Mapodon, 2.21..6.12015 Tenn) ApMpur.: cue COPY KENTPO EAETXOY & MPOAHWHE NOZHMATON (KEEANINO) ‘YMOYPTEIO YTEIAE Tpageio : Npotpau TManposopies A. MepBaviou, A. Nréxou POE: AieGuvon —: Aypapu 3-6 © Oda Ta NogoKoLEia (oTTWG oO Mivakag ArroBeKriv) Tay. Kod. 16128 41. Aioixntf| NogoKopsiou Takéquvo :210-8890052, 098 2. AteuBuvri larpixiig Yrmpeciag FAK 210-8618868, 3. MpbeBpo Emmpomiig NocoKopelaKiv Aopdgew = HE TapaKANon TIpOs EvNHEPWON Tw IaTPwV TW Movaduw Yyeiag mg meploxiig euBivng tous + latpixous ZuAASyous (6G 0 MivaKas ArroBexTiv) HE TrapaKAnon Tpo¢ Evnpépwon TwY HEAd@Y ToUG tua: «Noohyara trou yeTaBiSovrat pe Kporwves oThv EAAABa» Ayarinrol cuvaBehgor, a Oéhaye va ac evnpepdoaouye GXETIKE Ue VooHYaTa TIOU HeTaBiSovral Ye KpSTWVES (TOILTOUpIA) omy EAkdba (11x. avaTAGopwon, pIKEToIEIC) KAI va EMIGT|GOUHE My TPOGOX! Gag omy SréyvwoN Ka! Gyeor ovmiperamrion Tw GroTmuy TepIoTaTKwV. 1 pores peraBiBouv B1GgopoUG 10Us, BaKTpIa, piKETOIES Kal TIapGorTa TOU UTOpOGV va TIpOKAAEOUV coBapéc oipuagers oF aveptiTIous Kal Giva. Emv Eupwrm, Ta voorwara Tou peraBiBovra: pEow KpoTUvwW TepiayBavouv mropeAAidaeiG (vodO Lyme), avaTacpwOEC, piKEToIWOEIC, yMayMEciwon, 1oyevh KpOTUVOYENA eyKEgaAiTIBa Kal loyEvi aluoppayiKS TupETd KpIyaiag-Kowys. Tic TeAeuTaiec Sexaerieg Exel xaraypagei omy Eupiirm pia oTa8epH aUgjon Twv KpouoyaTu KpoTUVOYEVOUG EyKEgaAMTIBAS Ka! vOoOU Lyme, evi n avaTAdoywan Kalo! pikeToWiGEIC aTToTEAOLV avadudyeva vooTaTa. O1 KAIpaTiKéG aAAayEG ermpedouv tous Kpétwves Kar ta evBiamaTé tous, Tous fvioTés, Ta uMOB}xa Kal TV KaTaVOUA TuW TraBoyOvuw TIOU PETaiSovral Ue Tous KpSTWvES Kal eival MBavd va amToTEMCOUV GnpavTK® TPOBANLC Sqpdo1ag uyEiac omy Eupsinrn Kar om yuipa yas ra eroyeva Em, H perédoon TIaBoyovw aT YOAUCPEVOUS Kporuves cupBaiver cuvidus and ta péoa ms Avoigns €ux Kai 10 EIvémupo. O1 GvOpusTo1 eivar Bac Tuyaio! Kai abiéfoSor feviovéc Tuw TraBoyOvuy AUTO, 01 avarrhaquwoeis Kal pikeroniiaeis Sev UTTdyoVTal -LEXpI OTIYUFS- OTA UTIOXPEWTIKKG BNAOUNEVA voor|paTa om EAAdBa, wor6do éxouv SnyooteUBei opiopéva TepICTaTKG auTiDv Twv vVoOWY GE KaTOIKOUG Th XKDAG Ka éxouy yivel peuowupvec drums avagopéc oro KE.EA.NNO.. Elvai aiyoupo éti 7a vootiyara auré uripyouy om \6pa uc, GMA UTOBiayiyvaoKovTa: Kai Bev Karaypdgovrai, ExTé amé Tig peTabibopeves ueow Kpordvwv pikerowboels omy EANaBa Exouv avawepBel emtons MEpICTaTIKG pIKETOIGEWW TOU OpeilovTa! GE pikérotes Trou peTaBiBovrat pe Tous YOAAOUS. H éykaipn avaywivpion Kar avriverdomion Tw Ao ibfewy auriav Leldvel Tov Kiveuvo COBapwy EmiToKiiv. OC &x TolTou, Ga Tipénel va TepIAapBavovrar om BSiagopiKr Siayvwan Tou Gepamrovta¢ iarpOU, Tbd0 OE ragiSidrec Tou éxouv