{"id":1061,"date":"2019-10-02T20:54:07","date_gmt":"2019-10-02T18:54:07","guid":{"rendered":"https:\/\/www.labvet.cz\/blog\/?p=1061"},"modified":"2025-02-06T16:56:05","modified_gmt":"2025-02-06T15:56:05","slug":"pane-doktore-uz-zase-klepe-hlavou","status":"publish","type":"post","link":"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/","title":{"rendered":"Kdy\u017e pes klepe hlavou"},"content":{"rendered":"\n

Z\u00e1n\u011bt zevn\u00edho zvukovodu (otitis externa) pat\u0159\u00ed do top ten<\/strong> d\u016fvod\u016f n\u00e1v\u0161t\u011bvy veterin\u00e1\u0159e a postihuje a\u017e 20% ps\u016f. Proto\u017ee \u010dastou prim\u00e1rn\u00ed p\u0159\u00ed\u010dinou b\u00fdv\u00e1 alergie, jedn\u00e1 se o frustruj\u00edc\u00ed vracej\u00edc\u00ed se onemocn\u011bn\u00ed. <\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

Za dramatick\u00e9 p\u0159\u00edznaky, kdy pes klepe hlavou skoro nep\u0159\u00ed\u010detn\u011b, mohou bakterie a kvasinky, kter\u00e9 se namno\u017e\u00ed, jakmile se ve zvukovodu vytvo\u0159\u00ed p\u0159\u00edhodn\u00e9 podm\u00ednky. Z\u00e1kladem diagnostiky je \u0161etrn\u00e9 otoskopick\u00e9 vy\u0161et\u0159en\u00ed a cytologick\u00fd prepar\u00e1t, kter\u00fd odhal\u00ed, jak\u00fd typ mikroorganism\u016f se na pot\u00ed\u017e\u00edch pod\u00edl\u00ed.<\/p>\n\n\n\n

L\u00e9\u010dba<\/h2>\n\n\n\n

Zpo\u010d\u00e1tku se l\u00e9\u010dba m\u016f\u017ee nastavit empiricky, ale pokud jsou v prepar\u00e1tu ty\u010dkovit\u00e9 bakterie nebo prvn\u00ed antibiotikum sel\u017ee \u010di se jedn\u00e1 o psa s chronick\u00fdmi probl\u00e9my, m\u011bla by pomoc p\u0159ij\u00edt od mikrobiologa. <\/p>\n\n\n\n

Dal\u0161\u00ed kapky se tak vyberou na z\u00e1klad\u011b testov\u00e1n\u00ed citlivosti vykultivovan\u00fdch bakteri\u00ed k antibiotik\u016fm. V\u011bt\u0161inou se jedn\u00e1 o infekci jednou bakteri\u00ed, ale nejsou v\u00fdjime\u010dn\u00e9 i sm\u00ed\u0161en\u00e9 infekce. K tomu se je\u0161t\u011b s oblibou p\u0159id\u00e1vaj\u00ed kvasinky, kter\u00e9 tak\u00e9 mohou b\u00fdt citliv\u00e9 jen k n\u011bkter\u00e9mu antimykotiku, tak\u017ee vybrat vhodnou l\u00e9\u010dbu m\u016f\u017ee b\u00fdt o\u0159\u00ed\u0161ek. <\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

Ze statistiky na\u0161\u00ed laborato\u0159e<\/a> vypl\u00fdv\u00e1, \u017ee nej\u010dast\u011bj\u0161\u00ed bakteri\u00ed zachycenou ze zevn\u00edho zvukovodu je Staphylococcus pseudintermedius (51%), na druh\u00e9m m\u00edst\u011b je Pseudomonas spp. (18%), t\u0159et\u00ed Streptococcus spp. (15%), d\u00e1le Proteus spp. (8%), ostatn\u00ed stafylokoky (6%) a Escherichia coli (2%). <\/p>\n\n\n\n

Jako antibiotika prvn\u00ed volby jsou uv\u00e1d\u011bna gentamicin a polymyxin B, kter\u00fd n\u00e1m ale u stafylokok\u016f \u010dasto vych\u00e1z\u00ed rezistentn\u00ed. St\u00e1le je v\u0161ak \u00fa\u010dinn\u00fd proti pseudomon\u00e1d\u011b. Jen pozor na hnisav\u00fd exud\u00e1t, kter\u00fd ho m\u016f\u017ee inaktivovat. Chinolony by m\u011bly b\u00fdt druhou a\u017e t\u0159et\u00ed volbou a to a\u017e po kultivaci s citlivost\u00ed na antibiotika. Po\u010dkat si p\u00e1r dn\u00ed na v\u00fdsledky z veterin\u00e1rn\u00ed laborato\u0159e<\/a> se vyplat\u00ed.<\/p>\n\n\n\n

