- Basic information
- Ambulance
- Inpatient department
- Management and staff
- Vaccination Center and Travel Medicine Center
- News for patients
- Opening hours
- Vaccinable diseases and individual vaccines
- Vaccination against covid-19
- Types of vaccines
- Information for travelers
- Vaccination of patients on immunosuppressive and biological therapy
- Price list
- Contributions of health insurance companies for vaccinations
- Used and other sources of information
- Center for the treatment of viral hepatitis
- Center for the treatment of infections in drug addicts
- Infectious diseases and infectious medicine
- History of the clinic
- Teaching
- Science and clinical research
- Contact
Motto: The goal of our workplace is to connect applied clinical research, innovative teaching together with the provision of quality health care based on the use of the most modern knowledge of medical science and well-coordinated teamwork of satisfied employees.
The Department of Infectious Diseases and Travel Medicine 2. LF UK and FN Motol provides comprehensive treatment and preventive care in infectious medicine and travel medicine from the age of 15. The professional focus of the workplace and the care provided is based on a modern concept of the field and is inspired by the position of infectious medicine abroad with an emphasis on ambulatory care and consultation services for other clinics and departments within the FN Motol. The clinic provides acute and specialized outpatient care in the entire range of infectious medicine (except for HIV infection) and has bed capacity for the hospitalization of adult patients whose health condition requires it.
Among the most common diagnoses that we consult and treat at our clinic are febrile and inflammatory conditions, diarrheal diseases, respiratory and urinary tract infections, exanthema infections (infections that manifest as rashes), neuroinfections, liver infections, and skin and soft tissue infections. The clinic specializes in the diagnosis and treatment of febrile conditions of unclear etiology, imported tropical infections, opportunistic infections in immunodeficient patients, infections associated with the provision of health care and infections in risk groups of patients (seniors, patients with serious chronic diseases, etc.).
The clinic is set up Vaccination center, also providing vaccination against covid-19, and Travel medicine center. The Travel Medicine Center provides comprehensive pre-departure counseling as well as diagnosis and treatment of health problems for travelers after returning from a risk area. It is completely unique among Prague hospitals Center for the Treatment of Infections in Intravenous Drug Users, which provides outpatient and inpatient care for drug-addicted patients. It provides psychiatric and psychological care to hospitalized patients, helps arrange treatment for motivated patients, provides substitution treatment during hospitalization and provides internal examinations before starting substitution treatment with methadone. Care for patients with chronic hepatitis B or C is provided in Center for the treatment of viral hepatitis.
The clinic participates in teaching students of bachelor's and master's study programs at the 2nd Faculty of Medicine of the UK and serves as a teaching workplace of the Institute for Postgraduate Education in Healthcare. The clinic's scientific and research activities are based on cooperation with related laboratory and clinical disciplines at the Motol National Research Institute. Main research topics include antibiotic therapy and prescription, travel medicine, infections in high-risk patient groups and epidemiology of infectious diseases.
Acute and emergency ambulance (continuous operation):
The ambulance treats patients with acute and newly arising health problems who are sent from the Emergency Department or with a recommendation from a general practitioner or other attending physician. These patients are examined without an appointment. The operation of the ambulance is continuous, but from 15:30 p.m. to 7:45 a.m. and on non-working days, patients are examined and admitted for hospitalization by a doctor serving in the inpatient department, therefore the emergency service is intended only for urgent conditions, the treatment of which cannot be delayed.
Contact the emergency clinic: 22443 6945 (7:00-19:00), 22443 7777 (contact the doctor on duty from 19:00 - 7:00)
If a general practitioner sends a patient for hospitalization, we recommend that, due to the limited bed capacity, first contact the doctor of the department (22443 7777), or send the patient via the Adult Emergency Department. In the case of non-urgent conditions (e.g. consultation of results of serological tests, protracted or long-term difficulties, etc.), we recommend an appointment to a specialized consultation (see below).
Specialized ambulances:
The clinic provides specialized outpatient care in the entire range of infectious medicine (except HIV). Among other things, the clinic provides care to patients with Lyme borreliosis, chlamydial infections, fatigue syndrome, viral hepatitis, herpes infections, zoonoses, nodular syndrome, febrile or inflammatory conditions of unclear etiology or parasitic infections. Part of the clinic is the Vaccination Center or the Travel Medicine Center, which provides pre-departure counseling as well as diagnosis and treatment of health problems for patients after returning from the tropics. Patients can make an appointment for an examination at phone no. 22443 6930.
Inpatient department
The clinic's bed department has a total of 23 beds. The department is built in a box system with double rooms and one single room. Each room is equipped with its own bathroom, TV and telephone, which the patient can use to communicate with the nurse, but also with his relatives and friends, if they call the nurses' office (22443 6928/6929).
Hospital stay
When admitted to the hospital, please bring with you:
- Health insurance card and identity card
- Recommendations for hospitalization (if you have one), reports and results from previous examinations
- Medicines that you take regularly (in original packaging) or at least a list of them
- Basic toiletries, bathrobe, pyjamas, slippers with non-slip soles
- Mobile phone and charger
If it is an acute admission, it is advisable to bring the necessary things to the patient in the shortest possible time after agreement with the medical staff. Please do not bring large amounts of money, valuables (expensive jewelry, watches...), weapons to the hospital. We recommend storing valuables, jewellery, large sums of money and important documents in the institutional safe.
Part of the administrative procedures for admission to hospitalization is the signing of consent to hospitalization and subsequent diagnostic and treatment procedures. Don't be afraid to ask anything that is unclear to you and that you are worried about. The treating doctors will be happy to explain everything. During hospitalization, please inform the treating doctor or nurse about all your problems and what is troubling you. Try to give the medical professionals all the necessary information, as this will facilitate and speed up the treatment and shorten the time of hospitalization in the hospital.
In the case of hospitalization, it is necessary to comply with the internal regulations of the department and the hospital, which the doctors and nurses of the clinic will introduce you to.