emiorpéyel amd ylapec Tou efwrEpKOL EvENUIKEG Yiar auTa Ta TraBoyOvG, 600 Kal OE TOYA ywpig IoTOPIKS TAgI5IOU TIou avayépouy éKBeON OE KPOTWVG f ExoUV CUPBaTd GUYTTUaTO A KAIVIKG onpeia.AvartAdiopwo H avOpiamivy KoxkioKuTrapiKA avarGoywon cival ia voos Tou ogeiAcral oro Gram apvnKS BaKT}pI0 Anaplasma phagocytophilum Kai yropel va TEpIypagel ws AoiLwEy Tw oUdETEpS@IAUY TOAULOPgoTToN VV Kuridpuy, AuTé To TaBoybvo UeTadiBerai cov GvBowrTo KupiuG He TO Biya HOAUOYEVOU KpSTwwva, EVtd Uumfépyouv erriong Aiyes avagopés perdBoanc uéow perdyyions ciarac, H av@pdimivn véo0s avaywwpio®nxe via mpivTn gop To 1990 oTig HMA. Env Euptirm to Tipioro Kpowopa Karaypdgnee 10 1997 o1m ZAofevia kai éxtore Exouv Karaypagel pEpiKés SeKdbEG KpoUoYATA ths vooOU (repimou 100) ct Biagopes Eupumaikés yiipes, Kuplug omy KevrpK} Eupiorm Kai om TkavdwaBiar ZAoBevia, Zounsia, NopBnyia, Mlohuvia, Toeyia, OdAavdia, Teppavia, Tadic, alia, Ioravia, Avorpia, Enfetia, Belyio Kai EAhgba. Ta Trepiogétepa TepioTaniKa Karaypdgovral Kara Tous vec ATIpiNO Ewe COxriiBpr0, we Koptipwarn Tous Bepivods wives Tmv Euptirin 0 Kporuvas Ixodes ricinus eivat -ye Bacon mv Tpéxouga yrbOn- 0 KUpIOG BiapiPacTHig TOU Anaplasma phagocytophilum. To Biya Tou KpéTwva eival cuvmBuc aveo5uvO KG! HEpIKO! GOBEVEIG Ye avarrAaouwan Bev avagépouy ioTopiK6 Briyparas KpdTuWa, Ertions, IKpTEpa avdpipa oTABIa Tou KpSTuWa! (vOLpEG, HeyéBous KegaAg Kapgiroac, 1-2 xIA) uTopel va pV avixvedovral ECKoka, Opus "TOPO va eTaBiBouv ™ Aoi, ‘Aragopa ein EnhaotKioy iw TowxTiKG- ExoUY avayvupIOBe! A TIpOTABE! we BaoTKA UTTOB6xa (reservoir) e1Biiv Tou yévous Anaplasma, Kémroies ehagides civai BacIKG UTODOXG, GAAG TGV Oy! via Ta OTEAEYN TOU TIpoKahoV vOco cTOUS avEpisTToUG, Ev) Kalo! GKUAO! éXoUV TPpOTaBE! ux MBavA UTOS6yA GE GOTIKO TEpIBGAAOV. MrpuKaoTIKG Kal Trnva éxouv ertiong TMporadei | avayvwpIOE! we iKaVa UTOBOya, DmnV Eupdin Bava urro&6xa propel va eivat 1600 Ta pnpukaoTiKa MapaywayiKa Zia Ts KMvOTPOIAS 6co Kal Ta Gypia oTAng6pa, KaBKiG Ka! Ta Gypia TpUxTIKG. A\Ggopa eiBn Gow (SULTEPIAaUBaVvoUEVU CKUAW, ImTioeISdiv, unpuKaoTiKdWv) umTopei erriang va TrOGBANBOGY aM avaTTAGOUWAN Kal va VooT|COUV H Aoipw& propel va civar aouymupani A va exBnhuel pe Ames A coBapéc exBnAivoeic. Ta apyKa OUNMmyaTa THG avaTAGoHwWaNs TUTTKG TapoUCLovIa! GUViIBWS EoD GE 1-2 EBBouddeC (eUpoc: 5-21 épes) HETG ro Sfyya YoAUOPEvoU KpTuva. Ta Mo koIvd GUYOT THs voooU TEpIAQUBGVOUL: aipvidia évap& eymupérou, KeparaAyia, uuaaviec, ap8palviec, KaKouxia, plyos, vaurialeetouc, KoIAlaKé GAyos, Bidppoiec, Bhxa, Sroykwon AeupadévwwifmarogioM™nves, cUyxuon, e&avenua (oTrévia), emimeguKir6a. Ayo! Sv aoBeveic avarrccouy 6ha