\n\n\n\n
\"\"<\/a><\/figure>\n\n\n\n\"Veterina<\/a>\n\n\n\n
\"SPECIFIC\u2122<\/a>
SPECIFIC\u2122 CDD Food Allergen Management je kompletn\u00ed, vyv\u00e1\u017een\u00e1 hypoalergenn\u00ed dieta pro dosp\u011bl\u00e9 psy. Je velmi vhodnou alternativou doma p\u0159ipravovan\u00e9 hypoalergenn\u00ed diety.<\/em><\/figcaption><\/figure>\n\n\n\n

Myslivost: Z\u00e1n\u011bt zevn\u00edho zvukovodu<\/a><\/h3>\n","protected":false},"excerpt":{"rendered":"

Z\u00e1n\u011bt zevn\u00edho zvukovodu je jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch d\u016fvod\u016f n\u00e1v\u0161t\u011bvy veterin\u00e1\u0159e.<\/p>\n","protected":false},"author":4,"featured_media":6483,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"none","_seopress_titles_title":"Pes klepe u\u0161ima | Z\u00e1n\u011bty zvukovodu | Labvet.cz","_seopress_titles_desc":"Pes neust\u00e1le klepe hlavou? M\u016f\u017ee j\u00edt o z\u00e1n\u011bt zvukovodu, kter\u00fd \u010dasto souvis\u00ed s alergiemi nebo infekc\u00ed. Zjist\u011bte p\u0159\u00ed\u010diny, diagnostiku a l\u00e9\u010dbu tohoto \u010dast\u00e9ho probl\u00e9mu.","_seopress_robots_index":"","footnotes":""},"categories":[4],"tags":[206,31,32,109,108,219,205],"class_list":["post-1061","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veterinarni-dermatologie","tag-hana-prausova","tag-pes-klepe-hlavou","tag-pes-klepe-usima","tag-pes-trepe-hlavou","tag-pes-zanet-usi","tag-veterinarni-dermatologie","tag-veterinarni-laborator"],"yoast_head":"\nKdy\u017e pes klepe hlavou - Labvet blog<\/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:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kdy\u017e pes klepe hlavou - Labvet blog\" \/>\n<meta property=\"og:description\" content=\"Z\u00e1n\u011bt zevn\u00edho zvukovodu je jedn\u00edm z nej\u010dast\u011bj\u0161\u00edch d\u016fvod\u016f n\u00e1v\u0161t\u011bvy veterin\u00e1\u0159e.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/\" \/>\n<meta property=\"og:site_name\" content=\"Labvet blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Labvet.cz\" \/>\n<meta property=\"article:published_time\" content=\"2019-10-02T18:54:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-02-06T15:56:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/labvet.cz\/blog\/wp-content\/uploads\/2019\/10\/pes-klepe-hlavou-1-e1733175095629.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"820\" \/>\n\t<meta property=\"og:image:height\" content=\"462\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Hana Prausov\u00e1\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napsal(a)\" \/>\n\t<meta name=\"twitter:data1\" content=\"Hana Prausov\u00e1\" \/>\n\t<meta name=\"twitter:label2\" content=\"Odhadovan\u00e1 doba \u010dten\u00ed\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minuty\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/\"},\"author\":{\"name\":\"Hana Prausov\u00e1\",\"@id\":\"https:\/\/labvet.cz\/blog\/#\/schema\/person\/2d735d5f05fa2f6b256e9f5cd30e663b\"},\"headline\":\"Kdy\u017e pes klepe hlavou\",\"datePublished\":\"2019-10-02T18:54:07+00:00\",\"dateModified\":\"2025-02-06T15:56:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/\"},\"wordCount\":363,\"commentCount\":3,\"publisher\":{\"@id\":\"https:\/\/labvet.cz\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/labvet.cz\/blog\/wp-content\/uploads\/2019\/10\/pes-klepe-hlavou-1-e1733175095629.jpg\",\"keywords\":[\"Hana Prausov\u00e1\",\"pes klepe hlavou\",\"pes klepe u\u0161ima\",\"pes t\u0159epe hlavou\",\"pes z\u00e1n\u011bt u\u0161\u00ed\",\"veterin\u00e1rn\u00ed dermatologie\",\"veterin\u00e1rn\u00ed laborato\u0159\"],\"articleSection\":[\"Veterin\u00e1rn\u00ed dermatologie\"],\"inLanguage\":\"cs\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/\",\"url\":\"https:\/\/labvet.cz\/blog\/pane-doktore-uz-zase-klepe-hlavou\/\",\"name\":\"Kdy\u017e pes klepe hlavou - 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