<br \/>\n<\/i><br \/>\n<strong>Za jak\u00fdch podm\u00ednek je mo\u017en\u00e9 pou\u017eit\u00ed l\u00e9\u010diva v\u00a0<i>off label\u00a0<\/i>re\u017eimu?<\/strong><\/p>\n<p>Z\u00e1kon po\u017eaduje, aby pou\u017eit\u00ed l\u00e9\u010diva\u00a0<i>off label<\/i>\u00a0bylo dostate\u010dn\u011b od\u016fvodn\u011bno v\u011bdeck\u00fdmi poznatky. Ot\u00e1zkou je, jak dostate\u010dn\u00e9 je od\u016fvodn\u011bn\u00ed pod\u00e1n\u00ed t\u0159et\u00ed d\u00e1vky vakc\u00edny a pro jakou skupinu obyvatel. Dle tiskov\u00e9 zpr\u00e1vy spole\u010dnosti Pfizer ze srpna 2021 byla zat\u00edm p\u0159edlo\u017eena data pouze z f\u00e1ze 1 klinick\u00e9ho v\u00fdzkumu na minim\u00e1ln\u00edm souboru pacient\u016f, data z f\u00e1ze 3 nejsou dostupn\u00e1. Z toho vypl\u00fdv\u00e1, \u017ee nejsou k dispozici data o st\u0159edn\u011b a dlouhodob\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dinc\u00edch po aplikaci t\u0159et\u00ed d\u00e1vky. V Evrop\u011b dosud t\u0159et\u00ed d\u00e1vka schv\u00e1lena nen\u00ed. Pou\u017eit\u00ed t\u0159et\u00ed d\u00e1vky vakc\u00edny Pfizer-BioNTech nen\u00ed v sou\u010dasn\u00e9 dob\u011b pro \u0161irok\u00e9 pou\u017eit\u00ed povoleno ani v USA, v nouzov\u00fdch p\u0159\u00edpadech ji lze aplikovat jen pacient\u016fm, kte\u0159\u00ed podstoupili transplantace org\u00e1n\u016f, nebo u kter\u00fdch jsou diagnostikov\u00e1ny stavy, u nich\u017e se p\u0159edpokl\u00e1d\u00e1 rovnocenn\u00e1 \u00farove\u0148 imunokompromitace. Pro plo\u0161nou aplikaci t\u0159et\u00ed d\u00e1vky tedy dosud neexistuje odpov\u00eddaj\u00edc\u00ed klinick\u00e1 evidence.<\/p>\n<p><strong>L\u00e9ka\u0159 mus\u00ed pacienta informovat a p\u0159eb\u00edr\u00e1 plnou zodpov\u011bdnost za ve\u0161ker\u00e9 \u0161kody na zdrav\u00ed, zp\u016fsoben\u00e9 touto formou aplikace<\/strong><\/p>\n<p>Pokud chce o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 k l\u00e9\u010db\u011b pacienta vyu\u017e\u00edt mo\u017enosti\u00a0<i>off label<\/i>\u00a0pou\u017eit\u00ed registrovan\u00e9ho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku, je povinen sezn\u00e1mit s touto skute\u010dnost\u00ed a d\u016fsledky l\u00e9\u010dby pacienta, pop\u0159\u00edpad\u011b jeho z\u00e1konn\u00e9ho z\u00e1stupce. Pou\u017eit\u00ed registrovan\u00e9ho l\u00e9\u010div\u00e9ho p\u0159\u00edpravku\u00a0<i>off label<\/i>\u00a0je v\u00fdhradn\u011b na odpov\u011bdnosti poskytovatele zdravotn\u00edch slu\u017eeb (l\u00e9ka\u0159e) tzn., \u017ee poskytovatel zdravotn\u00edch slu\u017eeb (l\u00e9ka\u0159) odpov\u00edd\u00e1 za ve\u0161ker\u00e9 \u0161kody na zdrav\u00ed, ke kter\u00fdm by do\u0161lo v d\u016fsledku tohoto pou\u017eit\u00ed.<\/p>\n<p><strong>Jak m\u00e1 tento \u00fakon spr\u00e1vn\u011b prob\u00edhat?