Rules for visits to the inpatient ward
Visits to the inpatient ward are permitted daily from 14:00 p.m. to 17:00 p.m., but it is necessary to respect the regime established by the nursing staff. In exceptional cases, visits may be permitted outside of the specified visiting hours after consultation with the clinic staff. We recommend that a maximum of 2 people stay in the room with one patient during the visit. Children under 15 and pregnant women are not allowed access to wards and patient rooms. The attending physician is authorized to prohibit visits to selected rooms for epidemiological reasons. Visits must respect the instructions of healthcare workers, including the use of recommended personal protective equipment (coats, mouthpieces, gloves), washing and hand disinfection.
Rules for communicating information about health status
Information is communicated only to persons listed in the medical records who know the password for communication. Information is provided by the attending physician on working days from 11:00 a.m. to 12:00 p.m. on phone number 22443 6928/6929. On the weekend, you can request up-to-date information about your health status from the doctor's office between 15:00 p.m. and 16:00 p.m. An exception to the above-mentioned rule is the situation when the patient is admitted for hospitalization on duty (15:30-7:45), after which information on the current state of health can be requested in the morning hours of the following day.
Management and staff
Head of the clinic:
MD Milan Trojánek, Ph.D.
tel.: 22443 6900/6901
Deputy head for health activities:
MD Martin Tulach
tel .: 22443 6903
Deputy Principal for Teaching:
MD Aneta Nyčová
Deputy Head for Science and Clinical Research:
MD Vyacheslav Grebenyuk
Head of inpatient department:
MD Grigory Mesezhnikov
tel.: 22443 6948/6928/6929
Chief Consular Doctor:
MD Marek Štefan, MBA
tel .: 22443 6911
Secondary doctors (acute and specialist ambulances):
MD Teresa Ernestová
MD Vyacheslav Grebenyuk
MD Martin Hodik
MD Veronika Yegorova
MD Pavlína Kadeřávková
MD Jan Kubik
MD Sylvia Polivková
MD Sarah Schwott
MD Dan Veselý
Secondary doctors (inpatient department):
MD Ondřej Beránek
MD Lukáš Kohout
MD Kateřina Kupská
MD Aneta Nyčová
MD Barbora Pišová
MD Zuzana Uhříková
MD Martin Vidlička
Consultant (Internal Medicine)
MD Katarína Široka
Head nurse:
M.Sc. Milena Chybová
tel .: 22443 6905
Station nurse:
Hana Black
tel .: 22443 6907
Vaccination Center:
Bc. Denisa Ličáková
tel .: 22443 2330
mobile: 775 939 710
Secretariat:
Bc. Martin Mecerod
tel.: 22443 6900/6901
mobile: 720 932 246
Jarmila Marešová
tel .: 22443 6910
Katerina Ulrychová
tel .: 22443 6902
Vaccination Center and Travel Medicine Center
Vaccination center FN Motol
The Vaccination Center of FN Motol offers its clients high-quality advice in the area commercial vaccination. We are able to provide all available vaccinations that are appropriate in domestic conditions (e.g. vaccination against influenza, tick-borne meningoencephalitis, hepatitis A/B, meningococcal and pneumococcal infections, chicken pox, measles, rubella, mumps, tetanus, diphtheria, whooping cough, shingles herpes or infections caused by human papillomaviruses...).
Our center also provides vaccination against covid-19 and vaccination of risk groups of patients, for whom vaccination is indicated for health reasons (e.g. older patients, patients with weakened immunity, after spleen removal...) and is possibly also covered by public health insurance.
Center of Travel Medicine of the FN Motol
The Travel Medicine Center of the FN Motol provides not only comprehensive and high-quality pre-departure counseling, vaccinations, but also provides diagnosis and treatment of health problems in patients after returning from the tropics or risk areas. Pre-departure counseling includes an assessment of health status, assessment of possible health risks, compilation of a vaccination plan, provision of antimalarial chemoprophylaxis, provision of information on the most common potential risks and possibilities for their prevention or therapy. The services provided as part of pre-departure counseling are not covered by public health insurance and are governed by the currently valid price list, which is published on the clinic's website.
When acute health problems after returning from the tropics or other risk areas the patient can search for acute and emergency ambulance of our clinic (e.g. in case of febrile conditions), in case of longer-term difficulties may order for examination at the phone number below. Treatment in case of health problems after returning from the tropics is fully covered by public health insurance.
We provide our commercial services for favorable prices, while clients with us does not apply charge for the consultation itself or the application of the vaccine. All and students they have in our center 10% discount for the services provided. You can find the current price offer in the attached price list. Payment is only possible by credit card.
Why use the services of the Vaccination Center and the Travel Medicine Center of FN Motol?
- We offer not only the vaccination itself, but comprehensive and high-quality consulting services
- You can easily order through the electronic reservation system
- We offer short ordering periods
- We have appointments for ordering not only in the morning, but also in the afternoon and early evening
- For travel advice, we base ourselves only on high-quality and verified international recommendations, we use the resources of the American Center for Disease Control and Prevention (CDC) and the German Center for Travel Medicine (CRM)
- When recommending individual vaccinations, we also carefully consider cost effectiveness for the client
- We have favorable vaccine prices and offer a 10% discount for students and contract partners
- If you get vaccinated with us, you do not pay a fee for the consultation or for the application of the vaccine
- You can also communicate with our doctors in English
- For risk groups of patients or older people, we can supplement vaccinations paid for by public health insurance
- Antimalarials, repellants and other necessities for a travel first aid kit can be conveniently purchased directly at the FN Motol premises
- We take care of our clients at any time, even in case of health problems after returning from the tropics or risk areas
Where to find us:
The Vaccination Center (including covid-19 vaccinations) and the Travel Medicine Center will be located in Building G on the lower ground floor from February 1, 2023 (connecting corridor between the children's and adult parts).
Electronic reservation system: https://objednavky.fnmotol.cz
Electronic reservation system covid-19: https://registrace.mzcr.cz/
Contact phone: 224 43 2336 (working hours: weekdays 8:00 a.m. – 16:00 p.m.)
