{"id":37751,"date":"2025-02-21T10:39:27","date_gmt":"2025-02-21T10:39:27","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=37751"},"modified":"2025-02-21T10:39:27","modified_gmt":"2025-02-21T10:39:27","slug":"improving-care-for-older-people-with-acute-infections","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/ro\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/improving-care-for-older-people-with-acute-infections\/","title":{"rendered":"\u00cembun\u0103t\u0103\u021birea \u00eengrijirii persoanelor \u00een v\u00e2rst\u0103 cu infec\u021bii acute"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Sec\u021biunea intitulat\u0103 modul-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/37751\/#module-1\" class=\"anchor\"><span class=\"hidden\">Sec\u021biunea intitulat\u0103 modul-1<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>\u00cembun\u0103t\u0103\u021birea \u00eengrijirii persoanelor \u00een v\u00e2rst\u0103 cu infec\u021bii acute<\/h1>\n<h2><strong>Care este problema?<\/strong><\/h2>\n<p><strong>\u00a0<\/strong>Infec\u021biile acute la persoanele cu v\u00e2rsta peste 75 de ani sunt adesea dificil de diagnosticat \u0219i sunt legate at\u00e2t de prescrierea excesiv\u0103 de antibiotice, c\u00e2t \u0219i de intern\u0103rile neplanificate \u00een spital (Rhee &amp; Stone 2014; Beckett et al 2015; Millet et al 2015). Au existat cercet\u0103ri considerabile at\u00e2t asupra cauzelor, c\u00e2t \u0219i asupra modalit\u0103\u021bilor de a reduce (\u00een siguran\u021b\u0103) utilizarea excesiv\u0103 a antibioticelor \u0219i intern\u0103rile neplanificate \u00een spital la persoanele \u00een v\u00e2rst\u0103, dar s-au concentrat \u00een principal pe mediul din c\u0103minele de b\u0103tr\u00e2ni (Feldstein et al 2018; Nguyen et al 2019; Raban et al 2020; Smith et al 2020). \u00cen ciuda diverselor ini\u021biative, utilizarea excesiv\u0103 a antibioticelor r\u0103m\u00e2ne o problem\u0103 \u00een c\u0103minele de b\u0103tr\u00e2ni din cauza barierelor semnificative \u00een calea implement\u0103rii cu succes (Vicentini et al 2024). Pentru persoanele \u00een v\u00e2rst\u0103 care tr\u0103iesc independent, unele cu sprijinul \u00eengrijitorilor formali sau informali, exist\u0103 pu\u021bine cercet\u0103ri cu privire la aceste probleme sau la modul de a reduce \u00een siguran\u021b\u0103 prescrierea de antibiotice.<\/p>\n<p>Pe m\u0103sur\u0103 ce num\u0103rul persoanelor cu v\u00e2rsta peste 75 de ani cre\u0219te \u0219i devine mai divers din punct de vedere etnic, inegalit\u0103\u021bile \u00een materie de s\u0103n\u0103tate sunt, de asemenea, \u00een cre\u0219tere. Rezultatele \u00een materie de s\u0103n\u0103tate \u0219i speran\u021ba de via\u021b\u0103 sunt mai slabe \u00een zonele defavorizate dec\u00e2t \u00een cele bogate \u0219i \u00een sudul Angliei, comparativ cu zonele nordice (Bambra, 2022; Munford \u0219i colab., 2023). Persoanele din grupurile subdeservite, inclusiv etniile minorizate \u0219i cu statut socioeconomic mai sc\u0103zut, prezint\u0103 un risc mai mare de a contracta boli infec\u021bioase \u0219i de a fi purt\u0103toare de bacterii rezistente la antibiotice (Ayorinde \u0219i colab., 2023).<\/p>\n<p>Este nevoie s\u0103 \u00een\u021belegem ce anume duce la inegalit\u0103\u021bi \u00een \u00eengrijire \u0219i \u00een rezultatele privind s\u0103n\u0103tatea persoanelor \u00een v\u00e2rst\u0103 cu infec\u021bii acute \u0219i cum putem \u00eembun\u0103t\u0103\u021bi \u00eengrijirea \u0219i reduce inegalit\u0103\u021bile. Aceast\u0103 lucrare va aborda prioritatea ICB de a combate inegalit\u0103\u021bile \u0219i de a sprijini persoanele \u00een v\u00e2rst\u0103 spre sf\u00e2r\u0219itul vie\u021bii.<\/p>\n<h2><strong>Care este scopul cercet\u0103rii?<\/strong><\/h2>\n<p><strong>\u00a0<\/strong>Obiectivele proiectului RCF sunt:<\/p>\n<ol>\n<li>Revizuirea literaturii actuale privind factorii care determin\u0103 supra- \u0219i sub-prescrierea antibioticelor \u0219i intern\u0103rile neplanificate \u00een spital pentru infec\u021bii acute la adul\u021bii \u00een v\u00e2rst\u0103 din popula\u021biile marginalizate<\/li>\n<li>Pentru a concepe \u00een comun, \u00eempreun\u0103 cu diver\u0219i contribuitori din public \u0219i p\u0103r\u021bi interesate, cercet\u0103ri viitoare pentru \u00eembun\u0103t\u0103\u021birea \u00eengrijirii persoanelor \u00een v\u00e2rst\u0103 cu infec\u021bii.