Ta GUUTTpTa Kal 0 opIBYOG Ka GUVEUGOYs Tw CULTTUETIOY TOIKiARE! Md droyo Ce droyo. Enig MepiaaoTepes TepTTdGEIC UTpXe! BpouBoKUTTOTTEVia, AeuKoTTevia Kal oUgqyeva ramika évZupa, av Ka auTa Ta epyaoTnplaKa eupfiyara wmropel va aTroucIACouv. Tapdho Trou cuvileux n avaMAdopwon civai ong TEpicobrepes TeprTDEIC pia Fm, auTé-TEpIOpZOueVN wooo, umropei var efeAIyBei ce GoBapi} voco Kai va éxe1 Bavarnpspo éxBaon 6v Sev avtIpETwTiCBe! Eykaipa Kai KaTGAAAAWS, aKOpN KaI GE TrpoNVOULEVUNG UyIF GoW, O1 cOBPEC KAWKES EKONAGOEIC KAI ETITIAOKES UTIOpE! va TEpIAaUBGvouv: BuoKokia otny avarivo, ARDS, Mveupovirida, aipoppayies, ofia Vve@piKt) aveTtipKeia, veupohoyikéc exBNAdTEIC aM TO TIEDIPEPIKO KAI TO GTIGVIA TO KEVIPIKO VEUpIKO UoTnya, onTTiKh KaTamAnfia f| GUvSpouO TIOU TipoGOYONEge! Le TORK shock, KapBiayyetaKr} KaTaTANgja, TravkapSiniba, Biatapayés Tifns aiyaros, euxaupiaKés AoiiiEeIc. H exriyduevn Avnrornta eival <1% (nmyf CDC) Kai 01 Tepioostepo1 Bvaro! MpOKahOUvTaI aT ETTTAOKEE ATT cUKAIpIOKES AOWUEEIG A GMEC cuvuTtapxouaes vocouc, evid omy Eup 1a Gavarg6pa KpoUoyara evar oTIdvia. AVoCoKaTECTaALEVOI coBeveig avarriccouy cuvfBu¢ Tio GoBapA véoo pe UYNASTEDN BvnTorNTa Atayvwwon H Bidywwon ms avarAdoywans Tope! va TapoustGce BuoKoAleG (uN eibiKG CUYTUATa, apvqTIKEC ‘opohoyikéc Soxiyaatec ric Tpsirec 7-10 nuépec m¢ voaoU) Kar cuxvd Baatgeral amu KAKA UTFOWia Ovo. O1 Sepérrovres iarpoi @a Tpére! va exniigouy Kal va Kplvouy edv Ba avniyerumrioouy BeparreuTiKa aoBevElC Le kAvikf| UTOWia TM¢ vOoou. Emmy Kain) BiGywwan tHE voooU yTopobv va BonSfgoUY onyavrKés TANpOgOPIeG aM To IoTOPKD TOU aoBevoug Kal thy KAWIKA effta0n, OTs 1oTOPIK MpSapaTOU SiypaTOG KpoTwva, éxBeon - uTalBpIEs Bpaompismrec ce Mepioxés Tou miBava UTapXoUY KpoTuvEs (TTX. KOUVyK, OpEIBagia, KUVAyl, KNTTEUTIKE epyaoiec, Bokres o¢ UmaiGpo, eniayyehyarix} éxBeon oe BapwidBers, Saaw5eic, ayporikéc Mepioyéc f meployéswe Bkéovnon). Enions, elvai xpfoyo va Siepevvnel ertagy ye KaTOUKiBia {ida (IBluG OKUAOUG) Kan vixveyon TIpOGKOMANHEWW OF auTé KporiiMuY, KOBIIE YEoW TW KaTOIKIBIWW Zawv aUgaveTaI Kan mavérnra ExBeans Tuy avpdmuy oe KobTuVEs, 01 epyaonpiaKés wéBobo1 BiGyvwans ms vocoU TeepIAAYBAvOUN: Mopiaxés yeG650us -PCR kal realtime PCR- kara 1m Sidpkeia ms ofgiag gdions mg vooou, ue weyaAUTEpN, euaioBqcia my mist eBSoudda mM vooou, n oTtofa peidverar rayéws perd mm yopriynan avniBioTiKAc ‘aywytis. Mia apvqrixa PCR Bev arroxAeie! 