News for patients
New vaccine against covid-19 from February 2024 (31/1/2024)
From February, the protein vaccine NUVAXOVID XBB 2 from the Novavax company will be available at the vaccination center of the Clinic of Infectious Diseases and Travel Medicine of the 1.5nd LF UK and FN Motol. This vaccine, like the currently offered mRNA vaccine Comirnaty XBB 1.5, is intended to protect against the current mutation of the covid-19 virus.
The vaccine is intended for persons over 12 years of age and is given in one dose regardless of the individual's previous vaccination status.
Vaccination is available after prior ordering through the reservation system of the Ministry of Health (registration.mzcr.cz) every Wednesday and Friday from 8:00 a.m. to 15:30 p.m.
For more information on vaccine approval parties, continue <a href="https://cdn.shopify.com/s/files/1/1932/8043/files/200721_ODSTOUPENI_BEZ_UDANI_DUVODU__EN.pdf?v=1595428404" data-gt-href-en="https://en.notsofunnyany.com/">here</a>.
Operation of the Motol FN Vaccination Center from 15/1/2024 (12/1/2024)
Dear patients,
in order to improve the quality of the services provided, the operating hours of the Vaccination Center will be adjusted from January 15, 2024.
We vaccinate against covid-19 after prior ordering, use the reservation system.
You can find the opening hours <a href="https://cdn.shopify.com/s/files/1/1932/8043/files/200721_ODSTOUPENI_BEZ_UDANI_DUVODU__EN.pdf?v=1595428404" data-gt-href-en="https://en.notsofunnyany.com/">here</a>.
Operation of the Motol FN Vaccination Center from 2/1/20124 (27/12/2023)
Dear patients,
in order to improve the quality of the services provided, from January 2, 2024, the operating hours of the Vaccination Center will be adjusted. You can find the opening hours <a href="https://cdn.shopify.com/s/files/1/1932/8043/files/200721_ODSTOUPENI_BEZ_UDANI_DUVODU__EN.pdf?v=1595428404" data-gt-href-en="https://en.notsofunnyany.com/">here</a>.
Operation of the Motol FN Vaccination Center during the Christmas holidays (December 5, 12)
Dear clients, the vaccination center will be closed from December 22, 12 to January 2023, 1.
In December, we also vaccinate travelers against covid-19 and flu after prior ordering here:
Electronic reservation system: https://objednavky.fnmotol.cz
Electronic reservation system covid-19: https://registrace.mzcr.cz/
Contact phone: 224 43 2336 (working hours: weekdays 8:00 a.m. – 16:00 p.m.)
Operation of the Motol FN Vaccination Center (October 9, 10)
Dear clients, due to the great interest in vaccination against covid-19 and seasonal flu, we only vaccinate patients by prior appointment. You can use the electronic reservation system to order. In case of unavailability of dates, you can also contact us by phone.
Electronic reservation system: https://objednavky.fnmotol.cz
Electronic reservation system covid-19: https://registrace.mzcr.cz/
Contact phone: 224 43 2336 (working hours: weekdays 8:00 a.m. – 16:00 p.m.)
Influenza vaccination at the Motol General Hospital (October 2, 10)
From October to December, we vaccinate against the seasonal flu on weekdays from 8:00 a.m. to 15:30 p.m. by appointment. We use modern tetravalent vaccines for vaccination. Vaccination is free for persons older than 65 years, patients with serious chronic pharmacologically treated diseases of the heart and blood vessels, or respiratory tract, or kidneys, or diabetes, persons after hematopoietic cell transplantation, with primary or secondary immunodeficiency requiring monitoring by a specialist, persons with impaired or lost immunity function of the spleen or the insured with an indicated or performed splenectomy. Vaccination is also free for all health professionals, pharmacists and students of medical schools and universities.
Vaccination against covid-19 (2 October 10)
In our vaccination center, we use the Comirnaty vaccine (manufactured by Pfizer/Biontech) in a composition according to current recommendations (for people over 12 years of age, Comirnaty Omicron XBB.1.5). We vaccinate adults and children from the age of five. Due to the increased interest, we recommend booking an appointment. During vaccination against covid-19, if interested, we also offer simultaneous vaccination against seasonal flu according to professional recommendations.
Flu - really just a "cold"? (20/9/2023)
MD Barbora Pišová
The flu season comes and goes every year, and in the same way, the media always, year after year, in the winter months, there are shots of overcrowded GP offices, which are interspersed with information about the amount of snow on the mountains and the number of skiers on the slopes. But the flu does not have to traditionally belong to the winter months at all. So what to do about it this year?
Influenza is a relatively highly contagious infectious disease that spreads primarily through respiratory droplets. These are produced during sneezing, coughing, but also during ordinary speech. The incubation period before the symptoms of the disease appear is several hours to five days, but most often one to two days. The lining of the nasopharynx and the conjunctiva of the eye are the gateway to the entry of infection into the body. The riskiest is close contact with a coughing patient within approximately one meter. The virus survives in the environment for up to 14 days, so it is possible to get infected from contaminated objects (by shaking hands, touching a handle in public transport, using the same cup, etc.).
In the Czech population, the flu is often confused with the common cold. At the same time, these are completely different situations in terms of their course and severity. Influenza is a viral disease that attacks the upper and lower respiratory tract and can lead to severe pneumonia. Unlike the common cold, the flu starts suddenly and is accompanied by fever, chills, headache, muscle aches, breathing difficulties and cough. On the other hand, colds in adults are often not accompanied by a fever or a general feeling of well-being, they are often manifested only by a scratchy nose or throat, a runny nose or a feeling of stuffy nose or cough, and the patient feels much better after just a few days.
The most serious complications of the flu include viral pneumonia, muscle or heart damage, or inflammation of the brain and meninges. Complicated disease can also result in death. Onset bacterial infections are also common, when other pathogens, especially bacteria, settle in the lungs or airways damaged by the virus. Another, indirect but clear consequence of the flu is the worsening of the patient's chronic problems - a person with a heart disease will cope with the infection more difficult, and the burden associated with the infection will exhaust his heart even more. For example, having the flu has been shown to significantly increase the risk of cardiovascular events (e.g. myocardial infarction) in the following weeks.