<\/strong><\/p>\n<p>T\u0159et\u00ed d\u00e1vku vakc\u00edny mus\u00ed indikovat konkr\u00e9tn\u00ed l\u00e9ka\u0159, kter\u00fd je kompetentn\u00ed posoudit v\u00e1\u0161 zdravotn\u00ed stav a p\u0159eb\u00edr\u00e1 zodpov\u011bdnost za p\u0159\u00edpadn\u00e9 komplikace. Vy\u017eadujte jeho osobn\u00ed p\u0159\u00edtomnost. Trvejte na d\u016fkladn\u00e9m pou\u010den\u00ed a zd\u016fvodn\u011bn\u00ed, pro\u010d v\u00e1m aplikaci indikuje, v\u010detn\u011b dolo\u017een\u00ed pot\u0159eby a \u00fa\u010dinnosti klinick\u00fdmi studiemi. Zd\u016fvodn\u011bn\u00ed, \u017ee jde o rozhodnut\u00ed Mzd.\u010cR nepova\u017eujte za dosta\u010duj\u00edc\u00ed. Nechejte si p\u0159edlo\u017eit a vysv\u011btlit data z konkr\u00e9tn\u00edch studi\u00ed. Nechte si p\u0159edlo\u017eit d\u016fkaz bezpe\u010dnosti ze st\u0159edn\u011bdob\u00e9ho a dlouhodob\u00e9ho hlediska, informujte se o potenci\u00e1ln\u00edch st\u0159edn\u011b a dlouhodob\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dinc\u00edch. Pro va\u0161i bezpe\u010dnost a potvrzen\u00ed, \u017ee v\u0161e se d\u011bje v intenc\u00edch platn\u00fdch p\u0159edpis\u016f, a p\u0159\u00edpad, \u017ee by se vyskytly komplikace, si nechte od l\u00e9ka\u0159e podepsat n\u00e1sleduj\u00edc\u00ed dokument. Pokud je indikace t\u0159et\u00ed d\u00e1vky vakc\u00edny od\u016fvodn\u011bn\u00e1 a bezpe\u010dn\u00e1, jist\u011b nebude s podpisem probl\u00e9m. Pokud m\u00e1te sami n\u011bco podepsat, dob\u0159e si p\u0159e\u010dt\u011bte, co podepisujete. Nepodepisujte nic, \u010d\u00edm byste p\u0159eb\u00edrali zodpov\u011bdnost.<\/p>\n<p>Pokud jste absolvovali p\u0159eo\u010dkov\u00e1n\u00ed t\u0159et\u00ed d\u00e1vkou a proces neprob\u011bhl tak, jak je zde pops\u00e1no, podejte p\u00edsemnou st\u00ed\u017enost poskytovateli slu\u017eeb, p\u0159\u00edpadn\u011b St\u00e1tn\u00edmu \u00fastavu pro kontrolu l\u00e9\u010div (S\u00daKL) a \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 komo\u0159e. \u017d\u00e1dejte pro\u0161et\u0159en\u00ed, pro\u010d nebylo postupov\u00e1no spr\u00e1vn\u011b.<\/p>\n<p><strong>O\u010dkovan\u00fd:<\/strong><\/p>\n<p>________________ _________________ ___________________<br \/>\njm\u00e9no p\u0159\u00edjmen\u00ed rodn\u00e9 \u010d\u00edslo<\/p>\n<p><strong>Aplikace t\u0159et\u00ed d\u00e1vky vakc\u00edny:<\/strong><\/p>\n<p>________________ _________________ ___________________<br \/>\nv\u00fdrobce \u010d\u00edslo \u0161ar\u017ee datum aplikace, \u010das<\/p>\n<p>_______________________ ______________________<br \/>\nk\u00fdm byla vakc\u00edna aplikov\u00e1na pracovi\u0161t\u011b, kde byla vakc\u00edna aplikov\u00e1na<\/p>\n<p>O\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 MUDr. (jm\u00e9no a p\u0159\u00edjmen\u00ed) ___________________________, eviden\u010dn\u00ed \u010d\u00edslo \u010cLK) ___________________<\/p>\n<p>T\u00edmto potvrzuje, \u017ee indikace a aplikace vakc\u00edny tomuto o\u010dkovan\u00e9mu