17 AoiywoEh, Aroubvwon Tou Avarhdoparos o€ KaANépyela (SioBEoILn ydvo oe effiSiKeupéva epyooripia), Opohoyikéc eferdoeic: n Bidyvwon emBEBaxaverar pe opoyerarpomn} f TerpaTAagIagUO TOU TirhoU Tw avriowydtuy o¢ 5iaBoxKa Belyyara pod. Avriodyara évavri Tou AvaTAGquaTOS avixvebovral oUvABUIC Thy 7" = 10% npépa vooou. N¢ éx ToUTOU, éva apynTiKG aTroTEAECUa OPOAOYiKOU EhéyxOU KATA TV TIPwT eB5oud5a tng vocou Sev arroKAeiel m SiGyvwon mg avarTAGouWwons. H OpoAOYIKA LESBOS avagopac via 1h Didywwon ms avarAGopwan¢ eival o Eupecog avocopboploes, GE Gio SiaBoyiKé Beiypara opod, wore va arrorumw6ei n abgjon TOU tithou (TetpaTtAaciagpc Tirkou avTiowydTWW). Ac €k TodTOU, Eival GKETTILO va AayBaverai éva Belyua 60 mo wupic yiverar mv MPptiTy eBSoudTa Tn vocou Kai éva SeUTEpO Beiypa 2- 4 eBOouddec pera. Eni¢ nepioobrepec MEpTWOEIG, 0 Tithog Tw IgG avTiowpATwY GUVABUIG clvar yaUNAdG fh kapynTixdc» cro TiptiTo Befyya opod, evtd oto SeUtepo Seiya TurTKG Mapampeital onyavnixh aUgjon, Ta IgM avriodpara cuviigws augavovrai mapahinka ye Ta 1gG (nepinou ato réhos ms Mpdimns eBSoudeac dou) kai Tapayévouv avixvetiiya via urves. Emriong, ta IgM avriowyara eiva: Myérepo e16iKa aM Ta IgG avricwyara, Kat evar Tio mIBavo va TpOKUYE! YELDIC BeriKd aTOTEAEoLa aUTibv. A¢ ex TOUTOU, ot Tino! twv IgM avriowudreuy Tpérte va agjohoyodvral TrapGAAnAa we auTous Tw IgG avriowparun. Mixpooxomix eféraon emxpioyaros aiyaros: Trapougia evSoKuTTapIWY éyKMeioTwW (UiKpO-aTTOKKIG AvamTAdopaTos), 1a orroia KaoGvrat Bokia (omy AY AK yAwiooa «morulaes) evTb¢ TuV KoKKioKUTTépIWY ard 1 BiGpKeia Kuplixg m¢ TIpdamng eBBOUGBAC mm vocoU Kal Tip m yopriyNEN avmiBioTIKwV, OTO 20% Tepirtou Twv cobeviny (A/A: TORK KoKKiwon, auyudTia Done). H avarrAdopwon ouviorarai va TepiAapBaverar orn SiagopiKi| Stayvwon érav o aoBevAig Mapouaréze! eurTépeTo aBieuKpivioTns aITioAoyiac, iBiws Stay auTS cuVSusGera! Ye EpyaoTnpIaKa eupALaTA Kurrapomteviag Kai niramiKig GUMMETOXAG, Kal TO 1oTOpIK Tou aGBevoGG aTroKaAUTTE! éxBeon A ‘ugnpévn miBavornra éxBeans ce KpoTWvEC. eparreia Emi kAIMiKiis UTrowiag avarTAgopwans (IBiws av n KAIviKA KaTaOTaGN ToU aaBevous iva ernpEacHEVN 4 Baiver emBeivodpevn) Kai avaAoya pe Thy exripnon Tou Bepétrovros latpoU, n KaTGAANAN GepaeUTIKA aywyh ouviovéral va fexivée dueca Kai va pny KaBuoTepe! ev avayovA tng epyaoTnplaKAS emeBaiwons, Bnhadh ouvictéral va fexivae! MpIV TAY EpyaoTnpIaKA em BeBaiwan Ths VécoU Kat Bev 8a mpéme va BiaKérrrera oe TepinTwcn apxiKé apynTIKioy BlayvWOTIKBN OpOAOYIKAY EEeTaEW. H BofuKuxAivn eivai n Beparteia exhoyric Kal Ga Tipéme! va yopnyelra Gyeoa ce Tepimwan uTOWias TNC \vég0u, TV MY epyaoTnpIaKi} em BEBaiwon ing Sidyvwanc (S60n EvnAiK= 100mg KAGE 12 tiped). Ze MaWG1a OuvioTéTaI emiKoIvwvia Ye AoIuWoAyo TraIBwWW yIa Tov KABOPIBUS TH¢ aywyric. H aywyA TIpéMe! va uveyiferai Tounaxtotov via 3 nhEpEC yerd tv Ugecn Tou TupeTOU Kal péxpI va uTTapEoUV evBelfEIc