\n<ul>\n<li>Determinarea popula\u021biilor \u021bint\u0103 (intervalul de v\u00e2rst\u0103; persoanele din aziluri de b\u0103tr\u00e2ni\/\u00eengrijiri medicale \u0219i\/sau cele care tr\u0103iesc independent; care popula\u021bii mai \u00een v\u00e2rst\u0103 sunt cel mai subreprezentate).<\/li>\n<li>Identificarea lacunelor \u00een dovezi \u0219i co-proiectarea \u00eentreb\u0103rilor de cercetare \u0219i a studiilor adecvate pentru a aborda aceste lacune.<\/li>\n<li>Identificarea interven\u021biilor poten\u021biale \u0219i co-proiectarea dezvolt\u0103rii interven\u021biilor \u0219i a studiilor de fezabilitate.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<h2><strong>Cum va fi utilizat ICB RCF \u00een Bristol, North Somerset \u0219i South Gloucestershire?<\/strong><\/h2>\n<p>Finan\u021barea RCF va sprijini timpul necesar unei autorit\u0103\u021bi de reglementare pentru a desf\u0103\u0219ura consult\u0103ri cu PPI \u0219i p\u0103r\u021bile interesate, pentru a efectua o analiz\u0103 rapid\u0103 a literaturii de specialitate \u0219i pentru a redacta cereri de grant.<\/p>\n<p>Vom recruta un grup consultativ public divers pentru a co-proiecta viitorul(ele) proiect(e) de cercetare, asigur\u00e2ndu-ne c\u0103 sunt incluse persoane cu experien\u021be diverse (vezi detaliile \u00een sec\u021biunea urm\u0103toare).<\/p>\n<p>Vom construi o echip\u0103 de cercetare cu expertiza potrivit\u0103. Dr. Cabral a stabilit leg\u0103turi cu HSA prin munca sa la Bristol HPRU \u0219i cu medicii din domeniul asisten\u021bei medicale primare din mediul academic prin apartenen\u021ba sa la SPCR. Ea va identifica colaboratori potrivi\u021bi din re\u021belele sale existente.<\/p>\n<p>Vom realiza o analiz\u0103 rapid\u0103 a literaturii de specialitate pentru a stabili baza actual\u0103 de dovezi \u0219i lacunele existente. Aceasta va identifica literatura de specialitate privind factorii care determin\u0103 suprasolicitarea, subprescrierea \u0219i prescrierea antibioticelor \u0219i intern\u0103rile neplanificate \u00een spital pentru infec\u021bii acute la adul\u021bii \u00een v\u00e2rst\u0103. De asemenea, vom realiza o prezentare general\u0103 a analizelor studiilor de interven\u021bie cu popula\u021bii relevante (o prezentare general\u0103 a analizelor este recomandat\u0103 de Cochrane, acolo unde exist\u0103 deja mai multe analize sistematice). Contribuitorii din public vor colabora la analiz\u0103, particip\u00e2nd la deciziile privind focalizarea analizei, includerea \u0219i excluderea studiilor, sinteza \u0219i raportarea.<\/p>\n<p>Inten\u021bion\u0103m s\u0103 scriem aplica\u021bii complementare at\u00e2t pentru HSDR, c\u00e2t \u0219i pentru RfPB, pentru a investiga practica \u0219i a dezvolta o interven\u021bie.<\/p>\n<h2><strong>Cine conduce cercetarea?<\/strong><\/h2>\n<p>Proiectul este condus de Dr. Christie Cabral, lector senior la Centrul pentru Asisten\u021b\u0103 Medical\u0103 Primar\u0103 Academic\u0103, Universitatea din Bristol.<\/p>\n<h2><strong>Informa\u021bii suplimentare<\/strong><\/h2>\n<p>Pentru mai multe informa\u021bii sau pentru a v\u0103 implica \u00een acest proiect, v\u0103 rug\u0103m s\u0103 contacta\u021bi\u00a0<a href=\"mailto:bnssg.research@nhs.net\"><strong>bnssg.research@nhs.net<\/strong><\/a>.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 Improving care for older people with acute infections What is the problem? \u00a0Acute infections in people over 75 years are often difficult to diagnose and linked to both over prescription of antibiotics and unplanned hospital admissions (Rhee &amp; Stone 2014; Beckett et al 2015; Millet et al 2015). There has been considerable [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-37751","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/37751","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/comments?post=37751"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/37751\/revisions"}],"predecessor-version":[{"id":37753,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/37751\/revisions\/37753"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/media?parent=37751"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/tags?post=37751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}