At-risk patients who should definitely actively protect themselves from the flu include the elderly, people with chronic lung, heart, or kidney disease, diabetes, neurological or muscle disorders that worsen breathing, or people with reduced immunity. People who could transmit the flu to vulnerable people, such as family members or nursing staff, should also protect themselves.
However, the flu can be a significant burden even for completely healthy adults, the uncomplicated form lasting 1 to 2 weeks, which can seriously complicate your winter plans. In the Czech Republic, about 10% of people get sick every year, which is a high enough number for us to just stand idly by and hope that it just happens to the neighbor.
Treatment of the infection can be quite complicated. It is a viral disease, so no antibiotics work against it. Although there are special "antivirals", for their effect it is necessary to start the therapy as soon as possible, preferably within two days of the onset of difficulties. Unfortunately, in the case of a complicated course, it is often too late for antiviral treatment. Therefore, the treatment of influenza in the vast majority of cases remains symptomatic - that is, the symptoms of the infection are suppressed. High temperature is reduced by fever medicine, cough by cough medicine, headache by common pain medicine. Rest and a sufficient amount of fluids are especially important.
How to defend against the flu? Vaccination may be the solution. According to the World Health Organization, it would be enough if a third of the population were vaccinated, and this would drastically reduce the number of sick people and especially those who eventually succumb to the disease. And that they are not few - last year, 1500 patients succumbed to the flu in the Czech Republic, which is three times more than the number of people who died in traffic accidents. While on the highway, even with all caution, we can't do much against the reckless driving of other drivers, in a flu situation, we can use a much more effective shield against sick "chickens" - annual vaccination.
Vaccination is generally considered in the health sector to be one of the most effective preventive measures, which reduces the number of infectious diseases, and it is no different with the flu.
The flu vaccine is composed of a combination of killed flu viruses, so there is absolutely no risk that the vaccine could cause the disease. Vaccination works in such a way that our immune system creates antibodies against this killed virus, which it can then immediately use when encountering a live flu virus and neutralize the virus before it can reproduce in the body. Arguments that vaccination is a burden on our immune system are a bit ill-advised, because fighting a possible infection itself is a much more demanding and sometimes exhausting battle for our immunity.
Since the flu virus is constantly changing, the composition of the vaccines is adjusted every year according to the recommendations of the World Health Organization, so that it corresponds as closely as possible to the strains of flu that are currently occurring. Therefore, it is also necessary to repeat the vaccination every year. The most suitable time for vaccination is logically before the beginning of the flu season, but even during the current epidemic it is not too late, because protection starts as early as 14 days after vaccination. Influenza epidemics affect the Czech Republic in the cold months of the year, most often between December and March. New vaccines for the season usually appear on the market in September. The ideal period for vaccination is therefore the period from October to December.
Despite all the advantages of vaccination and the evidence of its effectiveness, vaccination coverage is still very low in our country - only about 6% of Czechs get vaccinated every year, which is well below the European average.
The situation is a little better in the population over 65 years of age, in this group almost a third were vaccinated last year. The reason is certainly that for people over 65 years of age, vaccination is fully covered by public insurance. It is important to mention, however, that vaccination is also provided free of charge to all health professionals, persons suffering from diseases of the heart, blood vessels, respiratory tract, immune disorders or diabetes. Preventive programs of health insurance companies offer significant contributions to vaccinations, and employers are also aware of the economic impact of the flu, which is why they often offer free vaccinations as part of company benefits.
When everyone talks about the effectiveness of vaccination, what is meant is its effect on the vaccinated person. This overlooks an even more far-reaching effect, which is that it protects others from spreading the disease. This phenomenon is called herd immunity. While on an individual level we only protect ourselves, collective immunity protects the whole society. Especially during large-scale pandemics, herd immunity is a key factor that can completely stop the occurrence of infectious diseases. Achieving this immunity leads to the fact that the disease does not circulate between people, so even those who are not vaccinated or cannot be vaccinated cannot become infected. For this reason, it is very important that everyone and not only people who belong to risk groups get vaccinated.
And what else can we do to prevent the disease? This is a series of measures that we practiced during the recent coronavirus pandemic and applies to all respiratory infections. Frequent hand washing and disinfection, support of immunity through a varied diet and regular exercise and frequent ventilation of rooms. If we don't feel well, try to limit our contacts as much as possible, wear a mask or stay at home in isolation.
No flu for this winter!
Opening hours: valid from 15 March 1
Monday | 8:00 - 12:00 | 13:00 - 15:30 | VACCINATIONS AND TRAVEL ADVISORY |
Tuesday | 8:00 - 12:00 | 13:00 - 19:00 | VACCINATIONS AND TRAVEL ADVISORY |
Wednesday | 8:00 - 12:00 | 13:00 - 15:30 | VACCINATIONS AND TRAVEL ADVISORY |
- | 13:00 - 15:00 | VACCINATION OF COVID-19 | |
Thursday | 8:00 - 12:00 | 13:00 - 19:00 | VACCINATIONS AND TRAVEL ADVISORY |
Friday | 8:00 - 12:00 | 13:00 - 15:30 | VACCINATIONS AND TRAVEL ADVISORY |
We vaccinate after prior ordering in the electronic reservation system or after ordering by phone.
Where to find us:
The Vaccination Center and the Travel Medicine Center of the Infectious Diseases and Travel Medicine Clinic of the 2nd Faculty of Medicine of the UK and the Motol General Hospital have been located since February 1 in building G on the lower ground floor (connecting corridor between the children's and adult parts of the hospital). From the Nemocnice Motol subway stop on line A, go through the atrium to the directorate building, to the end of the corridor and then up the stairs to the lower ground floor. Alternatively, by elevator one floor below, and from the elevator to the right.
Contact phone: 224 43 2336
Reservation system: https://registrace.mzcr.cz
The MZČR brochure with information on vaccination against covid-19 can be found here: We vaccinate ourselves for a life without fear.