spl\u0148uje z\u00e1konn\u00e9 po\u017eadavky pro off label pou\u017eit\u00ed, konkr\u00e9tn\u011b fakt, \u017ee indikace je podlo\u017eena dostate\u010dn\u00fdmi v\u011bdeck\u00fdmi poznatky. L\u00e9ka\u0159 se zavazuje, \u017ee v p\u0159\u00edpad\u011b, \u017ee mu o\u010dkovan\u00fd nahl\u00e1s\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinek jak\u00e9hokoliv typu, neprodlen\u011b jej za\u0159ad\u00ed do hl\u00e1\u0161en\u00ed pro ofici\u00e1ln\u00ed autority. L\u00e9ka\u0159 d\u00e1le sv\u00fdm podpisem stvrzuje, \u017ee d\u016fkladn\u011b zv\u00e1\u017eil p\u0159\u00ednos i ve\u0161ker\u00e1 rizika pro o\u010dkovan\u00e9ho a p\u0159eb\u00edr\u00e1 zodpov\u011bdnost za p\u0159\u00edpadn\u00e9 komplikace v d\u016fsledku aplikace t\u00e9to vakc\u00edny.<\/p>\n<p>V________________ dne_____________ ___________________________<br \/>\npodpis a raz\u00edtko l\u00e9ka\u0159e<\/p>\n<p><strong><br \/>\nDr. Ji\u0159\u00ed Urb\u00e1nek, MBA, p\u016fvodn\u00edm vzd\u011bl\u00e1n\u00edm veterin\u00e1rn\u00ed l\u00e9ka\u0159, kter\u00fd pracoval v\u011bt\u0161inu kari\u00e9ry na mana\u017eersk\u00fdch pozic\u00edch ve farmaceutick\u00e9m pr\u016fmyslu. \u0160kol\u00ed mana\u017eery i prodejn\u00ed t\u00fdmy jak v \u010cR, tak v dal\u0161\u00edch zem\u00edch, p\u016fsob\u00ed i jako byznysov\u00fd poradce. Vyu\u010duje studenty mana\u017eersk\u00fdch MBA program\u016f. Je autorem knihy\u00a0<i>\u201eNenech\u00e1m si sr\u00e1t na hlavu \u2013 Emo\u010dn\u00ed prodej pro lep\u0161\u00ed \u017eivot\u201c\u00a0<\/i>(\u010cR, 2017) a spoluautorem knih\u00a0<i>\u201eThe Power of Mental Wealth\u201c<\/i>\u00a0(USA, 2020)<\/strong><\/div>\n<div class=\"contentbody-item\" data-vr-zone=\"blogy-inlinecontent\"><strong><br \/>\nLinkedIn:<a href=\"http:\/\/linkedin.com\/in\/drjiriurbanek\">\u00a0http:\/\/linkedin.com\/in\/drjiriurbanek<\/a><br \/>\n<\/strong><\/div>\n<div><\/div>\n<div><a href=\"https:\/\/blog.aktualne.cz\/blogy\/jan-hnizdil.php?itemid=40784\">ZDROJ<\/a><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Uva\u017eujete o t\u0159et\u00ed d\u00e1vce vakc\u00edny? Zpozorn\u011bte! Jednor\u00e1zov\u00e1 vakcinace m\u011bla b\u00fdt zp\u00e1te\u010dn\u00ed j\u00edzdenkou do norm\u00e1lu. Medic\u00ednsk\u00e9&#8230;<\/p>\n","protected":false},"author":2,"featured_media":4509,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[213,46,21],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/4984"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=4984"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/4984\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/4509"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=4984"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=4984"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=4984"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}