KAiVIKi}G BeATiuans. H ouvijGng SidpKeia m¢ aywyAc eival 7-14 npépec. H GepareuniKt} aywyrh evar TIepiaaéTEpO aTfoteheouaTiK oT TIPSANYN COBapAY ETITMAOKY Edy EEKive|OEI TIpdIY CTY TropEiA TAG vOUOU, Ms ex TobToU, n Beparreia cuvioTérai va oTnpiGeral oTHV KAIVIKI) UTFOWia KAI Vo EEKIVGE! TIpwING Tp THY epyaoTnpiaki emiBeBaiwon. Edv 0 acBevAc AdBe! TM Gepamteia evrde twv Tlodrw 5 quepiaw me vocou, 0 TUpETog YeviKa UTIOXWpEI Leo GE 24-72 dpEc. AveTTapKric avraTIéKpIOn TH DoSuKUKAivn (TX. ETIpove epmupérou vic >48 des yerd my évap§y aywytic) yrropel va uTOnAdve! GAAN vOoo, av Kal aoBevEiG Ue GoBaph vdoo pTopel va xpelAZovrar peyaAtTepo BiGorya aywyrig MpIV Ty “yen TOU MupETOU. Be TepimTwon addepyiag om SofuKuKAivn f} GE Tiepitmwon EyKwW GoBEviov, Mpémt va. exniunéel n xopfiynan GANWY EVOAAKTIKG QODLSKWY Kal CUVICTATA! EmKoIvUViO UE c15IKO AOIUWE|OAdYO yia Tov KaBOPICLS TH¢ aywyrig. AounTupariKo: aoBeveic pe avTIodara évavtl Tou AvaTAGoparog Sev Tipémel va AéBouv ‘avtiBiwon,Pxeronioeig 01 pixérores eva Gram opvnrixd, uroxpewniké evBoKuTrépia Baxrfpia Tov ueraBiBovrar cuvBu pe appérroba, om xpérwwvec, WOAAOUG, Weipes, aktipea. O1 pikeTordaEic efvar eupéixc KaravEyneves a& Oho Tov KOaHO, Ta ein wv pIKETOIAY Kal o1 ayETICOVEVEG KNVKEG VOCO! TIKiAROUY avahoya LE TH YEUYPAIKA TEpIOKt, 01 piketoidoels xatarogovTa! oF Blo KUpIES OUABES: mY ONDA Tw KRAISWELV Truperiov (spotted fever group) Tou TEpIAGYBAve! E'Sn piKETOY TOU UETaBIboVTAI KupiUNG YE KPOTUVEG Kal TW OMABA Tou TOpOU (typhus group) mou TepiAauBaver tov evn (murine) Kai tov emiSqpikd TEGO, Ue BlaBiBaoTéc Tous YUAAUS Kal Tig yelpec avriovoiya, Néa TraBoyovikd ein pKETIAY cuveyiCouv va avayvupiGovrai Ta TekeuTaia éry Env Eup Karaypagovrat pikerousoeic ms oMdBag Tw KNAIBWHV MUpErdy TIO TPpoKAhOUVTa! aT Budipopa ef6n piKEToIy Trou éyoUY LG SiaBiBaoTéc Srapopa eid KpOTIOVW. ATIO TIC PIKETOIAENG TNC ONBAG Tou Téqou (typhus group) a€ xlspec ing Eup avagéperai o evBnpIKOs TépOG Ye arTIOAOyIK6 TrapayovTa Th Rickettsia typhi Tou erabiderai ue tous woMouc (kup Twv TpuKriKiv). Eva véo sido¢ piKéroIac, n Ricketisia felis, n. omoia yeradiberai we touc yUAAOUG, avagépera oe xiypec mg Euptirmn Ka! Sewpefrat avabudpevo TraBoy6vo. Teviké Ta KAIVIKG CULTTUNOTa TW KPOTWVO-LETABIBOLEVWV PIKETONNGEWY EEKIVOUV 4-10 nHEpEC LETd To Sfyya pohuowévou Kporwva Kal TUTTIKG MEpIAauBavouy TupETO, KepaAGAYia, HUAAYiEs, KaKOUXia, efdvEnya, TOTTI Aeppadevordeia. Enig Tepicodtepec KpoTuvo-HeTadiSopeves prKeroIWOEIG TTapaTypeital yapaKmnpIOTiKs EOXGpA EvOgBAAYIOYOU GTO GNEIO TOU ShyyaTOG GN KpSTWWA (\IMOPE! -woTSGO- va aTroUGIAe! fh va undpyouv TIOAKGTIAEG eoxdipec aviAoya He To ei6o¢ me piKéroiac). Mn ei5iKG epyaoTpiaxd eupfyara Teepihaypévouv Aeuxorrevia, avaiia Kar BpoyBoxurromeevia. Noréoo, 1a ania TIOIKIAOUY avéAoya Ye TO 10 mg pIKETOIAG Kai TIOpE| va cTroUaTaoUV Ta TUTTKG CUUTTIDYATA A evioTE To Y6vo GUpTMUA va Eival o ‘Truperéc, H @vnrornra Tww pixeroroewy TOIKIAAEL. H ouxvorepn pikeroiwon omy Eupiomin Kai oT xiapa yas eivai o MecoyeiaKés KnASiBNS TUpETOs, TIOU ogeiAerai om R.conori, Anavrdrai kupiwe a7 voria Kat avarokixh Eupimn kai KooUowara éxouv avagepBei kai omy EdkdSa. O SiaBiBaorr¢ ms tivai © Kpérwvag Rhiphicephalus sanguineus («kage to\ymotp! ‘oxiAwv»). H Trepiobog embaong giver GuvABus 5-7 nuépes. H TumiKH KAIMiKA YopGA THI¢ VooOU TrepIAGBAVEL ‘cupmiipara ypimis5ous ouvépopris, cumipeTo, xaraBoAA, TepIGEpIKA AeupadevoTTG6eIa, kNAIBOBAATIBUIBEG A reeTexeuiBeG efavOnpa Kar TaBoywwpoviKi eoydpa (tache noire) oT oNpeio Siypatos Tou KpdTwva. EmavidTepa —cavagépovrai atuTIe coBapés eKBnAWOEIC TMS VOTOU, YE KapoIOAOYIKG cUYTTiayaTa (wuoKapbinda, KOATI yopyapUyA, exTagia CTEpavidiy ayyEiwy), ogBa\yohoyiKd cULTTYaTa (cugiBAnorpoeiSoré8eia, payoeidinida), veupohoyiKd cuyrMiyara (eyKEgaAKG ioxaIyiKd éu@paKra, lnviyyoryKegaAiniSa, Trohuveuporéeia, veupoaic@qnipia amuiAEia aKoric), TayKpeatiKA cUpUETOyA, prién COTAARVOG, Offic vegpIKh averdpKeia, aipopayoKUTTapKS GUvEpHO. H GvaromTa urTope! va eival UYNAA, ‘Toya weydAng nAiKlac Kall Ye UTTOKEij!eva VooT|yaTa EXoUV THO eyo KivBuVO va EKSRNOOUV GoBapr LOPOA voaou. H apyixi SiGyvwon omnpigerar ouvABws OTH KAiviKi €1KOva KaL ETBeBa\dveTaI ev CUvEXEia EpyaoTNpIAKG. H avraméxpion oTny KaTGAANAN cuvioTiiyevn Geparteia arrorEAei évBelgy UTED TMs opBSmTaC mC apxiKiic kAivixfc Srdyvuwone. H epyaomnpiaxa Siaywwan yiverai: ~ Eueoa, pe m xorion opohoyiKiov yeBOSuw Ye Tig oMfoies avixvedovra! eiSiKa avTIOdara EvavT! Tu Biapoperikiiy eiSiiv pikerouv. H ue6050¢ Tou éypecou avocogBopisyod Gewpelrai n opoAoyixA GoKiyaaia ‘avagopas. H epyaomplakr emiBeBaiwon mg Aoiuwéng BaoiZerai Tov Terpamthagiagpd Tou Tithou ovriowpetwy o€ Guo SiaBoxiKs Sefyyara opod. Opoyerarpomr cuvrieus cupBaive 7-15 nuépes wer hy évapfq mg vooou. ¢ ex TouTou, eival KOT YO va AauBaverau Eva Seiyya 6c0 To vwpig yiverar Thy Mpc eBBoydGa tg voooU Kai Eva SeLrepo Seiyya 2-3 eBSoudBec perd, wore va arroruTwOei n avE Yon TOU Tirhou. AiacTaupotpeves avriBpaceis avayeoa ora iéqopa eiSn piKeTouv, AAG Kal ye GAAa TIaBoyOva Baktipia, eivai ouxvec, ~ Gueoa: ue m xpijon PCR, realiime PCR, KaANépyeia oe xuTTapiKés osipé fh Gyeon avixveuan oF Sepparikés BAGBec Fh 1076 Ye TH Xprion GyEecou avocopEopIOPoN Fh EIdIKWY XPIoEW.O1 pxeroxioers aviperwmigovrar emmuyiig pe my avnBioreA Gepareia, iw