Vaccinable diseases and individual vaccines
- Tetanus, diphtheria, whooping cough
- Measles, rubella, mumps
- chickenpox
- Poliomyelitis
- Jaundice (viral hepatitis) type A
- Jaundice (viral hepatitis) type B
- Flu
- Tick-borne meningoencephalitis
- Infections caused by human papillomaviruses (HPV)
- Meningococcal disease
- Pneumococcal disease
- Hemophilic diseases
- Shingles
- Typhoid
- Rabies
- Yellow Fever
- Dengue
- Japanese encephalitis
- Valais
- Monkey pox
Vaccination covid-19
In our vaccination center, we use the Comirnaty vaccine (manufactured by Pfizer/Biontech). We vaccinate adults and children from the age of five in the basic scheme and also apply booster doses.
More information about vaccination against covid-19 and possibility of registration (order) for vaccination can be found on the website of the Ministry of Health of the Czech Republic: https://koronavirus.mzcr.cz/ockovani-proti-covid-19/.
We also vaccinate self-payers in all the mentioned age groups. Bring with you: insurance card, vaccination card (distance from the last vaccination), or legal representative's identity card.
New covid-19 vaccine from February 2024
From February, the protein vaccine NUVAXOVID XBB 2 from the Novavax company will be available at the vaccination center of the Clinic of Infectious Diseases and Travel Medicine of the 1.5nd LF UK and FN Motol. This vaccine, like the currently offered mRNA vaccine Comirnaty XBB 1.5, is intended to protect against the current mutation of the covid-19 virus.
The vaccine is intended for persons over 12 years of age and is given in one dose regardless of the individual's previous vaccination status.
Vaccination is available after prior ordering through the reservation system of the Ministry of Health (registration.mzcr.cz) and every Wednesday at 13:00-15:00.
For more information on vaccine approval parties, continue <a href="https://cdn.shopify.com/s/files/1/1932/8043/files/200721_ODSTOUPENI_BEZ_UDANI_DUVODU__EN.pdf?v=1595428404" data-gt-href-en="https://en.notsofunnyany.com/">here</a>.
Types of vaccines
Live attenuated (= weakened) vaccines
The vaccine contains a weakened virus or bacteria that are not able to cause disease, but can multiply in the body and thus trigger an immune response. High efficacy and usually long-term protection are typical for these vaccines. It is usually sufficient to administer one or two doses of the vaccine without the need for a booster dose. However, these vaccines cannot be given to pregnant women or people with a weakened immune system.
Examples: vaccination against measles, rubella, mumps, chicken pox, yellow fever
Inactivated (= non-living) vaccines, cleaved vaccines, subunit vaccines, toxoids
These vaccines contain the entire killed microorganism, or its parts, which cannot cause disease or otherwise damage the human organism, but provoke an immune response. Vaccines can also be safely used in pregnant women or people with weakened immunity (while the immune response may be weakened). Vaccines usually need to be given in multi-dose schedules with revaccination required. With repeated application, the so-called booster effect applies (higher immune response to the same dose of vaccine than with the first application).
Examples: vaccination against tetanus, diphtheria, whooping cough, tick-borne meningoencephalitis, viral hepatitis A/B or influenza
Polysaccharide vaccines
The vaccine contains the capsule polysaccharide of the selected bacterium, which induces an immune response independent of T cells. These vaccines cannot be used in children under 2 years of age, as their immune system is not able to respond to these vaccines. Vaccines provide relatively short-term protection, there is no booster effect when revaccinating. Repeated administration of the vaccine may lead to a reduction in its effectiveness. Vaccines are safe even in people with weakened immune systems, but the immune response in the elderly or immunocompromised patients may be worse than with other vaccines (which use T lymphocytes). These vaccines are being replaced by more suitable polysaccharide conjugate vaccines.
Examples: vaccination against typhoid or pneumococci (23-valent vaccine)
Polysaccharide conjugate vaccines
Vaccines contain capsular polysaccharides of bacteria to which protein structures (usually toxoids) are attached. Although the basic structure to which the immune system reacts is a polysaccharide, the vaccine induces an immune response dependent on T-lymphocytes, i.e. similar to, for example, inactivated or cleaved vaccines. This is a more suitable alternative to the polysaccharide vaccines themselves, as they can also be used in infants and toddlers up to 2 years of age, they induce a better immune response, provide longer protection, and a so-called booster effect is observed when revaccinating them.
Examples: vaccination against ACWY meningococci or pneumococci (13-, 15- and 20-valent vaccine)
- Travel first aid kit
- Prevention of mosquito bites
- Fever during stay and after return from tropics
- Traveler's diarrhea
- Animal injuries and risks in the wild
- Jet lag
- Sunburn and scald
- Altitude sickness
- Travel insurance and the DROZD system
- What to do in case of health problems after returning from trips?
We travel safely
MD Veronika Yegorova
Department of Infectious Diseases and Travel Medicine 2nd Faculty of Medicine, UK and Motol Medical University
Whether your dream destination is Europe, the Mediterranean or exotic tropical regions, don't forget, in addition to buying flights and accommodation, also to prepare in terms of health. Anyway, don't be afraid to travel, as we say: "There are no dangerous countries, only risky travelers."
Health, and specifically infectious, risks differ greatly not only depending on which destination we are going to, but also when and how long we will stay in the given destination, how we will be accommodated or how we will eat. Along with this, the recommendations for vaccination of travelers also differ. There is an abundance of vaccines on the market, and aside from mandatory vaccinations (e.g. yellow fever when traveling to sub-Saharan Africa or Latin America), every traveler should at least have a valid tetanus vaccination. It doesn't matter whether you go to lie on the beach of a five-star hotel or hitchhike across the country, even the most careful person can get hurt. Without knowing the latest "tetanus" application, your vacation can not only be complicated, but also more expensive. If more than 10 years have passed since the last application, it is advisable to get re-vaccinated before the trip, with a combined vaccine that also provides protection against whooping cough and diphtheria being optimal.
Another vaccination that is suitable for any traveler is the vaccination against type A jaundice, which is sometimes referred to in layman's terms as dirty hands disease. However, you can get infected even if you follow the rules of personal hygiene very closely, because in some areas you are not able, for example, to monitor the staff of catering establishments, their hygiene and state of health. This vaccination can also be used in our conditions, we can see local outbreaks of type A jaundice in more isolated communities or, for example, during floods.