TerpaKuKAives, He ™ Sofuruxhivn va arrorekei m Beparceia mode exdovig (BuvBws 200mg THY nuEpd via 7-14 nype¢ oTouc evfjeg), evtd Kau Ada avmiBioTiKd ExoUV mporaéi wc EvaNAOKTIKF aYWYh OTK TETpOKUKAIveG (TX. HOKBOAIBEC WBlug emi eyxuyooun¢ Kai ce aTougia aoRapHC véc0u). Modagarec peAérec fou Belfer 6r! o1 phoupoKivooves ouoxeTi¥ovral we KaKt éKBaon GE AOIUWdEEIC aT R.conori Kal Bev CUVIETGTAI N Xpfon TOUG mn Bepameia Tou yeaoyEIaKOG KnArBsibouG TupErOU. KauorEpnON oY aYwYA TOPE! va Odny}OE! OE oBapr; voao Kai Bavarng6po éxBACN Kal W¢ EK TOUTOU ELIA aywyA| OUVICTETa! va fEKIVGE! 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KABANAE 410.0N, BPAMAE AT.CN, SANOHE 121, KOMOTHNHE «EIEMANOTAEIOn 13, NOZOKOMEIO ElAIKON NAGHEENN GEEEANONIKHE SLYIIE OEZEANIAE & ETEPEAE EMWAAAE 41. TULN, AAPIEAE —-N, AAPIEAZ «KOYTAIMMANE!O & TPIANTAOYMMEIOn 2.T/N.ABAAEIAS -1.N, BHBON 3... XAAKINAE —.N, KY KAPYETOY ~ FN. KY KYMHE 4,0. BOAOY 61,YME MEAOMONNHSOY, IONION NHEQN, HNEIPOY & AYTI 4.,.N.ATPON (CN. ATPON cATIOE ANAPEAE + NOTOKOMEIO NOZHMATON @2PAKOE NA EAAAAAZ «0 ANOE OYKAS) - 2.T.N.ANATONIKHE AXAIAS N. AINOY +N.—KY KAAABPYTON) 3.0.7-N.MATEON 44.T.N.TAIMON MATRON sKAPAMANGANEIO» 5..N, MESEHNIAS (7.N. KAAAMATAE +'N.~KY KYTMAPSEIAS) 8.-N.AAKONIAS (CN, ETAPTHE oOANNOY & AIK TPHTOPIOY» +1.N,-KY MOAAON) T.CTIN. TPINOAHE wH EYATTENBTPIAs (+ PN TPIMIONHE) 8.N,HAEIAE(7-N.IYPTOY +I-N, AMAAAQAE +T'N, KY KPEETENQN) 9..N, APTOAMAE (C/N APTOYE.+.N. NAYNAIOY) 410..N. AITOAOAKAPNANIAE (TN, ATPINIOY +N, MEZOAOITIOY eXATZHKOETA®) {1..NL KEPKYPAZ (+ YN KEPKYPAE) 12..N. KEOAMAHNIAE (CN. KEQAMHNIAE +.N, AHEOYPIOY eMANTZABINATEIO3) 13. T.-N.AQANNINON, 14. IQANNINON ef. XATZHKQETAX 38.0. APTAS 18. 1.N, ZAKYNOOY KAFIOE AIONYZIOE® 17..N. KOPINGOY 18.0.N. AEYKAMAE 18. -NMPEBEZAE 20.1N.-KY @INATON TAYME KPHTHE 1.TL-N, HPAKAEIOY -.N, HPAKAEIOY «BENIZEAEIO~ ANANEIO® 2.1.N, XANIQN (@EPATIEYTHPIO WYXIATPIKON TAGHEEON, XANION) 3.1.N, ANIOY NIKOAAOY -.N, - KY IEPANETPAE -.N, - KY EHTEIAL-F-N, -KY NEATONEQE 4.7.N, PEOYMINOY IAIOTIKA NOZOKOMEIA 4. EPPIKOE NTYNAN 2. EUROMEDICA AQHNAION 3. KAINIKH eKYANOYE ETAYPOD® '§ AIATNOETIKO & GEPAMEYTIKO KENTPO AOHNON xYTEIAW AE 5. NEO AGHNAION MD HOSPITAL 6. AGHNAIKH KAINIKH AQHNON. 7. NOEOKOME'O MAIAON sEYPOKAINIKH» 8. GEPATEYTHPIO KYWEAHE ASHNON 0, KENTPIKH KAINIKH AGHNOIN 10. EYTENIAEIO SEPATEYTHPIO ‘1. DOCTORS HOSPITAL - FENIKH KAINIKH «INMOKPATHE® 12 KAINKH «MANTOKPATOP AGHNON: 13. KAINIKH eAEYKOZ ETAYPO> AGHNON 14. IATPIKO AQHNON A.E,- KAINIKH #YXIKOY 15, ATTIKO GEPAMIEYTHPIO 16.