Vaccination against rabies is definitely worth considering when traveling to nature or staying in risk areas for longer periods. Even when actively trying to avoid animals, you never know when a local animal will look out for you. For example, monkeys tend to be quite aggressive in exotic destinations and are not afraid, a moment of inattention is enough. Rabies is always a fatal disease, and after risky contact with an animal, an unvaccinated person must receive 5 doses of vaccine together with animal/human serum. This is not only expensive, but above all it may not be available in all destinations. Other vaccinations that are considered according to the risk in a given destination include, for example, vaccination against typhoid, hepatitis B, meningococci, poliomyelitis or Japanese encephalitis.
Even after completing the vaccination, however, it is necessary to be careful about how you will behave while eating at the destination. It is not for nothing that it is said that whoever did not have digestive problems during the trip, it is as if he had not even traveled. Diarrheal diseases are among the most common health problems of travelers. These are mostly self-healing conditions, which can, however, make vacations very unpleasant.
The basis of prevention is the consumption of original bottled water, not only for drinking, but also for brushing teeth or rinsing the mouth. While it's tempting to do so while on vacation, you should try to avoid ice in your drinks. Although eating in markets and streets is certainly part of learning about local culture, it cannot be considered safe. Choose fruit/vegetables with skin, food in original packaging and avoid unpasteurized dairy products or insufficiently heat-treated meat. In general, remember the rule: "Peel it, boil it or forget it". And most importantly, observe increased hand hygiene before each meal.
If diarrhea develops, the basis of treatment is to maintain hydration (it is advisable to purchase so-called rehydration solutions at the pharmacy before the trip, which will also supply the body with minerals). Other recommended drugs include adsorbents (diosmectite, black coal) or racecadotril. Loperamide, which slows down peristalsis, is also very effective, but should not be used in patients who have fever, intense abdominal pain, or stools containing blood or mucus. We do not recommend the routine use of antibiotics or intestinal disinfectants due to the possible influence of the intestinal microflora and the risk of longer-term digestive problems. In patients who take medications for diabetes or high blood pressure, it may be necessary to temporarily discontinue these medications in the event of an acute diarrheal illness with dehydration.
In addition to vaccinations and dietary habits, it is also a good idea to evaluate the risk of malaria before the trip, which occurs mainly in sub-Saharan Africa, although the risk also exists in other tropical regions. It is a serious febrile disease transmitted by female Anopheles mosquitoes. These insects are active from dusk to dawn. As part of prevention, there is effective chemoprophylaxis using antimalarials, which a specialist in the travel medicine center will prescribe for you depending on the risk. Among the antimalarials, atovaquone/proguanil is most often used, which is effective and very well tolerated by travelers. Malaria can take a more dramatic course in travelers than in locals, with death occurring within days. Traveling to a malarious region without antimalarials is neither adventure nor heroism, but a downright unnecessary and ill-advised risk.
Since malaria is not the only mosquito-borne disease in many destinations, it is a good idea to protect yourself from insect bites. Mosquitoes also transmit some of the most common tropical infections, such as dengue fever, chikungunya, Zika, West Nile fever and Japanese encephalitis. Even in the Mediterranean region, a mosquito bite can be risky, because the tiny mosquitoes can transmit papatachi fever (similar to our tick-borne meningoencephalitis), West Nile fever or leishmaniasis. At the time of the highest mosquito activity, limit skin exposure: wear long pants and sleeves, prefer loose cuts and light-colored clothes, on which you can see mosquitoes better. Use repellents with sufficient effectiveness on the skin (50% DEET or 20% (p)icaridin). Always buy repellent at a pharmacy or sporting goods store before your flight. Do not buy them in the tropics, because less effective preparations are often sold abroad. Products with permethrin can be applied directly to clothing. Due to the predominance of mosquito activity at night, it is appropriate to limit the opening of windows when the light is on, unless insect nets are installed in them. As a supplement, it is possible to choose electric insecticides in the socket, have the fan/air conditioning on and a mosquito net placed above the bed.
Precisely because of the risk of malaria and other tropical infections, it is always important that a traveler who falls ill with fever during a stay in the tropics or shortly (up to 2 months) after returning immediately seeks medical treatment and informs that he has stayed in the tropics. Although most cases of fever after returning from the tropics are not caused by tropical diseases, if they are, they require different procedures in diagnosis and therapy. If you have any health problems after returning from the tropics, you can use the services of the Clinic for Infectious Diseases and Travel Medicine of the 2nd Faculty of Medicine of the UK and the Motol Medical Center.
The basis before the trip is also a good preparation of the travel first aid kit. Medicines for temperature and pain, medicines for diarrhea, sore throat and cough, as well as medicines for allergies, after insect bites and basic needs for first aid in case of injury should not be missing. Before traveling, it is also important to ensure that you have a sufficient amount of chronically used medication, even in case your vacation is unexpectedly extended. Do not forget to check with the following specialists for chronic diseases and if they are not well compensated, postpone the trip until a time when it is safe for you to travel. If you have to travel, always require additional insurance for your chronic diseases as part of your travel insurance.
During long flights, be prepared for the possible occurrence of jet lag. Jet lag most often affects travelers when quickly crossing 3 or more time zones. Symptoms include fatigue, headaches, trouble sleeping, concentration and irritability. Symptoms usually disappear within a few days with a more restful regime. As part of prevention, you should travel with physical and mental rest, wear comfortable clothes for the flight, take care of a sufficient drinking regime and limit the consumption of alcohol on board or at the airport. When traveling east, try to fall asleep 1-2 hours earlier a few days before departure and prefer a night flight with the possibility of sleeping on the plane. On the other hand, when traveling to the west, sleep 1-2 hours later and prioritize a flight during the day with sleep settings according to the destination.
Last but not least, the risk of sexually transmitted diseases, especially gonorrhea, is worth mentioning. Resistant strains of Nesseria are increasing worldwide, and treatment can then be quite complicated. Everyone likes to get to know a culture in a different way, so don't forget to pack condoms and try to behave responsibly to avoid an unpleasant souvenir from your travels.
Cultural or religious customs cannot be included in this topic, but it is appropriate to find out the basic rules of the given country before the trip and respect them. Keep in mind that you are the one visiting the country and treat yourself with the respect you would want tourists to treat us with. When traveling to less developed countries, prepare for a possible culture shock, and despite the incomprehensible facts, try to see the beauty in these differences, after all, that is one of the reasons why you travel.
So, in summary, how can you best prepare for travel and what should you do to ensure that your vacation goes according to your wishes? Always respect the culture and customs of the country in question, do not put yourself at unnecessary risk, be it in terms of people, animals, food or insects. Take out high-quality additional travel insurance (including additional insurance for possible chronic diseases) and, above all, visit an expert in the field of travel medicine before your trip, with whom you can discuss your travel plans together. Finally, sign up for DROZD from the Ministry of Foreign Affairs and enjoy a well-deserved vacation in your dream destination. In case of any questions or problems, do not be afraid to contact us, we are here for you before, during and after your trip.
Vaccination of patients on immunosuppressive and biological therapy
MD Veronika Yegorova
Patients using immunosuppressive or biological therapy (i.e. immunomodulating) treatment may be at increased risk of developing or having a severe course of a number of infections. The reason is not only the immunomodulation therapy itself, but in some cases also the disease itself, for which the patient is taking the treatment. Infectious complications can endanger patients on immunomodulation therapy by worsening the underlying disease itself. A suitable prevention is vaccination, which can either completely prevent the disease or significantly reduce its course.
Vaccination of patients using immunomodulatory treatment is completely safe in the case of inanimate vaccines, although the effectiveness of the vaccines may be lower than in healthy individuals. Vaccination with live vaccines (measles, rubella, mumps, chicken pox, yellow fever...) must be consulted with a specialist.
Before starting immunomodulating therapy, it is advisable to make sure that the patient has undergone or been vaccinated against chicken pox, further that it is protected against viral hepatitis B and has a valid vaccination against tetanus (or whooping cough and diphtheria). Patients using immunosuppressive or biological therapy should be regularly vaccinated against the flu a Covid-19. In addition to the patients themselves, individuals living in the same household should also undergo this vaccination. In terms of both risk and frequency, vaccination against pneumococcal infections, which cause pneumonia, but can also cause purulent inflammation of the meninges or blood poisoning (sepsis). Vaccination against is also to be considered in selected patients shingles, because as a result of reduced immunity, the risk of development and severity of the course is higher, including the risk of so-called postherpetic neuralgia (intense, bothersome long-term pain during the course of the affected nerve). In certain age groups, it is also advisable to supplement vaccination against human papillomaviruses, which can cause certain cancers (cancer of the cervix, rectum, etc.).
For advice on vaccinations suitable for you, it is possible to make an appointment at a specialized counseling center for at-risk patients within the Vaccination Center of the Clinic for Infectious Diseases and Travel Medicine 2.LF UK and FN Motol. Vaccination should be carried out at the time of stabilization of the autoimmune disease and ideally before starting immunosuppressive therapy.
Price list
- Price list of the Travel Medicine Center and Vaccination Center FN Motol valid from 1 July 3
Used and other sources of information
- Centers for Disease Control and Prevention (US) www.cdc.gov
- European Center for Disease Control and Prevention ecdc.europa.eu
- European vaccination portal vaccination-info.eu/cs
- World Health Organization www.who.int
- National health information portal www.nzip.cz
- Czech Vaccinology Society ČLS JEP www.vakcinace.eu
- State Institute of Public Health www.szu.cz
- Information system of infectious diseases https://szu.cz/publikace/data/infekce-v-cr/
- Vacciny.net www.vakciny.net
- Avenue www.avenier.cz
Center for the treatment of viral hepatitis
We deal with the prevention, diagnosis and treatment of all types of viral hepatitis, both acute and chronic. We are among the guaranteed centers for the treatment of chronic viral hepatitis (Society of Infectious Medicine and Czech Hepatological Society ČLS JEP). We guarantee patients interdisciplinary treatment by a team of experienced doctors according to current medical knowledge.
Center for the Treatment of Infections in Intravenous Drug Users
We treat infectious diseases across the entire spectrum (except HIV infection), we examine or hospitalize patients with febrile conditions on an outpatient basis to establish a diagnosis, patients with infectious endocarditis (inflammation of the heart valves), spondylodiscitis or sacroiliitis (inflammation of the vertebrae, intervertebral discs or joints of the pelvic bones and spine) , liver inflammation (hepatitis) or skin and soft tissue infections. In cooperation with dermatovenerologists, we also provide care for patients with sexually transmitted infections. We treat and monitor patients with chronic viral hepatitis (inflammation of the liver) on an outpatient basis. Short-term detoxification is also possible for hospitalized patients. We do not provide an outpatient substitution program or detoxification itself. We provide free vaccinations against viral hepatitis type A and B to patients treated at our center. We cooperate with low-threshold facilities and a number of addiction and contact centers and communities.
Infectious diseases and infectious medicine
Infectious diseases have influenced the development of the entire human civilization, while they were still the most common cause of death at the end of the 19th century. In the course of the 20th century, mainly thanks to the improvement of hygienic conditions, the introduction of vaccination programs and the discovery of new treatment options, there was a dramatic decrease in the incidence and number of deaths from infectious diseases, thereby significantly reducing their societal impact in developed countries. However, the originally optimistic ideas about a solved problem with infectious diseases appear to be completely unrealistic from today's point of view. Thanks to significant demographic, ecological and climatic changes, in recent decades humanity has increasingly encountered epidemic occurrences of completely new or emerging diseases, such as e.g. covid-19, SARS, MERS, or hemorrhagic fevers (e.g. Ebola), which in in today's globalized world, they can pose a potential risk to the human population. In developed countries, epidemics of diseases that can be prevented by vaccination are reappearing, which is related, among other things, to the trend of refusing recommended and mandatory vaccination. Another significant problem is the growing resistance of microorganisms to available anti-infectives, which greatly limits our treatment options.