|ATPIKO KENTPO AGHNAN AE. - KAINIKH AMAPOYEIOY $7. MAIEYTHPIO «AHTO® 1B.s1AEQ» AE 19. MHTEPAW AE. 20, TYMET ~xYTEIAE MEMAGPOND 21, KAINIKH IPHTOPIAMH ~ GEPANEYTHPIO eZOTHP) AE. 22.IATPIKO AGHNON AE. KAINIKH TL. QAAHPOY 23, EYPOKAINIKH REHNON AE. 24, NOLOKOMEIO METROPOLITAN’ 25. BOYTOYKAAKEIO BIA/NOETIKO & GEPANEYTIKO KENTPO 2. cIAIN GENERAL® AE, 27. BIOKAINIKH ABHNGN 28. MEDITERRANEO HOSPITAL 23, KAINIKH WATIA EIPHNe 230. TENIKH KAINIKH eTASIAPXAIy 31. 1ABIO QEPANIEYTHPIO ~ TENIKH KAINIKH KAMIOEAE 232, KAINKH eTIMIO ETAYPOE» AGHNON 33. ATPIKO AGHNON AE. - KAINIKH NIEPIETEPIOY 234, IATPIKO AGHNON ARONHE 35, BIOKAINIKH TEIPAIA 236, TENIKH KAINIKH eAGHNAs 37. wQINOKTHTHE» KENTPO ANOGEPANEIAE & ATIOKATATAEHE 238, BIOKAINIKH GEETANONIKHE 38, QIABA/KANIKO IATPIKO KENTPO GEDINIIKHE 40, KAINIKH eATIOE AOYKAES 41. EUROMEDICA sKYANOYE STAYPOEs GEDNIKHE 42, TENKH KAINIKH EAPAQIANOY 43, EURONEDICA - rENIKH KAINIKH GELNIKHE. 44 sIAEQn GESEANAE AE 45, EUROMEDICA - KNINIKH KYANOYE TAYPOE» AAPIEAE 48, MAIEYTIKH KAINIKH nIIMOKPATHEs AAPIEAE. AT. QEPATEYTHPIO «AEKAHTIEIO» MAPA. 48. MAIEYTIKH KAINIKH xAKEBO» BOAOE 48, TENIKH KAINKH «AKEEO» BOROE50, MABOAOTTKH KAINIKH «AHMOZOENH BOYBANOYAHs Bono: 51, EUROMEDICA - rENIKH KAINIKH «Z040XOE NHTH KOZANH 52 TENIAH KAINIKH «ATIOE PEQPrIOZ» EMEDEA {52 MAIEYTIKH ~ PYNAIKOAOMKH eMHTEPA® IQANNINA 5 TENIKH KAINIKH e NNIOKPATEIO IAPYMA» ATPINIO 55, GEPANEYTHPIO « OAYMITION» - [ENIKH KAINIKH ATPON 58, EUROMEDICA TENIKH KAINIKH AQAEKANHEOY 57, KAINIKH eMHTEPA> APTA 58. KAINIKH «AHTQs KABANA 859, KAINIKH «GHAEOE TEVA» MANNITEA 60, KAINIKH BAEVEOs KABAAA ETPATIOTIKA NOZOKOMELA 41.21 TENIKO NOFOKOMEIO AEPONOPIAE 2.401 TENKKO ETPATIOTIKO NOZOKOMEIO AGHNON (CENA) 3, 404 TENIKO ETPATIOTIKO NOFOKOMEIO MAPIEAE 4. 406 TENKKO ETPATIOTIKO NOEOKOMEIO IOANNINON 5, 412 TENKO TTPATIOIKO NOZOKOMEIO =ANOHE 8 444 FTPATINTHO NOECKOMENO EIKO NOEHMATON (ENEN) 7.417 NOZHAEYTKO IAPYMA METOKIKOY TAMEIOY ETPATOY NIMTE 8.424 ETPATIOTIKO NOFOKOMEIO EKNAIMEYEENE 8.219 KINHTO XEIPOYPTIKO NOBOKOMEIO EKETPATEIAE (HN) 10, NAYTIKO NOZOKOMEIO AGHNON. 11, NAYTO NOEOKOMEIO KPHTHE 12 NAYTIO NOEOKOMEIO BAAAMINAE \ATPU i ATPINIOY AQHNON AIFOY AMANAMAS APTONIMAE APKALIAE APTAE TPEBENON OPAMAE. EBPOY EYBOIAE EYPYTANIA, ZAKYNGOY MAGIA HPAKAEIOY GERNPOTIAE BEEINIKHE GHBON IQANNINON KABANAE KAAYMNOY KAPAITEAE KAETOPIAE KEPKYPAE KEQAAAKNIAE KIAKE, KOZANHE KOPINOIAE. KYKAAAON Ka. AAKONIAT AAPIEAE SESBRNRREBRNE Sataasastseenoetenn 33, NAZIOIOY 34 AEIBASIAE 35, NETBOY 36. AEYKAMAS, 37. AHMINOY’ 38, MATNHEIAE 38, MESOAOTTIOY 40, MEEZHNIAE 41, ERNOHE 42. NATPON 43. NEPRIA 44, TENA 45, TIEPIAT 48, NPEBEZAE 47. nyeroY 48, PEEYMNOY 48, POLOMHE 50. POAOY 51, ZAMOY 52. TEPPON 53. INTEAE 54. TPIKAAON 55. OOINTIAAT 56. OADPINAT 57. OKIAAE 158. XAAKINIKHE 58, XANION 60. XY