However, a fundamental change for the field of infectious medicine is represented by the increasing life expectancy and the increasing representation of patients with serious chronic diseases or immune disorders, because it is infections that represent significant and often serious complications for these patients. That is why professional circles are increasingly talking about the need to ensure easily accessible and high-quality ambulatory and consultative infectious disease care.
Infectious disease medicine is currently a modern and dynamically developing field that is dedicated to the rational diagnosis, treatment, prevention and research of infectious diseases, while, contrary to the common notion, it is no longer true that infectious disease workplaces serve mainly to isolate people with transmissible infections. On the contrary, most of the disease cases that an infectious disease specialist encounters and deals with are not transmissible between people. The most common diagnoses that infectious disease specialists deal with include febrile and inflammatory conditions, respiratory and urinary tract infections, diarrheal diseases, liver infections, neuroinfections, skin and soft tissue infections, zoonoses (infections transmitted by animals) or healthcare-associated infections.
History of the clinic
The 30s
The building of the current clinic was built according to the project of the architect Rudolf Kvěch and was opened in February 1937 as the Masaryk Institute for the Treatment of Lupus of the Czech Regional Society against Tuberculosis. The building was attached to the Motol hospital on August 5, 1948.
The 50s
The department was founded in 1951 in the premises of SANOPSZ (Sanatorium of the District Insurance Company of Private Employees) in the later building of the State Sanatorium in Prague 5 (Na Cihlářce).
The increasing number of cases of infectious hepatitis led in 1953 to the relocation of the department to the current building in the Motol hospital. The priority was MUDr. Otakar Souček, a gastroenterologist, who originally worked at the internal clinic of the Motol hospital under the guidance of prof. MD Miloš Netousek, DrSc.
The 70s
In 1971, MD took over the management of the department. V. Hazuka - internist, gastroenterologist. The department performed endoscopic examinations and non-invasive and invasive liver examinations in the field of gastroenterology for Prague and the Central Bohemian region.
The 90s
Since 1992, the department was headed by MUDr. Jana Železna, at that time the treatment of chronic viral hepatitis with interferon was introduced. In 1998, the reconstruction of the ground floor of the pavilion was completed and a care program for drug-dependent patients with hepatitis began. In 1999, MUDr. Iron retired.
2000
In 2000, MUDr. Jiřina Hobstová CSc., who originally worked at the Bulovka University of Applied Sciences. Under the leadership of dr. Hobst's department continued to care for drug-addicted patients, but the program was expanded to cover all infectious diseases that occur in drug-addicted patients. The department participated in teaching students of the 3rd Faculty of Arts of the UK and the 1st Faculty of Arts of the UK.
2013
In 2013, as part of the reorganization, the status of the department was changed, and the Infectious Department of FN Motol became the 6th station of the Internal Clinic of the 2nd LFUK and FN Motol. MUDr was appointed head of the station. Jan Dvořák. The scope of work of the department has not changed, it has expanded towards the care of internally ill patients.
2016
MUDr left the position of head of the department. Jan Dvořák and he was replaced in the position by MUDr. Martin Tulach.
2022
On September 1.9.2022, 2, a new Department of Infectious Diseases and Travel Medicine was established at the 2nd Faculty of Medicine of the UK and the Motol Faculty of Medicine. The first head of the clinic was appointed MUDr. Milan Trojánek, Ph.D., who originally worked at the Clinic of Infectious Diseases of the XNUMXnd Faculty of Medicine of the UK and the Bulovka Medical University. The head of the clinic is MUDr. Martin Tulach.
Teaching
The workplace provides teaching in bachelor's, master's and doctoral studies at the 2nd Faculty of Medicine of the Charles University. The clinic is also a training workplace of the Department of Infectious Medicine of the IPVZ.
Master's degree
general medicine
The workplace participates in the teaching of the subject Infectious Medicine together with the partner workplace at FN Bulovka. Teaching at the Clinic of Infectious Medicine and Travel Medicine of the 2nd Faculty of Medicine of the UK and Motol Medical University takes place in a three-day block (Tuesday to Thursday) in the first week of the internship. The clinic is located on the premises of the Motol Medical Center in building No. 22. The main topics taught include febrile conditions (including fever of unclear origin), inflammatory indicators and their importance in the diagnosis of infections, infections associated with the provision of health care, infections in immunodeficient patients, viral hepatitis, HIV (epidemiology, pre- and post-exposure prophylaxis) and travel medicine. More detailed information about teaching and teaching materials can be found in SIS.
The clinic participates in interdisciplinary teaching in related subjects and organizes optional subjects focusing on the professional profile of the workplace. The department is also involved in providing internships for students in the tropics.
The clinic staff welcomes students' interest in individual internships within the subject K10 or any extracurricular activities.
Bachelor's degree
Nursing and Pediatric Nursing
The workplace provides teaching of the subject Nursing care in infectious medicinea Nursing care of children in infectious medicine in the 3rd year of study.
Doctoral studies
Clinic staff are trainers of students in the study program Preventive medicine and epidemiology (2. LF UK) a Mikrobiologie (LF in Pilsen, UK). The study topics correspond to the specialist focus of the clinic and are mainly about the issues of travel and tropical medicine, epidemiology of infectious diseases or antibiotic therapy and prescription.
Science and clinical research
The clinic's scientific and research activities are based on cooperation with related laboratory and clinical disciplines at the Motol National Research Institute. Main research topics include antibiotic therapy and prescription, travel medicine, infections in high-risk patient groups and epidemiology of infectious diseases.
Contact
Clinic secretariat
22443 6900/6901
Ambulance
emergency clinic (7:00-19:00): 22443 6945
specialist ambulance (for orders): 22443 6930
doctor on duty (19pm-00am): 7 00
Vaccination center
22443 2336/2333
Electronic reservation system: objednavky.fnmotol.cz
Electronic reservation system covid-19: https://registrace.mzcr.cz
Inpatient department
22443 6928/6929
Contact to the doctor (translations, admission to hospital)
22443 7777